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Difference between revisions of "Bruxism"
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For a brief description of bruxism, in order not to waste time on data common to most colleagues and for personal culture for non-experts, it is sufficient to refer to [[wikipedia:Bruxism|Wikipedia]]; obviously, its article will not be exhaustive for our purposes, but, in substance, from this superficial overview it is clear that, if on the one hand bruxism is a complex phenomenon, on the other the efforts have concentrated almost exclusively on the occlusal and dental factors, leaving out one aspect that of the functionality of the trigeminal nervous system. | For a brief description of bruxism, in order not to waste time on data common to most colleagues and for personal culture for non-experts, it is sufficient to refer to [[wikipedia:Bruxism|Wikipedia]]; obviously, its article will not be exhaustive for our purposes, but, in substance, from this superficial overview it is clear that, if on the one hand bruxism is a complex phenomenon, on the other the efforts have concentrated almost exclusively on the occlusal and dental factors, leaving out one aspect that of the functionality of the trigeminal nervous system. | ||
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While for Merete Bakke et al.<ref name=":0">Merete Bakke, Tove Henriksen, Heidi Bryde Biernat, Torben Dalager, Eigild Møller . Interdisciplinary recognizing and managing of drug-induced tardive oromandibular dystonia: two case reports.Clin Case Rep. 2018 Sep 26;6(11):2150-2155. doi: 10.1002/ccr3.1548.eCollection 2018 Nov. | While for Merete Bakke et al.<ref name=":0">Merete Bakke, Tove Henriksen, Heidi Bryde Biernat, Torben Dalager, Eigild Møller . Interdisciplinary recognizing and managing of drug-induced tardive oromandibular dystonia: two case reports.Clin Case Rep. 2018 Sep 26;6(11):2150-2155. doi: 10.1002/ccr3.1548.eCollection 2018 Nov. | ||
</ref> exposure to dopamine receptor blocking agents such as antipsychotics, antitussives and antiemetics can induce dystonia including bruxism making the differential diagnosis between similar and possibly related disorders such as Parkinson's disease, essential tremor, Tourette's syndrome, temporomandibular disorders, nocturnal bruxism.</blockquote>[[File:IMG0103.jpg|thumb|'''Figure 1''': | </ref> exposure to dopamine receptor blocking agents such as antipsychotics, antitussives and antiemetics can induce dystonia including bruxism making the differential diagnosis between similar and possibly related disorders such as Parkinson's disease, essential tremor, Tourette's syndrome, temporomandibular disorders, nocturnal bruxism.</blockquote>[[File:IMG0103.jpg|thumb|'''Figure 1''': A patient suffering from severe diurnal and nocturnal bruxism|300px]]The conclusion, unfortunately, remains the same and that is that the external manifestation of an organic and/or functional disturbance is a macroscopic effect which transfers a series of mesoscopic abnormalities of the system over time. Here we were able to test only some of these neurobiological mesoscopic phenomena but the clinical result must be interpreted as a whole phenomenon because current scientific knowledge does not allow us to weigh the physiopathological value of the neurotransmitters, the PIC, the basal nuclei, the ascending reticular formation, etc. . What is certain is that an abnormality in one of these sites can generate an 'encrypted code' as a message in machine language of the Central Nervous System which in itself could not be 'Bruxism' but a form of 'Neuromotor Hyperexcitability' | ||
As usual we are faced with the same problem of vagueness of verbal language as happened with the patient Mary Poppins,the 'Bruxism' may just be a conventional term to be distinguished from an other term such as 'Tremor' but essentially the machine code may not be related to the verbal meaning. | As usual we are faced with the same problem of vagueness of verbal language as happened with the patient Mary Poppins,the 'Bruxism' may just be a conventional term to be distinguished from an other term such as 'Tremor' but essentially the machine code may not be related to the verbal meaning. | ||