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Aguiar SO, Ortiz FR, Hoffmam GDFEB, Souza GLN, Prado IM, Abreu LG, Auad SM, Serra-Negra JM. Probable sleep and awake bruxism in adolescents: A path analysis. Int J Paediatr Dent 2024. [PMID: 38424469 DOI: 10.1111/ipd.13166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 11/05/2023] [Accepted: 11/25/2023] [Indexed: 03/02/2024]
Abstract
BACKGROUND Bruxism has a multifactorial etiology, including the influence of sleep characteristics and chronotypes. AIM To identify the pathways that influence the occurrence of probable sleep bruxism (PSB) and probable awake bruxism (PAB) in adolescents. DESIGN A total of 403 adolescents, aged 12-19 years, participated in the study. Parents/caregivers filled out a questionnaire about sociodemographic issues and the adolescent's health conditions, and the adolescents about sleep characteristics, occurrence of bruxism (based on previous study and the International Consensus of Bruxism), and chronotype (Circadian Energy Scale). Clinical examinations were performed. Statistical analysis included descriptive analysis and path analysis. RESULTS PSB and PAB are related to each other, with moderate and positive correlation (β = .390). Poor sleep quality and higher household income had a direct effect on both PSB (β = -.138; β = .123, respectively) and PAB (β = -.155; β = .116, respectively). Chronotype had a direct effect on PSB, in such a way that adolescents with a morningness chronotype tend to have PSB (β = -.102). Adolescents that drool on the pillow (β = .184) and/or have agitated sleep (β = .104) tend to have PSB. CONCLUSION Poor sleep quality, household income, morningness chronotype profile, drooling on the pillow, and agitated sleep influence the paths taken by PSB. PAB was influenced by the quality of sleep and family income.
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Affiliation(s)
- Sara Oliveira Aguiar
- Department of Paediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | | | | | - Ivana Meyer Prado
- Department of Paediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Lucas Guimarães Abreu
- Department of Paediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Sheyla Márcia Auad
- Department of Paediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Junia Maria Serra-Negra
- Department of Paediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Asami K, Fujisawa M, Saito-Murakami K, Miura S, Fujita T, Imamura Y, Koyama S. Assessment of awake bruxism-Combinational analysis of ecological momentary assessment and electromyography. J Prosthodont Res 2024; 68:166-171. [PMID: 37286504 DOI: 10.2186/jpr.jpr_d_22_00289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
PURPOSE No consensus exists regarding the examination methods and assessment criteria for awake bruxism (AB). In this study, masticatory muscle activity measured using electromyography (EMG) was recorded simultaneously with the ecological momentary assessment (EMA) of bruxism events. Data were collected to identify distinctive EMG parameters in AB. METHODS A total of 104 individuals were classified into the bruxism (BR) or control (CO) groups based on clinical findings. The participants recorded EMA on a tablet device under continuous EMG recording using a data log-type wireless EMG device. For EMA recording, a warning was randomly provided three times each hour for five hours. A receiver operating characteristic (ROC) curve was obtained based on EMA and EMG events. Maximum voluntary contraction (MVC) at the time of maximum bite force was set at 100%. The muscle activity was assessed as a relative value. RESULTS Based on discriminant analysis, analysis of participants who had four or more positive clenching EMA responses was appropriate. The assessed parameters for the EMG cutoff value determination procedure, which combined EMG and EMA, resulted in a cutoff value that enabled the distinction between the BR and CO groups. The area under the ROC curve was 0.77 and the cut-off value was 3.2 events/hour under the EMG of 20% MVC with a duration of ≥1 s. CONCLUSIONS This is the first study to report a combined analysis of the EMA and EMG. These results suggest its effectiveness as a cutoff value for AB screening.
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Affiliation(s)
- Kazuya Asami
- Division of Fixed Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Japan
| | - Masanori Fujisawa
- Division of Fixed Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Japan
| | - Konatsu Saito-Murakami
- Division of Fixed Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Japan
| | - Shoko Miura
- Division of Fixed Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Japan
| | - Takafumi Fujita
- Division of Fixed Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Japan
| | - Yoshiki Imamura
- Division of Fixed Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Japan
| | - Shiho Koyama
- Division of Fixed Prosthodontics, Department of Restorative and Biomaterials Sciences, Meikai University School of Dentistry, Sakado, Japan
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Carboncini F, Landi M, Rossit M, Saracutu OI, Ferrari M, Manfredini D. Chewing performance of patients with worn dentition before and after restorations: A scoping review. J Oral Rehabil 2024; 51:218-225. [PMID: 37370261 DOI: 10.1111/joor.13549] [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: 11/14/2022] [Accepted: 06/22/2023] [Indexed: 06/29/2023]
Abstract
BACKGROUND Tooth wear is a multifactorial complex process related to the loss of dental tissue, due to chemical or mechanical processes, by abrasion, attrition, erosion. Restorative treatment represents an attempt to rebuild and recreate the lost structure. OBJECTIVE This scoping review aims to investigate whether restorative treatment of worn dentition (either with direct or indirect adhesive composite adhesive procedures or with prosthetic techniques) can have an impact on the masticatory performance parameters. METHODS A scoping review was conducted on multiple databases (Pubmed, Medline CENTRAL, ICTRP), following the PRISMA guidelines. Abstracts of research papers were screened for suitability, and full-text articles were obtained for those who satisfied the inclusion and exclusion criteria. RESULTS Only one article meet the inclusion criteria of the review. Restorative treatment of worn dentition although have a positive impact on the self-report ability to chew, has no effect on the masticatory performance test. CONCLUSION At the moment, not enough evidence to comment on the actual therapeutic role of restorative treatment on tooth wear is available. Clinicians, before taking any clinical decision, should carefully discuss with patients the needs and expectations of the treatment plan.
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Affiliation(s)
- Fabio Carboncini
- School of Dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Matteo Landi
- School of Dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Marco Rossit
- School of Dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Ovidiu Ionut Saracutu
- School of Dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Marco Ferrari
- School of Dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy
| | - Daniele Manfredini
- School of Dentistry, Department of Medical Biotechnologies, University of Siena, Siena, Italy
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Bargellini A, Castroflorio T, Graziano V, Cugliari G, Deregibus A. Effects on Sleep Bruxism Activity of Three Different Oral Appliances: One Year Longitudinal Cohort Study. Curr Drug Deliv 2024; 21:1151-1159. [PMID: 35598244 DOI: 10.2174/1567201819666220519123754] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 03/08/2022] [Accepted: 04/11/2022] [Indexed: 11/22/2022]
Abstract
BACKGROUND Different oral appliances (OAs) have been proposed to control sleep bruxism (SB) detrimental effects on the stomatognathic system. OBJECTIVE The aim of the study was to evaluate the effect of different OAs on SB activity and masticatory muscle activity (sMMA) measured by EMG. METHODS This longitudinal cohort study was conducted on 51 patients (21 M, 30 F, mean age 26,5 ± 3,5) suffering from SB diagnosed with a validated portable EMG-ECG holter and wearing different OAs: occlusal splints, functional appliance with metallic bites and clear aligners followed after 1 week, 1 month, 3 months, 6 months and 12 months from delivery. A control group of 16 non-treated SB patients (6 M, 10 F mean age 27,1 ± 1,4) was used as a reference. A multiple regression analysis was performed to estimate the differences between groups. The level of significance was set as P value <0,05. RESULTS Occlusal splint reduced sleep bruxism index after 1 week, 3, 6 and 12 months from delivery while functional appliance only after 12 months. Occlusal splints reduced general phasic contractions only in the first week and sleep bruxism-related phasic contractions at 1 week, 3 and 6 months after delivery with no significant reductions after 12 months. Patients wearing clear aligners showed a reduction in general tonic contractions after 6 and 12 months. CONCLUSION Resin and metal bites can reduce sleep bruxism index, while resin bites can reduce sleep bruxism-related phasic contractions. Clear aligners do not influence sleep bruxism index but can reduce tonic contractions.
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Affiliation(s)
- Andrea Bargellini
- Department of Surgical Sciences, Specialization School of Orthodontics, Dental School, University of Torino, Torino, Italy
- Department of Surgical Sciences, Gnathology Unit, Dental School, University of Torino, Torino, Italy
| | - Tommaso Castroflorio
- Department of Surgical Sciences, Specialization School of Orthodontics, Dental School, University of Torino, Torino, Italy
- Department of Surgical Sciences, Gnathology Unit, Dental School, University of Torino, Torino, Italy
| | - Vanessa Graziano
- Department of Surgical Sciences, Dental School, University of Torino, Torino, Italy
| | | | - Andrea Deregibus
- Department of Surgical Sciences, Specialization School of Orthodontics, Dental School, University of Torino, Torino, Italy
- Department of Surgical Sciences, Gnathology Unit, Dental School, University of Torino, Torino, Italy
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Prado IM, Abreu LG, Pordeus IA, Amin M, Paiva SM, Serra-Negra JM. Diagnosis and prevalence of probable awake and sleep bruxism in adolescents: an exploratory analysis. Braz Dent J 2023; 34:9-24. [PMID: 37466530 PMCID: PMC10355259 DOI: 10.1590/0103-6440202305202] [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: 09/04/2022] [Accepted: 03/15/2023] [Indexed: 07/20/2023] Open
Abstract
The aims of this study were to perform an exploratory analysis of probable awake (AB) and sleep bruxism (SB) prevalence using of different diagnosis criteria based on the International Consensus; evaluate the associations between self-report and clinical signs/symptoms in adolescents. Participated in this cross-sectional study 403 adolescents aged 12- to 19-years-old enrolled in public and private schools from Belo Horizonte, Brazil. Parents/caregivers answered a questionnaire about sociodemographic status and adolescents' health status. Adolescents answered a questionnaire evaluating AB (e.g., grinding and clenching) and SB (e.g., grinding, bracing, and thrusting) activities and frequent headaches. A clinical examination was performed on adolescents to evaluate bruxism clinical signs/symptoms (pain upon palpation on masseter and temporal, linea alba, indentation on the tongue and attrition wear severity). Descriptive statistics and Pearson's Qui-square test were performed (P≤0.05). Adolescents mean age was 14.3±1.5 years, and 58.1% were female. Self-report of SB was identified in 31% of participants and self-report of AB in 51.6%. Almost all adolescents (99%) presented at least one tooth with attrition wear (98.5% on enamel and 0.5% on dentin), with a mean number of 12.4±5.7 teeth. Depending on the diagnosis criteria, the prevalence of probable SB and AB varied from 0- 99% and 0.2- 99%, respectively. A high inconsistency was found for the prevalence of probable AB and SB in adolescents, which were influenced by the different clinical sings/symptoms used as diagnosis criteria. Frequent headaches and pain upon palpation on masseter and temporal muscle were associated to self-report of AB and SB among adolescents.
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Affiliation(s)
- Ivana Meyer Prado
- Department of Pediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Lucas Guimarães Abreu
- Department of Pediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Isabela Almeida Pordeus
- Department of Pediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Maryam Amin
- Division of Pediatric Dentistry, University of Alberta, Edmonton, Alberta, Canada
| | - Saul Martins Paiva
- Department of Pediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Junia Maria Serra-Negra
- Department of Pediatric Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Lee YH. Relationship Analogy between Sleep Bruxism and Temporomandibular Disorders in Children: A Narrative Review. CHILDREN 2022; 9:children9101466. [PMID: 36291402 PMCID: PMC9600472 DOI: 10.3390/children9101466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/19/2022] [Accepted: 09/22/2022] [Indexed: 11/16/2022]
Abstract
Sleep bruxism (SB) is a condition characterized by repetitive clenching or grinding teeth and/or by bracing or thrusting of the mandible during sleep. Although SB is not considered a disorder in children, SB can be a potential physical and psychological hazard or consequence, and this study examines whether SB is a risk factor for TMD as it is in adults. A narrative review on the topic of inferring the relationship between sleep bruxism and TMD in children was performed based on a search in the PubMed and Google Scholar databases for articles published between 1999 and 2022. A total of 76 articles were included in this review. SB is very common in children, may be related to psychological distress or sleep breathing disorder, with a prevalence of up to 49%, and mainly occurs in the non-rapid eye movement stage in the sleep structure. SB may be one cause of TMD. The prevalence of TMD in children is 16–33%. Compared to the female-dominant TMD prevalence in adults, the sex-differences in TMD prevalence in children are less pronounced. However, TMD-related pain is more prevalent in girls than in boys. Given the complex etiology of each of SB and TMD in children, it can be inferred that the explanation of the relationship between the two conditions is very challenging. Ultimately, their relationship should be understood in the individual biopsychosocial model in the process of special physical growth and mental development of children. Moreover, appropriate clinical guidelines for a definitive diagnosis of SB and TMD in children and more research with a high scientific evidence level, which is comprehensive, considering physical, psychological, genetic, and social cultural factors, are required.
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Affiliation(s)
- Yeon-Hee Lee
- Department of Orofacial Pain and Oral Medicine, Kyung Hee University School of Dentistry, Kyung Hee University Medical Center, #613 Hoegi-Dong, Dongdaemun-gu, Seoul 02447, Korea
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Association between Self-Reported Bruxism, Peripartum Depression and Myogenous Temporomandibular Disorders among Postpartum Women in Turkey. BALKAN JOURNAL OF DENTAL MEDICINE 2021. [DOI: 10.2478/bjdm-2021-0022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Summary
Background/Aim: It is possible to find studies in the literature evaluating the relationship among self-reported bruxism, psychological factors, and myogenous temporomandibular disorder. In addition, the relationship between these issues has not yet been clarified. The objective of this study was to evaluate the association between peripartum depression, self-reported bruxism, and myogenous temporomandibular disorders among postpartum women in Turkey.
Material and Methods: This study included 220 women, whom were asked about their bruxism behaviour during day and during sleep. Besides, all of them assessed with Short-Form Fonseca’s Anamnestic Index for myogenous temporomandibular disorder and the Edinburgh postnatal depression scale for peripartum depression.
Results: The results showed that, self-reported bruxism was observed at a statistically significantly higher rate (94.3%) in peripartum depression group. 86.5% of the patients with self-reported bruxism had myogenous temporomandibular disorder (p<0.001). As a result, 80.0% of the patients with peripartum depression had myogenous temporomandibular disorder (p<0.001).
Conclusions: In conclusion, a significant relationship has been found between peripartum depression and self-reported bruxism, self-reported bruxism and myogenous temporomandibular disorder, and peripartum depression and myogenous temporomandibular disorder. The present study is the first to evaluate the relationship between peripartum depression, self-reported bruxism, and myogenous temporomandibular disorder so it could be considered as a pilot attempt, and further studies using more representative samples are encouraged.
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Kirarslan Karagoz O, Yildirim B, Tekeli Simsek A, Koca CG, Igneci M. Possible sleep and awake bruxism, chronotype profile and TMD symptoms among Turkish dental students. Chronobiol Int 2021; 38:1367-1374. [PMID: 34039225 DOI: 10.1080/07420528.2021.1931279] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
It was hypothesized that an individual's chronotype profile has an effect on the performance of work or study tasks. Dental students have to cope with both academic and clinical workloads, and the latter requires extra concentration. The first aim was to evaluate the association of sleep bruxism (SB) and awake bruxism (AB) with sleep related items, temporomandibular disorder (TMD) complaints, and chronotype profile; the second aim was to evaluate the association between complaints of TMD and chronotype profile among dental students. The present cross-sectional descriptive study involved 218 dental students whose ages ranged between 18 and 30 years. In order to gather data, students were required to respond to a questionnaire, which aimed to evaluate possible SB and possible AB occurrence and demographics, sleep-related items and complaints of TMD. For the assessment of the chronotype profile, the morningness-eveningness questionnaire (MEQ) was used. The chi-square test, the Mann-Whitney U test, and t-test analyses were performed to evaluate the factors associated with SB, AB and chronotype profile. The frequency of self-reported SB was 25.2% and AB was 28.9%. The prevalence in the eveningness profile who reported possible AB was 45.3%, while it was 24.2% in intermediate individuals and 18.8% in the morningness profile. An association was also found between possible AB and eveningness chronotype profile (p = .009). No association was found between other temporomandibular joint (TMJ) pain and noise and chronotype profiles (p > .05). An association was found between possible AB and eveningness chronotype profile but no association was found between possible SB and chronotype profile. Moreover, complaint of TMD (face, head, neck pain) was observed particularly in students with an eveningness profile.
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Affiliation(s)
| | - Bengisu Yildirim
- Usak University, Dentistry Faculty, Department of Prosthodontics, Usak, Turkey
| | | | - Cansu Gul Koca
- Dentistry Faculty,Department of Oral and Maxillofacial Surgery, Usak University, Dentistry Faculty, Usak, Turkey
| | - Mehmet Igneci
- Dentistry Faculty,Department of Oral and Maxillofacial Surgery, Usak University, Dentistry Faculty, Usak, Turkey
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Emodi-Perlman A, Manfredini D, Shalev T, Yevdayev I, Frideman-Rubin P, Bracci A, Arnias-Winocur O, Eli I. Awake Bruxism-Single-Point Self-Report versus Ecological Momentary Assessment. J Clin Med 2021; 10:jcm10081699. [PMID: 33920877 PMCID: PMC8071231 DOI: 10.3390/jcm10081699] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Revised: 04/02/2021] [Accepted: 04/10/2021] [Indexed: 12/22/2022] Open
Abstract
Assessment of awake bruxism (AB) is problematic due to the inability to use continuous recordings during daytime activities. Recently, a new semi-instrumental approach was suggested, namely, ecological momentary assessment (EMA), via the use of a smartphone application. With the application, subjects are requested to report, at least 12 times per day, the status of their masticatory muscle activity (relaxed muscles, muscle bracing without tooth contact, teeth contact, teeth clenching, or teeth grinding). The aim of the present study was to test the association between a single observation point self-report and EMA assessment of AB. The most frequent condition recorded by the EMA was relaxed muscles (ca. 60%) and the least frequent was teeth grinding (less than 1%). The relaxed muscle condition also showed the lowest coefficient of variance over a seven-day period of report. Additionally, only the relaxed muscles and the muscle bracing conditions presented an acceptable ability to assess AB-positive and AB-negative subjects, as defined by single-point self-report questions. The combination between self-report and EMA may have the potential to promote our ability to assess AB. We suggest to re-consider the conditions of teeth contact and teeth grinding while using EMA to evaluate AB.
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Affiliation(s)
- Alona Emodi-Perlman
- Department of Oral Rehabilitation, The Maurice and Gabriella School of Dental Medicine, Tel Aviv University, Tel Aviv 6139001, Israel; (T.S.); (I.Y.); (P.F.-R.); (I.E.)
- Correspondence:
| | | | - Tamar Shalev
- Department of Oral Rehabilitation, The Maurice and Gabriella School of Dental Medicine, Tel Aviv University, Tel Aviv 6139001, Israel; (T.S.); (I.Y.); (P.F.-R.); (I.E.)
| | - Ilanit Yevdayev
- Department of Oral Rehabilitation, The Maurice and Gabriella School of Dental Medicine, Tel Aviv University, Tel Aviv 6139001, Israel; (T.S.); (I.Y.); (P.F.-R.); (I.E.)
| | - Pessia Frideman-Rubin
- Department of Oral Rehabilitation, The Maurice and Gabriella School of Dental Medicine, Tel Aviv University, Tel Aviv 6139001, Israel; (T.S.); (I.Y.); (P.F.-R.); (I.E.)
| | | | - Orit Arnias-Winocur
- Department of Oral Pathology, Oral Medicine and Maxillofacial Imaging, The Maurice and Gabriela Goldshleger School of Dental Medicine, Tel Aviv University, Tel Aviv 6139001, Israel;
| | - Ilana Eli
- Department of Oral Rehabilitation, The Maurice and Gabriella School of Dental Medicine, Tel Aviv University, Tel Aviv 6139001, Israel; (T.S.); (I.Y.); (P.F.-R.); (I.E.)
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Wetselaar P, Vermaire EJH, Lobbezoo F, Schuller AA. The prevalence of awake bruxism and sleep bruxism in the Dutch adolescent population. J Oral Rehabil 2021; 48:143-149. [PMID: 33070349 PMCID: PMC7821114 DOI: 10.1111/joor.13117] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 10/04/2020] [Accepted: 10/06/2020] [Indexed: 12/22/2022]
Abstract
OBJECTIVES This study aimed to assess the prevalence of awake bruxism and sleep bruxism in the Dutch adolescent population. MATERIALS AND METHODS As part of a large epidemiologic survey on oral health of the general Dutch adolescent population in 2017, a total of 920 subjects were asked about their bruxism behaviour during daytime and during sleep. The collected data were subjected to stratified analysis by two age groups (for 17 and 23 years, respectively), gender and socio-economic status. RESULTS A prevalence of 4.1% and 4.2% was found for awake bruxism and of 7.6% and 13.2% for sleep bruxism. Women reported awake bruxism more often than men in the 17-year-old age group (5.0% and 3.2%, respectively), while in the 23-year-old age group it was the other way around (4.0% and 4.4%, respectively). Regarding sleep bruxism, women reported higher percentages than men in both age groups (7.8% versus 7.5% and 14.9% versus 11.5%, respectively). Concerning socio-economic status (SES), awake bruxism was more often found in high SES groups (4.6% versus 3.7% and 4.9% versus 4.0% in both age groups, respectively) as well as for sleep bruxism in the 23-year-old group (16.5% versus 8.6%). In the 17-year-old group, sleep bruxism was more often reported in the low SES group (9.7% versus 5.3%). CONCLUSIONS Sleep bruxism is a common condition in the Dutch adolescent population, while awake bruxism is rarer. CLINICAL RELEVANCE Dental caregivers can use this information when negative healthcare outcomes are present amongst adolescents.
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Affiliation(s)
- Peter Wetselaar
- Department of Orofacial Pain and DysfunctionAcademic Centre for Dentistry Amsterdam (ACTA)University of Amsterdam and Vrije Universiteit AmsterdamAmsterdamThe Netherlands
| | - Erik J. H. Vermaire
- TNO Child HealthLeidenThe Netherlands
- Center for Dentistry and Oral HygieneUniversity Medical Center GroningenGroningenThe Netherlands
| | - Frank Lobbezoo
- Department of Orofacial Pain and DysfunctionAcademic Centre for Dentistry Amsterdam (ACTA)University of Amsterdam and Vrije Universiteit AmsterdamAmsterdamThe Netherlands
| | - Annemarie A. Schuller
- TNO Child HealthLeidenThe Netherlands
- Center for Dentistry and Oral HygieneUniversity Medical Center GroningenGroningenThe Netherlands
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Bilgin Çetin M, Sezgin Y, Maraş E, Cebeci İA. Association of probable bruxism with periodontal status: A cross-sectional study in patients seeking periodontal care. J Periodontal Res 2020; 56:370-378. [PMID: 33368265 DOI: 10.1111/jre.12829] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 11/06/2020] [Accepted: 12/02/2020] [Indexed: 12/13/2022]
Abstract
OBJECTIVE The goals of this study were to investigate the prevalence of probable bruxism in a group of patients seeking a periodontal care and the association between probable bruxism and periodontal status. BACKGROUND The results of previous studies evaluating the relationship between bruxism and periodontitis are contradictory. In addition, the relationship between probable bruxism and periodontitis in adults has not been evaluated, yet. Therefore, new studies are required in this field to clarify the relationship between bruxism and periodontitis. METHODS Patients seeking periodontal care at a university periodontology unit were considered in this study. Their periodontal diagnosis, number of missing teeth, presence of probable bruxism, and sociodemographic characteristics were recorded. The periodontal status of each study participant was defined according to the latest consensus of the American Association of Periodontology/European Federation of Periodontology, and the 2018 consensus report on the assessment of bruxism was used to evaluate probable bruxism. A multiple logistic regression analysis was performed to determine the effects of bruxism on periodontitis. RESULTS A total of 541 patients (289 females and 252 males, mean age 42.1 ± 15.9 years) were enrolled in the present study. The prevalence of probable bruxism was 36.6%. Additionally, 40.9% of the study population was diagnosed with periodontitis. The probable bruxers were older (P < 0.001), had a higher number of missing teeth (P < 0.001), and had poor periodontal status (P < 0.001). The multivariate logistic regression analysis suggested that probable bruxism was associated with periodontitis, after adjusting relevant factors (odds ratio: 2.243, 95% CI: 1.465-3.434, P < 0.001). CONCLUSIONS It was observed that the prevalence of probable bruxism was 36.6% and probable bruxers showed higher odds of periodontitis. Future studies with prospective randomized design should be conducted to confirm these results among a larger study population.
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Affiliation(s)
- Mehtap Bilgin Çetin
- Faculty of Dentistry, Department of Periodontology, Baskent University, Ankara, Turkey
| | - Yasemin Sezgin
- Faculty of Dentistry, Department of Periodontology, Baskent University, Ankara, Turkey
| | - Enes Maraş
- Faculty of Dentistry, Department of Periodontology, Baskent University, Ankara, Turkey
| | - İlker Ata Cebeci
- Faculty of Dentistry, Department of Orthodontics, Baskent University, Ankara, Turkey
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Souza GLN, Serra-Negra JM, Prado IM, Aguiar SO, Hoffmam GDFEB, Pordeus IA, Auad SM, Abreu LG. Association of facial type with possible bruxism and its related clinical features in adolescents: A cross-sectional study. Int Orthod 2020; 18:758-769. [PMID: 32888883 DOI: 10.1016/j.ortho.2020.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2020] [Revised: 08/06/2020] [Accepted: 08/07/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The assessment of bruxism and its clinical characteristics is acknowledged in literature. This study aimed to evaluate the association of adolescents' facial patterns with bruxism and its related clinical features in the form of signs and symptoms. MATERIALS AND METHODS Four hundred and three adolescents answered a questionnaire evaluating sleep bruxism (SB) and awake bruxism (AB). Parents/caregivers answered a questionnaire evaluating the adolescents' sleep features (drooling on the pillow, snoring). Adolescents' facial (dolichofacial/brachyfacial/mesofacial) and clinical features (pain in masseter/temporal muscle, indentations marks on the tongue, linea alba, tooth attrition, mouth's maximum opening and masseter electrical activity) were evaluated. Multinomial regression was performed. Odds ratio (OR) and confidence intervals (CI) were provided. RESULTS Brachyfacial adolescents were less likely to present possible AB compared to mesofacials (OR=0.46, CI=0.21-0.98). Brachyfacial adolescents were more likely to present pain in the temporal muscle (OR=6.59, CI=2.18-19.87) and a higher number of posterior teeth with attrition (OR=1.25, CI=1.02-1.57) compared to mesofacials. Dolichofacial adolescents were more likely of not presenting pain in the masseter muscle (OR=2.23, CI=1.03-4.83), had a higher mouth's maximum opening (OR=1.43, CI=1.04-1.97), had a higher number of posterior teeth with attrition (OR=1.17, CI=1.00-1.37) and were more likely to drool on the pillow (OR=2.05, CI=1.15-3.67) compared to mesofacials. Dolichofacial adolescents were more likely of not presenting pain in the temporal muscle (OR=6.36, CI=2.30-17.54), to present themselves without marks on the tongue (OR=2.26, CI=1.09-4.69) and present a higher mouth's maximum opening (OR=2.09, CI=1.40-3.13) compared to brachyfacials. CONCLUSION Bruxism and its clinical features differ among dolichofacial, brachyfacial and mesofacial adolescents.
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Affiliation(s)
- Gabriela Luíza Nunes Souza
- Universidade Federal de Minas Gerais, Department of Child's and Adolescent's Oral Health, Belo Horizonte, Brazil.
| | - Junia Maria Serra-Negra
- Universidade Federal de Minas Gerais, Department of Child's and Adolescent's Oral Health, Belo Horizonte, Brazil
| | - Ivana Meyer Prado
- Universidade Federal de Minas Gerais, Department of Child's and Adolescent's Oral Health, Belo Horizonte, Brazil
| | - Sara Oliveira Aguiar
- Universidade Federal de Minas Gerais, Department of Child's and Adolescent's Oral Health, Belo Horizonte, Brazil
| | | | - Isabela Almeida Pordeus
- Universidade Federal de Minas Gerais, Department of Child's and Adolescent's Oral Health, Belo Horizonte, Brazil
| | - Sheyla Márcia Auad
- Universidade Federal de Minas Gerais, Department of Child's and Adolescent's Oral Health, Belo Horizonte, Brazil
| | - Lucas Guimarães Abreu
- Universidade Federal de Minas Gerais, Department of Child's and Adolescent's Oral Health, Belo Horizonte, Brazil; Department of Population & Patient Health, King's College London, London, United Kingdom
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Wieckiewicz M, Smardz J, Martynowicz H, Wojakowska A, Mazur G, Winocur E. Distribution of temporomandibular disorders among sleep bruxers and non‐bruxers—A polysomnographic study. J Oral Rehabil 2020; 47:820-826. [DOI: 10.1111/joor.12955] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 02/12/2020] [Accepted: 02/25/2020] [Indexed: 12/13/2022]
Affiliation(s)
- Mieszko Wieckiewicz
- Department of Experimental Dentistry Wroclaw Medical University Wroclaw Poland
| | - Joanna Smardz
- Department of Experimental Dentistry Wroclaw Medical University Wroclaw Poland
| | - Helena Martynowicz
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology Wroclaw Medical University Wroclaw Poland
| | - Anna Wojakowska
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology Wroclaw Medical University Wroclaw Poland
| | - Grzegorz Mazur
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology Wroclaw Medical University Wroclaw Poland
| | - Efraim Winocur
- Department of Oral Rehabilitation Sackler Faculty of Medicine School of Dental Medicine Tel Aviv University Tel Aviv Israel
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Smardz J, Martynowicz H, Wojakowska A, Winocur-Arias O, Michalek-Zrabkowska M, Mazur G, Wieckiewicz M. A polysomnographic study on the relationship between sleep bruxism intensity and sleep quality. Cranio 2020; 40:107-112. [PMID: 31969083 DOI: 10.1080/08869634.2020.1716466] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Objective: To evaluate the correlation between the Bruxism Episodes Index (BEI) that determines the number of bruxism episodes per hour of sleep and sleep quality as measured by the Pittsburgh Sleep Quality Index (PSQI).Methods: Seventy-seven participants (56 women and 21 men) in which probable sleep bruxism was diagnosed using guidelines of the American Academy of Sleep Medicine underwent video-polysomnography. Sleep quality was measured using PSQI.Results: The analysis showed the lack of a statistically significant correlation between the BEI and PSQI scores (p = 0.55). Analysis also showed that the study group (bruxers) and control group (non-bruxers) did not differ significantly in terms of PSQI scores (p = 0.88).Conclusion: The intensity of bruxism seems not to affect the quality of sleep. However, the topic of the relationship between sleep quality and the occurrence of sleep bruxism requires further research, taking into account co-occurring sleep disorders and sleep architecture.
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Affiliation(s)
- Joanna Smardz
- Department of Experimental Dentistry, Wroclaw Medical University, Wroclaw, Poland
| | - Helena Martynowicz
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wroclaw, Poland
| | - Anna Wojakowska
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wroclaw, Poland
| | - Orit Winocur-Arias
- Department of Oral Pathology and Oral Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Monika Michalek-Zrabkowska
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wroclaw, Poland
| | - Grzegorz Mazur
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, Wroclaw, Poland
| | - Mieszko Wieckiewicz
- Department of Experimental Dentistry, Wroclaw Medical University, Wroclaw, Poland
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EMÍDIO CADS, SANTOS LFN, CARNEIRO DPA, SANTOS PRD, VEDOVELLO SAS, VALDRIGHI HC. Behavioral and clinical aspects associated with probable sleep bruxism in early childhood. REVISTA DE ODONTOLOGIA DA UNESP 2020. [DOI: 10.1590/1807-2577.04420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction Although many studies are being carried out with sleep bruxism, the literature points to a lack of studies with methodological quality in children. Objective To evaluate the behavioral and clinical aspects associated with probable sleep bruxism in early childhood. Material and method A cross-sectional observational study carried out with 371 children between 4 and 6 years of age. Parents answered a questionnaire with aspects related to their children's sleep behavior. Among the clinical characteristics, the presence of lip sealing, clicking, teeth marks on the jugal mucosa, and the side of the tongue was evaluated. Tooth wear was assessed using the BEWE index criteria. Simple logistic regression models were adjusted for each independent variable, estimating the gross odds ratios with the respective 95% confidence intervals. Variables with P <0.20 in the individual analyzes were adjusted in a multiple logistic regression model, with those with P ≤ 0.05 remaining in the model. Result 42.4% of parents reported that their children gritted their teeth while sleeping. Children who showed wear on their teeth were 1.53 times more likely to grind their teeth. There was no significant association with the other variables analyzed (P > 0.05). Conclusion Behavioral aspects were not associated with probable sleep bruxism. Among the clinical characteristics evaluated, tooth wear showed an association, which may indicate the probable bruxism of sleep in early childhood.
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Cagna DR, Donovan TE, McKee JR, Eichmiller F, Metz JE, Albouy JP, Marzola R, Murphy KR, Troeltzsch M. Annual review of selected scientific literature: A report of the Committee on Scientific Investigation of the American Academy of Restorative Dentistry. J Prosthet Dent 2019; 122:198-269. [PMID: 31405523 DOI: 10.1016/j.prosdent.2019.05.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Accepted: 05/15/2019] [Indexed: 12/13/2022]
Abstract
This comprehensive review of the 2018 dental literature is provided to inform busy dentists about progress in the profession. Developed by the Committee on Scientific Investigation of the American Academy of Restorative Dentistry, each author brings discipline-specific expertise to one of the 8 sections of the report including (1) prosthodontics; (2) periodontics, alveolar bone, and peri-implant tissues; (3) implant dentistry; (4) dental materials and therapeutics; (5) occlusion and temporomandibular disorders; (6) sleep-related breathing disorders; (7) oral medicine and oral and maxillofacial surgery; and (8) dental caries and cariology. The report targets important information that will likely influence day-to-day treatment decisions. Each review is not intended to stand alone but to update interested readers so that they may visit source materials if greater detail is desired. As the profession continues its march toward evidence-based clinical decision-making, an already voluminous library of potentially valuable dental literature continues to grow. It is the intention of this review and its authors to provide assistance in navigating the extensive dental literature published in 2018. It is our hope that readers find this work useful in the clinical management of patients moving forward.
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Affiliation(s)
- David R Cagna
- Professor, Associate Dean, and Residency Director, Department of Prosthodontics, University of Tennessee Health Sciences Center, College of Dentistry, Memphis, Tenn.
| | - Terence E Donovan
- Professor and Head of Biomaterials, Department of Restorative Sciences, University of North Carolina School of Dentistry, Chapel Hill, NC
| | - James R McKee
- Private practice, Restorative Dentistry, Downers Grove, Ill
| | | | - James E Metz
- Private practice, Restorative Dentistry, Columbus, Ohio
| | - Jean-Pierre Albouy
- Assistant Professor, Department of Restorative Sciences, University of North Carolina School of Dentistry, Chapel Hill, NC
| | | | - Kevin R Murphy
- Associate Clinical Professor, Department of Periodontics, University of Maryland College of Dentistry, Baltimore, MD; Private practice, Periodontics and Prosthodontics, Baltimore, MD
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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: 7] [Impact Index Per Article: 1.2] [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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