Clinical management of childhood bruxism

This paper aims to report the case of a 9-year-old male patient presented to the Pain Clinic at the education institution with a severe complaint of headache and clenching. During clinical examination, facets of tooth wear and accentuated overjet were observed. There were no joint and / or muscle anomalies. Therapy adopted was an occlusal splint with occlusal adjustments in centric performed every fifteen days in order not to impair bone growth and eruption of permanent teeth. After one month of treatment, the patient showed pain remission and remained in monitoring of dental and psychological care.

本研究旨在报告一例9岁男性患者的临床病例：该患者因剧烈头痛与紧咬牙症状前往某教育机构的疼痛门诊就诊。临床检查可见牙齿磨损面与显著的覆盖（overjet）异常，未发现关节及肌肉异常。本次治疗采用咬合夹板（occlusal splint），并每15天进行一次正中咬合调整，以避免影响颌骨生长与恒牙萌出。治疗1个月后，患者头痛症状得到缓解，后续仍需接受口腔与心理护理随访。