Page 183 - 2021 IDMT Digital
P. 183

BRUXISM
          Introduction:
            •  %UX[LVP LV JULQGLQJ RU FOHQFKLQJ RI WKH WHHWK WKDW FDQ OHDG WR DEUDVLRQ  ZHDU DQG IUDFWXUH
               DQG RU DYXOVLRQ RI GHQWDO HQDPHO DQG FXVSV RI WHHWK (commonly stress-related)
            •  7KHUH DUH WZR JHQHUDO W\SHV RI EUX[LVP
                 o  $ZDNH EUX[LVP
                 o  6OHHS EUX[LVP
                       ƒ  7KH PRVW H[WHQVLYH DQG FRPPRQ RFFXUUHQFH RI EUX[LVP LV GXULQJ VOHHS
          Subjective:
            •  6LJQV DQG 6\PSWRPV
                 o  3DWLHQW PD\ EH DZDUH RI JULQGLQJ DQG FOHQFKLQJ
                 o  +HDGDFKH
                 o  -DZ SDLQ
                 o  7RRWK SDLQ
                 o  (DUDFKHV
                 o  %HG SDUWQHUV URRPPDWHV PD\ FRPSODLQ RI JULQGLQJ VRXQG
          Objective:
            •  3K\VLFDO ([DP
                 o  )XOO VHW RI YLWDO VLJQV
                 o  3DLQ VFDOH    ±
                 o  +((17 RUDO WHHWK H[DPLQDWLRQ
                       ƒ  3DLQIXO 70-V DQG DVVRFLDWHG PXVFOHV RI PDVWLFDWLRQ
                       ƒ  0D\ KDYH SDLQIXO RU OLPLWHG RSHQLQJ
                       ƒ  3DLQ PD\ UDGLDWH WR HDU DQG WHPSRUDO UHJLRQV
                       ƒ  -DZ PD\ SRS ZLWK RSHQLQJ RU FORVLQJ
                       ƒ  (QDPHO ZHDU DQG IUDFWXUHV PD\ EH REYLRXV RQ PRODUV DQG LQFLVRUV
                       ƒ  0D\ GHPRQVWUDWH PXOWLSOH KDELWXDO FOHQFK SRVLWLRQV
                       ƒ  /RRVH  SDLQIXO WHHWK

          Assessment:
            •  'LIIHUHQWLDO
                 o  70- SDLQ  SRSSLQJ  FOLFNLQJ  FUHSLWXV  OLPLWHG 520 DQG ORFNLQJ RI MDZ
                 o  5HIHUUHG SDLQ  UDGLDWLQJ DQG RU UHIHUUHG SDLQ WR HDU  WHPSRUDO DQG SRVWHULRU QHFN
                    UHJLRQV
                 o  $EVFHVV  WRRWK SDLQ DQG SUHVVXUH VHQVLWLYLW\
                 o  7RRWK IUDFWXUH  WUDXPD
                 o  +HDGDFKH  UHIHUUHG WR IURP MDZ
          Plan:
            •  3DLQ PDQDJHPHQW
                 o  16$,'V 351
            •  2UWKRWLFV  27& KHDW PROGDEOH GHYLFHV
            •  6HOI DZDUHQHVV  FRQVFLRXV HIIRUW WR UHGXFH MDZ FOHQFKLQJ













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