Check for updates ed with its presence, which may or may not be etiological; However, in adult patients, possible causal factors have been reported such as: occlusal forces, emotional causes or those generated by the central nervous system [4]; psychological problems such as stress and anxiety at all ages; In addition, SB in children is associated with respiratory problems, physiological dental wear, caries, malocclusions and use of pacifiers. About the frequency, according to the study by Rodrigues, et al. [5] the prevalence of bruxism in children ranges from 3.5% to 46%, while the study by Manfredini, et al. [6] shows that the prevalence of bruxism in adults ranges from 8% to 31.4%; without reporting differences between gender or age in the SB, and a slight predominance of the AB in women [3]. In an umbrella review, Melo, et al. [7] reported the prevalence of bruxism in adults and children according to the type of bruxism diagnosed; concluding that in adults AB occurs from 22% to 30%, and SB occurs between 10% to 13%, evidencing a decrease at older age and in children or adolescents the SB in a range from 3% to 49% [6,7]. Treatment for bruxism is suggested to be multidisciplinary, for both children and adults. Dental treatment includes some intraoral devices, which aim to protect teeth and restorations from possible wear and tear that may be generated as a result of parafunctional activity [8]; Treatment with physical therapy consists of performing exercises of the masticatory muscles and they should be performed without exerting excessive inten
to 40% of the general population, with most patients falling between the 18 to 45 years and symptoms occur disproportionately between the genders, with a much higher incidence in women [2,3].
Introduction: Facial infiltrating lipomatosis (FIL) is a rare and underreported clinical entity. Presence since birth and hemifacial swelling and asymmetry is always present along with dentoskeletal hypertrophy. Clinical management varies from conservative liposuction at an early age to aggressive subtotal resection in adulthood. Case presentation: A 21-year-old female patient, operated 3 times before for unilateral facial swelling presented with massive diffuse swelling on the right side of the face. Contrast CT showed infiltrating lipomatosis with the complete fatty replacement of ipsilateral parotid gland and masseter muscle. The case was managed in our unit by staged resection of swelling and minor cosmetic corrections. Conclusion: Management of facial infiltrating lipomatosis in adult patients can be done with staged resection of the lesion and cosmetic corrections for residual deformities but ideal outcome and prevention of recurrence is difficult.
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