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Yıl:1996; Cilt: 1; Sayı: 1>> Özet
Ege Psikiyatri Sürekli Yayınları; 1996;1(1):95-105
Noktürnal Bruksizm
B Veznedaroğlu, ND Atalay
Ege Ü. Tıp Fak. Psikiyatri ABD
Noktürnal bruksizm genel populasyonda oldukça yaygın olarak görülen, dişleri gıcırdatma ve sıkma ile karakterize bir bozukluktur. Etiyolojide dişlere ilişkin, psikolojik ve sistemik etkenler sorgulanırken, noktürnal bruksizmin emosyonel durumlarla ilişkili bir uyku bozukluğu olduğuna ilişkin bulgular giderek artmaktadır. Bruksizmin genellikle non-REM uykusunun 1. ve 2. evrelerinde ortaya çıktığı düşünülmektedir. Uyku sırasındaki bruksizm dönemlerinin sayı ve sürelerinin olgular arasında veya aynı olguda değişebileceği bildirilmektedir. Eşlik eden yakınmalar arasında baş, ağız, çene ve dişlere ilişkin çeşitli yakınmalar mevcuttur. Bruksizmin yaşam boyu ortaya çıkış şekli oldukça değişkendir. Tanı, öykü ve muayene ile konabileceği gibi, özellikle araştırma amacıyla EMG'den yararlanılabilir. Tedavide çok "yönlü yaklaşımın yararlı olabileceği düşünülmektedir. Okluzal aparey ve diğer okluzal tedavi yöntemleri, psikoterapi, ilaç tedavisi ve fizik tedavi, tedavi seçenekleri arasındadır.

Nocturnal Bruxism
Nocturnal bruxism is a disorder characterized by grinding and clenching of the teeth, and has a high prevalence in general population.

While the dental, psychological and systemic factors are questioned in its etiology, there is a growing evidence that bruxism is a sleep disorder associated with emotional states. It is suggested that bruxism takes place in the first and second stages of non-REM sleep. The frequency and length of bruxism episodes may differ among patients or even in the same case. The accompanying complaints belong to head, teeth, mouth and chin. The course of bruxism alternates throughout life-time. History and physical examination can be used for diagnosis; EMG is preferred especially for further research. Multidisciplinary approach is recommended for treatment. Occlusal apparatus and other occlusal therapy methods, psychotherapy, drug treatment and physical therapy are other choices in the treatment of bruxism.

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