

Polyethiology of bruxism: differential diagnosis and treatment approaches
https://doi.org/10.33667/2078-5631-2025-10-95-98
Abstract
This literature review addresses the issues of differential diagnosis, etiology and pathogenetic treatment of bruxism. It is noted that in recent years this problem has been of increasing interest to physicians of different specialties, including neurologists, orthodontists, and neurosurgeons. Despite the fact that in the modern classification of diseases this symptom is attributed to pathologies of the somatoform spectrum, it cannot be said that this disease is exclusively functional – in a number of situations there is an organic substrate of bruxism. In orthodontic practice, occlusal defects cause compensatory muscle spasm, aimed at restoring the biomechanics of the temporomandibular joint; in the case of the nervous system, there is verified atrophy or degeneration of basal nuclei and sensorimotor neurons. Etipoatogenetic approach to the treatment of bruxism is the key to improving the quality of life of patients.
About the Authors
A. V. YartsevaRussian Federation
Yartseva Alexandra Vadimovna – PhD, Associate Professor of the Department,
Moscow
N. A. Yanova
Russian Federation
Yanova Nina Aleksandrovna – PhD, Associate Professor of the Department of Clinical
Dentistry,
Nizhny Novgorod
L. G. Tolstunov
Russian Federation
Leonid Grigorievich Tolstunov – PhD, Associate Professor of the Department of Dentistry,
Moscow
V. V. Davydova
Russian Federation
Valentina Vladimirovna Davydova – Chief Physician, Orthopedic Dentist,
Moscow
M. A. Khasieva
Russian Federation
Madina Avkhatovna Khasieva – Orthopedic Dentist,
Moscow
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Review
For citations:
Yartseva A.V., Yanova N.A., Tolstunov L.G., Davydova V.V., Khasieva M.A. Polyethiology of bruxism: differential diagnosis and treatment approaches. Medical alphabet. 2025;(10):95-98. (In Russ.) https://doi.org/10.33667/2078-5631-2025-10-95-98