Bruxism and Alcoholism: A Clinical Report

By Badel, Tomislav; Lovko, Sandra Kocijan et al. | Alcoholism, July 1, 2006 | Go to article overview

Bruxism and Alcoholism: A Clinical Report


Badel, Tomislav, Lovko, Sandra Kocijan, Panduric, Josip, Keros, Jadranka, Alcoholism


Summary - Bruxism is a pathophysiological disorder of the masticatory muscles, where the increased activity causes non-physiological teeth attrition. The aim of this study was to report a case of bruxism in a female psychiatric patient treated for alcoholism and consequently for a full-blown and progressive psychoorganic syndrome. The patient's almost constant bruxist activity caused the diminishing of the vertical occlusal dimension. As a form of initial prosthodontic treatment, a Michigan splint was fabricated, thus alleviating the destructive impact of masticatory forces on teeth and their supportive tissues. (Alcoholism 2006; 42:85-92)

Key words: Bruxism; Alcoholism; Michigan splint; Psychoorganic syndrome

INTRODUCTION

Bruxism is a psychopathophysiological disorder of orofacial muscle activity which is defined by American Academy of Orofacial Pain as "a diurnal or nocturnal parafunctional activity including clenching, bracing, gnashing, and grinding of the teeth".1 The excessive and frequent nocturnal bruxist activity, unlike physiological muscular activity during sleep, results in non-physiological wear (attrition) of occlusal surfaces.2,3

In multifactorial and often controversial bruxism etiology, peripheral (morphological) and central (physchological and pathophysiological) etiological factors can be distinguished.4 The most common morphological factors, such as occlusion (in particular occlusal discrepancies), along with the anatomy of the orofacial system have been considered more traditional than evidence based medicine and dentistry bruxism causative factors.4,5

Bruxism is related to a great number of pathophysiological factors. During sleep, sudden awakening or a change in intensity of sleep may occur. That is "arousal response". Then, a generalized change of body activity occurs: higher heart rate, changes in breathing rhythm, peripheral vasoconstriction and muscular hyperactivity, including bruxism.6 Changes of the central neurotransmitter system in the nigrostriatal projection can cause the muscular activity disorders. Drug therapy can also induce bruxism: L-dopa, neuroleptics and serotonin reuptake inhibitors (SSRI). Numerous substances such as amphetamines, amphetamine-like substances, nicotine and alcohol can play a major role in the etiology of bruxism, which has been particularly explained by effects via dopamine system.7

Behavioral disorders and affective psychological factors, anxiety being one of the most prominent together with emotional stress, caused by sociological and psychological factors, can induce bruxism.8

Dentistry and alcohol consuming

Alcoholism is a progressive mental disease with social and health consequences. The addiction to alcohol is more difficult to observe in early stages of alcoholism due to some traditional reasons related to alcohol consuming, which can have adverse side effects in dental treatment. Alcohol consumption leads to a great number of systemic disorders, such as malnutrition and hypovitaminosis, neurological disorders, pathological changes in the digestive, cardiovascular and respiratory system.9,10

Besides the poor oral hygiene, consumption of alcohol may cause oral diseases, periodontal diseases and premature tooth loss. Alcoholics are exposed to a higher risk of orofacial trauma (for example, jaw fractures), fractures and even losing the removable dentures while under the influence of alcohol.11

The aim of this paper is to give a case report on Michigan splint treatment of a very severe bruxism in a female patient who was under psychiatric therapy due to alcohol consuming, which caused a psychoorganic syndrome.

CASE REPORT

A previously treated 62 year old psychiatric female patient was referred to the Prosthodontic Department, School of Dental Medicine, University of Zagreb for prosthodontic treatment. She exhibited a pronounced teeth abrasion.

Psychiatric treatment

Taking her case history with the assistance of her son and from the available medical records of her previous psychiatric treatments, we found out that she had been an alcoholic for many years (F 10. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Bruxism and Alcoholism: A Clinical Report
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.