Tratamientos de bruxismo

El bruxismo es una actividad parafuncional oral que ocurre comúnmente en la mayoría de las personas en algún momento de sus vidas. Las dos principales características de esta condición son rechinar de los dientes y apretamiento de la mandíbula. Estas acciones ocurren generalmente en una persona dormir horas, pero de vez en cuando ocurren durante el día.

El bruxismo es uno de los más comunes trastornos de sueño conocido. La masticación es una actividad neuromuscular controlada por un proceso subconsciente, pero más altamente controlados por el cerebro. Durante el sueño, el proceso subconsciente puede activarse, mientras que un control está inactivo (dormido), resultando en el bruxismo. Los síntomas más comunes son dolor de oídos, dolores de cabeza, depresión, trastornos de la alimentación, ansiedad, y estrés crónico.

Un BiteStrip® is a device available through our office used to diagnose bruxism at home. The device itself is a small electromyography, which can sense and monitor activity in the jaw muscles during sleep. The frequency and severity of the condition can then be assessed and a plan of treatment can be determined.

Why should I seek treatment for Bruxism?

  • Gum recession. Bruxism is a leading cause of gum recession and tooth loss. Grinding can damage the soft tissue directly and lead to loose teeth and deep pockets where bacteria are able to colonize and decay the supporting bone.
  • Facial pain. Grinding can eventually shorten and blunt the teeth. This can lead to muscle pain in the myofascial region and in severe cases, incapacitating headaches.
  • Occlusal trauma. The abnormal wear patterns on the occlusal (chewing) surfaces of the teeth can lead to fractures, which, Si no se trata, may require restorative treatment at a later time.
  • Artritis. In the most severe cases, bruxism can eventually lead to painful arthritis in the temporomandibular (ATM) joints that allow the jaw to open and close smoothly.

Treatment Options

Though there is no known cure for bruxism, there are a variety of devices and services available through our office to help treat bruxism:

  • Mouthguards. An acrylic mouthguard can be designed from teeth impressions to minimize the abrasive grinding action during normal sleep. Mouthguards must be worn on a long-term basis to help prevent tooth damage.
  • NTI-tss device: This device only covers the front teeth and must be fitted at our office. The idea behind the NTI-tss is to prevent grinding the rear molars by limiting the contraction of the temporalis muscle in the jaw.
  • Botox®: Botox® can be injected into the muscles responsible for bruxing by disabling them enough to prevent grinding, but not enough to disrupt normal functions like speaking and chewing.

Once bruxing is under control, we can perform a variety of dental procedures to restore the pleasant aesthetic appearance to your smile such as crown application, injertos de encía, and crown lengthening.