Bone Apposition in the Mandibular Angle in Adult Patients Diagnosed with Bruxism: a Digital Panoramic Based Study.

Elie Hayek, Jean Nassar, Fadi Abillama, Georges Aoun
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Abstract

Background: Bruxism is defined as a movement disorder of the masticatory system leading to serious problem in the integrity of the oral dentition; it is characterized by teeth grinding and clenching and has been typically classified into three types: a) bruxism occurring during sleep, b) awake-related bruxism, and c) mixed sleep/awake-related bruxism.

Objective: The aim of this study was to assess any bone apposition in the mandibular angle in a group of adult patients diagnosed with bruxism using digital panoramic radiographs.

Methods: In the sample of 150 digital panoramic radiographs of 66 women and 84 men with an age range of 24-78 years and diagnosed with bruxism were evaluated.

Results: Among the 300 mandibular angles evaluated, 156 (52%) showed bone apposition against 144 (48%) who did not.

Conclusion: The changes in the mandibular angle, especially bone apposition, can help diagnosing long term bruxism on panoramic radiographs.

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磨牙症成人患者下颌角骨对位:基于数字全景的研究。
背景:磨牙症被定义为一种咀嚼系统的运动障碍,导致口腔牙列的完整性严重问题;它的特征是磨牙和咬牙,通常分为三种类型:a)在睡眠中发生的磨牙症,b)清醒相关的磨牙症,以及c)睡眠/清醒相关的混合磨牙症。目的:本研究的目的是利用数字全景x线片评估一组诊断为磨牙症的成年患者下颌角的任何骨对位。方法:对年龄24 ~ 78岁、诊断为磨牙症的女性66例、男性84例的150张数字全景x线片进行评价。结果:在300个评估的下颌角中,156个(52%)显示骨对抗,144个(48%)未显示骨对抗。结论:下颌角的变化,尤其是骨对位的变化,对诊断长期磨牙有一定的参考价值。
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