수면 중 이갈이(Sleep Bruxism)에 관한 고찰 (Discussion on Bruxism while Sleeping)

서지정보

· 발행기관 : 대한스트레스학회
· 수록지 정보 : 스트레스 硏究 / 14권 / 3호 / 227 ~ 235페이지
· 저자명 : 정성희

초록

Bruxism related to abnormal muscular movement is manifested as tooth grinding, tooth clenching, and muscular tension during sleep. It results in sleep disorder, tooth attrition, and oro-facial pain and eventually deteriorate the quality of life. Bruxism affects not only his or her own life but spouses and family’s. It often makes individuals difficult to be involved in group activities, leading to social-phobia. It is widely accepted that sleeping disorder, headache and oro-facial pain can be resulted from bruxism. Although dental restorations are observed not to last long in patients with bruxism, it is unlikely that tooth attrition is an outcome of bruxism. Based on the observation that bruxism is often related to local oro-facial muscular tension, stabilization splint and tricyclic anti-depressant have been applied to treatment of bruxism. However, they do not always result in significant clinical improvement. While definition of bruxism is vague and controversial so has yet to be delineated, attempts to define causes of bruxism have been made by investigators from different views. For examples, it may be explained with respect to rhythmic masticatory muscle activity (RAMA), swallowing movement, gastroesophageal reflex (GER), response of autonomic nervous system, stress, and sleeping posture. Recently, local application of Botox-A and systemic administration of pharmaceuticals including L-DOPA, propranolol, clonazepam, and selective serotonin reuptake inhibitors (SSRIs) have shown to be effective for bruxism. However, since these pharmaceuticals may induce various systemic adverse effects, their use in treatment of bruxism needs to be reconsidered. Relaxation, biofeedback training programmes, and hypnosis may be employed as a psychiatric-behavioral therapy for bruxism and generally agreed that psycho-psychiatric approach for bruxism, particularly, in children appears to be effective. (Korean J Str Res 2006;14:227～235)

영어초록

Bruxism related to abnormal muscular movement is manifested as tooth grinding, tooth clenching, and muscular tension during sleep. It results in sleep disorder, tooth attrition, and oro-facial pain and eventually deteriorate the quality of life. Bruxism affects not only his or her own life but spouses and family’s. It often makes individuals difficult to be involved in group activities, leading to social-phobia. It is widely accepted that sleeping disorder, headache and oro-facial pain can be resulted from bruxism. Although dental restorations are observed not to last long in patients with bruxism, it is unlikely that tooth attrition is an outcome of bruxism. Based on the observation that bruxism is often related to local oro-facial muscular tension, stabilization splint and tricyclic anti-depressant have been applied to treatment of bruxism. However, they do not always result in significant clinical improvement. While definition of bruxism is vague and controversial so has yet to be delineated, attempts to define causes of bruxism have been made by investigators from different views. For examples, it may be explained with respect to rhythmic masticatory muscle activity (RAMA), swallowing movement, gastroesophageal reflex (GER), response of autonomic nervous system, stress, and sleeping posture. Recently, local application of Botox-A and systemic administration of pharmaceuticals including L-DOPA, propranolol, clonazepam, and selective serotonin reuptake inhibitors (SSRIs) have shown to be effective for bruxism. However, since these pharmaceuticals may induce various systemic adverse effects, their use in treatment of bruxism needs to be reconsidered. Relaxation, biofeedback training programmes, and hypnosis may be employed as a psychiatric-behavioral therapy for bruxism and generally agreed that psycho-psychiatric approach for bruxism, particularly, in children appears to be effective. (Korean J Str Res 2006;14:227～235)

참고자료

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