Camoin A, Tardieu C, Blanchet I, Orthlieb J-D
Service d'odontologie, hôpital Timone, Aix-Marseille université, AP-HM, 27, boulevard Jean-Moulin, 13385 Marseille, France.
Service d'odontologie, hôpital Timone, Aix-Marseille université, AP-HM, 27, boulevard Jean-Moulin, 13385 Marseille, France; Aix-Marseille université, 13385 Marseille, France; ADES UMR 7268, service d'odontologie, hôpital Timone, AP-HM, 13385 Marseille, France.
Arch Pediatr. 2017 Jul;24(7):659-666. doi: 10.1016/j.arcped.2017.04.005. Epub 2017 Jun 3.
Bruxism is defined as repetitive activity of the masticatory muscles, characterized by clenching the teeth or teeth grinding and/or by tapping and swaying. This study investigated sleep bruxism. The etiology is multifactorial: mainly central (neuropathic disorder, anxiety) but also genetic and local (posture, mouth breathing). The diagnosis is based primarily on the anamnesis and examination of dental wear and progression over time (photos and dental castings). A diagnostic guide is proposed in this article. Frequently found in children, bruxism is not always considered pathological. The severity criteria relate intensity (number of dental attrition facets) as well as the context found in children: anxiety, ventilation disorders, and fragile dental structures. Management is multidisciplinary and depends on the etiologic diagnosis.
磨牙症被定义为咀嚼肌的重复性活动，其特征为紧咬牙或磨牙和/或轻叩牙齿及摆动。本研究调查了睡眠磨牙症。其病因是多因素的：主要是中枢性的（神经病变、焦虑），但也有遗传和局部性的（姿势、口呼吸）。诊断主要基于病史以及对牙齿磨损情况和随时间进展情况（照片和牙模）的检查。本文提出了一个诊断指南。磨牙症在儿童中很常见，但并非总是被视为病理性的。严重程度标准涉及强度（牙齿磨耗小平面的数量）以及在儿童中发现的相关情况：焦虑、通气障碍和脆弱的牙齿结构。治疗是多学科的，取决于病因诊断。
