Manifestation of selected sleep disorders in the oral cavity – diagnosis and differentiation

Joanna Smardz, Helena Martynowicz, Grzegorz Mazur, Mieszko Więckiewicz

Streszczenie
Mechaniczne uszkodzenia zębów są jedną z częstszych przyczyn zgłaszania się pacjentów do gabinetów stomatologicznych, stanowiąc zarazem duże wyzwanie diagnostyczne. Patologiczne starcie i inne uszkodzenia zębów, często diagnozowane przez lekarzy stomatologów jako bruksizm, mogą być wywołane innym, motorycznym zaburzeniem snu, a mianowicie miokloniami ustno-żuchwowymi. Najdoskonalszą metodą diagnostyki i różnicowania bruksizmu w trakcie snu jest badanie polisomnograficzne, które umożliwia diagnostykę obu tych zaburzeń na poziomie elektromiografii (EMG), rejestracji dźwiękowej i wizualnej. Badanie to powinno być złotym standardem w diagnostyce bruksizmu w czasie snu.

Abstract
Mechanical wear of teeth is one of the most frequent reasons for patients to come to dental offices and at the same time a relevant diagnostic challenge. The tooth wear and other tooth damages often diagnosed by dentists as bruxism can be caused by another sleep movement disorder which is oromandibular myoclonus. The most accurate method of diagnosis and differentiation of sleep bruxism is a polysomnography, which enables the diagnosis of both these disorders at the level of electromyographic (EMG), audio and visual recording. This examination should be the golden standard in the diagnosis of sleep bruxism.
 
Hasła indeksowe: bruksizm, mioklonie, patologiczne starcie zębów, polisomnografia
 
Key words: bruxism, myoclonus, pathological tooth wear, polysomnography


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