The present study is
realised on 348 patients who came to the Prosthetics
Clinic of the Faculty of Dental Medicine Craiova for
physiognomical and morphofunctional oral
rehabilitation during 2008-2009. Out of these there
were selected 26 patients who had one or two signs
of bruxism.
Considering the
global evaluation of patients with bruxism the main
factors involved in the ethyology of bruxism were
highlighted: the consumption of excitants of CNS,
psycho-social factors, occlusal factors and cranium
traumatism in antecedents.
The most frequent
manifestations of bruxism of the group of patients
studied were: teeth grinding, pains at the level of
temporo-mandibulary joint (TMJ), morphological
disturbances of the dental arches depending on the
type of dental wear which can reach different
degrees up to the total destruction of the dental
crowns, coronary- root fissures and fractures,
fractures of the prosthetic dentures or of the
placating materials, dentine hyperesthesis and
muscular hypertrophy.
The treatment was achieved depending on the level of
affectation of the dental tissues. This consisted
either of applying some noninvasive therapies at
dental level in the case of patients with incipient
wear or of making up an ample prosthetical
rehabilitation, associated with a general treatment
according to recent ethyological hypotheses
reffering to bruxism.
Key words: bruxism,
dental wear, parafunction.