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30.01.2014

Eustachian tube dysfunction caused by bruxism treatment, whistling noise in ear when blowing nose - How to DIY

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Some bruxism activity is rhythmic with bite force pulses of tenths of a second (like chewing), and some has a longer bite force pulses of 1 to 30 seconds (clenching). The etiology of problematic bruxism can be quite varied, from allergic reactions or medical ailments, to trauma (such as a car crash) to a period of unusual stress, but once bruxism becomes a habit, the original stimulus can be removed without ending the habit. Bruxism can result in occlusal trauma, the abnormal wear patterns of the occlusal surface(chewing surface), abfractions and fractures in the teeth. Eventually, bruxism with lateral movements shortens and blunts the teeth being ground and may lead to myofascial muscle pain, temporomandibular joint dysfunction and headaches.
Bruxism is not the only cause of tooth wear, making it difficult to diagnose by visual evidence alone. Bedside EMG units and biofeedback headbands can both be used either as a diagnosis measurement or in biofeedback mode as a treatment to help patients break their bruxism habit.
The level of stimulation is set by the user at the same time as the calibration, that must be done by the user in order for the bruxing events to be detected correctly. The first wearable nighttime bruxism biofeedback device (a biofeedback headband) was introduced in 2001. Certain medical conditions can trigger bruxism, including digestive ailments, anxiety, and hypermyotonia due to consumption of amphetamine and related stimulants.


Only an estimated 5% go on to develop symptoms, such as jaw pain and headaches, which prompt treatment. Later on, habitual bruxism can be treated by habit-modification Treating associated factors can reduce or eliminate the behavior in cases where bruxism has not become habitual. A sleeping partner or parent may notice the behavior first, although sufferers may notice pain symptoms without understanding the cause. Bruxism is the leading cause of occlusal trauma and a significant cause of tooth loss and gum recession. People with bruxism may also grind their posterior (back) teeth, which will wear down the cusps of the occlusal surface.
The contingent electrical stimulation is designed to trigger an inhibitory reflex in the brain stem that relaxes the jaw-muscles and inhibits the bruxing event without waking up the user. Bruxism can also be regarded as a disorder of repetitive, unconscious contraction of the masseter muscle (the large muscle that moves the jaw).
During sleep, (and for some during waking hours while conscious attention is distracted) subconscious processes can run unchecked, allowing bruxism to occur. Most (but not all) bruxism includes clenching force provided by masseter and temporalis muscle groups, but some bruxers clench and grind front teeth only, which involves neither masseter nor temporalis muscle groups.


Clenching hard while wearing an NTI device may cause worse damage, because the NTI changes the forces on the teeth and the tempormandibular joint.
In the treatment of bruxism, Botox weakens the muscle enough to reduce the effects of grinding and clenching, but not so much as to prevent proper use of the muscle. The muscles do atrophy, however, so after a few rounds of treatment, it is usually possible either to decrease the dose or increase the interval between treatments. Teeth hollowed by previous decay (caries), or dental drilling, may collapse from bruxism's cyclic pressures.
The jaw clenching that is often part of bruxism can be an unconscious neuromuscular daytime activity, which should be treated as well, usually through physical therapy (recognition and stress response reduction). Clinical trials have shown that after three brief sessions of Pavlovian response conditioning and subsequent use of a biofeedback headband during sleep, more than 75% of bruxism sufferers experience more than a 60% reduction in nighttime clenching from the first day of biofeedback onward, and more than 50% of bruxism sufferers experience more than an 80% reduction in bruxism within the first month.



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