Abstract

Bruxism Management: A Comprehensive Review

Highlights

  • According to the international consensus of experts for the diagnosis and treatment of bruxism, carried out by Lobbezoo, et al [1], Bruxism is defined as a masticatory muscle activity that can occur while the person is asleep or awake

  • 41 studies were selected to generate recommendations according to the best available scientific evidence; the risk of bias was evaluated according to each study as follows: systematic reviews according to the method reported in each document, for observational studies it was evaluated using the Newcastle - Ottawa Scale tool and for randomized clinical studies the Jadad scale was used; in addition, the quality of evidence and the degree of recommendation were evaluated according to GRADE

  • Various terms have been proposed for the classification of bruxism over the years, starting from the factors that may influence its presence, and the different etiologies, for this reason, the great discrepancy in classifying it; according to its etiology they classify it into primary bruxism and secondary bruxism; according to the movement carried out by the jaw muscles, they classify it as centric and eccentric, but in most reviews, it is not specified whether the sleep bruxism (SB) or awake bruxism (AB) are being investigated individually, so variability in the prevalence between the SB

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Summary

Introduction

According to the international consensus of experts for the diagnosis and treatment of bruxism, carried out by Lobbezoo, et al [1], Bruxism is defined as a masticatory muscle activity that can occur while the person is asleep or awake. Psychological therapies are recommended as initial treatment for bruxism in children, since they will not involve invasive treatments, they do not interfere with the growth and development of the maxillary structures and they do not present contraindications or sequential effects; these psychological complications can decrease anxiety and muscular hyperactivity characteristic of bruxomania episodes [14]. The purpose of this article is to generate clinical recommendations as a complement to the comprehensive treatment of patients, for decision-making about the therapies indicated in SB and AB

Results and Discussion
Bruxism classification
Oral pathognomonic signs to clinical diagnose of bruxism
Restoration of severe dental wear associated with bruxism
Treatment of the Abfractions
Pharmacological alternatives
Occlusal splint design
Recommended treatment in children
Bruxism and dental implants
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