Aguilera Shino Bay, Brown Liza, Perico Viviana Andrea
Volunteer Professor, Nova Southeastern University College of Osteopathic Medicine, Department of Dermatology, Fort Lauderdale, Florida.
Dermatology Resident-PGY3, Larkin Community Hospital, Miami, Florida.
J Clin Aesthet Dermatol. 2017 May;10(5):49-55. Epub 2017 May 1.
Bruxism is a diurnal or nocturnal parafunctional activity that includes unconscious clenching, grinding, or bracing of the teeth. An extensive medical history should be taken in these patients so proper diagnosis can be made. Habits such as biting the tongue, cheeks or lips, chewing gum or eating seeds for many hours per day, biting nails, and/or biting hard objects, will cause and/or exacerbate pre-existing bruxism. The etiology of bruxism is uncertain, but it is hypothesized to be associated with genetic, structural, and psychosocial factors. Over time, chronic clenching of the jaw leads to hypertrophy of masseters and temporalis musculature causing the face to take on a masculine and square appearance. Patients commonly present to dermatology cosmetic practices wishing to have a more slim, softer appearing face. This review is the first paper to discuss aesthetic treatment options for complications of bruxism including masseter and temporalis hypertrophy and the associated accelerated aging of the lower face.
磨牙症是一种日间或夜间的副功能活动，包括无意识地咬紧、研磨或紧咬牙齿。对于这些患者，应进行详尽的病史采集，以便做出正确诊断。诸如每天长时间咬舌头、脸颊或嘴唇、嚼口香糖或嗑瓜子、咬指甲和/或咬硬物等习惯，会导致和/或加重已有的磨牙症。磨牙症的病因尚不确定，但据推测与遗传、结构和心理社会因素有关。随着时间的推移，下颌的长期紧咬会导致咬肌和颞肌组织肥大，使面部呈现出男性化的方形外观。患者通常会前往皮肤科美容诊所，希望拥有更显瘦、更柔和的面容。本综述是第一篇讨论磨牙症并发症美学治疗选择的论文，这些并发症包括咬肌和颞肌肥大以及下颌面部相关的加速衰老。
