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Tooth Mobility and Bruxism

Lithuanian University of Health Sciences
Medical Academy
Faculty of Odontology
Group 3
Greta Keršytė
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Contents

 Vocabulary

 Bruxism

 Tooth mobility
 Task

 Questions
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Vocabulary
 Gritting – girgždėjimas, griežimas

Bruxism is the habit of unconsciously gritting or grinding the teeth

 Splint – įtvaras

Occlusal splints; The teeth can even be “splinted”

 Dull – silpnas, blausus, prislopintas

A dull morning headache

 Curette – kiuretė (instrumentas)

Dental curette

 Scaler – pjautuvėlis (instrumentas)

Sickle scaler
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Bruxism
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Definition

Bruxism is the habit of unconsciously gritting

or grinding the teeth especially in situations
of stress or during sleep
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Classification

Types

Sleep Awake
Bruxism Bruxism
• Occurs during sleep • Occurs during wakefulness

• Males and females • More common in females

are affected equally
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Causes  Teething

 Stress, anxiety,
A symptom of frustration and
certain rare disease
of the nerves and anger
muscles in the face A malocclusion
 In rare cases, it may
be a side effect of
some medicines
that treat
depression
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Symptoms
 Damaged teeth,
broken dental fillings
and injured gums
A grinding sound at
night  Tooth sensitivity

A dull morning  Tooth mobility

headache
 Painful jaw joint
 Jawmuscles are tight
or painful
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Treatment

 Dental restorations

 Occlusal splints

 Mouth guards

 Medications

 Biofeedback

 Occlusal adjustment
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Prevention
 Find ways to relax

 Minimize caffeine and

alcohol
 Reducing stress factors

 Focus on improving
your diet

 Regular exercise
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Instruments and Materials

Bite registration material Stone models

Plastic filling instrument Dental drill

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Tooth Mobility
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Definition

Tooth mobility is the movement of a tooth in its

socket resulting from an applied force
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Classification

Types

Physiologic tooth Pathologic tooth

movement movement
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Classification
 Millerhas described the most common
clinical method in which the tooth is held in
between handles of two instruments and
moved back and forth or with one metallic
instrument and one finger
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Miller Classification

 Class 0: physiologic mobility

 Class 1: < 1 mm (Horizontal)

 Class 2: >1 mm (Horizontal)

 Class 3: > 1 mm (Horizontal+vertical mobility)

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Causes

Loss of attachment Increased forces on

the tooth

 Bruxism
 Periodontal disease
 Dental trauma
 Dental abscesses

Tooth mobility increases in pregnancy

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Healthy Tooth Tooth mobility Tooth mobility

caused by is caused by
increased forces on loss of
the tooth attachment
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Symptoms

 Mobile tooth/teeth

 Discomfort while chewing food

 Gum recession

 Sore or inflamed gums

 Bleeding gums

 Food
particles between the teeth or under the
gums
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Treatment

Caused by loss of Tooth mobility caused

attachment by increased forces on
the tooth

 Oral hygiene
 Adjustor reshape the
 Scaling and root biting surfaces
planing
 Occlusal splints
 Surgicaltreatments
(flap surgery; bone
and tissue grafts)
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Treatment

The teeth can even be “splinted” — joined together

like pickets in a fence — to better withstand the loss
of bone support in severe cases of looseness
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Instruments mirror

Sickle
scaler

Periodontal probe

Dynamometer Dental
curette
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Prevention

 Good oral hygiene

 Eating a healthy and well-balanced diet

 Exercising regularly

 Nutritional supplementation and essential oils

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Task

 Classification of bruxism
 Symptoms of bruxism
 Definition of tooth mobility
 What causes tooth mobility?
 Treatment of tooth mobility
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Questions
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Thank you