What is tooth clenching (bruxism)? How is tooth clenching (bruxism) diagnosed? What are the effects of tooth tightening (bruxism) on our lives? How is tooth tightening (bruxism) treated?

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Stress, which has become a part of our lives, also adds many diseases to our lives. Tooth clenching (bruxism), which is considered as a disease, develops (becomes atrophic) as a result of excessive activity of masseter muscle, which is only one of our chewing muscles, and sometimes temporal muscle. When squeezing the corners on both sides of our chin, it becomes visible and distinct. As a result of this development, it increases our normal tooth clamping force.

Our clenching force, which is 49 kg for women and 50 kg for men on average, can reach up to 80 kg in people with extreme bruxism. Considering that our oral environment is often in contact with many factors such as hot, cold and acid, the tooth enamel, which has a harder structure than the hardest bone of our body and undertakes both aesthetic and teeth protection, together with the extreme clenching force of the teeth. with an average of 1600 chewing movements

we can guess that it was damaged as much. Occasionally, sudden enamel cracks in the teeth can cause enamel fractures that cause sensitivity in your teeth and sometimes even more than cracks. It does not always cause sudden effects on the teeth, and the enamel of our teeth gradually erodes as a result of these excessive forces repeated over a long period of time. As a result of this wear, our face height decreases and begins to change our aesthetic appearance. Sometimes, due to the reduction of this size, sometimes when we clench our teeth, sometimes unnoticed (especially while sleeping at night), the sliding movement starts to cause damage on the TMJ (jaw joint). Pain begins in our jaw joint, click sounds are heard, and it can cause locking and extreme pain when opening and closing at advanced degrees.

So, what treatment protocol can be applied for Tooth Tightening (Bruxism), which is now accepted as a disease that affects our lives so much? -With the transparent plaques made, it can be distributed and softened by the plates without damaging the teeth by cushioning the clamping force. One of the disadvantages of these plates is that my patients may feel awkward and inconvenient to use them while sleeping. In addition, sliding movements made while clenching teeth may increase according to the plate used and may cause damage to your joints.

-Another option is the masseter botox method. It is a suitable treatment method for those over 18 years old. It requires experience and technique and should be done by professionals. When applied correctly, Masseter BOTOKS can prevent many problems such as joint discomfort caused by stress or clenching due to other reasons during the night and during the day, tooth grinding and wear and tear on teeth, jaw and headaches, eating difficulties. It causes an unused muscle dystrophy (shrinkage) by affecting the activation of the muscles. But this effect doesn't always stay that way. When our body eliminates the botox, our muscles begin to be activated again and gradually return to their former state. For this, the follow-up of the masseter botox procedure, which has an average duration of effect of 6 months, is very important and a physician examination should be performed every 6 months.