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İlisulu SC, Birant S, Kasimoglu Y, Koruyucu M, Tuna İnce EB, Seymen F. Clinical assessment of deleterious oral habits and dental caries-periodontal parameters among Turkish twins. J Dent Sci 2023; 18:1859-1866. [PMID: 37799885 PMCID: PMC10547993 DOI: 10.1016/j.jds.2023.05.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 05/07/2023] [Indexed: 10/07/2023] Open
Abstract
Abstract Background/purpose Twin studies are crucial to assess the relative contribution of genetic and environmental factors. This study was conducted to evaluate association between deleterious oral habits and dental caries-periodontal parameters among Turkish twins. Materials and methods The study comprised 143 pairs of dizygotic (DZ) twins and 59 pairs of monozygotic (MZ) twins aged 3-15 years. Twins were examined for dental caries, plaque index, gingival index, bleeding on probing and deleterious oral habits. Mann Whitney U test was used to examine the data. Results The MZ twin pairs consisted of 60 male and 58 female twin pairs, whereas the DZ twin pairs consisted of 144 male and 142 female. The mean age of the twins was 9.63 ± 3.0 in MZ twins and 9.47 ± 3.2 in DZ twins. The mean DMFS value of MZ twins with bruxism is higher than those of MZ twins without bruxism (P = 0.001). The mean DMFS value of DZ twins with pacifier sucking is lower than those without (P = 0.007). A statistically significant difference was found between MZ twins with and without nail biting in terms of bleeding on probing and dmfs values (P = 0.035; P = 0.012). The mean values of the plaque index increased due to the mouth breathing in DZ twins (P = 0.024). Regarding the bleeding on probing, there was a statistically significant difference between MZ twins with and without atypical swallowing (P = 0.016). Conclusion These findings suggest that dental caries-periodontal parameters are similarly affected by deleterious oral habits in MZ and DZ twins.
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Affiliation(s)
- Sabiha Ceren İlisulu
- Altınbaş University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Sinem Birant
- Istanbul University-Cerrahpaşa, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Yelda Kasimoglu
- Istanbul University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Mine Koruyucu
- Istanbul University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Elif Bahar Tuna İnce
- Istanbul University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
| | - Figen Seymen
- Altınbaş University, Faculty of Dentistry, Department of Pedodontics, Istanbul, Turkey
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Kolcakoglu K, Amuk M, Sirin Sarıbal G. Evaluation of mandibular trabecular bone by fractal analysis on panoramic radiograph in paediatric patients with sleep bruxism. Int J Paediatr Dent 2022; 32:776-784. [PMID: 35132715 DOI: 10.1111/ipd.12956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/01/2021] [Revised: 01/10/2022] [Accepted: 02/01/2022] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To evaluate the trabecular bone density in the mandible of paediatric patients diagnosed with sleep bruxism (SB) using the fractal analysis method on panoramic radiographs. METHODS A total of 37 patients whose anamnesis and clinical signs were compatible with SB were diagnosed with SB using BiteStrip® . Three areas were identified on the panoramic radiographs of the patients: the geometric center of the condyle, the angulus region under the mandibular canal, and the distal region of the mental foramen. Regions of interest (ROIs) of 60 × 60 pixels were selected in these three locations, and fractal dimensions (FDs) were calculated. Results were compared with the control group. RESULTS There was no statistically significant difference between the right and left FD values, and male and female FD values in all regions and both groups (p > .05). In the angulus (p = .03) and condyle (p = .03) regions, the SB group had a significantly higher FD value than the control group. There was no statistically significant difference between the SB and control groups in the corpus region (p = .98). A moderate negative correlation arose between age and condyle FD values among controls (r = -0.38, p = .02). CONCLUSION Fractal dimension values evaluating trabeculation of the mandibular bone are affected by SB in the angulus and condyle regions.
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Affiliation(s)
- Kevser Kolcakoglu
- Department of Pediatric Dentistry, Erciyes University Faculty of Dentistry, Kayseri, Turkey
| | - Mehmet Amuk
- Department of Oral Maxillofacial Radiology, Erciyes University Faculty of Dentistry, Kayseri, Turkey
| | - Gamze Sirin Sarıbal
- Department of Oral Maxillofacial Radiology, Erciyes University Faculty of Dentistry, Kayseri, Turkey
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FERRANTE A. A new hypothesis to explain the mechanism that may be involved in the genesis of sleep bruxism. GAZZETTA MEDICA ITALIANA ARCHIVIO PER LE SCIENZE MEDICHE 2021. [DOI: 10.23736/s0393-3660.19.04214-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Thijs Z, Bruneel L, De Pauw G, Van Lierde KM. Oral Myofunctional and Articulation Disorders in Children with Malocclusions: A Systematic Review. Folia Phoniatr Logop 2021; 74:1-16. [PMID: 34107494 DOI: 10.1159/000516414] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 04/07/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Relationships between malocclusion and orofacial myofunctional disorders (OMD), as well as malocclusions and articulation disorders (AD) have been described, though the exact relationships remain unclear. Given the high prevalence of these disorders in children, more clarity is needed. SUMMARY The purpose of this study was to determine the association between OMD (specifically, bruxism, deviate swallowing, caudal resting tongue posture, and biting habits), AD, and malocclusions in children and adolescents aged between 3 and 18 years. To conduct a systematic review, 4 databases were searched (MEDLINE, Embase, Web of Science, and Scopus). The identified articles were screened for the eligibility criteria. Data were extracted from the selected articles and quality assessment was performed using the tool of Munn et al. [Int J Health Policy Manag. 2014;3:123-81] in consensus. Using the search strategy, the authors identified 2,652 articles after the removal of duplicates. After reviewing the eligibility criteria, 17 articles were included in this study. One of the included articles was deemed to have an unclear risk of bias, whereas all other articles were considered to have a low risk of bias. The articles showed a relationship between anterior open bite and apico-alveolar articulatory distortions, as well as between anterior open bite and deviate swallowing. For the biting habits, bruxism, and low tongue position no clear conclusions could be drawn. Key Messages: The current review suggests a link between specific types of malocclusion and OMD and AD. However, more high-quality evidence (level 1 and level 2, Oxford Levels of Evidence) is needed to clarify the cooccurrence of other OMD, AD, and malocclusions.
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Affiliation(s)
- Zoë Thijs
- Davies School of Communication Sciences and Disorders, Texas Christian University, Fort Worth, Texas, USA
| | - Laura Bruneel
- Department of Rehabilitation Sciences, Language, and Hearing Sciences, Ghent University, Ghent, Belgium
| | - Guy De Pauw
- Department of Orthodontics, Ghent University, Ghent, Belgium.,Centre for Congenital Facial Anomalies, Ghent University Hospital, Ghent, Belgium
| | - Kristiane M Van Lierde
- Department of Rehabilitation Sciences, Language, and Hearing Sciences, Ghent University, Ghent, Belgium.,Department of Speech-Language and Audiology, University of Pretoria, Pretoria, South Africa
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Ribeiro-Lages MB, Martins ML, Magno MB, Masterson Ferreira D, Tavares-Silva CM, Fonseca-Gonçalves A, Serra-Negra JM, Maia LC. Is there association between dental malocclusion and bruxism? A systematic review and meta-analysis. J Oral Rehabil 2020; 47:1304-1318. [PMID: 32246486 DOI: 10.1111/joor.12971] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 02/06/2020] [Accepted: 03/22/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Given that current literature largely dissociates dental malocclusion and bruxism, the objective of this study was to gather, through a systematic review, scientific evidence to support their relationship. METHODOLOGY This study was performed according to the PECO strategy (where P = general population; E = dental malocclusion; C = no dental malocclusion; and O = bruxism). Literature searches were conducted without language or date restrictions in the following databases: PubMed, Scopus, the Web of Science, the Cochrane Library, LILACS/BBO via VHL and the grey literature. The search strategy included Medical Subject Headings/DECs, synonyms and free terms relevant to each database, with no age restrictions applied. Once the relevant data were extracted from the articles, the Fowkes and Fulton guidelines were followed to assess the quality and risk of bias. For quantitative analysis, dental malocclusions were divided into groups according to their type in order to perform odds ratio (OR) meta-analyses with 95% confidence intervals (CI) using the Review Manager software program (Cochrane, London, UK). The level of certainty of evidence was demonstrated through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). RESULTS After 1,502 studies found, 10 studies were included for qualitative analysis and nine for quantitative synthesis. Four studies presented high methodological quality. Five meta-analyses suggested a non-association between bruxism and Angle class I (OR: 1.05, 95% CI: 0.41-2.69; P = .92; I2 = 84%), Angle class II (OR: 1.49, 95% CI: 0.77-2.87; P = .23; I2 = 71%) or Angle class III (OR: 0.77, 95% CI: 0.31-1.93; P = .58; I2 = 0%). Bruxism was associated with children who did not present with a posterior crossbite (OR: 0.70, 95% CI: 0.51-0.96; P = .03; I2 = 27%) and present crowding (OR: 1.53, 95% CI: 1.03-2.26; P = .03; I2 = 0%). The GRADE analysis presented a very low quality of evidence. CONCLUSION Individuals who present with bruxism have a greater chance of crowding. However, bruxism is not associated with the presence of any of the other malocclusions evaluated.
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Affiliation(s)
- Mariana Batista Ribeiro-Lages
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Mariana Leonel Martins
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Marcela Baraúna Magno
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Daniele Masterson Ferreira
- Central Library of the Health Science Center, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Cláudia Maria Tavares-Silva
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Andréa Fonseca-Gonçalves
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Júnia Maria Serra-Negra
- Department of Children's Oral Health, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
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Yalçın Yeler D, Yılmaz N, Koraltan M, Aydın E. A survey on the potential relationships between TMD, possible sleep bruxism, unilateral chewing, and occlusal factors in Turkish university students. Cranio 2016; 35:308-314. [PMID: 27707365 DOI: 10.1080/08869634.2016.1239851] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To evaluate whether there is a relationship between possible sleep bruxism (PSB), temporomandibular disorders (TMD), unilateral chewing (UC), and occlusal factors in university students recruited from Cumhuriyet University in Turkey. METHODS For this cross-sectional survey, 519 (223 males, mean age 21.57 ± 2.3 years, 296 females, mean age 21.02 ± 2 years) university students who admitted to the Department of Oral and Maxillofacial Radiology of the Faculty of Dentistry, Cumhuriyet University for dental care between 2012 and 2014 were selected randomly. Students were asked to complete a questionnaire form including questions about TMD, PSB and UC. Presence and direction of malocclusion were recorded during clinical examination. Chi-square test was used for statistical analysis. RESULTS It was found that 96.6% of the students with PSB had TMD (p < 0.05). The prevalence of severe TMD was high among students with PSB. There was a significant association between UC, PSB and TMD (p < 0.05). No statistically significant association was found between occlusal factors and PSB and TMD (p > 0.05). CONCLUSION Sleep bruxism, which heavily depends on self-report, is significantly associated with TMD. Unilateral chewing seems to be a common factor for development of SB and TMD. However, further studies are needed to corroborate this finding. Additionally, this study supports the hypothesis that occlusal factors are not related to self-reported sleep bruxism.
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Affiliation(s)
- Defne Yalçın Yeler
- a Faculty of Dentistry, Department of Oral and Maxillofacial Radiology , Cumhuriyet University , Sivas , Turkey
| | - Nurbengu Yılmaz
- b Faculty of Dentistry, Department of Orthodontics , Cumhuriyet University , Sivas , Turkey
| | - Melike Koraltan
- a Faculty of Dentistry, Department of Oral and Maxillofacial Radiology , Cumhuriyet University , Sivas , Turkey
| | - Ezgi Aydın
- c Faculty of Dentistry, Department of Oral and Maxillofacial Surgery , Cumhuriyet University , Sivas , Turkey
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Alencar NAD, Fernandes ABN, Souza MMGD, Luiz RR, Fonseca-Gonçalves A, Maia LC. Lifestyle and oral facial disorders associated with sleep bruxism in children. Cranio 2016; 35:168-174. [DOI: 10.1080/08869634.2016.1196865] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Nashalie Andrade de Alencar
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
| | - Alline Birra Nolasco Fernandes
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
| | - Margareth Maria Gomes de Souza
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
| | - Ronir Raggio Luiz
- Institute of Public Health Studies, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
| | - Andréa Fonseca-Gonçalves
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
| | - Lucianne Cople Maia
- Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro , Rio de Janeiro, Brazil
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Feu D, Catharino F, Quintão CCA, Almeida MADO. A systematic review of etiological and risk factors associated with bruxism. J Orthod 2014; 40:163-71. [DOI: 10.1179/1465313312y.0000000021] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
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Relationship between sleep bruxism and sleep respiratory events in patients with obstructive sleep apnea syndrome. Sleep Breath 2014; 18:837-44. [DOI: 10.1007/s11325-014-0953-5] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2013] [Revised: 01/23/2014] [Accepted: 02/01/2014] [Indexed: 10/25/2022]
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Ghafournia M, Hajenourozali Tehrani M. Relationship between Bruxism and Malocclusion among Preschool Children in Isfahan. J Dent Res Dent Clin Dent Prospects 2012; 6:138-42. [PMID: 23277860 PMCID: PMC3529927 DOI: 10.5681/joddd.2012.028] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2012] [Accepted: 10/30/2012] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND AND AIMS Bruxism is defined as a habitual nonfunctional forceful contact between occlusal tooth surfaces. In younger children bruxism may be a consequence of the masticatory neuromuscular system immaturity. The aim of this study was to assess the prevalence of bruxism and investigate the relationship between occlusal factors and bruxism among preschool children. MATERIALS AND METHODS In this cross-sectional survey, 400 3-6-year-old children were selected randomly from different preschools in Isfahan, Iran. The subjects were divided into two groups of bruxers and non-bruxers as determined by the clinical examination and their parents' reports. The examiner recorded the primary canines (Class I, Class II, and Class III) and molars (mesial step, distal step, flash terminal plane) relationship, existence of anterior and posterior crossbite, open and deep bite. Also, rotated teeth, food impaction, sharp tooth edges, high restorations, extensive tooth caries, and painful teeth (categorized as irritating tooth conditions) were evaluated. The relationship between bruxism and occlusal factors and irritating tooth conditions was evaluated with chi-square test. RESULTS Bruxism was seen in 12.75% of the subjects. Statistically significant relationships existed between bruxism and some occlusal factors, such as flash terminal plane (P = 0.023) and mesial step (P = 0.001) and also, between food impaction, extensive tooth caries, tooth pain, sharp tooth edge and bruxism. CONCLUSION The results showed significant relationship of bruxism with primary molar relationships and irritating tooth conditions among preschool children.
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Affiliation(s)
- Maryam Ghafournia
- Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Iran
| | - Maryam Hajenourozali Tehrani
- Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Isfahan University of Medical Sciences, Iran
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LOBBEZOO F, AHLBERG J, MANFREDINI D, WINOCUR E. Are bruxism and the bite causally related? J Oral Rehabil 2012; 39:489-501. [DOI: 10.1111/j.1365-2842.2012.02298.x] [Citation(s) in RCA: 99] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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PONTONS-MELO JUANCARLOS, PIZZATTO EDUARDO, FURUSE ADILSONYOSHIO, MONDELLI JOSÉ. A Conservative Approach for Restoring Anterior Guidance: A Case Report. J ESTHET RESTOR DENT 2011; 24:171-82. [DOI: 10.1111/j.1708-8240.2011.00483.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Miamoto CB, Pereira LJ, Ramos-Jorge ML, Marques LS. Prevalence and predictive factors of sleep bruxism in children with and without cognitive impairment. Braz Oral Res 2011; 25:439-45. [DOI: 10.1590/s1806-83242011000500011] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2011] [Accepted: 08/26/2011] [Indexed: 11/21/2022] Open
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Lam M, Zhang J, Li A, Wing Y. A community study of sleep bruxism in Hong Kong children: Association with comorbid sleep disorders and neurobehavioral consequences. Sleep Med 2011; 12:641-5. [DOI: 10.1016/j.sleep.2010.11.013] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2010] [Revised: 11/09/2010] [Accepted: 11/20/2010] [Indexed: 10/18/2022]
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Fonseca CME, dos Santos MBF, Consani RLX, dos Santos JFF, Marchini L. Incidence of sleep bruxism among children in Itanhandu, Brazil. Sleep Breath 2010; 15:215-20. [DOI: 10.1007/s11325-010-0427-3] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2010] [Revised: 09/17/2010] [Accepted: 09/25/2010] [Indexed: 12/01/2022]
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Shetty S, Pitti V, Satish Babu CL, Surendra Kumar GP, Deepthi BC. Bruxism: a literature review. J Indian Prosthodont Soc 2010; 10:141-8. [PMID: 21886404 PMCID: PMC3081266 DOI: 10.1007/s13191-011-0041-5] [Citation(s) in RCA: 107] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2010] [Accepted: 01/04/2011] [Indexed: 10/18/2022] Open
Abstract
Bruxism is a movement disorder characterized by grinding and clenching of teeth. Awake bruxism is found more in females as compared to males while sleep bruxism shows no such gender prevalence. Etiology of bruxism can be divided into three groups psychosocial factors, peripheral factors and pathophysiological factors. Treatment modalities involve occlusal correction, behavioural changes and pharmacological approach. A literature search was performed using National Library of Medicine's (NLM) Medical Subject Headings (MeSH) Database, Pubmed and Google search engines. The search term 'Bruxism' yielded 2,358 papers out of which 230 were review papers. Most of the papers selected were recently published during the period of 1996-2010 and very few of them were published before 1996.
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Affiliation(s)
| | - Varun Pitti
- Department of Prosthodontics, V.S. Dental College and Hospital, K.R. Road, V.V. Puram, Bangalore, 560004 India
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Gonçalves LPV, Toledo OAD, Otero SAM. Relação entre bruxismo, fatores oclusais e hábitos bucais. Dental Press J Orthod 2010. [DOI: 10.1590/s2176-94512010000200013] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJETIVO: avaliar a relação entre bruxismo, fatores oclusais e hábitos bucais em crianças e adolescentes, alunos da rede pública da cidade de Brasília/DF. MÉTODOS: um grupo de 680 escolares, de ambos os gêneros, na faixa etária de 4 a 16 anos, foi aleatoriamente selecionado. Os dados foram coletados através da avaliação clínica e da aplicação de questionários aos responsáveis pelos alunos. Os aspectos morfológicos da oclusão foram avaliados segundo a classificação de Angle e critérios para a dentadura decídua, de Foster e Hamilton (1969). As mordidas cruzadas anterior e posterior, uni ou bilateral, foram avaliadas. O teste qui-quadrado, a Odds Ratio e o software SPSS foram utilizados para análise estatística. RESULTADOS E CONCLUSÕES: 592 questionários retornaram de maneira completa. A prevalência de bruxismo foi de 43%, enquanto 57% apresentaram má oclusão. Os hábitos bucais foram observados em 53%. A prevalência de má oclusão aumentou de 42,6% na dentadura decídua para 74,4% na dentadura permanente. A avaliação dos resultados indicou que não houve relação estatisticamente significativa entre o bruxismo e os fatores oclusais estudados (p > 0,05). Não foram encontradas diferenças entre os gêneros em ambas as variáveis. A onicofagia foi o hábito mais prevalente (35%) com preferência para o gênero feminino. Houve relação estatisticamente significativa entre bruxismo e hábitos bucais. Avaliando os tipos específicos de hábitos, apenas a sucção de chupeta se mostrou relacionada ao bruxismo. Estudos adicionais serão necessários para melhor compreensão dos fatores locais na gênese do bruxismo.
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STRAUSZ T, AHLBERG J, LOBBEZOO F, RESTREPO CC, HUBLIN C, AHLBERG K, KÖNÖNEN M. Awareness of tooth grinding and clenching from adolescence to young adulthood: a nine-year follow-up. J Oral Rehabil 2010; 37:497-500. [DOI: 10.1111/j.1365-2842.2010.02071.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Gungormus Z, Erciyas K. Evaluation of the relationship between anxiety and depression and bruxism. J Int Med Res 2009; 37:547-50. [PMID: 19383250 DOI: 10.1177/147323000903700231] [Citation(s) in RCA: 42] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This study examined the relationship between anxiety, depression and bruxism in 99 patients with temporomandibular disorders (TMD). Patients were divided into two groups: 58 patients with bruxism and 41 without bruxism. Symptoms of TMD were evaluated according to the Craniomandibular Index. The psychological condition of patients was assessed using the Beck Depression Inventory (BDI), the Hospital Anxiety Depression Scales (HADS) and the Hamilton Anxiety Rating Scale (HAMA). The mean anxiety and depression scores (HADS and HAMA) for patients with bruxism were statistically significant higher in patients with bruxism compared with those without bruxism. Thus, there may be an association between bruxism and higher levels of anxiety and/or depression in patients with TMD.
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Affiliation(s)
- Z Gungormus
- School of Nursing, Ataturk University, Erzurum, Turkey.
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RESTREPO CC, VSQUEZ LM, ALVAREZ M, VALENCIA I. Personality traits and temporomandibular disorders in a group of children with bruxing behaviour. J Oral Rehabil 2008; 35:585-93. [DOI: 10.1111/j.1365-2842.2007.01838.x] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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RESTREPO CC, SFORZA C, COLOMBO A, PELÁEZ-VARGAS A, FERRARIO VF. Palate morphology of bruxist children with mixed dentition. A pilot study. J Oral Rehabil 2008; 35:353-60. [DOI: 10.1111/j.1365-2842.2008.01848.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Vélez AL, Restrepo CC, Peláez-Vargas A, Gallego GJ, Alvarez E, Tamayo V, Tamayo M. Head posture and dental wear evaluation of bruxist children with primary teeth. J Oral Rehabil 2008; 34:663-70. [PMID: 17716265 DOI: 10.1111/j.1365-2842.2007.01742.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
UNLABELLED The aim of the present study was to compare the head position and dental wear of bruxist and non-bruxist children with primary dentition. METHODS All the subjects had complete primary dentition, dental and skeletal class I occlusion and were classified as bruxist or non-bruxist according to their anxiety level, bruxism described by their parents and signs of temporomandibular disorders. The dental wear was drawn in dental casts and processed in digital format. Physiotherapeutic evaluation and a cephalometric radiograph with natural head position were also performed for each child to evaluate the cranio-cervical position for the bruxist group (n = 33) and the control group (n = 20). The variables of the two groups were compared, using the Student t-test and Mann-Whitney U-test. RESULTS A more anterior and downward head tilt was found in the bruxist group, with statistically significant differences compared with the controls. More significant dental wear was observed in the bruxist children. CONCLUSIONS Bruxism seems to be related to altered natural head posture and more intense dental wear. Further studies are necessary to explore bruxism mechanisms.
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Grechi TH, Trawitzki LVV, de Felício CM, Valera FCP, Alnselmo-Lima WT. Bruxism in children with nasal obstruction. Int J Pediatr Otorhinolaryngol 2008; 72:391-6. [PMID: 18234357 DOI: 10.1016/j.ijporl.2007.11.014] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2007] [Revised: 11/27/2007] [Accepted: 11/27/2007] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Bruxism is characterized by repeated tooth grinding or clenching. The condition can occur in all age ranges and in both genders, being related or not to other oral habits. OBJECTIVE The objective of the present study was to investigate the occurrence of bruxism in children with nasal obstruction and to determine its association with other factors. METHODS Sixty children with nasal obstruction seen at the Otorhinolaryngology Outpatient Clinic of the University Hospital of Ribeirão Preto participated in the study. The data were obtained using a pre-established questionnaire applied to the person responsible and by orofacial evaluation of the patient. The participants were divided into two groups: group with bruxism (GB) as reported by the relatives and with the presence of tooth wear detected by clinical evaluation, and group without bruxism (GWB), consisting of children with none of the two symptoms of bruxism mentioned above. RESULTS The presence of bruxism exceeded its absence in the sample studied (65.22%). There was no significant difference (P<0.05) between groups regarding gender, phase of dentition, presence of hearing diseases, degree of malocclusion, or child behavior. CONCLUSION Bruxism and deleterious oral habits such as biting behavior (objects, lips and nails) were significantly present, together with the absence of suction habits, in the children with nasal obstruction.
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Affiliation(s)
- Tais H Grechi
- Department of Ophthalmology, Otorhinolaryngology, and Head and Neck Surgery, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Avenida Bandeirantes 3900, 14096-900 Ribeirão Preto, São Paulo, Brazil.
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Lobbezoo F, Van Der Zaag J, Naeije M. Bruxism: its multiple causes and its effects on dental implants - an updated review*. J Oral Rehabil 2006; 33:293-300. [PMID: 16629884 DOI: 10.1111/j.1365-2842.2006.01609.x] [Citation(s) in RCA: 137] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
There is a growing interest in bruxism, as evidenced by the rapidly increasing number of papers about this subject during the past 5 years. The aim of the present review was to provide an update of two previous reviews from our department (one about the aetiology of bruxism and the other about the possible role of this movement disorder in the failure of dental implants) and to describe the details of the literature search strategies used, thus enabling the readers to judge the completeness of the review. Most studies that were published about the etiology during the past 5 years corroborate the previously drawn conclusions. Similarly, the update of the review about the possible causal relationship between bruxism and implant failure reveals no new points of view. Thus, there is no reason to assume otherwise than that bruxism is mainly regulated centrally, not peripherally, and that there is still insufficient evidence to support or refute a causal relationship between bruxism and implant failure. This illustrates that there is a vast need for well-designed studies to study both the aetiology of bruxism and its purported relationship with implant failure.
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Affiliation(s)
- F Lobbezoo
- Department of Oral Function, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.
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Abstract
AIMS OF THE STUDY The high prevalence of ear, nose and throat symptoms in patients with temporomandibular disorders seems to depend on anatomical, functional, neuromuscular, or psychosomatic connections between both phenomena. The present study evaluates the prevalence of temporomandibular dysfunctions in tinnitus patients compared to controls. PATIENTS AND METHODS A total of 40 patients and 35 controls were clinically examined. The case history as well as the quality of tinnitus and its influence on the patient's life were evaluated, and psychosocial data collected by a questionnaire dealing with stress factors. RESULTS Tinnitus patients showed muscle tenderness in masticatory muscles as well as in other muscle groups significantly more frequently than controls. The prevalence of arthrogenous dysfunctions was not significantly different between the groups. Occlusal parameters such as instability of intercuspidation, presence of dysgnathia, and signs of parafunctions were significantly more frequent in patients than in controls. The psychosocial assessment showed some trend towards the tinnitus patients feeling more stress in society, daily life, their partnerships and at work. CONCLUSIONS Tinnitus correlates significantly with myogenous disorders but not with arthrogenous disorders of the temporomandibular joint (TMJ). This result supports the concept of neuromuscular and functional relationships between tinnitus and the stomatognathic system.
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Affiliation(s)
- I Peroz
- Abteilung für Zahnärztliche Prothetik und Alterszahnmedizin, Zentrum für Zahnmedizin, Universitätsklinikum Charité, Humboldt-Universität zu Berlin.
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