{"id":21316,"date":"2023-02-13T10:23:23","date_gmt":"2023-02-13T10:23:23","guid":{"rendered":"https:\/\/inovadent.com.tr\/w\/?post_type=cpt_services&#038;p=21316"},"modified":"2026-01-27T10:26:28","modified_gmt":"2026-01-27T07:26:28","slug":"bruksizm","status":"publish","type":"cpt_services","link":"https:\/\/inovadent.com.tr\/w\/services\/bruksizm\/","title":{"rendered":"Bruksizm (Di\u015f G\u0131c\u0131rdatma, Di\u015f S\u0131kma)"},"content":{"rendered":"\n<p><strong>BRUKS\u0130ZM (Di\u015f S\u0131kma, Di\u015f G\u0131c\u0131rdatma) NED\u0130R ?<\/strong><\/p>\n\n\n\n<p>Bruksizm, \u00e7i\u011fneme kaslar\u0131n\u0131n gece ve\/veya g\u00fcn boyu s\u00fcrd\u00fcrd\u00fc\u011f\u00fc aktiviteyle meydana gelen di\u015f g\u0131c\u0131rdatmalar\u0131 ve di\u015f s\u0131kmalar\u0131 olarak tan\u0131mlan\u0131r. \u00c7i\u011fneme kaslar\u0131n\u0131n kas\u0131lmas\u0131 sonucu di\u015fler aras\u0131nda devaml\u0131 temas olmas\u0131 \u2018di\u015f s\u0131kmas\u0131\u2019 olarak adland\u0131r\u0131l\u0131rken, \u00e7i\u011fneme i\u015fleminin a\u011f\u0131zda herhangi bir madde yok iken s\u00fcrekli devam etmesi \u2018di\u015f g\u0131c\u0131rdatma\u2019 olarak adland\u0131r\u0131l\u0131r. Di\u015f s\u0131kma ya da di\u015f g\u0131c\u0131rdatma sorununun rastland\u0131\u011f\u0131 ki\u015filer genellikle durumun fark\u0131nda de\u011fillerdir, dolay\u0131s\u0131yla erken te\u015fhis ve tedavi ya\u015fanacak bir\u00e7ok sorunun \u00f6n\u00fcne ge\u00e7ecektir.<\/p>\n\n\n\n<p>Bruksizm toplumun %8-%10 unda, \u00e7ocuklar\u0131n ise %8-38\u2019inde g\u00f6r\u00fcld\u00fc\u011f\u00fc, 50 ya\u015f\u0131ndan itibaren azald\u0131\u011f\u0131 rapor edilmi\u015ftir. Fakat yap\u0131lan farkl\u0131 yay\u0131nlarda bu oran\u0131n %5 ile %96 aras\u0131nda b\u00fcy\u00fck de\u011fi\u015fiklik g\u00f6sterdi\u011fi dikkat \u00e7ekmektedir.<\/p>\n\n\n\n<p><strong>\u00c7i\u011fneme kuvvetleri ne d\u00fczeydedir?<\/strong><\/p>\n\n\n\n<p>Erkeklerde maksimum \u0131s\u0131rma g\u00fcc\u00fc 53-64 kg aral\u0131\u011f\u0131nda iken, kad\u0131nlarda 35-44 kg aral\u0131\u011f\u0131nda bulunmu\u015ftur. Fakat \u00e7i\u011fneme s\u0131ras\u0131nda arada g\u0131da oldu\u011fu i\u00e7in kuvvetin b\u00fcy\u00fck k\u0131sm\u0131 g\u0131da taraf\u0131ndan absorbe edilmektedir. Bilin\u00e7siz di\u015f s\u0131kan ya da g\u0131c\u0131rdatan bireylerde \u00f6zellikle gece s\u0131kmalar\u0131nda kuvvetin direkt di\u015flerde olu\u015fmas\u0131 sebebiyle bas\u0131nc\u0131n 136 kg. \u00fczerine \u00e7\u0131kabilece\u011fi yap\u0131lan ara\u015ft\u0131rmalarda belirtilmi\u015ftir. Bruksizm sorunu olan ki\u015filerde ger\u00e7ekle\u015fen di\u015f temas\u0131, bu sorunu olmayan ki\u015filere oranla yakla\u015f\u0131k 7 kat fazlad\u0131r.<\/p>\n\n\n\n<p><strong>Di\u015f S\u0131kman\u0131n G\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 nedir?<\/strong><\/p>\n\n\n\n<p>Yap\u0131lan ara\u015ft\u0131rmalarda, g\u00fcn i\u00e7inde di\u015f s\u0131kmas\u0131n\u0131n bilincinde olanlar\u0131n %19.2, gece di\u015f s\u0131kmas\u0131n\u0131n bilincinde olanlar\u0131n ise %34.2-20.8 oran\u0131nda oldu\u011funu g\u00f6stermi\u015ftir.<\/p>\n\n\n\n<p><strong>Bruksizmin belirtileri nedir?<\/strong><\/p>\n\n\n\n<p>-\u00d6zellikle y\u00fczdeki kaslarda , eklem yerinde (temporamandibular eklem), ba\u015f ve boyun b\u00f6lgesinde olu\u015fan a\u011fr\u0131lar. Di\u015f g\u0131c\u0131rdatman\u0131n (bruksizm) ba\u015flatt\u0131\u011f\u0131 a\u011fr\u0131 kas kaynakl\u0131d\u0131r. Bu a\u011fr\u0131, \u00e7i\u011fneme kaslar\u0131ndaki spazmlara ba\u011fl\u0131 olarak ortaya \u00e7\u0131kar.<\/p>\n\n\n\n<p>-Di\u015f y\u00fczeyi a\u015f\u0131nmalar\u0131 sonucu di\u015flerde hassasiyetler.<\/p>\n\n\n\n<p>-Di\u015flerde sallanma ve aralanmalar.<\/p>\n\n\n\n<p>-Gece di\u015flerden gelen yo\u011fun g\u0131c\u0131rdatma sesleri<\/p>\n\n\n\n<p><strong>Di\u015f s\u0131kma ve di\u015f g\u0131c\u0131rdatman\u0131n sebebi nedir?<\/strong><\/p>\n\n\n\n<p>-Alt ve \u00fcst di\u015fler aras\u0131nda dengesiz ve uyumsuz temaslar\u0131n olmas\u0131(malokl\u00fczyon)<br><\/p>\n\n\n\n<p>-Yanl\u0131\u015f yap\u0131lan di\u015f tedavileri(dolgular, kaplamalar)<\/p>\n\n\n\n<p>-Stres, anksiyete veya gerginlik, agresif ve hiperaktif ki\u015filik.<\/p>\n\n\n\n<p>-Beyin travmas\u0131 ve baz\u0131 n\u00f6rolojik hastal\u0131klar\u0131n sonucu<\/p>\n\n\n\n<p>-Sinir sistemi bozukluklar\u0131<\/p>\n\n\n\n<p>-\u0130la\u00e7 yan etkileri \u00f6zellikle antidepresanlardan baz\u0131lar\u0131<\/p>\n\n\n\n<p>-Allerji ve hormonal hastal\u0131klar<\/p>\n\n\n\n<p>-Genetik hastal\u0131klar<\/p>\n\n\n\n<p><strong>Di\u015f S\u0131kma ve g\u0131c\u0131rdatma sonucu meydana gelen sorunlar nedir?<\/strong><\/p>\n\n\n\n<p>-Di\u015f hassasiyetleri(so\u011fuk ve s\u0131cakta hassasiyet ya da f\u0131r\u00e7alamada di\u015f s\u0131zlamas\u0131 gibi)<\/p>\n\n\n\n<p>-\u00c7ene b\u00f6lgesinde kas b\u00fcy\u00fcmesine ba\u011fl\u0131 mask\u00fclen y\u00fcz hatt\u0131<\/p>\n\n\n\n<p>-Dolgu ya da porselenlerde olu\u015fan k\u0131r\u0131lma ve \u00e7atlamalar<\/p>\n\n\n\n<p>-Bas\u0131n\u00e7 art\u0131\u015f\u0131na ba\u011fl\u0131 \u00e7ene kemi\u011finde ve di\u015fetlerinde sorunlar<\/p>\n\n\n\n<p>-Di\u015flerde a\u015f\u0131nma ya da mine \u00e7atlamalar\u0131<\/p>\n\n\n\n<p>-Eklem a\u011fr\u0131lar\u0131, TME olarak adland\u0131r\u0131lan \u00e7i\u011fneme ekleminde ve dokular\u0131nda hasar olu\u015fumu<\/p>\n\n\n\n<p>-\u00c7i\u011fneme kaslar\u0131nda kitlenme, spazm ve bunlara ba\u011fl\u0131 ba\u015f a\u011fr\u0131s\u0131 olu\u015fumu.<\/p>\n\n\n\n<p><strong>Di\u015f s\u0131kma ve g\u0131c\u0131rdatman\u0131n tedavisi nedir?<\/strong><br><strong>Gece Pla\u011f\u0131<\/strong><\/p>\n\n\n\n<p>Di\u015f s\u0131kma ve g\u0131c\u0131rdatman\u0131n tedavisi i\u00e7in d\u00fc\u015f\u00fcn\u00fclen ilk y\u00f6ntem gece pla\u011f\u0131d\u0131r. Gece plaklar\u0131 \u015feffaf ve az miktarda esnek bir materyalden yap\u0131lm\u0131\u015f tak\u0131p \u00e7\u0131kart\u0131labilen materyallerdir. Ki\u015fi taraf\u0131ndan a\u011f\u0131za tak\u0131ld\u0131\u011f\u0131nda \u00e7i\u011fneme kaslar\u0131nda aktiviteyi belirgin oranda azaltmaktad\u0131r. Ayn\u0131 zamanda di\u015flere gelen \u00e7i\u011fneme bas\u0131n\u00e7lar\u0131n\u0131 daha dengeli yayd\u0131\u011f\u0131ndan di\u015f s\u0131kman\u0131n ve g\u0131c\u0131rdatman\u0131n kontroll\u00fc olmas\u0131n\u0131 sa\u011flar. Kas aktivitesinin azalmas\u0131 dolayl\u0131 olarak \u00e7evre dokularda rahatlama ile sonu\u00e7lan\u0131r. Gece pla\u011f\u0131n\u0131n d\u00fczenli olarak belli bir s\u00fcre kullan\u0131lmas\u0131 sonucunda, kas rahatlamas\u0131 sa\u011flanmas\u0131 ile ki\u015fi plak kullan\u0131m\u0131na ara verebilir. Sorunun tekrar ortaya \u00e7\u0131kmas\u0131nda ise ayn\u0131 plak tekrar kullan\u0131labilir.E\u011fer ki\u015fide a\u011f\u0131z a\u00e7\u0131kl\u0131\u011f\u0131 azalm\u0131\u015f ya da eklem problemi artm\u0131\u015f durumda ise gece pla\u011f\u0131 uygulamas\u0131ndan \u00f6nce, eklem splinti ad\u0131 verilen daha \u00f6zel apareylerin kullan\u0131lmas\u0131 gerekir. Eklem splinti ile eklem b\u00f6lgesindeki hasarl\u0131 dokular\u0131n rahatlamas\u0131, b\u00f6lgedeki \u00f6demin yok edilmesi hedeflenir. B\u00f6ylece \u00f6ncelikle a\u011f\u0131z a\u00e7\u0131kl\u0131\u011f\u0131 normale d\u00f6nd\u00fcr\u00fcl\u00fcr. \u0130deal bir tedavi i\u00e7in bu hastal\u0131\u011f\u0131n t\u00fcm\u00fcyle kontrol edilmesi gerekmektedir. Fakat bruksizmin tamamen ortadan kald\u0131r\u0131lmas\u0131 ne yaz\u0131k ki m\u00fcmk\u00fcn de\u011fildir.<\/p>\n\n\n\n<p><strong>\u00c7i\u011fneme Kaslar\u0131na Botoks uygulamas\u0131<\/strong><br>Bruksizm mevcut olan ki\u015filerde kaslardaki aktivite normalden \u00e7ok daha fazlad\u0131r. Bunun sonucu olarak \u00e7i\u011fneyici kaslarda da geli\u015fim artm\u0131\u015ft\u0131r. Kas hipertrofisi denen bu durum bilin\u00e7siz di\u015f s\u0131kmalar s\u0131ras\u0131nda a\u015f\u0131r\u0131 y\u00fck \u00fcretimine sebep olur. Botulinum toksin denen madde uyguland\u0131\u011f\u0131 b\u00f6lgede sinir iletimini azaltma etkisine sahiptir. Di\u015f s\u0131kan bireylerde de bu madde sadece \u00e7i\u011fnemeden sorumlu olan kaslara enjekte edilir. Uyguland\u0131\u011f\u0131 kasta g\u00fcc\u00fc azaltmas\u0131n\u0131n sonucu olarak, di\u015f s\u0131kma ve g\u0131c\u0131rdatma faaliyetinde ciddi bir d\u00fc\u015f\u00fc\u015f ger\u00e7ekle\u015fir. Botoks tedavisi 6 ay etki eder. Fakat 6. ay\u0131n sonunda birey bir anda eskisi gibi di\u015f s\u0131kmaya devam etmez. Kas gruplar\u0131 6 ay i\u00e7erisinde g\u00fc\u00e7s\u00fczle\u015fir ve bunun sonucunda eski g\u00fc\u00e7lerine bir anda kavu\u015famayacaklard\u0131r. Bunu \u015funa benzetebiliriz; d\u00fczenli spor salonuna gidip a\u011f\u0131rl\u0131k kald\u0131rd\u0131n\u0131z ve v\u00fccudunuz kuvvetlendi. 6 ay ara verdikten sonra tekrar spor salonunda ayn\u0131 a\u011f\u0131rl\u0131\u011f\u0131 kald\u0131rmak istedi\u011finizde eskisi kadar kolay olmayacakt\u0131r. Botoks tedavisi daha \u00e7ok kas a\u011fr\u0131s\u0131 \u015fikayeti artm\u0131\u015f ki\u015filerde tercih edilebilir, daha sonras\u0131nda uzun vadeli tedavi i\u00e7in yine gece pla\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n\n\n\n<p>Bruksizm (di\u015f s\u0131kma, di\u015f g\u0131c\u0131rdatma) konusu ile ilgili referanslar:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Sleep Bruxism: A Sleep-Related Movement Disorder Takafumi Kato, DDS, PhDa, *, Gilles J. Lavigne, DMD, FRCD, PhDb,c<\/li>\n\n\n\n<li>Sleep problems and daytime tiredness in Finnish preschool-aged children-a community survey.<\/li>\n<\/ol>\n\n\n\n<p>Simola P1, Niskakangas M, Liukkonen K, Virkkula P, Pitk\u00e4ranta A, Kirjavainen T, Aronen ET.<\/p>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>Bruksizm tan\u0131 ve tedavi: Prof. Dr. Koray Oral<\/li>\n\n\n\n<li>The prevalence of mandibular dysfunction. Part I: Sex and age distribution of related signs and symptoms<\/li>\n<\/ol>\n\n\n\n<p>Carl E.RiederD.D.S.<em>James T.MartinoffPh.D.<strong>Stuart A.WilcoxPh.D.<\/strong><\/em><\/p>\n\n\n\n<ol start=\"5\" class=\"wp-block-list\">\n<li>Nocturnal bruxism and its clinical management. Attanasio R1<\/li>\n<\/ol>\n\n\n\n<p>Di\u015f g\u0131c\u0131rtma rahats\u0131zl\u0131\u011f\u0131n\u0131z i\u00e7in Ata\u015fehir Di\u015f Klini\u011fi Inovadent&#8217;i arayarak bilgi alabilirsiniz ve \u00fccretsiz muayene olabilirsiniz.<\/p>\n\n\n\n<p><strong>BRUKS\u0130Z\u0130M NED\u0130R ?<\/strong><br>Genellikle uyku s\u0131ras\u0131nda di\u015fleri bilin\u00e7 d\u0131\u015f\u0131 bir \u015fekilde s\u0131karak yap\u0131lan bir eylemdir. Bu normal olmayan bir durumdur ve olduk\u00e7a rahats\u0131z edici bir ses ortaya \u00e7\u0131kar. Genellikle bu al\u0131\u015fkanl\u0131k ki\u015fi taraf\u0131ndan pek farkedilmez. Her 5 ki\u015finin en az birinde g\u00f6r\u00fclen bu al\u0131\u015fkanl\u0131k fark\u0131nda olmadan ki\u015filerin g\u00fcnl\u00fck hayat\u0131n\u0131 k\u00f6t\u00fc y\u00f6nde etkilemektedir. G\u00fcn i\u00e7i yorgunluk, halsizlik, devaml\u0131 uyuma iste\u011finin arkas\u0131nda kalitesiz, gece uykuda di\u015f g\u0131c\u0131rdatma, uykuda di\u015f s\u0131kma gibi rahats\u0131zl\u0131klar bulunmaktad\u0131r.<\/p>\n\n\n\n<p>Bruksizmi olan ki\u015filerin y\u00fczde 5 ile 10 aras\u0131 bir k\u0131sm\u0131 di\u015flerine uygulad\u0131klar\u0131 kuvvet sonucu dolgular\u0131n ve di\u015flerin k\u0131r\u0131lmas\u0131 gibi zararlara yol a\u00e7abilmekte, bir k\u0131sm\u0131 da \u00e7ene eklemi disfonksiyonlar\u0131ndan \u015fikayet\u00e7i olmakta ve sabahlar\u0131 sebepsiz ba\u015fa\u011fr\u0131s\u0131 ve kas a\u011fr\u0131lar\u0131 \u00e7ekmektedirler.<\/p>\n\n\n\n<p><strong>BRUKS\u0130ZM\u0130N BEL\u0130RT\u0130LER\u0130 NED\u0130R ?<\/strong><br>+ \u00d6zellikle y\u00fczdeki kaslarda , eklem yerinde (temporamandibular eklem) ba\u015f ve boyun b\u00f6lgesinde olu\u015fan a\u011fr\u0131lard\u0131r. Di\u015f g\u0131c\u0131rdatman\u0131n (bruksizm) ba\u015flatt\u0131\u011f\u0131 a\u011fr\u0131 kas kaynakl\u0131d\u0131r. Bu a\u011fr\u0131, \u00e7i\u011fneme kaslar\u0131ndaki spazmlara ba\u011fl\u0131 olarak ortaya \u00e7\u0131kar.<\/p>\n\n\n\n<p>+ Di\u015f y\u00fczeyi a\u015f\u0131nmalar\u0131 sonucu di\u015flerde hassasiyetler olabilmekte ve ilerleyen zamanlarda di\u015fin siniri a\u00e7\u0131\u011fa \u00e7\u0131kabilmektedir.<\/p>\n\n\n\n<p>+ Di\u015flerde sallanma ve aralanmalar g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p><strong>BRUKS\u0130ZM\u0130N TEDAV\u0130S\u0130 NASIL YAPILIR ?<\/strong><br>Stresi ortadan kald\u0131rmak esas tedavi olmakla beraber di\u015flerin de korumaya al\u0131nmas\u0131 gerekmektedir. Di\u015f g\u0131c\u0131rdatma veya s\u0131kma problemi ya\u015fayan yeti\u015fkinler i\u00e7in gece pla\u011f\u0131 kullanmas\u0131 \u00f6nerilir. Is\u0131rma pla\u011f\u0131 olarak da adland\u0131r\u0131lan koruyucu bir pla\u011f\u0131n geceleri uyurken tak\u0131lmas\u0131 ile ger\u00e7ekle\u015ftirilir. Tedavi daha \u00e7ok akut problemleri \u00e7\u00f6zmeye y\u00f6nelik olarak uygulan\u0131r ve bir di\u015fhekimi ve fizyoterapistin birlikte \u00e7al\u0131\u015fmas\u0131n\u0131 gerektirebilir.<\/p>\n\n\n\n<h5 class=\"wp-block-heading\"> <\/h5>\n","protected":false},"excerpt":{"rendered":"<p>Bruksizm, \u00e7i\u011fneme kaslar\u0131n\u0131n gece ve\/veya g\u00fcn boyu s\u00fcrd\u00fcrd\u00fc\u011f\u00fc aktiviteyle meydana gelen di\u015f g\u0131c\u0131rdatmalar\u0131 ve di\u015f s\u0131kmalar\u0131 olarak tan\u0131mlan\u0131r.<\/p>\n","protected":false},"author":1,"featured_media":23042,"comment_status":"closed","ping_status":"closed","template":"","cpt_services_group":[198],"class_list":["post-21316","cpt_services","type-cpt_services","status-publish","has-post-thumbnail","hentry","cpt_services_group-hizmetlerimiz"],"_links":{"self":[{"href":"https:\/\/inovadent.com.tr\/w\/wp-json\/wp\/v2\/cpt_services\/21316","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/inovadent.com.tr\/w\/wp-json\/wp\/v2\/cpt_services"}],"about":[{"href":"https:\/\/inovadent.com.tr\/w\/wp-json\/wp\/v2\/types\/cpt_services"}],"author":[{"embeddable":true,"href":"https:\/\/inovadent.com.tr\/w\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/inovadent.com.tr\/w\/wp-json\/wp\/v2\/comments?post=21316"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/inovadent.com.tr\/w\/wp-json\/wp\/v2\/media\/23042"}],"wp:attachment":[{"href":"https:\/\/inovadent.com.tr\/w\/wp-json\/wp\/v2\/media?parent=21316"}],"wp:term":[{"taxonomy":"cpt_services_group","embeddable":true,"href":"https:\/\/inovadent.com.tr\/w\/wp-json\/wp\/v2\/cpt_services_group?post=21316"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}