Apical periodontitis after intense bruxism

BMC Oral Health

Stefan Rupf¹  Madline P. Gund²  Matthias Hannig²  Karl-Thomas Wrbas³ 

[1] Chair of Synoptic Dentistry, Saarland University;Clinic of Operative Dentistry, Periodontology and Preventive Dentistry, Saarland University Hospital, Saarland University;Department of Operative Dentistry and Periodontology, Centre for Dental Medicine, Oral and Maxillofacial Surgery, Medical Centre, University of Freiburg;

关键词: Apical periodontitis;    Bruxism;    Occlusal trauma;    Cracked tooth syndrome;    Perio-endo lesion;    Case-report;   

DOI  :  10.1186/s12903-022-02123-3

来源: DOAJ

【 摘 要 】

Abstract Background Bruxism is known to cause masticatory muscle pain, temporomandibular joint pain, headaches, mechanical tooth wear, prosthodontic complications and cracked teeth. Less known to the practitioner, and described only experimentally in literature, is that bruxism can also damage the pulp. To our knowledge, this is the first known clinical case of a patient developing apical periodontitis due to bruxism. Case presentation This article presents the case and successful treatment of a 28-year-old healthy male patient with apical periodontitis on teeth 36 and 46 requiring root canal treatment after an intense phase of bruxism. Due to an unclear diagnosis, treatment had been delayed. Conclusions Incomprehensible tooth pain can be the result of bruxism. Practitioners need to be informed that intense bruxism can possibly lead to apical periodontitis. It is important, therefore, that a thorough anamnesis is collected and taken into account during diagnostics.

【 授权许可】

Unknown