What the diffrence between "Bruxism" and "Attrition" ?

[SHO4]

Hello ladies and gentlemen! 🙂

OK ..

let's say we have this patient who's obviously has either "bruxism" or "attrition" by looking at his teeth (he lost part of his molars' cusps) .. how can you know FOR SURE which one is it??

and what's the management?? which restoration should I use?

---

Members don't see this ad.

 

[Saddleshoes]

Hello ladies and gentlemen! 🙂

OK ..

let's say we have this patient who's obviously has either "bruxism" or "attrition" by looking at his teeth (he lost part of his molars' cusps) .. how can you know FOR SURE which one is it??

and what's the management?? which restoration should I use?

Bruxism is the action
Attrition is the result of that action

 

[HupHolland]

management?....

Well, I believe EVERYONE is a bruxer to some extent.

The management is typically:
1) eliminating posterior interferences to CR, and then
2) protecting the posterior teeth as soon as the mandible deviates from CR --> anterior guidance (think occlusal splint for night time use)

The occlusion is more important than the material used to restore the tooth, in my opinion.

Hup

 

[cjb04]

If you don't correct the source of the problem, then sometimes it doesn't matter how you restore. First and foremost, you should diagnose whether the parafunction is a muscle disorder, joint disorder, occlusal disorder, or a combination of the above. Is the patient experiencing any pain in muscles of mastication, or in the TMJ when it is loaded in CR? Does the patient have any balancing interferances? Is there posterior disclusion upon protrusion of the mandible? Is the patient in group function, canine guidance, or niether? Ask your instructor for help if you're not sure how to evaluate the patient's occlusion/TMJ. While it is not always necessary to correct a disorder if it is present, it IS your responsibility to diagnose it, explain the risks and benefits or Tx/no Tx, and let the patient decide what to do. Good luck!

 

[OG1]

Cause and effect.

 

[Imi Goldberg]

action and result. night guard and enameloplasty (out of occlusion) or resinous restorative.

 

[SHO4]

Thank you very much everybody!

 

[johnmathew44]

What r the side effects of chewing?