Loading...
Publication
Papel da terapĂȘutica multidisciplinar em casos de bruxismo nas crianças
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 1.24 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O bruxismo pode ocorrer em qualquer idade, sendo mais frequente em crianças e adolescentes. Ă uma atividade parafuncional repetitiva dos mĂșsculos da mandibula. Com etiologia complexa sabe-se que Ă© multifatorial.
Esta parafunção pode causar vĂĄrios danos, na estrutura dentĂĄria pode desenvolver a hipersensibilidade dentĂĄria, carie dentĂĄria e pulpite por causa do desgaste anormal a longo prazo, nos tecidos periodontais pode originar periodontite, nos mĂșsculos maxilofaciais e na articulação temporomandibular devido Ă s forças excessivas a nĂvel da articulação origina a sua disfunção.
Atualmente nĂŁo existe mĂ©todo especĂfico para seu diagnĂłstico e tratamento. O diagnĂłstico Ă© baseado normalmente em questionĂĄrios ou anamnese e em exame de polissonografia e eletromiografia. Pois um diagnĂłstico correto e preciso ajuda na escolha de um tratamento mais adequado. Os mĂ©todos mais usuais no tratamento do bruxismo Ă© atravĂ©s da terapia psicolĂłgica e comportamental, farmacoterapia e intervençÔes a nĂvel oclusal.
Ă importante salientar que os danos de bruxismo no adulto em comparação com os danos de bruxismo nas crianças as suas consequĂȘncias sĂŁo mais severas nas crianças, pois influencĂa o nĂvel no desenvolvimento facial e o nĂvel da função mastigatĂłria.
O MĂ©dico Dentista deve identificar os fatores de risco para introdução de um tratamento adequado, conhecer a fisiopatologia do bruxismo e ser sensĂvel para reconhecer os impactos do mesmo na cavidade oral e no desenvolvimento geral da criança.
Bruxism can occur at any age, being more common in children and adults. It is a repetitive parafunctional activity of the jaw muscles. With a complex etiology, it is known to be multifactorial. This parafunction can cause several damages, in the dental structure it can develop dental hypersensitivity, tooth decay and pulpitis due to abnormal wear in long-term, in the periodontal tissues it can lead to periodontitis, in the maxillofacial muscles and in the temporomandibular joint due to excessive forces at the level of the joint causes its dysfunction. Currently, there is no specific method for its diagnosis and treatment. Diagnosis is normally based on questionnaires or anamnesis and on polysomnography and electromyography. This is because a correct and accurate diagnosis helps in choosing a more appropriate treatment. The most common methods in the treatment of bruxism are through psychological and behavioral therapy, pharmacotherapy and interventions at the occlusal level. It is important to note that when comparing adults to children, the consequences of bruxism damage are more severe in children, as it influences the level of facial development and the level of masticatory function. The dentist must identify the risk factors for the introduction of an adequate treatment, as well as to know the pathophysiology of bruxism and be sensitive to recognize its impacts on the oral cavity and on the general development of the child.
Bruxism can occur at any age, being more common in children and adults. It is a repetitive parafunctional activity of the jaw muscles. With a complex etiology, it is known to be multifactorial. This parafunction can cause several damages, in the dental structure it can develop dental hypersensitivity, tooth decay and pulpitis due to abnormal wear in long-term, in the periodontal tissues it can lead to periodontitis, in the maxillofacial muscles and in the temporomandibular joint due to excessive forces at the level of the joint causes its dysfunction. Currently, there is no specific method for its diagnosis and treatment. Diagnosis is normally based on questionnaires or anamnesis and on polysomnography and electromyography. This is because a correct and accurate diagnosis helps in choosing a more appropriate treatment. The most common methods in the treatment of bruxism are through psychological and behavioral therapy, pharmacotherapy and interventions at the occlusal level. It is important to note that when comparing adults to children, the consequences of bruxism damage are more severe in children, as it influences the level of facial development and the level of masticatory function. The dentist must identify the risk factors for the introduction of an adequate treatment, as well as to know the pathophysiology of bruxism and be sensitive to recognize its impacts on the oral cavity and on the general development of the child.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitårio Egas Moniz
Keywords
Bruxismo infantil HĂĄbito parafuncional Ansiedade TerapĂȘutica multidisciplinar