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Volume 30 , Issue 5
September/October 2017
Pages 437–438

Current Concepts of Bruxism

Daniele Manfredini, DDS, PhD/Junia Serra-Negra, DDS, PhD/Fabio Carboncini, DDS/Frank Lobbezoo, DDS, PhD

PMID: 28806429
DOI: 10.11607/ijp.5210

Bruxism is a common phenomenon, and emerging evidence suggests that biologic, psychologic, and exogenous factors have greater involvement than morphologic factors in its etiology. Diagnosis should adopt the grading system of possible, probable, and definite. In children, it could be a warning sign of certain psychologic disorders. The proposed mechanism for the bruxism-pain relationship at the individual level is that stress sensitivity and anxious personality traits may be responsible for bruxism activities that may lead to temporomandibular pain, which in turn is modulated by psychosocial factors. A multiple-P (plates, pep talk, psychology, pills) approach involving reversible treatments is recommended, and adult prosthodontic management should be based on a common-sense cautionary approach.

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