Terapijski koncepti u zbrinjavanju pacijenata s bruksizmom temeljeni na sustavu procjene trošenja zubi

master's thesis

• Title (english): Therapeutic concepts in management of patients with bruxism based on the tooth wear evaluation system
• Author: Jelena Đapić
• Mentor: Iva Alajbeg (mentor)
• Committee member: Iva Alajbeg (predsjednik povjerenstva)
• Committee member: Ema Vrbanović (član povjerenstva)
• Committee member: Ketij Mehulić (član povjerenstva)
• Granter: University of Zagreb; School of Dental Medicine; (Department of Removable Prosthodontics); Zagreb
• Defense date and country: 2022-10-18, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Dental Medicine; Prosthetic Dentistry

Abstract

Bruksizam je dnevna ili noćna ponavljajuća aktivnost žvačnih mišića koja uključuje škrgutanje ili stiskanje zubi i/ili guranje ili silovito potiskivanje donje čeljusti. Unatoč jasnoj definiciji, bruksizam nerijetko ostaje nedijagnosticiran, pretjerano dijagnosticiran ili pak pogrešno dijagnosticiran. Kronični je to dentalni problem s multifaktorijalnom etiologijom i bez zlatnog standarda za dijagnosticiranje i terapiju. Kliničkim pregledom mogu se utvrditi neki od znakova koji upućuju na postojanje bruksizma poput trošenja zubnog tkiva, frakture zubi ili dentalnih restauracija, hipersenzitivnosti, boli u temporomandibularnom zglobu i drugi manje specifični
simptomi. Iako su istraživanja podbacila u dokazivanju izravne povezanosti gubitka površine zuba s bruksizmom, trošenje zubnih tkiva smatrano je jednim od najkarakterističnijih simptoma tog stanja. Sustav procjene trošenja zubi čiji protokol procjenjuje ozbiljnost stanja potrošenih zubnih tkiva i omogućuje raščlanjivanje patološkog od naprednog gubitka zubnog tkiva čini osnovu za daljnji terapijski plan. Budući da još ne postoji konačno terapijsko rješenje za liječenje bruksizma, svi napori usmjereni su prema prevenciji destruktivnih učinaka bruksizma od kojih je trošenje zubnog tkiva zacijelo pri vrhu. Većina takvih slučajeva mogu se uspješno liječiti preventivnim mjerama uz dugoročno praćenje i održavanje. Međutim, nedvojbeno će biti udio takvih slučajeva koji će zahtijevati restaurativnu terapiju.

Abstract (english)

Bruxism is a daily or nighttime repetitive activity of masticatory muscles that refers to teeth grinding or clenching and/or pushing or forcefully pushing the lower jaw. Despite being clearly defined, bruxism often remains undiagnosed, over-diagnosed or misdiagnosed. It is a chronic dental condition of multifactorial etiology and without the gold standard for diagnosis and therapy. A clinical examination can detect some signs that point to bruxism, such as dental tissue wear, tooth fracture or dental restorations, hypersensitivity, pain in the temporomandibular joint and other less specific symptoms. Although direct link between tooth surface loss and bruxism has not yet been scientifically proven, tooth wear has been considered one of the most characteristic symptoms of the condition. The tooth wear evaluation system, whose protocol assesses how severe dental tissues have been damaged and enables the distinction between pathological and advanced tooth tissue loss, is the basis for a further treatment. Since there is still no definitive therapeutic solution for treatment of bruxism, all efforts are aimed at preventing its destructive effects, first and foremost dental tissue wear. Most such cases can be successfully treated with preventive measures including long-term monitoring and maintenance. However, there will undoubtedly be such cases that will require restorative therapy.

• Keywords: bruksizam; popravak zubnog ispuna; restorativna stomatologija
• Keywords (english): Bruxism; Dental Restoration Wear; Operative Dentistry
• Language: croatian
• URN:NBN: urn:nbn:hr:127:592003
• Study programme: Title: dental medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica dentalne medicine (doktor/doktorica dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2022-11-09 11:55:27