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Bruxismo durante a infância : causas e tratamento
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Abstract(s)
O Bruxismo é considerado uma desordem de origem funcional e de carácter involuntário, constituído por movimentos incontroláveis e não contínuos, de ranger ou, em situações mais severas, de cerrar de dentes. Durante a infância, o bruxismo é frequentemente associado ao período noturno. Entretanto, a prevalência precisa do bruxismo do sono na população infantil é difícil de determinar e muitas vezes subestimada. O prognóstico favorável está estreitamente ligado à identificação precisa da causa subjacente, ressaltando a importância do diagnóstico precoce e acurado. Este problema pode afetar indivíduos de todas as idades e gêneros, embora a sua etiologia seja objeto de debate, muitos investigadores concordam que os aspectos emocionais, desempenham um forte papel significativo. O ranger dos dentes muitas vezes é considerado uma forma de lidar com emoções reprimidas, stress, ansiedade e outras preocupações emocionais. O principal objetivo desta revisão é fornecer uma compreensão aprofundada do bruxismo infantil, destacando a relevância de um diagnóstico antecipado e preciso, do planeamento adequado e da prevenção de complicações futuras, garantindo o bem-estar das crianças condicionadas a esta causa. O tratamento precoce eficaz do bruxismo infantil, frequentemente requer uma abordagem multidisciplinar, profissionais de diversas áreas da saúde, incluindo pediatras, psicólogos, otorrinolaringologistas, fisioterapeutas, médicos dentistas e terapeutas da fala, que devem consolidar esforços para corrigir os múltiplos fatores que podem contribuir para a solução desta condição. Essa colaboração, garante que todas as possíveis causas, sejam elas sistêmicas, psicológicas, hereditárias ou relacionadas ao sono, sejam consideradas e tratadas de maneira abrangente. Existem várias filosofias diferenciadas de tratamentos, sendo mais radicais ou menos invasivas, desde o não farmacológico ao farmacológicos, sempre com uma preocupação de tratamento multidisciplinar, englobando diversas e diferenciadas especialidades.
Bruxism is considered a disorder of functional origin and involuntary nature, consisting of uncontrollable and non-continuous movements, such as grinding or, in more severe situations, clenching of teeth. During childhood, bruxism is often associated with nighttime. However, the precise prevalence of sleep bruxism in the pediatric population is difficult to determine and often underestimated. A favorable prognosis is closely linked to the precise identification of the underlying cause, highlighting the importance of early and accurate diagnosis. This problem can affect individuals of all ages and genders, although its etiology is subject to debate, many researchers agree that emotional aspects play a strong and significant role. Teeth grinding is often considered a way of dealing with repressed emotions, stress, anxiety and other emotional concerns. The main objective of this review is to provide an in-depth understanding of childhood bruxism, highlighting the relevance of early and accurate diagnosis, adequate planning and prevention of future complications, ensuring the well-being of children affected by this cause. Effective early treatment of childhood bruxism often requires a multidisciplinary approach, professionals from different health areas, including pediatricians, psychologists, otorhinolaryngologists, physiotherapists, dentists and speech therapists, who must consolidate efforts to correct the multiple factors that can contribute to the solution to this condition. This collaboration ensures that all possible causes, whether systemic, psychological, hereditary or sleep-related, are considered and treated comprehensively. There are several different treatment philosophies, whether more radical or less invasive, from non-pharmacological to pharmacological, always with a concern for multidisciplinary treatment, encompassing diverse and differentiated specialties.
Bruxism is considered a disorder of functional origin and involuntary nature, consisting of uncontrollable and non-continuous movements, such as grinding or, in more severe situations, clenching of teeth. During childhood, bruxism is often associated with nighttime. However, the precise prevalence of sleep bruxism in the pediatric population is difficult to determine and often underestimated. A favorable prognosis is closely linked to the precise identification of the underlying cause, highlighting the importance of early and accurate diagnosis. This problem can affect individuals of all ages and genders, although its etiology is subject to debate, many researchers agree that emotional aspects play a strong and significant role. Teeth grinding is often considered a way of dealing with repressed emotions, stress, anxiety and other emotional concerns. The main objective of this review is to provide an in-depth understanding of childhood bruxism, highlighting the relevance of early and accurate diagnosis, adequate planning and prevention of future complications, ensuring the well-being of children affected by this cause. Effective early treatment of childhood bruxism often requires a multidisciplinary approach, professionals from different health areas, including pediatricians, psychologists, otorhinolaryngologists, physiotherapists, dentists and speech therapists, who must consolidate efforts to correct the multiple factors that can contribute to the solution to this condition. This collaboration ensures that all possible causes, whether systemic, psychological, hereditary or sleep-related, are considered and treated comprehensively. There are several different treatment philosophies, whether more radical or less invasive, from non-pharmacological to pharmacological, always with a concern for multidisciplinary treatment, encompassing diverse and differentiated specialties.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Bruxismo infantil Diagnóstico precoce Abordagem multidisciplinar Tratamento