BruxismSupervised by :Dr.Nadra ishaq

Defination

Is the involuntary , unconscious oral parafunctional habit of either or a combination of grinding , clenching and tapping of the teeth during

non-functional movment of masticatory system .

Type

Daily bruxism

Nocturnal bruxism

Causes

Emotional stress

Personality type

Jaw, head or neck injury

Central nervous system dysfunction

Antidepressant medications Abnormal alignment of upper and lower teeth

Alcohol and stimulants such as caffeine

Signs & Symptoms

abnormal wear patterns of the occlusal surfacefractures in the teeth

painful jaw

Insomnia

Gum recession

tension

stress

Anxiety

Neck pain

Tinnitus

Headaches

Tinnitus

Earache

Eating disorders

Treatment

o splinto biofeedback exerciseso drug therapyo Mouth guardo stress reduction o Get plenty of sleepo Avoid eating hard foods like nuts

Clinical presentation

• Name : Muhammed yehia• Age : 54 years old• Sex : male• Address : Aden - altwahi• Occupation : soldier• Marital status : married

Complaint :Patient come to the clinic complain from missing teeth

Clinical presentation

Clinical presentation

Social history (bad habits) :• Smoker• Qat chewer

EXAMINATION : Extra Oral :Tmj clicking (bilateral)Tmj pain during opening

INTRAORALAtrition ( bruxim patient )Pigmentation CalculusNo moblitiy

Clinical presentation

Clinical presentation

Treatment :1-peridontic therapy2-tooth preparation3-impression4-try-in5-cementation

Clinical presentation

N.B: Before beginning of prostodontic treatment, the patient should be refered to A.N.T specialist to treat him/her from any problems because patient with bruxism usually breaths from his/her mouth .

Clinical presentation

Thank youPrepared by :Saeed Ahmed BajafarIlhaam Mossed Ahmed