Nowa metoda diagnostyczna w ocenie nasilenia bruksizmu w czasie snu w gabinecie stomatologicznym

Nowa metoda diagnostyczna w ocenie nasilenia bruksizmu w czasie snu w gabinecie stomatologicznym
Helena Martynowicz, Paweł Dymczyk, Dariusz Paliga, Renata Paliga, Rafał Poręba, Paweł Gać, Anna Wojakowska, Grzegorz Mazur, Mieszko Więckiewicz

A new diagnostic method in the assessment of the severity of sleep bruxism used in a dental office
Streszczenie
Bruksizm i bezdech senny należą do najczęściej rozpoznawanych zaburzeń snu. Celem pracy była ocena częstości występowania bruksizmu w czasie snu oraz bezdechu sennego wśród 63 pacjentów gabinetu stomatologicznego za pomocą nowej metody – poligrafii oddechowej z opcją oceny bruksizmu. Bruksizm oceniano na podstawie zapisu elektromiograficznego z mięśni żwaczy wraz z oceną dźwięku zgrzytania. Stwierdzono wysoką częstość bruksizmu (65%) oraz bezdechu sennego (58%). Ze względu na dobrą charakterystykę, potencjalną dostępność i stosunkowo niski koszt w porównaniu ze złotym standardem, czyli polisomnografią, metoda ta powinna być rozważana jako postępowanie z wyboru w diagnostyce zaburzeń snu w praktykach stomatologicznych.

Abstract
Bruxism and sleep apnea are among the most commonly diagnosed sleep disorders. The aim of the study was to assess the incidence of sleep bruxism and sleep apnea among 63 patients in the dental office using a new method – respiratory poligraphy with the option of bruxism evaluation. Bruxism was assessed based on the electromyographic record of the masseter muscles along with the assessment of the grinding sound. There was a high frequency of bruxism (65%) and sleep apnea (58%). Due to the good characterization, potential availability and relatively low cost compared to the gold standard examination i.e. polysomnography, this method should be considered as a method of choice in the diagnosis of sleep disorders in dental practices.
 
Hasła indeksowe: bruksizm w czasie snu, bezdech senny, zgrzytanie zębami
 
Key words: sleep bruxism, sleep apnea, teeth grinding



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