Bruxism is a big problem that shouldn’t be overlooked. Because it will have a negative effect from causing the teeth to wear out. severe to the point of death which is a potentially dangerous condition If not taken care of in a timely manner
Dr.Monthida Thongthamrong, Specialized in Occlusion Dentistry and Facial Pain Specialist dentist dental institute Discuss the cause of teeth grinding that It is now concluded that Bruxism is a malfunction of the brain. Controlling masticatory muscle contractions at night There was a strong, pulsating contraction, even though the teeth were clenched for an average of 10-20 minutes per night only, but the force of clenching the teeth was a lot. can cause harm There are 2 types of bruxism. The first type bites and plows will make a sound. And the second type bites and emphasizes, there is no sound, the person next to you can’t hear it, but if there is a dentist’s examination, you can know.
“Stress, occlusal conditions It is only what motivates, that is, bruxism is Biopsychosocial, means Bio is physical health, Psycho, mental state, Social environment, stress will stimulate people who are already gritting their teeth. gritted teeth even more from the evidence found People who grind their teeth will have a part of the brain that is shown. In addition, bruxism is associated with a disease called Temporomandibular joint Disorder (TMD) or pain in the temples and joints Dr. Montida said
Dr.Monthida Added that patients who have pain in the face, joints, jaw or waking up in the morning with temple pain, when the jaw is raised, and headaches are mutual causes of the disease. caused by bruxism Together with the patient’s behavior such as chewing a lot of solids or chewing on one side of food for a long time can affect the joints. An important disadvantage in bruxism with a lot of force will affect 3 parts of the organs. 1. Teeth, causing tooth sensitivity, tooth wear, if biting too hard and continuously can cause tooth death. because it affects the tissues of blood vessels and nerve endings Or clench your teeth until the root of the tooth is broken. 2. Masticatory muscles, such as the cheek muscles temporal muscles When there is a lot of contraction of these muscles, it is similar to muscle cramps. I can have spasticity and pain. 3. The jaw joint in front of the ear Temporomandibular joint (TMJ) when clenching your teeth vigorously causes the vitreous in the joint to be pushed outward. As a result, the joints become stiff until the process of friction occurs. The patient will have pain in the jaw joint while chewing food. due to inflammation
As for the self-care method of bruxism patients, Dr. Montida revealed that the treatment requires wearing occlusal splints in conjunction with adjusting the patient’s behavior, such as not chewing hard solids. Don’t chew gum for a long time, don’t open your mouth too wide. and should chew food on both sides If one side is chewed too much The opposite side will have problems with herniated discs, the jaw joints will move forward. You can notice it when you shut your mouth, open your mouth, and chew your food, you will hear a click. During the day, you should observe yourself not to accidentally clench your teeth when you are focused or stressed regarding certain activities. Try to keep the upper teeth 1-2 millimeters apart.
“Remedy: Your dentist will recommend an occlusal splint to be placed on your upper teeth at night. The tool will reduce the rate of tooth wear. With the height of the tool raised slightly, the contraction of the muscles is reduced. less pain Reduce pain in the jaw joint. Botox to reduce teeth grinding is also possible. As a result of the injection, the muscles work less, contract less, and reduce the bite force, causing the muscles to work less. But the doctor must calculate the amount of Botox to fit the muscles. If too much is injected, it may cause muscle weakness. Can’t eat food without lacking Botox injections must be performed continuously for a specified period of time. But I would like to recommend Botox for people with severe symptoms, such as those with brain lesions that constantly grind their teeth,” said Dr. Montida.
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