
40–60 minutes with a gnathologist: examination, muscle test, joint auscultation, diagnostic plan.
Bruxism - involuntary clenching or grinding of teeth, most often during sleep. The force of compression reaches 250–400 newtons (with normal chewing 20–60 newtons). Some patients grind with a sound that they hear the partner simply squeezes - there is no sound. mouth, pain in the ear area, limited opening.
Bruxism and TMJ dysfunction are parts of one vicious circle: stress or occlusal disorders trigger bruxism → bruxism overloads the TMJ → the injured joint causes muscle spasm → spasmed muscles increase bruxism Treat only. bruxism without joint correction or vice versa - remove the symptom, not the cause.
Unlike caries, bruxism does not cause sharp pain that makes you run to the doctor - it destroys slowly, over the years. What actually happens:
There are usually several reasons, they act complexly. Four main groups:
Many clinics in Tashkent limit themselves to examination and recommend a mouth guard. This is a symptomatic reaction, not a diagnosis. The real protocol at KAN is three stages.
40–60 minutes: history taking, external examination (facial symmetry, hypertrophy of the masticatory muscle), palpation of muscles (masticatory, temporal, neck, shoulders) - painful points - a marker of chronic spasm. Auscultation of the TMJ with a stethoscope, craniomandibular index test. (CMI) Plaster models in an articulator for designing a mouth guard.
If apnea is suspected, polysomnography. If necessary, consultation with a neurologist, orthopedist, osteopath. A gnathologist does not work in a vacuum - bruxism often requires multidisciplinary. approach.