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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. Yartseva
Federal State Budgetary Educational Institution of Higher Education «Russian University of Medicine» of the Ministry of Health of the Russian Federation
Russian Federation

Yartseva Alexandra Vadimovna – PhD, Associate Professor of the Department,

Moscow



N. A. Yanova
National Research Lobachevsky State University of Nizhny Novgorod
Russian Federation

Yanova Nina Aleksandrovna  – PhD, Associate Professor of the Department of Clinical
Dentistry,

Nizhny Novgorod



L. G. Tolstunov
Moscow Medical University «Reaviz»
Russian Federation

Leonid Grigorievich Tolstunov – PhD, Associate Professor of the Department of Dentistry,

Moscow



V. V. Davydova
Center for preventive dentistry «Profident»
Russian Federation

Valentina Vladimirovna Davydova – Chief Physician, Orthopedic Dentist,

Moscow



M. A. Khasieva
Center for preventive dentistry «Profident»
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

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)