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Bruxism: Updated Treatment and the Importance of a Multidisciplinary and Digital Approach

Bruxism is a dental condition characterized by grinding or clenching the teeth, which affects both adults and children. Over the years, different treatments have emerged that aim to relieve symptoms and protect oral health. In this article, we will explore the current options for treating bruxism and highlight the importance of having a digital clinic with specialists from all fields for a comprehensive approach.

Treatments for Bruxism in Adults

Treatments for bruxism have evolved with technological and scientific advances. Below, we highlight the most common and effective options:

  1. Night guards: These are one of the most common treatments for bruxism. The splints, custom-made by the dentist, are placed over the upper or lower teeth, preventing dental wear, dissipating muscular force, and reducing pressure on the jaw. They are especially effective at preventing further damage to the teeth and relieving muscle tension.
  2. Chemical denervation: This treatment involves chemical application to the masseter muscles primarily to reduce muscle contraction strength. It is crucial that this procedure is performed by a maxillofacial surgeon, as it requires a deep knowledge of facial anatomy to avoid complications. Chemical denervation has proven to be highly effective in severe cases of bruxism that do not respond to conventional treatments, providing long-term relief without affecting masticatory function.
  3. Behavioral therapies: In many cases, bruxism can be related to stress or anxiety. Relaxation techniques, cognitive-behavioral therapy, and stress management are important interventions that help reduce the frequency and intensity of nocturnal bruxism.

Treatments for Bruxism in Adults: Importance of Early Diagnosis

Bruxism is not exclusive to adults. In children, it can appear at an early age, usually during sleep. Although it often disappears over time, it is essential for a pediatric dentist to monitor the child’s progress to prevent potential damage to permanent teeth.

Early intervention is key. In mild cases, the pediatric dentist may recommend regular monitoring, but in more severe situations, soft splints may be used, or specific treatments adjusted if there are signs of dental wear or pain. Additionally, attention should be paid to emotional or behavioral factors that could be contributing to childhood bruxism, such as stress or anxiety.

Brux Checker: A Precise Diagnostic Tool

One of the latest innovations in diagnosing bruxism is the Brux Checker, a simple and effective system that detects areas of contact and dental pressure during bruxism activity. This special sheet, placed over the teeth during sleep, records where the patient applies the most pressure when grinding or clenching their teeth. The Brux Checker helps dentists identify wear patterns and customize bite guards more precisely, improving treatment effectiveness.

The Importance of a Digital and Multidisciplinary Clinic

Having a clinic equipped with cutting-edge technology and a team of specialists from various fields is crucial for accurate diagnosis and effective treatment of bruxism. Digital clinics allow for more precise dental impressions through intraoral scanners, which facilitate the creation of high-precision custom bite guards.

Additionally, the integration of different specialties in the clinic, such as orthodontics, pediatric dentistry, maxillofacial surgery, and oral rehabilitation, ensures a comprehensive and personalized approach for each patient. This multidisciplinary approach allows each specialist to contribute their expertise, ensuring the best possible outcome.

Conclusion

Treating bruxism requires a comprehensive approach that combines advanced technology, skilled specialists, and a personalized treatment plan. Chemical denervation, performed by a maxillofacial surgeon, is a safe and effective option in severe cases. For children, monitoring by a pediatric dentist is essential to prevent long-term damage. Having a digital clinic, supported by diagnostic tools like the Brux Checker, and a multidisciplinary team is undoubtedly the best guarantee for providing successful and lasting treatment for bruxism.