Bruksizm Hastalarında Klinik Bulgularının Araştırılması

Amaç: Bruksizm tanısı konulan hastalara ait klinik bulguların araştırılması amaçlanmıştır.Yöntem: Ocak 2018-Aralık 2018 tarihleri arasında Adıyaman Üniversitesi Diş Hekimliği Fakültesi Ağız, Diş ve Çene Cerrahisi kliniğine başvuran Amerikan Uyku Tıbbı Akademisi tanı kriterlerine göre uyku bruksizmi tanısı konulan 110 hasta çalışmaya dahil edildi. Bruksizm tanısı konulan hastaların klinik muayenesinde, dişlerde aşınma varlığı, dilin lateral kenarlarında diş izleri, yanak mukozasında ısırma sonucu oluşan linea alba varlığı, periodontal hastalık, dişlerde hassasiyet, çiğneme kaslarında ağrı, temporomandibular eklemde ağrı, masseter kaslarında hipertrofi ve baş ağrısı değerlendirildi.Bulgular: Yaş ortalaması 32.95±12.34 olan, 78’i kadın 32’si erkek olan uyku bruksizmi tanısı konulan 110 hasta çalışmaya dahil edildi. Bruksizm tanısı konulan 110 hastanın 81’inde (%73.6) dişlerin insizal yüzeylerinde aşınma, 70’inde (%63.6) dilin lateral kenarlarında girintiler, 55’inde (%50) yanak mukozasında linea alba varlığı, 29’unda (%26.4) periodontal hastalık, 29’unda (%26.4) diş hassasiyeti, 77’sinde (%70) çiğneme kaslarında ağrı, 67’sinde (%60.9) TME bölgesinde ağrı, 27’sinde (%24.5) masseter kaslarında hipertrofi, 53’ünde (%48.2) ise baş ağrısı bulunmaktaydı. Sonuç: Bruksizmli hastalarda klinik bulgulardan en fazla diş aşınması, daha sonra ise çiğneme kaslarında ağrı, dil lateral kenarlarında girinti ve TME ağrısı eşlik etmektedir.

Anahtar Kelimeler:

bruksizm, diş aşınması, ağrı

Research on Clinical Findings in Patients with Bruxism

Objective: This study aims to analyze the clinical findings of patients diagnosed with bruxism.Methods: Between January 2018 and December 2018, 110 patients who were admitted to Oral and Maxillofacial Surgery Clinic of the Faculty of Dentistry, Adıyaman University and diagnosed with sleep bruxism according to the American Academy of Sleep Medicine diagnostic criteria were included in the study. In the clinical examination, the patients diagnosed with bruxism were evaluated in terms of tooth abrasion, presence of indentation on the lateral edges of the tongue, presence of linea alba in cheek mucosa due to biting, periodontal disease, teeth sensitivity, pain in masticatory muscles, pain in temporomandibular joint, masseter muscle hypertrophy and headache.Results: A total of 110 patients diagnosed with sleep bruxism, with mean age of 32.95±12.34, of whom 78 is female and 32 is male, were included in the study. Of the 110 patients diagnosed with bruxism, 81 (73.6%) had abrasion on the incisal surfaces of the teeth, 70 (63.6%) had indentation on the lateral edges of the tongue, 55 (50%) was with linea alba in the cheek mucosa, and 29 (26.4%) had periodontal disease, 29 (26.4%) had tooth sensitivity, 77 (70%) had pain in the masticatory muscles, 67 (60.9%) had pain in TMJ region, 27 (24.5%) had masseter muscle hypertrophy, and 53 (48.2%) had headache.Conclusion: In patients with bruxism, tooth abrasion is the most common clinical finding, followed by pain in masticatory muscles, indentation in the lateral edges of the tongue and TMJ pain.

Keywords:

bruxism, tooth wear, pain,

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