Bruksizem pri otrocih in mladostnikih = Bruxism in children and adolescents
Rener-Sitar, Ksenija ; Marion, Ljubo
Juvenile bruxism is the phenomena of clenching and grinding of teeth seen in children and addoleescents. It accompanies nonfunctional movements of the mandible and is therefore considered an oral ...parafunction. In mentally normal children it occurs during sleep, as a consequence of discomfort, and is frequently associated with atopy, acute viral infection, infection with intestinal parasites or dehydration. The disorder often disappears after puberty, but may continue into adulthood. Excessive tooth wear is visible mainly on the incisal edges of incisives and canines. The involved facets of antagonistic teeth ideally match when placed in the clenching position. The tretment for children with abraded enamel and exposed dentine in the primary dentition consists of clinical alapplication of protective liners and flow composites. Study casts and digital photos are useful in tooth wear analysis. Parents should be informed about possible causes for the development of the disorder. A child with the mixed dentition should be referred to an orthodontist. Adolescents require gnathological analysis. Selective grinding of teeth is rarely performed nowadays. Construction of Ramfjord occlusal splint is the mainstay of stomatognathic treatment in adolescents.
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