[Dental and pharmacological treatment options for bruxism].
Bruxism has a multifactorial etiology. The consequences of bruxism, abrasion of teeth and a possible craniomandibular disorder, present themselves periferal. So, treatment can have divers points of action. Counseling seems to be useful in all cases. Treatment with a hard acrylic occlusal appliance (oral splint) is especially useful in those situations where the patient has a lot of abrasion or suffers from a craniomandibular disorder with pain. Pharmacological treatment will have a more central effect. Some drugs are effective on bruxism. However, the real pharmacological mechanisms have not yet been discovered. In the absence of data from double-blind, polysomnographic, controlled studies, pharmacotherapy treatment is only indicated in severe cases on a short-term base. Until new data come available, the dentist has to use conventional therapies only.
van der Zaag
J
J
Afdeling Orale Functieleer, sectie Craniomandibulaire Dysfunctie, Academisch Centrum Tandheelkunde Amsterdam (ACTA), ACTA Louwesweg 1 1066 EA Amsterdam.
Lobbezoo
F
F
Naeije
M
M
D002012:Bruxism / Q000188:drug therapy / Q000628:therapy*; D003376:Counseling; D006801:Humans; D009426:Netherlands; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D018377:Neurotransmitter Agents / Q000627:therapeutic use*; D017090:Occlusal Splints; D017410:Practice Guidelines as Topic
D009465:Neuromuscular Agents; D018377:Neurotransmitter Agents