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Korkmaz C, Bellaz İB, Kılıçarslan MA, Dikicier S, Karabulut B. Influence of psychiatric symptom profiles of parents on sleep bruxism intensity of their children. Acta Odontol Scand 2024; 82:33-39. [PMID: 37907074 DOI: 10.1080/00016357.2023.2254374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Accepted: 08/29/2023] [Indexed: 11/02/2023]
Abstract
OBJECTIVE The objective of this study was to evaluate the effects of parental anxiety, depression levels and psychiatric symptom profiles of parents on the occurrence of sleep bruxism in children. MATERIAL & METHODS This cross-sectional study was carried out with a sample of 94 children aged 6 to 12 years, divided into two groups: with sleep bruxism (bruxism group-BG) and without sleep bruxism (control group-CG). Beck Depression Inventory (BDI), Symptom Checklist (SCL-90-R), Symptom Checklist and Screen for Child Anxiety Related Emotional Disorders-Parent (SCARED-P) scale were used to assess anxiety and depression levels of parents. All questionnaires were filled out by parents of children. Intraoral and extraoral examinations were carried out of children in the clinic and sleep bruxism was determined. All stress conditions were investigated by logistic regression analysis. In the comparison of the qualitative data, chi-square and Fisher exact tests were used. RESULTS The data revealed that participants whose mothers had high anxiety and interpersonal sensitivity scores, and participants whose fathers had a medium level of obsessive-compulsive disorder were more likely to have an SB problem (p < 0.05). According to the results of BDI, the fathers' results between the BG and the CG were not statistically significant (p > 0.05). However, the mothers' results between the BG and the CG were statistically significant (p < 0.05) When all subscales of SCARED-P were evaluated, the separation anxiety disorder subscore was statistically significant in the bruxism group. CONCLUSION The psychological status of parents is a significant risk factor associated with SB development in school-age children.
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Affiliation(s)
- Cumhur Korkmaz
- Department of Prosthodontics, University of Health Sciences, Istanbul, Turkey
| | | | | | - Sibel Dikicier
- Department of Prosthodontics, University of Health Sciences, Istanbul, Turkey
| | - Barış Karabulut
- Department of Pediatric Dentistry, University of Health Sciences, Istanbul, Turkey
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2
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Restrepo C, Lobbezoo F, Castrillon E, Svensson P, Santamaria A, Manfredini D. Correlations between sleep architecture and sleep-related masseter muscle activity in children with sleep bruxism. J Oral Rehabil 2024; 51:110-116. [PMID: 36790219 DOI: 10.1111/joor.13430] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2022] [Revised: 12/29/2022] [Accepted: 01/23/2023] [Indexed: 02/16/2023]
Abstract
BACKGROUND Sleep bruxism (SB) occurring during No-REM (nREM) sleep and increase in microarousals per hour have been described in adults, but not in children. OBJECTIVE To assess the correlation between sleep architecture and masseter muscle activity related to sleep bruxism (SB/MMA) in children. MATERIALS AND METHODS Forty-three children aged 7-12 years (mean age: 9.4 ± 1.3) with confirmed SB underwent a two-night polysomnographic (PSG) study in a sleep laboratory, for accommodation (first night) and data collection (second night). Data on sleep architecture (total sleep duration (TSD), sleep efficiency (SE), sleep onset latency (SOL), REM and nREM sleep duration and proportion and microarousals/hour during REM and nREM sleep) and episodes/hour of SB/MMA were recorded. Single and multiple-variable linear regression analyses were performed to assess the correlation between data on sleep architecture (predictors) and SB/MMA (dependent variable). RESULTS Shorter TSD, REM and nREM stage 1 sleep duration, longer SOL and more microarousals/hour during REM and nREM sleep were found to be positive predictors of SB/MMA in children in the multiple-variable regression analysis (R2 = 0.511). CONCLUSION Within the limitations of this study, it can be concluded that SB/MMA is correlated with altered sleep architecture in children (shorter total sleep duration (TSD), shorter nREM and REM sleep and higher microarousals during REM and nREM sleep). Nevertheless, the clinical significance of these findings need to be demonstrated in future studies.
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3
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Huynh N, Fabbro CD. Sleep bruxism in children and adolescents-A scoping review. J Oral Rehabil 2024; 51:103-109. [PMID: 37743603 DOI: 10.1111/joor.13603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 08/21/2023] [Accepted: 09/12/2023] [Indexed: 09/26/2023]
Abstract
BACKGROUND AND OBJECTIVE This review paper focuses on sleep bruxism (SB) in children and adolescents. It aims to assess the landscape of knowledge published in the last 20 years. METHODS A total of 144 relevant publications from 386 previously identified through Medline were included, of which 83 were on possible SB, 37 on probable SB, 20 on definite SB and 4 were non-applicable. The review places emphasis on the recent evidence on prevalence, pathophysiology, diagnosis and management of SB in children and adolescents, with special focus on probable and definitive SB. RESULTS The prevalence ranges from 5% to 50% depending on the age range and on the SB diagnosis (possible, probable or definitive). The pathophysiology is multifactorial, arousal associated and with behavioural problems and sleep disorders (obstructive sleep apnoea, snoring, nightmares) as risk factors, as well as respiratory conditions (allergies, oral breathing). Screening should include questionnaires and dental assessment. Instrumental recording is helpful to confirm diagnosis although more studies are needed to validate this approach in children. SB management includes controlling orofacial and dental consequences and assessing for any other comorbidity. Management options include occlusal splints, oral appliances (advancement mandibular), rapid maxillary expansion and some medications, although this last option is supported by limited evidences in children. CONCLUSION Suggestions of future topics in research are delivered to better understand comorbidities, diagnosis and management with improved outcomes compared to what is currently available.
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Affiliation(s)
- Nelly Huynh
- Faculty of dental medicine, Université de Montréal, Montreal, Quebec, Canada
| | - Cibele Dal Fabbro
- CIUSSS Nord Ile Montreal, CEAMS and research centre, Montreal, Quebec, Canada
- Instituto do Sono, Sao Paulo, Brazil
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4
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Restrepo-Serna C, Winocur E. Sleep bruxism in children, from evidence to the clinic. A systematic review. FRONTIERS IN ORAL HEALTH 2023; 4:1166091. [PMID: 37252006 PMCID: PMC10213965 DOI: 10.3389/froh.2023.1166091] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 04/12/2023] [Indexed: 05/31/2023] Open
Abstract
Objectives The present paper aims to systematically review the literature published from 2015 to 2023 on bruxism in children with the aim to compilate the best available evidence. Materials and Methods A systematic search in the National Library of Medicine's PubMed, Medline (EBSCO), SCOPUS, and Google Scholar databases was performed to identify all studies on humans assessing genetic, biopsychosocial, and sleep factors assessed with any different approach for sleep bruxism (SB) in children and its interventions. The selected articles were assessed independently by the two authors according to a structured reading of the article's format (PICO). The quality of the articles was evaluated using Quality Assessments Tool for Experimental Bruxism Studies (Qu-ATEBS) and the JBI critical appraisal tools. Results A total of 16 articles were included for discussion in the review and grouped into questionnaire/parental-report (n = 7), SB assessment through parental report of SB and clinical examination (n = 4), and instrumental assessment (n = 5) studies. The total quality scores evaluated with STROBE and Qu-ATEBS were high for all included papers. However, in general, there was no control of bias strategies and there was no control group in the intervention studies. Conclusions Investigations based on self-report, clinical, and instrumental bruxism assessment showed a positive association with genetics, quality of life aspects (school and emotional functions and overuse of screen-time), mother anxiety and family conformation, diet, alteration in sleep behaviors and architecture, and sleep breathing disorders. Additionally, the literature presents options to increase airway patency and, thus, reduce the occurrence of SB. Tooth wear was not found to be a major sign of SB in children. However, methods of SB assessment are heterogeneous and hamper a reliable comparison of the results.
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Affiliation(s)
| | - Efraim Winocur
- Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger, School of Dental Medicine, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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Bahammam HA. Validation of Sleep Bruxism Questionnaire Toward the Experience of Jaw Pain and Limitation of Jaw Movement in Saudi Arabian Adolescents. Cureus 2022; 14:e26120. [PMID: 35875291 PMCID: PMC9298670 DOI: 10.7759/cureus.26120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/20/2022] [Indexed: 11/11/2022] Open
Abstract
Background: Bruxism in children and adolescents is underreported and needs strong awareness among parents. No study has attempted to validate the sleep bruxism questionnaire, particularly in Saudi adolescents. Objective: This study aims to validate the sleep bruxism questionnaire on the experience of jaw pain and limitation of jaw movement in Saudi adolescents from 10 to 19 years of age. Methods: This study was a cross-sectional (survey) study in which we distributed an Arabic translation of a questionnaire on sleep bruxism among 200 parents of patients who attended the dental clinics of the Faculty of Dentistry, King Abdulaziz University Hospital, Jeddah, Saudi Arabia, for treatment. Cronbach's alpha and interclass correlation coefficients were checked for reliability and internal consistency of the items. For validity, convergent validity analysis was accomplished by analyzing temporomandibular disorder and sleep bruxism. The response rate was 85%. Results: There was a weak association between jaw pain with jaw lock (coefficient value = 0.249) and bruxism (coefficient value = 0.287). Bruxism and jaw lock had a robust correlation (coefficient value = 0.920). Conclusion: The Arabic version of the sleep bruxism questionnaire is reliable and valid for assessing sleep bruxism toward the experience of jaw pain and limitation of jaw movement in Saudi Arabian adolescent patients.
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Shiraishi Y, Tachibana M, Shirota A, Mohri I, Taniike M, Yamashiro T, Kato T. Relationships between cortical, cardiac, and arousal-motor activities in the genesis of rhythmic masticatory muscle activity across sleep cycles in primary sleep bruxism children. Sleep 2021; 44:6310842. [PMID: 34181734 DOI: 10.1093/sleep/zsab156] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 06/03/2021] [Indexed: 11/13/2022] Open
Abstract
STUDY OBJECTIVES The present study aimed to clarify the physiological relationships between rhythmic masticatory muscle activity (RMMA) and cyclic changes in cortical, autonomic, and arousal-motor activities during sleep in sleep bruxism (SB) children. METHODS Polysomnographic recordings were performed on fifteen SB children (9 boys, 6 girls, 10.3 ± 2.5 years) and eighteen control children (5 boys, 13 girls, 10.7 ± 3.1 years) free from sleep and developmental disorders. Sleep and RMMA were scored by the standard rules. Sleep cycle was divided into NREM and REM sleep segments and the frequency of RMMA, transient arousal and movement, and cortical and cardiac activities were then quantitatively analyzed in relation to sleep cycles. RESULTS Neither sleep architecture nor sleep stage distribution of RMMA significantly differed between two groups. In sleep cycles, SB children showed more frequent RMMA in all segments than controls, while cyclic changes in cortical and autonomic activities did not significantly differ between two groups. In SB children, RMMA was the most frequent in the last NREM segment before REM sleep and was associated with increases in cortical beta activity and arousal; more than 70% of RMMA time-dependently occurred with cortical and motor arousals. CONCLUSIONS This is the first study to suggest that the potentiation of RMMA occurrence was associated with transient arousal under cyclic sleep processes in primary SB children.
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Affiliation(s)
- Yuki Shiraishi
- Department of Orthodontics and Dentofacial Orthopedics, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan.,Department of Oral Physiology, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan
| | - Masaya Tachibana
- United Graduate School of Child Development, Osaka University, Suita, Osaka, Japan.,Department of Pediatrics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.,Osaka University Hospital, Sleep Medicine Center, Suita, Osaka, Japan
| | - Ai Shirota
- Department of Oral Physiology, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan
| | - Ikuko Mohri
- United Graduate School of Child Development, Osaka University, Suita, Osaka, Japan.,Department of Pediatrics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.,Osaka University Hospital, Sleep Medicine Center, Suita, Osaka, Japan
| | - Masako Taniike
- United Graduate School of Child Development, Osaka University, Suita, Osaka, Japan.,Department of Pediatrics, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.,Osaka University Hospital, Sleep Medicine Center, Suita, Osaka, Japan
| | - Takashi Yamashiro
- Department of Orthodontics and Dentofacial Orthopedics, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan
| | - Takafumi Kato
- Department of Oral Physiology, Osaka University Graduate School of Dentistry, Suita, Osaka, Japan.,United Graduate School of Child Development, Osaka University, Suita, Osaka, Japan.,Osaka University Hospital, Sleep Medicine Center, Suita, Osaka, Japan
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7
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Soares JP, Moro J, Massignan C, Cardoso M, Serra-Negra JM, Maia LC, Bolan M. Prevalence of clinical signs and symptoms of the masticatory system and their associations in children with sleep bruxism: A systematic review and meta-analysis. Sleep Med Rev 2021; 57:101468. [PMID: 33836485 DOI: 10.1016/j.smrv.2021.101468] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 01/05/2021] [Accepted: 01/27/2021] [Indexed: 11/26/2022]
Abstract
Sleep bruxism (SB) is a behavior of central origin that is related to different factors. This systematic review aimed to determine the prevalence of clinical signs and symptoms of the masticatory system and their association in children with SB. A structured search in ten databases were taken. Two authors independently selected studies, extracted the data, study quality assessment and graded the evidence. A meta-analysis of proportion and association was performed under random-effect model, confidence interval of 95% and p < 0.05 for pulled values. Were included 22 studies, and their overall quality was poor. The more common clinical signs and symptoms of the masticatory system in children with SB were primary canine wear (P:84.13, 95% CI:78.13-89.32; p = 0.248; I2 25.05), dental wear (P:73.76, 95% CI:38.73-96.91; p < 0.001; I2 97.62) and headache (P:52.85, 95% CI:38.92-66.56; p < 0.001; I2 93.65). The prevalence of SB in children was 31.16% (P:31.16, 95% CI:22.18-40.92; p < 0.001; I2 98.56). There was no significant risk of dental wear and headache in children with SB. There is low to very low certainty of the evidence. The more prevalent clinical signs and symptoms of the masticatory system presented in children with SB were primary canine wear, dental wear and headache. Further studies of high quality are still needed to elucidate these important questions.
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Affiliation(s)
- Josiane Pezzini Soares
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Santa Catarina, Florianopolis, SC, Brazil.
| | - Juliana Moro
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Santa Catarina, Florianopolis, SC, Brazil
| | - Carla Massignan
- Department of Pediatric Dentistry, School of Dentistry, Universidade de Brasília, Brasilia, DF, Brazil
| | - Mariane Cardoso
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Santa Catarina, Florianopolis, SC, Brazil
| | - Júnia Maria Serra-Negra
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Michele Bolan
- Department of Pediatric Dentistry, School of Dentistry, Universidade Federal de Santa Catarina, Florianopolis, SC, Brazil
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8
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Lavigne G, Kato T, Herrero Babiloni A, Huynh N, Dal Fabbro C, Svensson P, Aarab G, Ahlberg J, Baba K, Carra MC, Cunha TCA, Gonçalves DAG, Manfredini D, Stuginski-Barbosa J, Wieckiewicz M, Lobbezoo F. Research routes on improved sleep bruxism metrics: Toward a standardised approach. J Sleep Res 2021; 30:e13320. [PMID: 33675267 DOI: 10.1111/jsr.13320] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 02/05/2021] [Accepted: 02/05/2021] [Indexed: 12/17/2022]
Abstract
A recent report from the European Sleep Research Society's task force "Beyond AHI" discussed an issue that has been a long-term subject of debate - what are the best metrics for obstructive sleep apnoea (OSA) diagnosis and treatment outcome assessments? In a similar way, sleep bruxism (SB) metrics have also been a recurrent issue for >30 years and there is still uncertainty in dentistry regarding their optimisation and clinical relevance. SB can occur alone or with comorbidities such as OSA, gastroesophageal reflux disorder, insomnia, headache, orofacial pain, periodic limb movement, rapid eye movement behaviour disorder, and sleep epilepsy. Classically, the diagnosis of SB is based on the patient's dental and medical history and clinical manifestations; electromyography is used in research and for complex cases. The emergence of new technologies, such as sensors and artificial intelligence, has opened new opportunities. The main objective of the present review is to stimulate the creation of a collaborative taskforce on SB metrics. Several examples are available in sleep medicine. The development of more homogenised metrics could improve the accuracy and refinement of SB assessment, while moving forward toward a personalised approach. It is time to develop SB metrics that are relevant to clinical outcomes and benefit patients who suffer from one or more possible negative consequences of SB.
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Affiliation(s)
- Gilles Lavigne
- Faculty of Dental Medicine, Universite de Montreal & CIUSSS Nord Ile de Montreal, Center for Advance Research in Sleep Medicine & Stomatology, CHUM, Montreal, QC, Canada
| | - Takafumi Kato
- Department of Oral Physiology Graduate School of Dentistry, Sleep Medicine Center, Osaka University Hospital, Osaka University, Suita, Japan
| | - Alberto Herrero Babiloni
- Division of Experimental Medicine, McGill University, Montreal, QC, Canada.,CIUSSS Nord Ile de Montreal, Center for Advance Research in Sleep Medicine, Montreal, QC, Canada
| | - Nelly Huynh
- Faculty of Dental Medicine, Universite de Montreal and CHU Saint-Justine Research Center, Montreal, QC, Canada
| | - Cibele Dal Fabbro
- Faculty of Dental Medicine, Universite de Montreal & CIUSSS Nord Ile de Montreal, Center for Advance Research in Sleep Medicine & Stomatology, CHUM, Montreal, QC, Canada
| | - Peter Svensson
- Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.,Faculty of Odontology, Malmø University, Malmø, Sweden
| | - Ghizlane Aarab
- Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Jari Ahlberg
- Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland
| | - Kazuyoshi Baba
- Department of Prosthodontics, School of Dentistry, Showa University, Tokyo, Japan
| | - Maria Clotilde Carra
- UFR of Odontology Garanciere, Université de Paris and Service of Odontology, Rothschild Hospital (AP-HP), Paris, France
| | - Thays Crosara A Cunha
- Department of Genetics and Biochemistry, Federal University of Uberlandia, Uberlandia, Brazil
| | - Daniela A G Gonçalves
- Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (Unesp), Araraquara, Brazil
| | - Daniele Manfredini
- Department of Biomedical Technologies, School of Dentistry, University of Siena, Siena, Italy
| | | | - Mieszko Wieckiewicz
- Department of Experimental Dentistry, Wroclaw Medical University, Wroclaw, Poland
| | - Frank Lobbezoo
- Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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9
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Duarte J, Souza JFD, Cavalcante-Leão B, Todero SRB, Ferreira FM, Fraiz FC. Association of possible sleep bruxism with daytime oral habits and sleep behavior in schoolchildren. Cranio 2019; 39:372-378. [DOI: 10.1080/08869634.2019.1661113] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Joyce Duarte
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Curitiba, Brazil
| | | | - Bianca Cavalcante-Leão
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Curitiba, Brazil
| | | | - Fernanda Morais Ferreira
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Fabian Calixto Fraiz
- Department of Stomatology, School of Dentistry, Federal University of Paraná, Curitiba, Brazil
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10
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de Oliveira Reis L, Ribeiro RA, Martins CC, Devito KL. Association between bruxism and temporomandibular disorders in children: A systematic review and meta-analysis. Int J Paediatr Dent 2019; 29:585-595. [PMID: 30888712 DOI: 10.1111/ipd.12496] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Revised: 08/15/2018] [Accepted: 03/12/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Bruxism in children and its relation to the development of temporomandibular disorders (TMD) has not been clearly determined yet. AIM The objective of this systematic review was to evaluate the possible association between bruxism and TMD in children. DESIGN Seven databases were searched, and 497 articles were assessed. Methodological quality was assessed through Newcastle-Ottawa Scale. The meta-analysis was performed with the articles in which extraction of data was possible and the summary effect measure through odds ratio (OR) and respective 95% confidence intervals (CIs). Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) was used to assess the certainty of evidence. RESULTS Ten cross-sectional studies were included in the systematic review. Of these, 8 showed a statistically significant association between bruxism and TMD. Seven studies however presented a high risk of bias. The meta-analysis was performed with 3 articles and obtained an OR of 2.97 (95% CI ranging from 1.72-5.15), indicating that children with bruxism are 2.97 times more likely to present TMD, with very low level of certainty defined by GRADE. CONCLUSIONS Although the studies showed high risk of bias, the qualitative analysis of individual studies showed that the children with bruxism have greater chance of developing TMD.
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Affiliation(s)
- Larissa de Oliveira Reis
- Master's Program in Dental Clinic, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
| | - Rosangela Almeida Ribeiro
- Department of Social and Pediatric Dentistry, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
| | - Carolina Castro Martins
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Karina Lopes Devito
- Department of Dental Clinic, School of Dentistry, Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil
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11
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Herrero Babiloni A, Lavigne GJ. Sleep Bruxism: A "Bridge" Between Dental and Sleep Medicine. J Clin Sleep Med 2018; 14:1281-1283. [PMID: 30092910 PMCID: PMC6086949 DOI: 10.5664/jcsm.7254] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 07/17/2018] [Accepted: 07/17/2018] [Indexed: 11/13/2022]
Affiliation(s)
- Alberto Herrero Babiloni
- Research Center, Hôpital du Sacré-Coeur de Montréal, CIUSSS Nord Ile Montreal and Faculty of Dental Medicine, Université de Montreal, Montreal, Québec, Canada
| | - Gilles J. Lavigne
- Research Center, Hôpital du Sacré-Coeur de Montréal, CIUSSS Nord Ile Montreal and Faculty of Dental Medicine, Université de Montreal, Montreal, Québec, Canada
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12
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Prado IM, Abreu LG, Silveira KS, Auad SM, Paiva SM, Manfredini D, Serra-Negra JM. Study of Associated Factors With Probable Sleep Bruxism Among Adolescents. J Clin Sleep Med 2018; 14:1369-1376. [PMID: 30092895 DOI: 10.5664/jcsm.7276] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2017] [Accepted: 05/17/2018] [Indexed: 12/23/2022]
Abstract
STUDY OBJECTIVES To evaluate the prevalence of probable sleep bruxism (SB) and its association with sleep features, orthodontic fixed appliance wearing, and extraoral and intraoral clinical signs and symptoms in a population of adolescents. METHODS Two hundred thirty-nine 12-year-old adolescents enrolled in private and public schools in Brumadinho, southeast Brazil, and their parents were invited to participate. They answered a questionnaire containing information regarding adolescents' sleep features and history of SB. Extraoral and intraoral examination was performed to identify some clinical signs (ie, absence of lip competence, presence of mouth breathing, clicks in the temporomandibular joint [TMJ], tooth wear) and symptoms (ie, pain in the masseter muscle upon palpation), and ongoing orthodontic treatment with fixed appliances. Parental report and clinical examination were used to determine probable SB. Descriptive statistics and logistic regression were performed to identify association of probable SB with independent variables. RESULTS Of 239 adolescents initially selected, 231 (96.6%) participated in the study. Prevalence of probable SB was 16.9%. Adolescents who snored during sleep (odds ratio [OR] = 3.14; 95% confidence interval [CI] = 1.47-6.70), adolescents who did not have clicks in the TMJ (OR = 3.37; 95% CI = 1.11-10.15), and those who wore orthodontic appliances (OR = 2.72; 95% CI = 1.04-7.14) were more likely to be in the group with probable SB. CONCLUSIONS Snoring, absence of clicks in the TMJ, and fixed appliance wearing were associated with probable SB among adolescents. This study adds to the ongoing research on SB in adolescents and its associated factors. COMMENTARY A commentary on this article appears in this issue on page 1281.
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Affiliation(s)
- Ivana Meyer Prado
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Lucas Guimarães Abreu
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Karen Simon Silveira
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Sheyla Márcia Auad
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Saul Martins Paiva
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | | | - Júnia Maria Serra-Negra
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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13
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Ribeiro MB, Manfredini D, Tavares-Silva C, Costa L, Luiz RR, Paiva S, Serra-Negra JM, Fonseca-Gonçalves A, Maia LC. Association of possible sleep bruxism in children with different chronotype profiles and sleep characteristics. Chronobiol Int 2018; 35:633-642. [PMID: 29363987 DOI: 10.1080/07420528.2018.1424176] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Sleep bruxism (SB) in children has been associated with several sleep characteristics, which may alter their sleep pattern. This change affects the internal biological clock and consequently the chronotype profile. The aim of this study was to evaluate the existence of an association between possible SB in children with specific chronotype profiles and sleep characteristics. The study included 207 parents/guardians of children aged between 3 and 12 years who were waiting for their children's dental treatment at the Pediatric Dentistry Clinic of the Federal University of Rio de Janeiro, Brazil. A questionnaire on the socio-demographic characteristics of parents and children as well as on the features of the children's sleep was applied. In addition, the CIRENS scale (Circadian Energy Scale) was completed by the parents to identify the children's chronotype. A chi-squared test was used to determine the association between possible SB, the chronotype, and sleep characteristics. A multiple logistic regression model was implemented to observe the influence of chronotype, age, and other independent variables on the possible SB. The logistic regression model demonstrated that nocturnal agitation (p = 0.009; OR = 3.42) and nightmares (p = 0.045; OR = 3.24) were associated with possible SB in children. Although no significant association (p = 0 .089) between the chronotype profile and possible SB was observed in the 3 to 5 years age group, a proportional difference was observed between the chronotype categories in this age group-12.5% of children with SB had a morning type, while 26.4% had an intermediate type and 47.8% an evening type compared to those without possible SB. Nocturnal agitation and nightmares were associated with possible SB. In addition, young children with an evening chronotype had a tendency toward possible SB.
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Affiliation(s)
- Mariana Batista Ribeiro
- a Department of Pediatric dentistry and Orthodontics of Dentistry College of Federal University of Rio de Janeiro , Rio de Janeiro , Brazil
| | - Daniele Manfredini
- b Department of Maxillofacial Surgery of University of Padova , Padova , Italy
| | - Cláudia Tavares-Silva
- a Department of Pediatric dentistry and Orthodontics of Dentistry College of Federal University of Rio de Janeiro , Rio de Janeiro , Brazil
| | - Leandro Costa
- a Department of Pediatric dentistry and Orthodontics of Dentistry College of Federal University of Rio de Janeiro , Rio de Janeiro , Brazil
| | - Ronir Raggio Luiz
- c Institute of Public Health Studies of Federal University of Rio de Janeiro , Rio de Janeiro , Brazil
| | - Saul Paiva
- d Department of Pediatric dentistry and Orthodontics of Dentistry College of Federal University of Minas Gerais , Belo Horizonte , Brazil
| | - Júnia Maria Serra-Negra
- d Department of Pediatric dentistry and Orthodontics of Dentistry College of Federal University of Minas Gerais , Belo Horizonte , Brazil
| | - Andréa Fonseca-Gonçalves
- a Department of Pediatric dentistry and Orthodontics of Dentistry College of Federal University of Rio de Janeiro , Rio de Janeiro , Brazil
| | - Lucianne Cople Maia
- a Department of Pediatric dentistry and Orthodontics of Dentistry College of Federal University of Rio de Janeiro , Rio de Janeiro , Brazil
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14
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Sampaio NM, Oliveira MC, Andrade AC, Santos LB, Sampaio M, Ortega A. Relationship between stress and sleep bruxism in children and their mothers: A case control study. ACTA ACUST UNITED AC 2018; 11:239-244. [PMID: 30746041 PMCID: PMC6361306 DOI: 10.5935/1984-0063.20180038] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Introduction Sleep bruxism (SB) is a frequent condition in children. Its pathophysiology involves certain neurotransmitters (serotonin, dopamine, noradrenalin, histamine), but the environment seems to influence its occurrence. Objective The objective of this study was to investigate the prevalence of SB in children and their biological mothers, relating it to stress through a case control study. Methods and Material The group of cases (SG) was composed of 48 subjects, including 24 children with SB and their mothers, and the control group (CG), formed by 36 children without SB and their mothers. The chi-Square test was used and the probability was computed with 95% confidence intervals (p<0.05). Results: The prevalence of probable awareness of SB in children was 22.6%, while it was 30.8% among caregivers. There were no significant associations between the socio-demographic variables and SB. There was an increase in the occurrence of SB in children (p=0.02) when their caregiver also had this condition. Conclusions Psychological stress did not establish a significant relationship with SB in either the child or their mothers.
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Affiliation(s)
- Nelia Medeiros Sampaio
- Universidade Estadual de Feira de Santana, Departamento de Saúde - Feira de Santana - Bahia - Brazil
| | - Mario Cezar Oliveira
- Universidade Estadual de Feira de Santana, Departamento de Saúde - Feira de Santana - Bahia - Brazil
| | - Adriana Castro Andrade
- Universidade Estadual de Feira de Santana, Departamento de Saúde - Feira de Santana - Bahia - Brazil
| | - Lydia Brito Santos
- Universidade Estadual de Feira de Santana, Departamento de Saúde - Feira de Santana - Bahia - Brazil
| | - Murilo Sampaio
- Universidade Federal de Sergipe, Mathematics - Itabaiana - Sergipe - Brazil
| | - Adriana Ortega
- Universidade Cruzeiro do Sul, Pediatrics - São Paulo - São Paulo - Brazil
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15
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Restrepo C, Lobbezoo F, Castrillon E, Svensson P, Santamaria A, Alvarez C, Manrique R, Manfredini D. Agreement between jaw-muscle activity measurement with portable single-channel electromyography and polysomnography in children. Int J Paediatr Dent 2018; 28:33-42. [PMID: 28586093 DOI: 10.1111/ipd.12308] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Polysomnography (PSG) is the gold standard for sleep bruxism (SB) assessment. High economical costs, complex technical equipment, and unfamiliar laboratory setting limit its use in children. AIM To determine the night-to-night variability of electromyography (EMG) episodes during a five-night recording with the GrindCare Measure (GCM), and the agreement in the assessment of masticatory muscle activity (MMA) between GCM and PSG in children. DESIGN Forty-seven children from clinics of Universidad CES participated. Each participant was assessed with GCM for five consecutive nights. The last night, children underwent a single-night PSG study, together with the GCM. Spearman correlation coefficients were used to analyze data. RESULTS The frequency of SB occurrence was 'sometimes' in 12 (25.5%) and 'usually' in 19 (40.4%) children. Simultaneous measurements with GCM and PSG obtained during the fifth night of measurement were not significantly correlated. Correlation between GCM total EMG episodes and EMG episodes/h and PSG total SB episodes, SB episodes/h, total bursts and burst/h measured with PSG was also not significant. CONCLUSION EMG measurement with GCM was not accurate to detect PSG/SB in children. There was not advantage of multiple assessment for five nights with GCM, reducing the impact of night-to-night EMG episodes' variability on the GCM/PSG correlation.
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Affiliation(s)
| | - Frank Lobbezoo
- Department of Oral Health Sciences, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands.,Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Faculty of Health, Aarhus University, Aarhus, Denmark
| | - Eduardo Castrillon
- Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Faculty of Health, Aarhus University, Aarhus, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus, Denmark
| | - Peter Svensson
- Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Faculty of Health, Aarhus University, Aarhus, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus, Denmark.,Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
| | | | | | - Ruben Manrique
- Knowledgement and innovation office, Universidad CES, Medellín, Colombia
| | - Daniele Manfredini
- School of Dentistry, Department of Neuroscience, University of Padova, Padova, Italy
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16
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Restrepo C, Manfredini D, Manrique R, Lobbezoo F. Association of dietary habits and parental-reported sleep tooth grinding with tooth wear in children with mixed dentition. BMC Oral Health 2017; 17:156. [PMID: 29262818 PMCID: PMC5738778 DOI: 10.1186/s12903-017-0447-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Accepted: 12/07/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Tooth wear has a multifactorial etiology, thus it should be assessed within a multiple-variable framework. The objective of this investigation was to assess the association of dietary habits and parental-reported sleep tooth grinding (STG) with tooth wear in children with mixed dentition. METHODS One hundred twenty-one (N = 121) subjects (mean age 9.6 years) participated in a cross-sectional study. Wear of 1637 teeth was evaluated using the screening module of the Tooth Wear Evaluation System (TWES). Parental-report of STG was evaluated by means of the Children's Sleep Habits Questionnaire (CSHQ), whilst dietary habits were investigated by means of the Health Behaviour in School-Aged Children Food-Frequency Questionnaire (HBSC-FFQ). Data were analyzed with the Spearman correlation test and ordinal-multiple-variable regression analyses. Odds Ratio (OR) and ordinal OR were obtained for the independent variables included in the models. RESULTS Parental-report of STG is not associated with tooth wear in the mixed dentition; some dietary habits were found to be correlated with specific tooth wear patterns, but the correlation values were weak. Associations were found between dietary habits and the increase-to-increase severity of occlusal/incisal and non-occlusal/non-incisal tooth wear of some teeth (OR > 2). CONCLUSIONS A strong correlation of dietary habits and sleep tooth grinding with tooth wear in the mixed dentition was not demonstrated. However, dietary habits showed to have effects in terms of increase-to-increase severity.
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Affiliation(s)
- Claudia Restrepo
- CES-LPH Research Group, Universidad CES, Calle 10 A No. 22-04, Medellín, Colombia.
| | | | - Ruben Manrique
- Investigations and Innovation Department, Universidad CES, Calle 10 A No. 22-04, Medellín, Colombia
| | - Frank Lobbezoo
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands
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17
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The prevalence of sleep bruxism and associated factors in children: a report by parents. Eur Arch Paediatr Dent 2017; 18:399-404. [DOI: 10.1007/s40368-017-0312-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2017] [Accepted: 09/22/2017] [Indexed: 10/18/2022]
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18
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Restrepo C, Manfredini D, Castrillon E, Svensson P, Santamaria A, Alvarez C, Manrique R, Lobbezoo F. Diagnostic accuracy of the use of parental-reported sleep bruxism in a polysomnographic study in children. Int J Paediatr Dent 2017; 27:318-325. [PMID: 27612328 DOI: 10.1111/ipd.12262] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Polysomnography (PSG) is the gold standard for sleep bruxism (SB) diagnosis. PSG/SB children's criteria are not available; thus, parental-report SB is widely used. AIM Assessing the diagnostic accuracy of parental report of sleep tooth grinding (STG) with a PSG/SB diagnosis in children, adopting adult criteria. DESIGN Thirty-seven children from clinics of Universidad CES were included. Parents filled the Children's Sleep Habits Questionnaire (CSHQ) assessing the single-observation report - CSHQ - of STG with a No/Yes answer and five ordinal answers. A 5-day diary reporting the presence/absence of STG (multiple-observation report) was also completed. Each child underwent a single-night PSG study. Sensitivity, specificity, positive predictive value, negative predictive value, accuracy, likelihood ratios, Spearman correlation coefficient, and Cohen's kappa coefficient were used to analyze data. RESULTS Single observation, using No/Yes answer, showed acceptable specificity and NPV, while low PPV and sensitivity. Accuracy and likelihood ratios were low. When using the five ordinal answers, weak correlation and fair agreement (r = 0.34 and κ = 0.40) with PSG/SB adult criteria were found. Multiple-observation evaluation of STG presented moderate correlation and agreement (r = 0.50 and κ = 0.48). CONCLUSIONS Although multiple-observation report achieved better agreement than single-observation report, our results failed supporting the validity of report strategies for the diagnosis of SB in children, as an equivalent of PSG/SB adult criteria.
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Affiliation(s)
| | - Daniele Manfredini
- School of Dentistry, Department of Neuroscience, University of Padova, Padova, Italy
| | - Eduardo Castrillon
- Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Faculty of Health, Aarhus University, Aarhus, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus, Denmark
| | - Peter Svensson
- Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Faculty of Health, Aarhus University, Aarhus, Denmark.,Scandinavian Center for Orofacial Neurosciences (SCON), Aarhus, Denmark.,Department of Dental Medicine, Karolinska Institutet, Huddinge, Sweden
| | | | | | | | - Frank Lobbezoo
- Department of Oral Health Sciences, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University, Amsterdam, The Netherlands
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Duarte J, Serra-Negra JM, Ferreira FM, Paiva SM, Fraiz FC. Agreement between two different approaches to assess parent-reported sleep bruxism in children. Sleep Sci 2017; 10:73-77. [PMID: 28966743 PMCID: PMC5612040 DOI: 10.5935/1984-0063.20170013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2017] [Accepted: 05/23/2017] [Indexed: 11/20/2022] Open
Abstract
INTRODUCTION Parents' report is the most used method for the study of sleep bruxism (SB) in children, especially in research with large samples. However, there is no consensus about the questions used to assess SB, what may difficult the comparisons between studies. OBJECTIVE The aim of this research was to evaluate the agreement between two different approaches to assess possible sleep bruxism (PSB) in children using parents' report. METHODS This cross-sectional study was conducted with 201 parents/caregivers. Prior to the questionnaire completion, all participants received a standard explanation of SB concept. Subsequently, the parents/caregivers answered a general question (GQ) and a frequency-time question (FTQ) about SB, and the answers were compared. RESULTS The majority of the participants were the children's mothers (73%) and the childrens mean age was 7.5 years (SD: 2.25). PSB frequency in children did not differ statistically through the two questions [GQ: 30.7% (CI95%: 24.2 - 37.1) and FTQ: 26.6% (CI95%: 20.4 - 32.8)], and an almost perfect agreement was observed between the answers (kp=0.812). Nevertheless, the FTQ showed a more coherent relation with the factors already recognized as associated with childhood bruxism than GQ. CONCLUSIONS Different approaches result in similar PSB frequency, however, they show different ability to identify PSB associated factors and suggest the need of questions including frequency and time in further studies.
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Affiliation(s)
- Joyce Duarte
- Univerisidade Federal do Paraná, Department Of
Stomatology - Curitiba - Pr - Brazil
| | - Júnia Maria Serra-Negra
- Universidade Federal de Minas Gerais, Department of
Pediatric Dentistry and Orthodontics - Belo Horizonte - MG - Brazil
| | - Fernanda Morais Ferreira
- Universidade Federal de Minas Gerais, Department of
Pediatric Dentistry and Orthodontics - Belo Horizonte - MG - Brazil
| | - Saul Martins Paiva
- Universidade Federal de Minas Gerais, Department of
Pediatric Dentistry and Orthodontics - Belo Horizonte - MG - Brazil
| | - Fabian Calixto Fraiz
- Univerisidade Federal do Paraná, Department Of
Stomatology - Curitiba - Pr - Brazil
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20
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Serra-Negra JM, Pordeus IA, Corrêa-Faria P, Fulgêncio LB, Paiva SM, Manfredini D. Is there an association between verbal school bullying and possible sleep bruxism in adolescents? J Oral Rehabil 2017; 44:347-353. [DOI: 10.1111/joor.12496] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2017] [Indexed: 01/20/2023]
Affiliation(s)
- J. M. Serra-Negra
- Department of Pediatric Dentistry and Orthodontics; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
| | - I. A. Pordeus
- Department of Pediatric Dentistry and Orthodontics; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
| | - P. Corrêa-Faria
- Department of Pediatric Dentistry; Universidade Federal de Goias; Goiania Brazil
| | - L. B. Fulgêncio
- Department of Pediatric Dentistry and Orthodontics; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
| | - S. M. Paiva
- Department of Pediatric Dentistry and Orthodontics; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
| | - D. Manfredini
- School of Dentistry; University of Pàdova; Padova Italy
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