Rugh J D, Harlan J
Department of Oral and Maxillofacial Surgery, University of Texas Health Science Center, San Antonio 78284.
Adv Neurol. 1988;49:329-41.
This chapter has discussed the important aspects of nocturnal bruxism and its relation to disorders of the masticatory system and headaches. Bruxism is believed to be a stress-related sleep disorder, occurring in both men and women, in children, and in adults. In most patients, bruxism results only in minor tooth wear; however, it can become extremely severe with damage occurring in essentially every part of the masticatory apparatus. Nocturnal bruxism should not be overlooked as an etiologic factor in muscular headaches. Short-term acute therapy may involve physical therapy, nocturnal electromyographic biofeedback, and medication to relieve anxiety and improve sleep. Long-term management usually includes some form of stress reduction, change in lifestyle, and an occlusal splint or nightguard to protect the teeth and masticatory system.
本章讨论了夜间磨牙症的重要方面及其与咀嚼系统紊乱和头痛的关系。磨牙症被认为是一种与压力相关的睡眠障碍，在男性和女性、儿童及成年人中均有发生。在大多数患者中，磨牙症仅导致轻微的牙齿磨损；然而，它可能会变得极其严重，咀嚼器官的各个部位都会出现损伤。夜间磨牙症作为肌肉性头痛的一个病因不应被忽视。短期急性治疗可能包括物理治疗、夜间肌电图生物反馈以及缓解焦虑和改善睡眠的药物。长期管理通常包括某种形式的减压、生活方式的改变以及使用咬合板或夜用护齿器来保护牙齿和咀嚼系统。
