: Lack of sleep generates many disorders; bruxism is one of them. It has affected almost 31% of the world population. The purpose of this paper is to determine the volume of the research conducted on bruxism and to create a database. We highlight critical issues for further research commitments and communications. This paper designs a comprehensive and very perception-based picture of the bruxism disorder. The research based work uses three methods such as systematic mapping process, network visualization, and literature review. Software such as VOSviewer, MATLAB, and MEGA-X have been utilized to analyze the work. We have researched deep insights of information to retrieve the present understanding of bruxism disorder from dental to psychological concepts, from engineering detection to clinical treatment, and from temporomandibular disorder to biological genes. We found 10 keywords and 77 items of bruxism in PubMed, Scopus, Google Scholar and Web of Science databases based on the previous publication. These keywords and items are helpful to all type of researchers, which includes engineering, science and medical background personals. 11 genes and 75 research articles with approximately 115077 subjects for the analysis of detection, treatment, child and adolescent bruxism have been reviewed in the research work. In conclusion, it has been found that bruxism altogether has sleep, neurological, dental and genetic disorder components and is a complex phenomenon. This study has also mentioned the future direction and research gap so far conducted on bruxism and has also tried to provide goals for the upcoming research to be accomplished in a more significant and scientific manner.
Whenever endodontic therapy is performed on mandibular posterior teeth, damage to the inferior alveolar nerve or any of its branches is possible. Acute periapical infection in mandibular posterior teeth may also sometimes disturb the normal functioning of the inferior alveolar nerve. The most common clinical manifestation of these insults is the paresthesia of the inferior alveolar nerve or mental nerve paresthesia. Paresthesia usually manifests as burning, prickling, tingling, numbness, itching or any deviation from normal sensation. Altered sensation and pain in the involved areas may interfere with speaking, eating, drinking, shaving, tooth brushing and other events of social interaction which will have a disturbing impact on the patient. Paresthesia can be short term, long term or even permanent. The duration of the paresthesia depends upon the extent of the nerve damage or persistence of the etiology. Permanent paresthesia is the result of nerve trunk laceration or actual total nerve damage. Paresthesia must be treated as soon as diagnosed to have better treatment outcomes. The present paper describes a case of mental nerve paresthesia arising after the start of the endodontic therapy in left mandibular first molar which was managed successfully by conservative treatment.
Host modulation, includes inhibition of matrix metalloproteinases, blocking production of proinflammatory cytokines and inhibition of osteoclastic activity, has therapeutic value as adjunctive therapy in treating chronic periodontitis. This case series presented three patients with chief complaint of teeth mobility where endo perio involvement was diagnosed. The endo perio combined lesions generally shows the communication between pulp and periodontal tissues with the same origin of dental infection. Diagnosis in such cases is difficult and generally raising problem in the management. All of the cases were managed by non surgical endodontic therapy combined with host modulation. All local factors causing the lesion were removed. Clinical outcome after six and nine months were quite satisfactory. Combined endo perio cases are challenging to the dentists and involve multidisciplinary involvement. To manage such cases, dentists have to rely on the unconventional techniques.
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