PDF(Pubmed)
Abstract：
Bruxism has been defined in recent years and analyzed in detail as the repetitive activity of the muscles of the masticatory system. Both adults and children experience two different forms of bruxism: daytime and nighttime bruxism. According to the WHO, bruxism affects 5% to 50% of the world\'s pediatric population. The symptoms of this disease include tooth wear and fractures, temporomandibular disorders, headaches, behavioral and sleep disorders, and parafunctional habits such as nail biting. According to scientists, psychosocial factors are the most likely factors causing bruxism in children. To this day, we do not have established standards of treatment for children, especially for those with disabilities. The issue of bruxism in children with Down syndrome (DS) is still unexplained. Anatomical abnormalities in the facial skeleton, reduced muscle tone, personality traits, and sleep problems in these people may cause the symptoms of bruxism. Our study aimed to present a clinical case of a 13-year-old girl with DS and symptoms of bruxism. Diagnostics and dental examination in children with intellectual disabilities and a lack of understanding of the disease create a great challenge for the treatment team, including the dentist, physiotherapist, psychologist, and family. Creating standards for treating and preventing bruxism symptoms is demanding, among other things, due to the lack of sufficient scientific research.
摘要：
近年来已将磨牙症定义为咀嚼系统肌肉的重复活动，并进行了详细分析。成人和儿童都经历两种不同形式的磨牙症：白天和夜间磨牙症。根据WHO,磨牙症影响了世界上5%到50%的儿科人群。这种疾病的症状包括牙齿磨损和骨折，颞下颌关节紊乱病，头痛,行为和睡眠障碍，以及咬指甲等超功能习惯。根据科学家的说法,心理社会因素是导致儿童磨牙症的最可能因素。直到今天,我们没有建立儿童治疗标准，特别是对于残疾人。唐氏综合症（DS）儿童的磨牙症问题仍然无法解释。面部骨骼的解剖异常，肌肉张力降低，人格特质，这些人的睡眠问题可能会导致磨牙症的症状。我们的研究旨在介绍一例患有DS和磨牙症症状的13岁女孩的临床病例。智障儿童的诊断和牙科检查以及对疾病缺乏了解给治疗团队带来了巨大挑战，包括牙医,物理治疗师,心理学家,和家庭。制定治疗和预防磨牙症症状的标准要求很高，除其他外，由于缺乏足够的科学研究。
