{"id":1948,"date":"2021-07-21T13:44:53","date_gmt":"2021-07-21T13:44:53","guid":{"rendered":"https:\/\/pedrolmairal.noglen.com\/ca\/?p=2038"},"modified":"2023-02-09T15:20:29","modified_gmt":"2023-02-09T15:20:29","slug":"que-es-el-bruxismo","status":"publish","type":"post","link":"https:\/\/www.pedrolmairal.com\/ca\/blog\/2021\/07\/21\/que-es-el-bruxismo\/","title":{"rendered":"Qu\u00e8 \u00e9s el bruxisme o grinyolament de les dents?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"1948\" class=\"elementor elementor-1948\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-62c92efe elementor-section-height-min-height elementor-hidden-mobile elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-items-middle\" data-id=\"62c92efe\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-78bdb77f\" data-id=\"78bdb77f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ada94b6 elementor-widget elementor-widget-heading\" data-id=\"1ada94b6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Qu\u00e8 \u00e9s el bruxisme o grinyolament de les dents?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2bd9d714 elementor-section-height-min-height elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"2bd9d714\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-279360c3\" data-id=\"279360c3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-478b6dd2 elementor-widget elementor-widget-heading\" data-id=\"478b6dd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Qu\u00e8 \u00e9s el bruxisme?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e59641d elementor-widget elementor-widget-spacer\" data-id=\"2e59641d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-38e571cf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"38e571cf\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2b176733\" data-id=\"2b176733\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4ab32482 elementor-widget elementor-widget-text-editor\" data-id=\"4ab32482\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2><strong>Qu\u00e8 \u00e9s el bruxisme?<\/strong><\/h2><p>El\u00a0<strong>bruxisme<\/strong>\u00a0\u00e9s un trastorn que poden sofrir algunes persones el qual consisteix a realitzar l\u2019acci\u00f3 involunt\u00e0ria de contreure la musculatura de la boca de forma continuada. Aquesta acci\u00f3 a la llarga pot provocar problemes en les genives i un desgast notable de la superf\u00edcie dental.<\/p><p>Afecta entre un 40% i un 50% de la poblaci\u00f3 i, pot succeir tant durant el dia com la nit, encara que el m\u00e9s com\u00fa \u00e9s que durant la nit es pronunci\u00ef fent m\u00e9s dif\u00edcil el seu control, ja que la persona ho fa de forma totalment inconscient.<\/p><p>Les persones que pateixen bruxisme no solen ser conscients d\u2019aix\u00f2 fins que una altra persona els adverteix que en dormir grinyolen les dents, o \u00e9s el dentista qui l\u2019informa despr\u00e9s de realitzar una revisi\u00f3 dental rutin\u00e0ria.<\/p><p>\u00a0<\/p><h2><strong>S\u00edmptomes del bruxisme<\/strong><\/h2><p>El\u00a0<strong>s\u00edmptoma<\/strong>\u00a0principal i el m\u00e9s evident \u00e9s exercir pressi\u00f3 en la mand\u00edbula, no obstant aix\u00f2 tamb\u00e9 poden apar\u00e8ixer altres s\u00edmptomes evidents que poden indicar que la persona sofreix de bruxisme.<\/p><ul><li>Sensaci\u00f3 de c\u00e0rrega i tensi\u00f3 muscular en la zona de la boca i les cervicals.<\/li><li>Dolor en l\u2019o\u00efda, ja que algunes articulacions es troben prop del conducte auditiu extern i el dolor pot derivar fins aqu\u00ed.<\/li><li>Dolors de cap.<\/li><li>Sensibilitat dental sobretot quan s\u2019ingereixin aliments freds, calents o dol\u00e7os.<\/li><li>Insomni ja que el malestar produ\u00eft pel dolor, pot derivar a dificultats i problemes per a agafar el son.<\/li><\/ul><p>\u00a0<\/p><h3><strong>Proves m\u00e8diques per a detectar el bruxisme<\/strong><\/h3><p>El\u00a0<strong>bruxisme<\/strong>\u00a0\u00e9s dif\u00edcil de ser detectat per la mateixa persona que el pateix. Per aix\u00f2, quan s\u2019acudeix al dentista una exploraci\u00f3 cl\u00ednica i un estudi radiogr\u00e0fic pot confirmar el diagn\u00f2stic.<\/p><p>Un\u00a0<strong>electromiografia<\/strong>\u00a0serviria per a determinar la intensitat i freq\u00fc\u00e8ncia del bruxisme durant el dia i la nit. Aquesta prova permet avaluar la musculatura mastegadora.<\/p><p>Una altra opci\u00f3 seria realitzar un\u00a0<strong>polisomnografia<\/strong>, aquesta prova consisteix a realitzar un registre de l\u2019activitat cerebral i m\u00fasculs mentre la persona dorm. D\u2019aquesta manera es podria saber la for\u00e7a i la continu\u00eftat de bruxisme que s\u2019exerceix en les hores de descans.<\/p><p>\u00a0<\/p><h2><strong>Causes principals del bruxisme<\/strong><\/h2><p>Les\u00a0<strong>persones que tenen bruxisme<\/strong>\u00a0estrenyen i grinyolen les dents de manera involunt\u00e0ria. No existeix una causa concreta perqu\u00e8 una persona ho pateixi, encara que es creu que pot derivar\u00a0<strong>d\u2019estr\u00e8s o ansietat<\/strong>.<\/p><p>En per\u00edodes de temps on la persona es trobi en situacions d\u2019estr\u00e8s, ja sigui per causes laborals, familiars, entre altres, pot derivar a un major \u00edndex de bruxisme.<\/p><p>Tamb\u00e9 es creu que pot tenir\u00a0<strong>causes gen\u00e8tiques<\/strong>\u00a0o relacionades amb altres patologies aix\u00ed com problemes\u00a0<strong>d\u2019alteracions dent\u00e0ries<\/strong>, com la maloclusi\u00f3.<\/p><p>\u00a0<\/p><h2><strong>Tractaments per al bruxisme<\/strong><\/h2><p>L\u2019aplicaci\u00f3 d\u2019aquests tractaments sempre anir\u00e0 relacionat amb el risc que la persona pugui sofrir una lesi\u00f3 en les dents o afectaci\u00f3 muscular. Segons quant de greu sigui el cas i la for\u00e7a exercida sobre les dents, es pot aconsellar aplicar un tractament o un altre.<\/p><p>\u00a0<\/p><h3><strong>F\u00e8rules de desc\u00e0rrega o oclusals<\/strong><\/h3><p>Aquesta \u00e9s una\u00a0<strong>protecci\u00f3<\/strong>\u00a0<strong>dental<\/strong>\u00a0composta de resina o de pl\u00e0stic que es recomana utilitzar en casos greus. Aquesta f\u00e8rula permet tractar el s\u00edmptoma de la pressi\u00f3 en la mand\u00edbula evitant aix\u00ed possibles lesions en les dents.<\/p><p>Des que es comen\u00e7a a utilitzar, la persona notar\u00e0 que s\u2019elimina el dolor en la mand\u00edbula, al cap o en les o\u00efdes, aix\u00ed com altres mol\u00e8sties que es podien ocasionar per la pressi\u00f3.<\/p><p>El pacient pot utilitzar-la durant el dia tamb\u00e9, per\u00f2 sempre \u00e9s\u00a0<strong>recomanable fer \u00fas d\u2019aquesta durant la nit\u00a0<\/strong>que \u00e9s el per\u00edode en el qual es produeix m\u00e9s els episodis de bruxisme.<\/p><p>Les f\u00e8rules oclusals no eliminen el bruxisme, el que pretenen \u00e9s evitar el contacte brusc entre les dents, descarregar les articulacions i reduir l\u2019afectaci\u00f3 muscular.<\/p><h3><strong>Rehabilitaci\u00f3 prot\u00e8tica<\/strong><\/h3><p>En els casos on el bruxisme sigui ja molt avan\u00e7at i existeixi un desgast important es recomana rehabilitar prot\u00e8sicament aquelles peces dentals m\u00e9s afectades amb la finalitat de recuperar la posici\u00f3 articular.<\/p><h3><strong>Relaxaci\u00f3<\/strong><\/h3><p>Una altra manera de tractar el bruxisme \u00e9s aprendre t\u00e8cniques de relaxaci\u00f3 i modificaci\u00f3 de comportaments que es duguin a terme durant el dia per a aix\u00ed tenir un estat m\u00e9s relaxat durant la nit.<\/p><p>Exemples d\u2019aix\u00f2 serien aplicar gel i calor en els m\u00fasculs de la mand\u00edbula, dormir la quantitat d\u2019hores recomanada, aprendre a fer exercicis de fisioter\u00e0pia, realitzar massatges en els m\u00fasculs del coll i la mand\u00edbula, entre altres.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Qu\u00e8 \u00e9s el bruxisme o grinyolament de les dents? Qu\u00e8 \u00e9s el bruxisme? Qu\u00e8 \u00e9s el bruxisme? El\u00a0bruxisme\u00a0\u00e9s un trastorn que poden sofrir algunes persones el qual consisteix a realitzar l\u2019acci\u00f3 involunt\u00e0ria de contreure la musculatura de la boca de forma continuada. Aquesta acci\u00f3 a la llarga pot provocar problemes en les genives i un [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1949,"comment_status":"closed","ping_status":"open","sticky":false,"template":"elementor_header_footer","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1948","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categoria"],"_links":{"self":[{"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/posts\/1948","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/comments?post=1948"}],"version-history":[{"count":9,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/posts\/1948\/revisions"}],"predecessor-version":[{"id":4949,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/posts\/1948\/revisions\/4949"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/media\/1949"}],"wp:attachment":[{"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/media?parent=1948"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/categories?post=1948"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.pedrolmairal.com\/ca\/wp-json\/wp\/v2\/tags?post=1948"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}