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BRUXISM
4 Non functional contact of teeth
which may include grinding,
gnashing or clenching of teeth.
2 S
'
4 monscious or subconscious grinding of teeth
usually during the day.
-
4 utonomic teeth grinding with rhythmic &
sustained jaw muscle contractions.
2IOLOG
. Local factors.
2. Systemic factors.
3. sychological factors.
4. Occupational factors.
4 Include occlusal interference, high
restoration or some irritating dental
conditions.
4 patient brux as a result of an unconscious
attempt to establish a greater number of teeth
in contact or to counteract the local irritating
situation.
4 In children bruxism may be related to growth
& development.
4 mhildren brux because their top & bottom teeth
don¶t fit together comfortably.
!
4 Include GI disturbances, subclinical nutritional
deficiencies, allergies, or endocrine
disturbances.
4 Genetics has also been seen to play an
important role in the etiology of bruxism.
4 mhildren of bruxing parents have an increased
incidence of bruxism.
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4 Solitary bone cyst.
4 emorrhagic bone cyst.
4 xtravasation cyst.
4 Unicameral cyst.
4 Simple bone cyst.
4 Idiopathic cyst.
4 Ö Benign, empty, or fluid- containing cavity
within bone that is devoid of an epithelial
lining ´
bone.
4 Fine central trabeculation may be observed in
IO.
IS2OLOGIm F2URS
4 monsists of normal red marrow &/or fatty
marrow.
4 Small lymphoid aggregate may be found.
4 Bone trabeculae included in the biopsy
specimen show no evidence of abnormal
osteoblastic or osteoclastic activity.
2R2MN2
4 Because of nonspecific radiographic findings,
diagnosis by an incisional biopsy is generally
desirable.
4 Once the diagnosis has been established, no
additional treatment is necessary.
FFm2S OF OR2ODON2Im
2OO2 MOVMN2
4 Orthodontic tooth movement is possible
because the periodontal tissues are
responsive to the externally applied forces.
4 Bone under pressure responds by resorbing,
where as the application of tension results in
deposition of new bone.
4
4
2IING MOVMN2
4 2he initial reaction on the pressure side is a
compression of the periodontal ligament, which, if
excessive & prolonged, may result in ischemia with
hyalinization and/or actual necrosis of tissue.
4 On the opposite side, under excessive force, there
may be actual tearing of the periodontal fibers &
small capillaries with hemorrhage into the area.
4 With the reasonable forces, the periodontal ligament
on the tension side of the tooth demonstrates
stretching & widening of the periodontal space.
X2RUSIV MOVMN2
4 xtrusion of a tooth by an orthodontic
appliance is similar to normal tooth eruption.
4 2he tissue changes induced by this form of
movement consist in deposition or apposition
of new bone spicules at the alveolar crest &
at the fundus of the alveolus arranged in a
direction parallel to the direction of force.
DRSSIV MOVMN2
4 2he application of orthodontic force in such a
manner as to cause depression of a tooth
results in tissue changes that are the
opposite of those found during extrusion, or
elongation.
4 Resorption of bone occurs at the apical area
& around the alveolar margin.
4 New bone formation is actually minimal.
2ISSU Rm2IONS DURING
R2N2ION RIOD
4 During this period there is gradual
reformation of the normal dense pattern of
the alveolar bone by apposition of bone
around the bony spicules until they meet,
fuse, & gradually remodel.
4 2he studies of oppenheim indicated that this
reformation is slower around teeth held in
position during the retention period by a
retaining appliance as compared to teeth,
which remained free during this time.
FFm2 OF DmIDUOUS
2OO2 MOVMN2 UON
RMNN2 2OO2 GRMS