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Чаще всего проявляется во время сна, в более редких случаях — в дневное время [4](https://zub.ru/articles/lechenie/172890-bruksizm-prichiny-simptomy-posledstviya-lechenie/). \n\nВыделяют две основные формы бруксизма [1](https://spb.medsi.ru/articles/chto-delat-pri-skrezhetanii-zubami-bruksizme-i-kak-ego-lechit/): \n1. **Дневной** — развивается редко, обычно связан с напряжением челюстей при эмоциональной нагрузке [1](https://spb.medsi.ru/articles/chto-delat-pri-skrezhetanii-zubami-bruksizme-i-kak-ego-lechit/). \n2. **Ночной** — встречается чаще, напряжение жевательных мышц челюсти возникает даже при полном внешнем спокойствии [1](https://spb.medsi.ru/articles/chto-delat-pri-skrezhetanii-zubami-bruksizme-i-kak-ego-lechit/). Приступ обычно длится не более 10–20 секунд, но в процессе сна может неоднократно повторяться [1](https://spb.medsi.ru/articles/chto-delat-pri-skrezhetanii-zubami-bruksizme-i-kak-ego-lechit/).\n\n\n\n## Причины\nНекоторые факторы, провоцирующие бруксизм: \n* **Стоматологические проблемы**: нарушения прикуса, отсутствие зубов, неправильно установленные пломбы или протезы [3](https://recstom.ru/uslugi/gnatologiya/lechenie-bruksizma-u-vzroslyh/). \n* **Психологические факторы**: хронический стресс, тревожность, депрессия, нарушения сна [3](https://recstom.ru/uslugi/gnatologiya/lechenie-bruksizma-u-vzroslyh/). \n* **Неврологические нарушения**: заболевания центральной нервной системы (эпилепсия, параличи, нейропатии) [3](https://recstom.ru/uslugi/gnatologiya/lechenie-bruksizma-u-vzroslyh/). \n* **Приём некоторых медикаментов**: скрежетание зубами может быть побочным эффектом приёма некоторых антидепрессантов, нейролептиков, психостимуляторов [6](https://mc21.ru/articles/bruksizm-skrezhet-zubov-po-nocham-kak-ego-ostanovit/).\n\n## Симптомы\nНекоторые характерные симптомы бруксизма: \n* истирание и сколы эмали [11](https://m-arch-clinic.ru/blog/bruksizm); \n* повышенная чувствительность зубов к горячему, холодному, сладкому, кислому [6](https://mc21.ru/articles/bruksizm-skrezhet-zubov-po-nocham-kak-ego-ostanovit/); \n* головные боли, особенно в височной и затылочной областях [6](https://mc21.ru/articles/bruksizm-skrezhet-zubov-po-nocham-kak-ego-ostanovit/); \n* щелчки и хруст в височно-нижнечелюстном суставе при открывании рта или жевании [6](https://mc21.ru/articles/bruksizm-skrezhet-zubov-po-nocham-kak-ego-ostanovit/); \n* неглубокий, беспокойный сон, частые пробуждения, утренняя усталость и разбитость [6](https://mc21.ru/articles/bruksizm-skrezhet-zubov-po-nocham-kak-ego-ostanovit/). \n\nСимптомы не всегда ярко выражены и могут нарастать постепенно [6](https://mc21.ru/articles/bruksizm-skrezhet-zubov-po-nocham-kak-ego-ostanovit/).\n\n## Диагностика\nПри появлении симптомов бруксизма необходимо обратиться к стоматологу [11](https://m-arch-clinic.ru/blog/bruksizm). При необходимости стоматолог направит к неврологу или психологу, чтобы устранить сопутствующие факторы бруксизма [11](https://m-arch-clinic.ru/blog/bruksizm). \n\nДля подтверждения диагноза и оценки тяжести состояния могут использоваться дополнительные методы: полисомнография (исследование сна) и электромиография (ЭМГ) [10](https://klinikabudzdorov.ru/diseases/bruksizm/).\n\n## Лечение\nЛечение бруксизма требует комплексного подхода [10](https://klinikabudzdorov.ru/diseases/bruksizm/). Выбор тактики зависит от формы бруксизма, стадии заболевания и индивидуальных особенностей пациента [10](https://klinikabudzdorov.ru/diseases/bruksizm/). Некоторые методы: \n* **Ношение специальных защитных кап** — они изготавливаются по индивидуальным слепкам из эластичного пластика и надеваются перед сном, в некоторых случаях назначается дневное ношение [2](https://lahtadental.ru/blog/symptoms-causes-and-treatment-of-bruxism). Готовые спортивные или отбеливающие капы не предназначены для лечения бруксизма, их ношение может усугубить ситуацию [2](https://lahtadental.ru/blog/symptoms-causes-and-treatment-of-bruxism). \n* **Ортодонтическое лечение** — коррекция прикуса: установка брекет-систем, ношение элайнеров [2](https://lahtadental.ru/blog/symptoms-causes-and-treatment-of-bruxism). \n* **Ортопедическое лечение** — протезирование, микропротезирование, имплантация [2](https://lahtadental.ru/blog/symptoms-causes-and-treatment-of-bruxism). 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