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Przystańska A, Jasielska A, Ziarko M, Pobudek-Radzikowska M, Maciejewska-Szaniec Z, Prylińska-Czyżewska A, Wierzbik-Strońska M, Gorajska M, Czajka-Jakubowska A. Psychosocial Predictors of Bruxism. BIOMED RESEARCH INTERNATIONAL 2019; 2019:2069716. [PMID: 31737656 PMCID: PMC6815662 DOI: 10.1155/2019/2069716] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 04/29/2019] [Accepted: 08/29/2019] [Indexed: 11/18/2022]
Abstract
OBJECTIVES The study aimed to investigate the psychosocial predictors of bruxism. The association of various psychosocial factors such as alexithymia, emotional processing, state and trait anxiety, and stress with awake bruxism was analysed. METHODS The study involved 52 volunteers diagnosed with awake bruxism. The toolkit that was used included the Toronto Alexithymia Scale (TAS-20), the Emotional Processing Scale (EPS), the Cohen Perceived Stress Scale (PSS-10), and the State- and Trait-Anxiety Inventory (STAI), with independent individual psychological diagnoses being made for every patient. The results were statistically analysed using IBM SPSS Statistics 24. RESULTS The obtained data clearly show that psychological traits-both permanent dispositions (e.g., state anxiety and alexithymia) and temporary states (e.g., trait anxiety, emotional processing deficits, and psychological stress)-are significant determinants of awake bruxism. The percentage of explained variance indicates the presence of other factors as well. CONCLUSIONS Psychosocial factors such as state anxiety and trait anxiety, alexithymia, and perceived stress are as important as somatic causes in the occurrence and maintenance of awake bruxism. The profile of the obtained data suggests the possibility of preventing or minimizing the symptoms of awake bruxism through properly constructed psychoprophylactic interactions.
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Affiliation(s)
- Agnieszka Przystańska
- Department of Temporomandibular Disorders, Division of Prosthodontics, Poznań University of Medical Sciences, Poznań, Poland
| | | | - Michał Ziarko
- Institute of Psychology, Adam Mickiewicz University in Poznań, Poznań, Poland
| | - Małgorzata Pobudek-Radzikowska
- Department of Temporomandibular Disorders, Division of Prosthodontics, Poznań University of Medical Sciences, Poznań, Poland
| | - Zofia Maciejewska-Szaniec
- Department of Temporomandibular Disorders, Division of Prosthodontics, Poznań University of Medical Sciences, Poznań, Poland
| | - Agata Prylińska-Czyżewska
- Department of Temporomandibular Disorders, Division of Prosthodontics, Poznań University of Medical Sciences, Poznań, Poland
| | | | - Małgorzata Gorajska
- Institute of Psychology, Adam Mickiewicz University in Poznań, Poznań, Poland
| | - Agata Czajka-Jakubowska
- Department of Temporomandibular Disorders, Division of Prosthodontics, Poznań University of Medical Sciences, Poznań, Poland
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Martynowicz H, Gac P, Brzecka A, Poreba R, Wojakowska A, Mazur G, Smardz J, Wieckiewicz M. The Relationship between Sleep Bruxism and Obstructive Sleep Apnea Based on Polysomnographic Findings. J Clin Med 2019; 8:jcm8101653. [PMID: 31614526 PMCID: PMC6832407 DOI: 10.3390/jcm8101653] [Citation(s) in RCA: 55] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2019] [Revised: 09/30/2019] [Accepted: 10/07/2019] [Indexed: 12/14/2022] Open
Abstract
Obstructive sleep apnea (OSA) is the most common sleep disorder. Sleep bruxism (SB) is a masticatory muscle activity during sleep that commonly co-occurs with OSA. The presented study aimed to assess this relationship and to identify factors affecting this co-occurrence. Adult patients (n = 110) were evaluated for OSA and SB in a sleep laboratory using polysomnography. The episodes of bruxism and respiratory events were scored according to the standards of the American Academy of Sleep Medicine. The prevalence of OSA and SB was found to be 86.37% and 50%, respectively. The bruxism episode index (BEI) was increased in the group with mild and moderate OSA (apnea–hypopnea index (AHI) <30) compared to that in the group with severe OSA (AHI ≥ 30) (5.50 ± 4.58 vs. 1.62 ± 1.28, p < 0.05). A positive correlation between AHI and BEI was observed in the group with AHI < 30. Regression analysis indicated that higher AHI, male gender, and diabetes were independent predictors for the increased BEI in group with AHI < 30. The relationship between OSA and SB depends on the degree of severity of OSA. OSA is correlated with SB in mild and moderate cases of OSA in the group of patients with increased risk of OSA.
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Affiliation(s)
- Helena Martynowicz
- Department and Clinic of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland.
| | - Pawel Gac
- Department of Hygiene, Wroclaw Medical University, 50-345 Wroclaw, Poland.
| | - Anna Brzecka
- Department and Clinic of Pulmonology and Lung Cancer, Wroclaw Medical University, 53-439 Wroclaw, Poland.
| | - Rafal Poreba
- Department and Clinic of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland.
| | - Anna Wojakowska
- Department and Clinic of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland.
| | - Grzegorz Mazur
- Department and Clinic of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland.
| | - Joanna Smardz
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland.
| | - Mieszko Wieckiewicz
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland.
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53
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Gholampour S, Gholampour H, Khanmohammadi H. Finite element analysis of occlusal splint therapy in patients with bruxism. BMC Oral Health 2019; 19:205. [PMID: 31484524 PMCID: PMC6727492 DOI: 10.1186/s12903-019-0897-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2019] [Accepted: 08/21/2019] [Indexed: 11/22/2022] Open
Abstract
Background Bruxism is among the habits considered generally as contributory factors for temporomandibular joint (TMJ) disorders and its etiology is still controversial. Methods Three-dimensional models of maxilla and mandible and teeth of 37 patients and 36 control subjects were created using in-vivo image data. The maximum values of stress and deformation were calculated in 21 patients six months after using a splint and compared with those in the initial conditions. Results The maximum stresses in the jaw bone and head of mandible were respectively 4.4 and 4.1 times higher in patients than in control subjects. Similar values for deformation were 5.8 and 4.9, respectively. The maximum stress in the jaw bone and head of mandible decreased six months after splint application by up to 71.0 and 72.8%, respectively. Similar values for the maximum deformation were 80.7 and 78.7%, respectively. Following the occlusal splint therapy, the approximation of maximum deformation to the relevant values in control subjects was about 2.6 times the approximation of maximum stress to the relevant values in control subjects. The maximum stress and maximum deformation occurred in all cases in the head of the mandible and the splint had the highest effectiveness in jaw bone adjacent to the molar teeth. Conclusions Splint acts as a stress relaxer and dissipates the extra stresses generated as well as the TMJ deformation and deviations due to bruxism. The splint also makes the bilateral and simultaneous loading possible and helps with the treatment of this disorder through regulation of bruxism by creating a biomechanical equilibrium between the physiological loading and the generated stress.
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Affiliation(s)
- Seifollah Gholampour
- Department of Biomedical Engineering, North Tehran Branch, Islamic Azad University, Tehran, Iran.
| | - Hanie Gholampour
- Department of Electrical and Computer Engineering, Science and Research Branch, Islamic Azad University, Tehran, Iran
| | - Hamed Khanmohammadi
- Department of Biomedical Engineering, North Tehran Branch, Islamic Azad University, Tehran, Iran
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Jokubauskas L, Baltrušaitytė A, Pileičikienė G, Žekonis G. Interrelationships between distinct circadian manifestations of possible bruxism, perceived stress, chronotype and social jetlag in a population of undergraduate students. Chronobiol Int 2019; 36:1558-1569. [DOI: 10.1080/07420528.2019.1660356] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Laurynas Jokubauskas
- Department of Prosthodontics, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Aušra Baltrušaitytė
- Department of Prosthodontics, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Gaivilė Pileičikienė
- Department of Prosthodontics, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania
| | - Gediminas Žekonis
- Department of Prosthodontics, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania
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55
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Smardz J, Martynowicz H, Wojakowska A, Michalek-Zrabkowska M, Mazur G, Wieckiewicz M. Correlation between Sleep Bruxism, Stress, and Depression-A Polysomnographic Study. J Clin Med 2019; 8:jcm8091344. [PMID: 31470624 PMCID: PMC6781101 DOI: 10.3390/jcm8091344] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2019] [Revised: 08/22/2019] [Accepted: 08/26/2019] [Indexed: 12/28/2022] Open
Abstract
Background and objectives: Sleep bruxism is a common phenomenon that can affect approximately 13% of adult population. It is estimated that bruxism can be caused by three types of factors: biological, psychological, and exogenous. There are many scientific reports about the coexistence of bruxism, stress, and psychoemotional disorders. The aim of this study is to evaluate the possible correlation between occurrence of sleep bruxism and perceived stress and depressive symptoms. Material and methods: The material of this study consisted of 77 patients of Clinic of Prosthetic Dentistry operating at the Department of Prosthetic Dentistry, Wroclaw Medical University, Poland in which after using guidelines of the American Academy of Sleep Medicine probable sleep bruxism was fund. Patients then underwent video-polysomnography. Exposure to perceived stress was evaluated with Perceived Stress Scale-10 (PSS-10). Occurrence of depressive symptoms was evaluated with Beck’s Depression Inventory (BDI). Results: The analysis showed lack of statistically significant correlation between Bruxism Episodes Index (BEI) and Perceived Stress Scale–10 and Beck’s Depression Inventory scores (p = 0.64, p = 0.65; respectively), also when comparing study group (bruxers) and control group (non-bruxers) (p = 0.88, p = 0.77; respectively). Conclusion: Intensity of sleep bruxism was not statistically significantly correlated with self-reported perceived stress and depression. This issue requires further research.
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Affiliation(s)
- Joanna Smardz
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland
| | - Helena Martynowicz
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland
| | - Anna Wojakowska
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland
| | - Monika Michalek-Zrabkowska
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland
| | - Grzegorz Mazur
- Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 50-556 Wroclaw, Poland
| | - Mieszko Wieckiewicz
- Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland.
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56
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Gerhardt MN, Villarinho EA, Rockenbach MIB, Vigo Á, Dos Reis RCP, Shinkai RSA. Radiographic changes of trabecular bone density after loading of implant-supported complete dentures: A 3-year prospective study. Clin Implant Dent Relat Res 2019; 21:1041-1047. [PMID: 31373178 DOI: 10.1111/cid.12829] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Revised: 06/02/2019] [Accepted: 07/08/2019] [Indexed: 01/22/2023]
Abstract
BACKGROUND Bone tissues may undergo remodeling under functional mechanical stimuli. PURPOSE This prospective study on implant-supported fixed complete dentures (IFCDs) evaluated the radiographic trabecular bone changes in density by means of gray levels and texture analysis variables after up to 3-year loading. MATERIALS AND METHODS The sample consisted of digital periapical radiographs of 63 distal implants of hybrid IFCDs installed in 30 patients (22 women, mean age of 62 ± 7.8 years). Digital periapical radiographs were taken after prosthesis installation, and 1 and 3 years after IFCD loading. Longitudinal images of each implant were superimposed, and the same regions of interest were selected for measurement of gray levels statistics (mean gray levels, SD, and coefficient of variation [CV]) and texture parameters (correlation, contrast, entropy, and angular second moment). Data were analyzed by mixed regression models. RESULTS Mean gray levels increased for 1 year (P < .05), for 3 years (P < .01) and for maximum bite force (P < .01). The interaction between bruxism and time in 1 year was significant (P < .01) for a decrease in CV. No significant effect of texture analysis variables was found (P > .05). CONCLUSIONS The results suggest an increase of radiographic bone density as measured by an increase in mean gray levels and a decrease in CV in IFCD distal implants up to 3 years of loading.
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Affiliation(s)
- Maurício N Gerhardt
- Department of Prosthodontics, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Eduardo A Villarinho
- Department of Prosthodontics, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Maria Ivete B Rockenbach
- Department of Radiology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Álvaro Vigo
- Department of Statistics, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Rodrigo C P Dos Reis
- Department of Statistics, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Rosemary S A Shinkai
- Department of Prosthodontics, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
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Apessos I, Andreadis D, Steiropoulos P, Tortopidis D, Angelis L. Investigation of the relationship between sleep disorders and xerostomia. Clin Oral Investig 2019; 24:1709-1716. [PMID: 31372830 DOI: 10.1007/s00784-019-03029-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Accepted: 07/16/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To investigate the relationship between sleep disorders, morning hyposalivation, and subjective feeling of dry mouth. MATERIALS AND METHODS A cross-sectional, observational, clinical study was carried out in a homogenous population sample which consists of Greek male soldiers without any medical history. After the application of oral modified Schirmer test, the sample was divided into a study group (n = 63) (MST < 25 mm/3 min) and a control group (n = 110) (MST ≥ 25 mm/3 min). In order to assess daytime sleepiness, risk of obstructive sleep apnea (OSA), sleep quality, sleep bruxism (SB), and subjective feeling of dry mouth, all the participants filled in the following scales in Greek version: Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI), Berlin Questionnaire (BQ), a SB questionnaire, and Xerostomia Inventory (XI) respectively. In every subgroup that came of ESS, PSQI, BQ, and SB questionnaire scoring, subjective feeling of dry mouth was evaluated, based on XI values. RESULTS Statistically significant difference (p < 0.001) through PSQI scores was found between the study and control group. In contrast, a statistically significant difference was not obtained for the scores of ESS (p = 0.293), BQ (p = 0.089), and SB questionnaire (p = 0.730). XI scores introduced statistically significant difference between the subgroups of PSQI (p < 0.001), BQ (p = 0.001), SB questionnaire (p = 0.004) and statistically weak between the subgroups of ESS (p = 0.049). CONCLUSIONS This is the first research study so far suggesting that patients with morning hyposalivation exhibit poor sleep quality using an objective method. The present results have, also, shown that subjective feeling of dry mouth is related to excessive daytime sleepiness, poor sleep quality, high risk of obstructive sleep apnea, and sleep bruxism, but larger-scale studies are still needed. CLINICAL RELEVANCE These findings should keep dentists aware of a possible association between xerostomia and sleep disorders and support larger-scale studies.
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Affiliation(s)
| | - Dimitrios Andreadis
- Department of Oral Medicine/Pathology, School of Dentistry, Aristotle University of Thessaloniki, GR-54124, Thessaloniki, Greece.
| | - Paschalis Steiropoulos
- Department of Pneumonology, Medical School, Democritus University of Thrace, Alexandroupolis, Greece
| | - Dimitrios Tortopidis
- Department of Prosthodontics, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Lefteris Angelis
- School of Informatics, Faculty of Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Levy S, Heruti I, Avitsur R. Physical injury, stress, and health: Protective role of dispositional optimism. Stress Health 2019; 35:267-276. [PMID: 30768837 DOI: 10.1002/smi.2859] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 01/22/2019] [Accepted: 02/04/2019] [Indexed: 01/13/2023]
Abstract
Physical injuries are common occurrences that can have substantial implications for personal, emotional, and social functioning. A recent study reported higher prevalence of common illnesses and reduced health-related quality of life (HRQL) in injury victims. Based on these findings, the present study examined the role of the antibody immunoglobulin A (IgA) and the stress hormone cortisol in the association between injury and health. Additionally, the role of daily life stress and dispositional optimism in this association was examined. Thirty-seven victims of injury (e.g., fractures and burns) and 41 noninjured participants were assessed for cortisol and IgA levels and completed a battery of questionnaires assessing illness prevalence, HRQL, perceived stress, and optimism. Injured participants reported higher prevalence of illness and poorer HRQL compared with noninjured participants; however, changes in cortisol or IgA levels did not explain this increase in illness. Correlations between perceived stress and HRQL were stronger in injured participants compared with noninjured controls, indicating that injured individuals are more affected by stress. Dispositional optimism was lower in injured participants, and optimism buffered the negative effect of stress on HRQL. Accordingly, it is suggested that optimism played a protective role against the negative consequences of stress in injured individuals, thus improving HRQL.
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Affiliation(s)
- Sigal Levy
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel
| | - Irit Heruti
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel
- Psychology Department, Rabin Medical Center, Beilinson Hospital, Petah Tikva, Israel
| | - Ronit Avitsur
- School of Behavioral Sciences, The Academic College of Tel Aviv-Yaffo, Tel Aviv, Israel
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59
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Marín M, Rodríguez Y, Gamboa E, Ríos J, Rosas J, Mayta-Tovalino F. Level of work stress and factors associated with bruxism in the military crew of the Peruvian Air Force. Med J Armed Forces India 2019; 75:297-302. [PMID: 31388233 PMCID: PMC6676364 DOI: 10.1016/j.mjafi.2019.01.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Accepted: 01/07/2019] [Indexed: 10/26/2022] Open
Abstract
BACKGROUND Military life leads to a great personal sacrifice and labor in the aircrew because they are constantly subjected to innumerable activities which have a great work pressure; therefore, the aim of this study was to determine the level of work stress associated with bruxism in the aircrew of the Peruvian Air Force. METHODS This was a cross-sectional study. A total of 204 crew members of the Peruvian Air Force from the Air Group were surveyed, and the stomatological clinical inspection was carried out. Each crew member was evaluated using the validated International Labor Organization-World Health Organization (ILO-WHO) Work Stress Scale, and clinical records were used to diagnose bruxism using the Smith and Knight wear index. RESULTS It was found that 93.7% (n = 191) of the crew members were men and 6.3% (n = 13) were women; and the percentage of intermediate-level stress was found to be high in the grade of non-commissioned officers, whereas in the officer grade, the level of stress was low. There was also a statistically significant association between the variables military grade, sex, and age group. The sub-officers presented a higher percentage in the category "with bruxism", while in the rank of officers the category of "non-bruxism" was the most prevalent. CONCLUSIONS This study showed a statistically significant association between the variable bruxism and the level of work stress between the military aviators of the Peruvian Air Force (p<0.001).
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Affiliation(s)
- Mayra Marín
- Stomatology School, Faculty of Health Sciences, Universidad Privada San Juan Bautista, Lima, Peru
| | - Yuri Rodríguez
- Stomatology School, Faculty of Health Sciences, Universidad Privada San Juan Bautista, Lima, Peru
| | - Eloy Gamboa
- Postgraduate Professor in Stomatology, Universidad Privada San Juan Bautista, Lima, Peru
| | - Jorge Ríos
- Stomatology School, Faculty of Health Sciences, Universidad Privada San Juan Bautista, Lima, Peru
| | - José Rosas
- Postgraduate Professor in Stomatology, Universidad Privada San Juan Bautista, Lima, Peru
| | - Frank Mayta-Tovalino
- Ordinary Professor, Research Professor and Academic Coordinator of the Masters in Public Health, Universidad Privada San Juan Bautista, Lima, Peru
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Fluerașu MI, Bocsan IC, Buduru S, Pop RM, Vesa SC, Zaharia A, Negucioiu M, Iacob SM. The correlation between sleep bruxism, salivary cortisol, and psychological status in young, Caucasian healthy adults. Cranio 2019; 39:218-224. [PMID: 31131730 DOI: 10.1080/08869634.2019.1619250] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Objective: To analyze the association between sleep bruxism (SB), salivary cortisol, and psychological state in healthy adults.Methods: Sixty healthy students (with or without SB) were included in the study. The subjects completed a questionnaire that evaluated the presence of SB and analyzed the general and work-related psychological states and job-related frustration. Clinical examinations of TMJs and dental wear were performed. The salivary cortisol was determined using ELISA technique.Results: Subjects with SB had a general status characterized by anxiety or stress compared to subjects without SB. They also presented a work-induced depressive or anxious attitude compared to healthy individuals. The salivary cortisol levels were higher in subjects with SB and in females and were correlated with subjects' general anxiety, but not with a job-induced psychological state.Conclusion: SB is correlated with general and job-induced psychological changes. Salivary cortisol could be a non-invasive marker for the evaluation of SB severity.
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Affiliation(s)
- Mirela Ioana Fluerașu
- Department of Prosthetic Dentistry, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania
| | - Ioana Corina Bocsan
- Department of Pharmacology, Toxicology and Clinical Pharmacology "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania
| | - Smaranda Buduru
- Department of Prosthetic Dentistry, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania
| | - Raluca Maria Pop
- Department of Pharmacology, Toxicology and Clinical Pharmacology "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania
| | - Stefan Cristian Vesa
- Department of Pharmacology, Toxicology and Clinical Pharmacology "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania
| | - Alina Zaharia
- Department of Prosthetic Dentistry, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania
| | - Marius Negucioiu
- Department of Prosthetic Dentistry, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania
| | - Simona Maria Iacob
- Department of Prosthetic Dentistry, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca, Romania
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Winocur E, Messer T, Eli I, Emodi-Perlman A, Kedem R, Reiter S, Friedman-Rubin P. Awake and Sleep Bruxism Among Israeli Adolescents. Front Neurol 2019; 10:443. [PMID: 31105645 PMCID: PMC6498876 DOI: 10.3389/fneur.2019.00443] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Accepted: 04/10/2019] [Indexed: 12/31/2022] Open
Abstract
Introduction: Sleep and awake bruxism are potential risk factors for oral hard tissue damage, failure of dental restorations and/or temporomandibular disorders. Identifying the determinants of sleep and awake bruxism among adolescents will enable development of preventive interventions for those at risk. Objectives: To determine emotional, behavioral and physiological associations of sleep and awake bruxism among Israeli adolescents. Methods: Two thousand nine hundred ninety-three Israeli high school students, from five different high schools in Israel, were approached in the classroom and requested to complete online questionnaires on sleep and awake bruxism, emotional aspects, smoking, alcohol consumption, oral habits, facial pain, and masticatory disturbances. The final study sample concerning awake and sleep bruxism included 2,347 participants. Results: 1,019 (43.4%) participants reported not experiencing any form of bruxism (neither sleep nor awake), 809 (34.5%) reported awake bruxism, 348 (14.8%) reported sleep bruxism and 171 (7.3%) reported both sleep and awake bruxism. Multivariate analyses (Generalized Linear Model with a binary logistic dependent variable) showed that one of the prominent variables affecting the occurrence of sleep bruxism was anxiety (mild, moderate and severe anxiety, Odds Ratios (OR) of 1.38, 2.08, and 2.35, respectively). Other variables associated with sleep bruxism were stress (each point in the stress scale increased the risk of SB by 3.2%), temporomandibular symptoms (OR = 2.17) and chewing difficulties (OR = 2.35). Neck pain showed a negative association (OR = 0.086). Multivariate analyses for awake bruxism showed an effect of moderate anxiety (OR = 1.6). Other variables associated with awake bruxism were stress (each point in stress scale increased the risk of AB by 3.3%), high and low levels of facial pain (OR = 2.94 and 1.53, respectively), creaks (OR = 1.85) and oral habits (OR = 1.36). Sleep bruxism was found to be a predictor for awake bruxism, and vice versa. In both cases ORs were 8.14. Conclusions: Among adolescents, sleep and awake bruxism are associated with emotional aspects as well as with facial pain symptoms and/or masticatory system disturbances. Awareness is recommended to decrease potential risks to teeth, dental restorations, and the masticatory system.
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Affiliation(s)
- Ephraim Winocur
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Tal Messer
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ilana Eli
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Alona Emodi-Perlman
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ron Kedem
- Academy Branch of Israel Defense Forces Medical Corps, Haifa, Israel
| | - Shoshana Reiter
- Department of Oral Pathology and Oral Medicine, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Pessia Friedman-Rubin
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
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Wetselaar P, Vermaire EJH, Lobbezoo F, Schuller AA. The prevalence of awake bruxism and sleep bruxism in the Dutch adult population. J Oral Rehabil 2019; 46:617-623. [PMID: 30830687 PMCID: PMC6849828 DOI: 10.1111/joor.12787] [Citation(s) in RCA: 38] [Impact Index Per Article: 7.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2018] [Revised: 02/15/2019] [Accepted: 02/28/2019] [Indexed: 11/27/2022]
Abstract
Background Awake bruxism and sleep bruxism are common conditions amongst adult populations, although prevalence data are scarce. Objective This study aimed to assess the prevalence of awake bruxism and sleep bruxism in the Dutch adult population. Methods As part of a large epidemiologic survey on oral health of the general Dutch adult population, a total of 1209 subjects were asked about their bruxism behaviour during the day and during their sleep. The collected data were subjected to stratified analysis by five age groups (25‐34, 35‐44, 45‐54, 55‐64 and 65‐74 years), socioeconomic status, and gender. Results A prevalence of 5.0% of the total population was found for awake bruxism and of 16.5% for sleep bruxism. Regarding the five age groups, prevalence of 6.5%, 7.8%, 4.0%, 3.2% and 3.0%, respectively, were found for awake bruxism, and of 20.0%, 21.0%, 16.5%, 14.5% and 8.3%, respectively, for sleep bruxism. Women reported both awake bruxism and sleep bruxism more often than men. These differences were statistically significant. Concerning socioeconomic status (SES), both awake bruxism and sleep bruxism were more often found in high SES groups, being statistically significant for awake bruxism only. Conclusion Sleep bruxism is a common condition in the Dutch adult population, while awake bruxism is rarer.
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Affiliation(s)
- Peter Wetselaar
- Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Erik J H Vermaire
- TNO Child Health, Leiden, The Netherlands.,Center for Dentistry and Oral Hygiene, University Medical Center Groningen, Groningen, The Netherlands
| | - Frank Lobbezoo
- Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Annemarie A Schuller
- TNO Child Health, Leiden, The Netherlands.,Center for Dentistry and Oral Hygiene, University Medical Center Groningen, Groningen, The Netherlands
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Kinalski MDA, Cadermatori MG, Horta BL, Correa MB, Demarco FF, Pereira-Cenci T. Common mental disorders and bruxism in adults: a birth cohort study. J Dent 2019; 83:27-32. [DOI: 10.1016/j.jdent.2019.02.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Revised: 01/31/2019] [Accepted: 02/06/2019] [Indexed: 12/01/2022] Open
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Serra-Negra JM, Dias RB, Rodrigues MJ, Aguiar SO, Auad SM, Pordeus IA, Lombardo L, Manfredini D. Self-reported awake bruxism and chronotype profile: a multicenter study on Brazilian, Portuguese and Italian dental students. Cranio 2019; 39:113-118. [DOI: 10.1080/08869634.2019.1587854] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
- Junia Maria Serra-Negra
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | | | - Sara Oliveira Aguiar
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Sheyla Marcia Auad
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Isabela Almeida Pordeus
- Department of Pediatric Dentistry and Orthodontics, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Luca Lombardo
- Post Graduate School of Orthodontics, University of Ferrara, Ferrara, Italy
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Polmann H, Domingos FL, Melo G, Stuginski‐Barbosa J, Guerra ENDS, Porporatti AL, Dick BD, Flores‐Mir C, De Luca Canto G. Association between sleep bruxism and anxiety symptoms in adults: A systematic review. J Oral Rehabil 2019; 46:482-491. [DOI: 10.1111/joor.12785] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 01/02/2019] [Accepted: 02/21/2019] [Indexed: 12/29/2022]
Affiliation(s)
- Helena Polmann
- Department of Dentistry, Brazilian Centre for Evidence‐Based Research Federal University of Santa Catarina (UFSC) Florianópolis Brazil
| | - Fabio Luiz Domingos
- Department of Dentistry, Brazilian Centre for Evidence‐Based Research Federal University of Santa Catarina (UFSC) Florianópolis Brazil
| | - Gilberto Melo
- Department of Dentistry, Brazilian Centre for Evidence‐Based Research Federal University of Santa Catarina (UFSC) Florianópolis Brazil
| | | | | | - André Luís Porporatti
- Department of Dentistry, Brazilian Centre for Evidence‐Based Research Federal University of Santa Catarina (UFSC) Florianópolis Brazil
| | - Bruce D. Dick
- Faculty of Medicine and Dentistry University of Alberta Edmonton Alberta Canada
| | - Carlos Flores‐Mir
- Faculty of Medicine and Dentistry University of Alberta Edmonton Alberta Canada
| | - Graziela De Luca Canto
- Department of Dentistry, Brazilian Centre for Evidence‐Based Research Federal University of Santa Catarina (UFSC) Florianópolis Brazil
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Hammoudi W, Trulsson M, Smedberg JI, Svensson P. Phenotypes of patients with extensive tooth wear—A novel approach using cluster analysis. J Dent 2019; 82:22-29. [DOI: 10.1016/j.jdent.2019.01.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 11/23/2018] [Accepted: 01/01/2019] [Indexed: 12/28/2022] Open
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Ommerborn MA, Depprich RA, Schneider C, Giraki M, Franz M, Raab WHM, Schäfer R. Pain perception and functional/occlusal parameters in sleep bruxism subjects following a therapeutic intervention. Head Face Med 2019; 15:4. [PMID: 30696443 PMCID: PMC6350301 DOI: 10.1186/s13005-019-0188-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Accepted: 01/14/2019] [Indexed: 12/02/2022] Open
Abstract
Background This study was conducted to assess the individual pain perception in sleep bruxism (SB) subjects. Moreover, the effects of a cognitive behavioural therapy (CBT) compared to an occlusal appliance (OA) on pain perception and a possible continuative impact on several functional parameters were investigated. Methods A total of 57 SB subjects participated in this investigation. The diagnosis of SB was based on the clinical criteria of the American Academy of Sleep Medicine (AASM). Twenty-eight SB subjects were randomly allocated to the CBT group and 29 to the OA group. The therapeutic intervention took place over a period of 12 weeks, whereby both groups were examined at baseline, immediately after termination of the intervention, and at a 6-month follow-up for pain perception and functional parameters. At each of the three measurement periods, participants completed the pain perception scale and ten functional/occlusal parameters were recorded. Results Of the 12 parameters recorded, statistically significant main effects were found for the affective pain perception (p < 0.05) and for the three functional variables. Interestingly, the values obtained for the affective pain perception were considerably below that of a reference group. Apart from the determined statistically significant results, the values recorded for all functional/occlusal variables as well as those obtained for the sensory pain perception were clearly located within normative ranges. Conclusions Within the limitations of this study, it might be concluded that the significantly reduced affective pain perception in SB subjects is the expression of an adaptation mechanism.
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Affiliation(s)
- Michelle Alicia Ommerborn
- Department of Operative Dentistry, Periodontics, and Endodontics, Faculty of Medicine, Heinrich-Heine-University, Moorenstr. 5, 40225, Düsseldorf, Germany.
| | - Rita Antonia Depprich
- Department of Cranio- and Maxillofacial Surgery, Faculty of Medicine, Heinrich-Heine-University, Düsseldorf, Germany
| | - Christine Schneider
- Clinical Institute of Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Heinrich-Heine-University, Düsseldorf, Germany
| | - Maria Giraki
- Department of Operative Dentistry, Periodontics, and Endodontics, Faculty of Medicine, Heinrich-Heine-University, Moorenstr. 5, 40225, Düsseldorf, Germany
| | - Matthias Franz
- Clinical Institute of Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Heinrich-Heine-University, Düsseldorf, Germany
| | - Wolfgang Hans-Michael Raab
- Department of Operative Dentistry, Periodontics, and Endodontics, Faculty of Medicine, Heinrich-Heine-University, Moorenstr. 5, 40225, Düsseldorf, Germany
| | - Ralf Schäfer
- Clinical Institute of Psychosomatic Medicine and Psychotherapy, Faculty of Medicine, Heinrich-Heine-University, Düsseldorf, Germany
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Pontes LDS, Prietsch SOM. Bruxismo do sono: estudo de base populacional em pessoas com 18 anos ou mais na cidade de Rio Grande, Rio Grande do Sul. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2019; 22:e190038. [DOI: 10.1590/1980-549720190038] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Accepted: 01/31/2018] [Indexed: 11/21/2022] Open
Abstract
RESUMO: Objetivos: Avaliar a prevalência do bruxismo do sono, bem como seus principais sinais e sintomas, na cidade de Rio Grande, Rio Grande do Sul. Avaliar a associação do bruxismo do sono com sexo, idade, escolaridade e estresse psicológico. Método: O estudo foi do tipo transversal. Uma amostra representativa da população (1.280 pessoas residentes na zona urbana da cidade com idade maior ou igual a 18 anos de idade) foi entrevistada. A avaliação do bruxismo do sono foi realizada por meio de questionário baseado nos critérios diagnósticos da Classificação Internacional de Distúrbios do Sono. Resultados: A prevalência de bruxismo do sono encontrada na população foi de 8,1% (intervalo de confiança de 95% - IC95% - 6,6 - 9,5). Entre os sinais e sintomas da disfunção utilizados para o diagnóstico de bruxismo do sono, o desgaste dentário (70,3%) e a dor nos músculos mastigatórios (44,5%) foram os mais frequentemente relatados pelas pessoas que declararam ranger os dentes durante o sono. Não houve diferença significativa na prevalência de bruxismo do sono entre os sexos. A faixa etária com mais de 40 anos teve maior prevalência de bruxismo do sono. A disfunção foi associada a um maior nível de escolaridade (razão de prevalência - RP = 1,92; IC95% 1,35 - 2,72) e de estresse psicológico (RP = 1,76; IC95% 1,11 - 2,81). Conclusão: O bruxismo do sono tem uma importante prevalência na população em geral, causando diversos danos ao sistema estomatognático. O estresse psicológico é um fator de risco para essa disfunção.
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Katsouda M, Tollili C, Coolidge T, Simos G, Kotsanos N, Arapostathis KN. Gagging prevalence and its association with dental fear in 4-12-year-old children in a dental setting. Int J Paediatr Dent 2018; 29:169-176. [PMID: 30403312 DOI: 10.1111/ipd.12445] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Revised: 09/04/2018] [Accepted: 10/24/2018] [Indexed: 11/25/2022]
Abstract
AIM The aims were to determine the prevalence of gagging in children in the dental setting, detect any association between gagging and dental fear in that setting, and determine if the association varied by type of setting. DESIGN A total of 734 children (4-12 years old), seeking dental care either at a University paediatric dental clinic (UC) or at a private paediatric practice (PP), filled out the Greek version of the Gagging Assessment Scale (GAS, subjective assessment) and the Greek version of the Children's Fear Survey Schedule-Dental Subscale (CFSS-DS). The shorter form of the Gagging Problem Assessment-dentist part for children (GPA-de-c/SF, dentist's objective measurement) was used to assess their gag reflex. RESULTS A total of 209 children (28.47%) gagged according to the GPA-de-c/SF. There was no significant difference in gagging between UC and PP children. Children rated as gaggers on the GPA-de-c/SF reported significantly higher GAS and CFSS-DS scores (U = 33 629.000; P < 0.001, U = 31 955.500, P < 0.001, respectively). Also, there was a significant association between GAS and CFSS-DS (rho = 0.307, P < 0.001). CONCLUSIONS In the dental setting, there were significant relationships between dental fear, the dentist's objective measurement of gagging severity, and the child's subjective gagging assessment.
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Affiliation(s)
- Maria Katsouda
- Department of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Christina Tollili
- Paediatric Dentist works in a private practice, Thessaloniki, Greece
| | - Trilby Coolidge
- Department of Oral Health Sciences, School of Dentistry, University of Washington, Seattle, WA
| | - Gregoris Simos
- Department of Educational & Social Policy, School of Social Sciences, Humanities and Arts, University of Macedonia, Thessaloniki, Greece
| | - Nikolaos Kotsanos
- Department of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Konstantinos N Arapostathis
- Department of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece
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Rozen N, Soffer-Dudek N. Dreams of Teeth Falling Out: An Empirical Investigation of Physiological and Psychological Correlates. Front Psychol 2018; 9:1812. [PMID: 30319507 PMCID: PMC6168631 DOI: 10.3389/fpsyg.2018.01812] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2018] [Accepted: 09/06/2018] [Indexed: 11/23/2022] Open
Abstract
Teeth dreams (TD), i.e., dreams of teeth falling out or rotting, are one of the most common and universal typical dream themes, yet their source remains unknown and they have rarely been studied empirically. They are especially enigmatic as they do not readily fall under the rubric of the “continuity hypothesis”, i.e., dreams of current and salient waking-life experiences. The aim of the present study was to explore two possible hypotheses for the origin of TD; specifically, TD as incorporation of dental irritation into dreaming, and TD as a symbolic manifestation of psychological distress. Dream themes, dental irritation, psychological distress, and sleep quality were assessed among 210 undergraduates. TD were related to dental irritation (specifically, tension sensations in the teeth, gums, or jaws upon awakening), whereas other dream types were not. Conversely, TD were unrelated to psychological distress, whereas other dream types were (specifically, dreams of being smothered and dreams of falling). This disparity in the correlates of TD existed despite a small but significant relationship between psychological distress and dental irritation. Albeit preliminary, the present findings support the dental irritation hypothesis and do not support the symbolic hypothesis regarding the origins of TD. Research on TD portrays one path through which the mind may distort somatosensory stimuli and incorporate them into dreams as a vivid and emotionally salient image; these preliminary findings highlight the potential of studying TD in order to broaden our understanding of the cognitive mechanisms governing dream production.
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Affiliation(s)
- Naama Rozen
- Consciousness and Psychopathology Laboratory, Department of Psychology, Ben-Gurion University of the Negev, Beersheba, Israel
| | - Nirit Soffer-Dudek
- Consciousness and Psychopathology Laboratory, Department of Psychology, Ben-Gurion University of the Negev, Beersheba, Israel
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Haggiag A, de Siqueira JTT. A new biofeedback approach for the control of masseter and temporal myalgia: Utilization of an awake posterior interocclusal device. Cranio 2018; 38:180-186. [PMID: 30099938 DOI: 10.1080/08869634.2018.1503991] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
Objective: To evaluate the improvement in reducing the pain of patients diagnosed with masticatory myofascial pain and bruxism when undergoing treatment with a partial posterior interocclusal device for the management and control of awake bruxism through biofeedback. Methods: Sixty patients were evaluated during the following periods: pretreatment, 7, 30, and 90 days. The evaluation was carried out by measuring the reduction in pain using clinical and numerical scales. Results: The majority of the patients who complained of masticatory myofascial pain, TMJ, and neck pain experienced a significant reduction in pain between t0 and t30 (p < 0.0001). After 30 days of using the device, the improvement remained at the same level, without any recurrence of pain up to t90. Conclusion: The utilization of a posterior interocclusal device for the management and control of awake bruxism through biofeedback contributed to the reduction of pain in the majority of patients.
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Affiliation(s)
- Alain Haggiag
- Orofacial Pain Team of the Dentistry Division, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil
| | - Jose Tadeu Tesseroli de Siqueira
- Head of the Orofacial Pain Team of the Dentistry Division, Hospital das Clínicas and collaborator professor of the Department of Neurology of the Medical School, University of São Paulo, São Paulo, Brazil
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Physical injury, health, and well-being: Role of stress perception. Injury 2018; 49:1546-1551. [PMID: 29954582 DOI: 10.1016/j.injury.2018.06.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2018] [Revised: 06/01/2018] [Accepted: 06/19/2018] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Physical injuries are common occurrences that can have substantial implications for mental health and well-being. Ample studies indicated that increased levels of perceived stress is associated with increased prevalence of general health problems, as well as reduced health-related quality of life. Thus, the goal of the present study was to examine the long-lasting association between bodily injuries and general health. In addition, the role of stress perception in moderating the association between injury and general health was assessed. METHODS Two-hundred and forty victims of past injury and 251 non-injured participants completed a self-report health inventory questionnaire assessing illness prevalence during the six-month period prior to the study. In addition, they completed the short-form Medical Outcomes Survey (MOS SF-36) questionnaire and the Perceived Stress Scale. RESULTS Victims of past injuries reported higher incidences of illness, mainly upper respiratory infections and fever, compared to non-injured participants. In addition, injured participants reported poorer perceived health status, including reduced general health, physical functioning, and health beliefs. Perceived stress levels were similar in injured and non-injured participants, however, correlations between perceived stress and self-reported medical outcomes were stronger in injured participants compared to non-injured controls. CONCLUSIONS Past physical injuries are associated with increased incidence of general health concerns and poorer health-related well-being. Moreover, injured individuals do not report increased stress perception; however, when stressed, injured individuals are more affected and health-related quality of life is reduced. Promoting well-being in individuals who have suffered a significant injury is, thus, a clinical necessity and a pressing social priority. This study highlights the role of stress perception in the association between physical injury and health, and may assist in providing better multi-disciplinary care for the injured.
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Coltro MPL, Ozkomur A, Villarinho EA, Teixeira ER, Vigo A, Shinkai RSA. Risk factor model of mechanical complications in implant-supported fixed complete dentures: A prospective cohort study. Clin Oral Implants Res 2018; 29:915-921. [PMID: 30043486 DOI: 10.1111/clr.13344] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2017] [Revised: 06/25/2018] [Accepted: 07/04/2018] [Indexed: 11/29/2022]
Abstract
OBJECTIVES This prospective cohort study estimated the effect of technical and clinical factors on mechanical complications in implant-supported fixed complete dentures (IFCDs). The patient's perception of the impact of oral rehabilitation on quality of life was assessed. MATERIAL AND METHODS A non-probabilistic sample consisted of 88 consecutive patients treated with 94 screw-retained, metal-acrylic IFCDs. Data collection included sociodemographic variables, presence and intensity of bruxism, maximal occlusal force, opposing arch, design of the metallic framework, distribution of occlusal contacts, and quality of life (OHIP-14). IFCD-level data were analyzed using Kaplan-Meier survival analysis and Cox regression model. Quality of life data were analyzed by paired Student t test. RESULTS During a mean follow-up of 35.1 ± 18.3 months, 16/94 IFCDs (17%) had repairable mechanical complications because of loosening/fracture of artificial teeth (n = 15) and screw loosening (n = 1). Framework design (retention pins <4 mm) was a significant risk factor for complications (HR = 11.038; p = 0.027) when adjusted for sex. Mechanical complications were not associated with sex, body mass index, thickness of the acrylic resin veneering, type of opposing arch, distribution of occlusal contacts and force, protrusion interference, presence/intensity of bruxism or maximal occlusal force. OHIP-14 total scores decreased after IFCD treatment for both patients with or without complications. CONCLUSIONS Within the limitations of this study, the results suggest that clinical success is associated to framework design with retention pins equal or longer than 4 mm. Quality of life improved with IFCD treatment, even in patients with mechanical complications.
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Affiliation(s)
- Maria Paula L Coltro
- Postgraduate Program in Dentistry, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Ahmet Ozkomur
- Postgraduate Program in Dentistry, Lutheran University of Brazil, Canoas, Brazil
| | - Eduardo A Villarinho
- Postgraduate Program in Dentistry, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Eduardo R Teixeira
- Postgraduate Program in Dentistry, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Alvaro Vigo
- Institute of Mathematics and Statistics, Federal University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Rosemary S A Shinkai
- Postgraduate Program in Dentistry, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
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Karibe H, Okamoto A, Kato Y, Shimazu K, Goddard G. Reliability, validity, and sex differences in a quantitative gag reflex measurement method. J Oral Rehabil 2018; 45:798-804. [PMID: 29971807 DOI: 10.1111/joor.12687] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2018] [Revised: 06/19/2018] [Accepted: 06/30/2018] [Indexed: 11/29/2022]
Abstract
A reliable assessment method is required to manage the gag reflex. We tested the inter- and intra-examiner reliability and validity of a quantitative measurement method and evaluated the differences between sexes. This study included 21 healthy adults (10 women, 11 men; mean age, 27.1 ± 9.9 years). An examiner inserted a standard saliva ejector slowly down the participant's throat to determine the maximum tolerance of the gag reflex; the insertion depth was used as an index of gag reflex. The reflex was measured by one examiner during two sessions (S1 and S3) and by a second examiner during one session (S2) under the same conditions. The galvanic skin response (GSR) and heart rate (HR) were recorded during each session to test the method validity. Data were analysed using the intraclass correlation coefficient (ICC), paired t test, and two-way repeated-measures analysis of variance. The ICC of the gag reflex measurements was 0.91 between S1 and S2, and 0.93 between S1 and S3. The GSR and HR increased significantly after the maximum tolerance of the reflex in S1, S2, and S3 (GSR: P < 0.001, P = 0.004, P = 0.001, respectively; HR: all, P < 0.001). Differences in the measurements according to sex and session were not significant. Our method exhibited excellent inter- and intra-examiner reliability and was unaffected by the participants' sex. Measurement revealed significant autonomic reactivity, which is common for this reflex. Consequently, this method may be used in clinical and laboratory-based applications.
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Affiliation(s)
- Hiroyuki Karibe
- Department of Pediatric Dentistry, School of Life Dentistry, Nippon Dental University, Tokyo, Japan
| | - Ayuko Okamoto
- Department of Pediatric Dentistry, School of Life Dentistry, Nippon Dental University, Tokyo, Japan
| | - Yuichi Kato
- Department of Pediatric Dentistry, School of Life Dentistry, Nippon Dental University, Tokyo, Japan
| | - Kisaki Shimazu
- Department of Pediatric Dentistry, School of Life Dentistry, Nippon Dental University, Tokyo, Japan
| | - Greg Goddard
- Department of Oral Maxillofacial Surgery, Center for Orofacial Pain, University of California San Francisco, San Francisco, California
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76
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Bucci C, Amato M, Zingone F, Caggiano M, Iovino P, Ciacci C. Prevalence of Sleep Bruxism in IBD Patients and Its Correlation to Other Dental Disorders and Quality of Life. Gastroenterol Res Pract 2018; 2018:7274318. [PMID: 29721012 PMCID: PMC5867589 DOI: 10.1155/2018/7274318] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2017] [Accepted: 01/21/2018] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND Patients with inflammatory bowel diseases could experience mouth and teeth disorders and alterations in psychological mood. Vice versa, the psychological status may influence the presence of oral diseases. AIM To evaluate in inflammatory bowel disease patients the prevalence of sleep bruxism and its correlation with the presence of oral diseases, quality of sleep, and psychological disturbances. METHODS Patients were consecutively recruited in our clinic and examined for temporomandibular disorders, dental enamel disorders, sleep bruxism, and recurrent aphthous stomatitis by two dentists. Patients also underwent Pittsburgh Sleep Quality Index and Beck Depression Inventory Scale questionnaires. RESULTS 47 patients and 46 controls were included. Sleep bruxism and enamel wear disorders were more frequent in Crohn's disease patients when compared with ulcerative colitis patients and controls (p = 0.03 and p = 0.02, resp.). Among groups, no differences were noted for enamel hypoplasia, temporomandibular disorders, recurrent aphthous stomatitis, depression, and quality of sleep. We found a positive correlation between bruxism and temporomandibular disorders (Spearman 0.6, p < 0.001) and between bruxism and pathological sleep (Pittsburgh Sleep Quality Index > 5) (Spearman 0.3, p < 0.005). CONCLUSION Bruxism and enamel wear disorders should be routinely searched in Crohn's disease patients. Moreover, the attention of healthcare givers to sleep disturbances should be addressed to all inflammatory bowel disease patients.
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Affiliation(s)
- C Bucci
- Gastroenterology Unit, Department of Medicine and Surgery, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Salerno, Italy
| | - M Amato
- Department of Stomatology, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Salerno, Italy
| | - F Zingone
- Gastroenterology Unit, Department of Medicine and Surgery, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Salerno, Italy
| | - M Caggiano
- Department of Stomatology, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Salerno, Italy
| | - P Iovino
- Gastroenterology Unit, Department of Medicine and Surgery, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Salerno, Italy
| | - C Ciacci
- Gastroenterology Unit, Department of Medicine and Surgery, AOU San Giovanni di Dio e Ruggi D'Aragona, University of Salerno, Salerno, Italy
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Montero J, Gómez-Polo C. Personality traits and dental anxiety in self-reported bruxism. A cross-sectional study. J Dent 2017; 65:45-50. [PMID: 28684309 DOI: 10.1016/j.jdent.2017.07.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2017] [Revised: 06/27/2017] [Accepted: 07/01/2017] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVES The aim of this study was to investigate the association between psychological factors (Personality and Dental anxiety) with self-reported bruxism-related symptoms. METHODS 526 subjects, over 18 years old and not seeking dental treatment, were recruited from the families and acquaintances of dental students from the University of Salamanca. Bruxism activity was estimated by means of a six-item questionnaire aimed at recording common bruxism-related symptoms and clenching/grinding awareness. The Spanish version of the modified dental anxiety scale (MDAS) was used to determine the level of anxiety perceived in 5 typical scenarios of dental assistance. The NEO-FFI inventory was applied to assess personality profiles associated with 5 different factors (neuroticism, extroversion, openness, agreeableness, and conscientiousness). Pearson correlations, Student T-tests, and logistic regression modelling were used for the statistical analyses. RESULTS Thirty-five point nine percent of this adults sample was classified as being bruxers, where sleep bruxers comprised more than half of the sample at 20.2%. Bruxers tended to perceive more anxiety in all of the situations included within the MDAS, where they exhibited a higher level of phobia towards the teeth scaling and local anaesthetic injection. The risk of being considered a bruxer is reduced with age (OR: 0.99), and increases proportionally for some personality traits, such as neuroticism (OR: 1.06) and extraversion(OR: 1.04), to the MDAS total score (OR: 1.08) and in smokers (OR: 1.61), after controlling for all potentially confounding factors. CONCLUSIONS Self-reported bruxism is significantly associated to several personality traits (mainly neuroticism and extraversion) and to the level of dental anxiety (MDAS score). CLINICAL SIGNIFICANCE Clinicians should be aware of the typical psychological profiles of patients who experience bruxism and the relationship with dental phobias.
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Affiliation(s)
- J Montero
- Department of Surgery, University of Salamanca, Campus Miguel de Unamuno, 37007, Salamanca, Spain.
| | - C Gómez-Polo
- Department of Surgery, University of Salamanca, Campus Miguel de Unamuno, 37007, Salamanca, Spain.
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78
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De Veaux CKE, Montagnese TA, Heima M, Aminoshariae A, Mickel A. The Effect of Various Concentrations of Nitrous Oxide and Oxygen on the Hypersensitive Gag Reflex. Anesth Prog 2017; 63:181-184. [PMID: 27973941 DOI: 10.2344/15-00039.1] [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] [Indexed: 11/11/2022] Open
Abstract
The purpose of this study was to compare the effectiveness of various concentrations of N2O/O2 on obtunding a hypersensitive gag reflex. We hypothesized that the administration of nitrous oxide and oxygen would obtund a hypersensitive gag reflex enough to allow a patient to tolerate the placement and holding of a digital x-ray sensor long enough to obtain a dental radiograph. Volunteers claiming to have a hypersensitive gag reflex were first screened to validate their claim and then tested by placing a size 2 digital x-ray sensor in the position for a periapical radiograph of the right mandibular molar area and holding it in place for 10 seconds. Subjects were first tested using room air only, then 30%, 50%, or 70% nitrous oxide until they were able to tolerate the sensor without gagging or discomfort. A visual analog scale was used for subjective responses, and other statistical tests were used to analyze the results. We found that for some subjects, 30% nitrous oxide was sufficient; for others, 50% was needed; and for the remainder of the subjects, 70% was sufficient to tolerate the test. Using a combination of 70% nitrous oxide and 30% oxygen allowed all patients claiming to have a hypersensitive gag reflex to tolerate the placement and holding of a digital x-ray sensor long enough to take a periapical radiograph.
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Affiliation(s)
- Candace K E De Veaux
- Resident, Postgraduate Endodontic Program, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio
| | - Thomas A Montagnese
- Assistant Professor, Department of Endodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio
| | - Masahiro Heima
- Assistant Professor, Department of Pediatric Dentistry, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio
| | - Anita Aminoshariae
- Assistant Professor, Department of Endodontics, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio
| | - Andre Mickel
- Associate Professor and Chair, Department of Endodontics, and Director, Postgraduate Endodontic Program, School of Dental Medicine, Case Western Reserve University, Cleveland, Ohio
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79
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Villarinho EA, Triches DF, Alonso FR, Mezzomo LAM, Teixeira ER, Shinkai RSA. Risk factors for single crowns supported by short (6-mm) implants in the posterior region: A prospective clinical and radiographic study. Clin Implant Dent Relat Res 2017; 19:671-680. [DOI: 10.1111/cid.12494] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2016] [Revised: 03/09/2017] [Accepted: 04/22/2017] [Indexed: 11/29/2022]
Affiliation(s)
| | - Diego Fernandes Triches
- Dental School; Pontifical Catholic University of Rio Grande do Sul (PUCRS); Porto Alegre Brazil
| | - Fernando Rizzo Alonso
- Dental School; Pontifical Catholic University of Rio Grande do Sul (PUCRS); Porto Alegre Brazil
| | | | - Eduardo Rolim Teixeira
- Dental School; Pontifical Catholic University of Rio Grande do Sul (PUCRS); Porto Alegre Brazil
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80
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Katsouda M, Provatenou E, Arapostathis K, Coolidge T, Kotsanos N. The Greek version of the Gagging Assessment Scale in children and adolescents: psychometric properties, prevalence of gagging, and the association between gagging and dental fear. Int J Paediatr Dent 2017; 27:145-151. [PMID: 27192661 DOI: 10.1111/ipd.12236] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND No studies assessing the association between gagging and dental fear are available in pediatric samples. AIM To assess the psychometric properties of the Greek version of the Gagging Assessment Scale (GAS), to explore the prevalence of gagging, and to evaluate the relationship between gagging and dental fear in a pediatric sample. DESIGN A total of 849 8- and 14-year-old children filled out a questionnaire consisting of demographic items, the Greek version of the GAS, and the Greek Children's Fear Survey Schedule Dental Subscale (CFSS-DS); the older children also completed the Greek version of the Modified Dental Anxiety Scale (MDAS). The short form of dentist part of the Gagging Problem Assessment (GPA-de-c/SF) was used to objectively assess gagging. RESULTS A total of 51 children (6.0%) demonstrated gagging on the GPA-de-c/SF. Children rated as gaggers on the GPA-de-c/SF had significantly higher GAS scores. There were no relationships between GPA-de-c/SF and the CFSS-DS or MDAS. The GAS ratings were significantly correlated with the CFSS-DS (rho = 0.420, P < 0.001) and MDAS (rho = 0.429, P < 0.001). The internal consistency was good (Cronbach's alpha = 0.697). CONCLUSIONS The GAS demonstrated good psychometric properties. Dental fear was correlated with the self-report gagging assessment, but not with the objective gagging assessment.
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Affiliation(s)
- Maria Katsouda
- Department of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | | | - Konstantinos Arapostathis
- Department of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Trilby Coolidge
- Department of Oral Health Sciences, University of Washington, Seattle, WA, USA
| | - Nikolaos Kotsanos
- Department of Paediatric Dentistry, Dental School, Aristotle University of Thessaloniki, Thessaloniki, Greece
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81
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Different association between specific manifestations of bruxism and temporomandibular disorder pain. Neurol Neurochir Pol 2017; 51:7-11. [DOI: 10.1016/j.pjnns.2016.08.008] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2016] [Accepted: 08/31/2016] [Indexed: 11/20/2022]
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82
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Cavallo P, Carpinelli L, Savarese G. Perceived stress and bruxism in university students. BMC Res Notes 2016; 9:514. [PMID: 28003024 PMCID: PMC5178076 DOI: 10.1186/s13104-016-2311-0] [Citation(s) in RCA: 68] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 12/01/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Many studies have shown the correlation between bruxism and stress that affects the quality of life of university students. The present study highlights this correlation-for the first time-in a group of university students in Italy. METHODS We have investigated the prevalence of awake and asleep bruxism and its correlation with perceived stress in a group of 278 Italian undergraduate students (117 M). A self report questionnaire was constructed using a socio-demographic test, the Perceived Stress Scale (PSS) and the item n. 8 of the Fonseca Questionnaire for presence of bruxism. RESULTS The perceived stress score using PSS-10 scale was 32.2 (SD 4.6, 95% CL 31.6-32.7) for all the subjects, with significant gender difference: M = 31.2 and F = 32.9 (P = 0.0019). The prevalence for awake bruxism was 37.9% (F = 40.8%; M = 34.2%,), while for sleep bruxism was 31.8% (F = 33.3%; M = 29.1%), both without significant gender difference. A positive correlation, with significant concordance and dependence, between stress score and awake bruxism was present for male students only. CONCLUSIONS University students showed higher bruxism and stress levels compared to the general population, with higher stress for females, but, even if female students show higher stress, a correlation between stress and bruxism exists only for male gender. Further studies should be performed.
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Affiliation(s)
- Pierpaolo Cavallo
- Department of Physics, University of Salerno, Via Giovanni Paolo II, 132, 84084, Fisciano, SA, Italy.
| | - Luna Carpinelli
- Center of Psychological Counseling for Students, University of Salerno, Via Allende, 84081, Baronissi, SA, Italy
| | - Giulia Savarese
- Department of Medicine and Surgery, University of Salerno, Via Allende, 84081, Baronissi, SA, Italy
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83
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Amorim CSM, Vieira GF, Firsoff EFO, Frutuoso JRC, Puliti E, Marques AP. Symptoms in different severity degrees of bruxism: a cross-sectional study. FISIOTERAPIA E PESQUISA 2016. [DOI: 10.1590/1809-2950/15988723042016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: The aim of the present study was to evaluate symptoms of the muscle pain, sleep quality, oral health, anxiety, stress and depression in individuals with different severity degrees of bruxism. Methods: Seventy-two individuals with bruxism were enrolled in the study, classified into: moderate (n=25) and severe (n=47) bruxism. Pain intensity was assessed using the Visual Analogical Scale, pain threshold with algometer, sleep quality by the Pittsburgh Sleep Quality Index, oral health by the Oral Health Impact Profile, anxiety by the State-Trait Anxiety Inventory, stress by the Perceived Stress Scale and depression using the Beck Depression Inventory. The significance level considered was 5%. Results: The results showed that individuals with severe bruxism presented greater muscle pain intensity, sleep disorder, worse oral health, high anxiety level and dysphoria with statistically significant differences (p<0.05) than individuals with moderate bruxism, except in pain threshold and stress (p<0.05). Conclusion: Data suggest that individuals with severe bruxism have more intense symptoms. They present greater muscle pain, alterations in sleep quality and oral health, anxiety and depression than individuals with moderate bruxism. However, both present similarity in stress.
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84
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Ohmi H, Kato M, Meadows M. Relationship between type A behavior patterns and risk of temporomandibular disorder in Japanese undergraduate students. J Rural Med 2016; 11:77-80. [PMID: 27928461 PMCID: PMC5141381 DOI: 10.2185/jrm.2910] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Accepted: 04/05/2016] [Indexed: 12/23/2022] Open
Abstract
Objective: Several studies have demonstrated the relationship between
temporomandibular disorder (TMD) and emotional stress. Nonetheless, few surveys have
examined the relationship between type A behavior patterns and TMD. The aim of this study
was to clarify the relationships among TMD, type A behavior patterns, bruxism, and
emotional stress in Japanese undergraduate students. Methods: This study was undertaken in Nayoro City, Japan, in 2015, among
students of Nayoro City University. The survey was conducted through an anonymous,
self-administered, multiple-choice questionnaire. Information was gathered on items
evaluating the extent of TMD symptoms, bruxism, type A behavior patterns, and proneness
and sensitivity to emotional stress. Results: The questionnaire recovery rate was 31.8% (175/551). There was a
high likelihood of TMD in 16.1% of respondents, which is comparable to the findings of
previous surveys on Japanese high school students. In keeping with previous studies, we
confirmed significant relationships between TMD and both emotional stress and bruxism. A
weak but statistically significant association was found between TMD and type A behavior
patterns. Conclusion: We propose that TMD may be one of the diseases related to the
type A behavior pattern.
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Affiliation(s)
- Hiroki Ohmi
- Department of Nutritional Sciences, Faculty of Health and Welfare Science, Nayoro City University, Japan
| | - Mariko Kato
- Department of Nutritional Sciences, Faculty of Health and Welfare Science, Nayoro City University, Japan
| | - Martin Meadows
- Department of Liberal Arts Education, Faculty of Health and Welfare Science, Nayoro City University, Japan
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85
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Almoznino G, Zini A, Sharav Y, Yanko R, Lvovsky A, Aframian DJ. Overlap between dental anxiety, gagging and Blood-Injection-Injury related fears — A spectrum of one multidimensional phenomenon. Physiol Behav 2016; 165:231-8. [DOI: 10.1016/j.physbeh.2016.07.021] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 07/26/2016] [Accepted: 07/27/2016] [Indexed: 10/21/2022]
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86
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Mengatto CM, Coelho-de-Souza FH, de Souza Junior OB. Sleep bruxism: challenges and restorative solutions. Clin Cosmet Investig Dent 2016; 8:71-7. [PMID: 27217798 PMCID: PMC4853149 DOI: 10.2147/ccide.s70715] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Bruxism is a parafunctional activity related to clenching or grinding the teeth and tooth wear can be a consequence of sleep bruxism (SB). Management of severe tooth wear due to SB is a challenging situation because of the common reduced amount of remaining dental structure and loss of vertical dimension of occlusion. Rationale for the planning of oral rehabilitation of patients with SB presenting severe tooth wear should rely on evidence-based approaches; however, few studies have discussed properties of dental materials for SB rehabilitation and how to cosmetically manage severe tooth wear. This review aimed to provide an overview into bruxism cosmetic rehabilitation and how this can be implemented with good outcomes for the patient.
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Affiliation(s)
- Cristiane Machado Mengatto
- Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Fábio Herrmann Coelho-de-Souza
- Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
| | - Oswaldo Baptista de Souza Junior
- Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil
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87
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Enguelberg-Gabbay JV, Schapir L, Israeli Y, Hermesh H, Weizman A, Winocur E. Methadone treatment, bruxism, and temporomandibular disorders among male prisoners. Eur J Oral Sci 2016; 124:266-71. [PMID: 27041534 DOI: 10.1111/eos.12268] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/24/2016] [Indexed: 11/28/2022]
Abstract
There is little information on bruxism related to illicit drug use. Prolonged drug use may damage the stomatognathic system via oral motor overactivity. The aim of the present study was to compare the rates of bruxism and temporomandibular disorders (TMDs) between prisoners with and without drug-use disorders, to evaluate the association between methadone treatment and bruxism and to assess the possible relationship between bruxism and pain. The sample included 152 male prisoners, 69 of whom were drug users maintained on methadone. All prisoners were examined by an experienced dentist and completed a questionnaire on their oral habits, with the aim of detecting signs or symptoms of TMD and/or bruxism. Additional data were collected from medical files. The prevalence of sleep bruxism and awake bruxism, but not of TMDs, was significantly higher among drug-user than non-drug user prisoners (52.2% vs. 34.9% for sleep bruxism, 59.7% vs. 30.1% for awake bruxism, and 46.3% vs. 25.6% for TMDs, respectively). Participants with awake bruxism were statistically more sensitive to muscle palpation compared with participants with sleep bruxism [rating scores (mean ± SD): 0.32 ± 0.21 vs. 0.19 ± 0.28, respectively]. An association was found between sleep bruxism and awake bruxism. It seems that there is a direct or an indirect association between methadone maintenance treatment and sleep bruxism or awake bruxism in male prisoners.
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Affiliation(s)
| | - Lior Schapir
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Geha Mental Health Center, Petah Tikva, Israel
| | - Yair Israeli
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Haggai Hermesh
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Geha Mental Health Center, Petah Tikva, Israel
| | - Abraham Weizman
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.,Geha Mental Health Center, Petah Tikva, Israel.,Felsenstein Medical Research Center, Sackler Faculty of Medicine, Rabin Medical Center - Beilinson Campus, Tel Aviv University, Petah Tikva, Israel
| | - Ephraim Winocur
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
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88
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Emodi Perlman A, Lobbezoo F, Zar A, Friedman Rubin P, van Selms MKA, Winocur E. Self-Reported bruxism and associated factors in Israeli adolescents. J Oral Rehabil 2016; 43:443-50. [PMID: 26968152 DOI: 10.1111/joor.12391] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/04/2016] [Indexed: 11/27/2022]
Abstract
Little is known about the epidemiological characteristics of sleep and awake bruxism (SB and AB) in adolescents. The aims of the study were: to assess the prevalence rates of self-reported SB and AB in Israeli adolescents; to determine the associations between SB/AB and several demographical, exogenous and psychosocial factors in Israeli adolescents; and to investigate the possible concordance between SB and AB. The study made use of a questionnaire. The study population included 1000 students from different high schools in the centre of Israel. Prevalence of self-reported SB and AB in the Israeli adolescents studied was 9·2% and 19·2%, respectively. No gender difference was found regarding the prevalence of SB and AB. Multiple variable regression analysis revealed that the following predicting variables were related to SB: temporomandibular joint sounds (P = 0·002) and feeling stressed (P = 0·001). The following predicting variables were related to AB: age (P = 0·018), temporomandibular joint sounds (P = 0·002), oro-facial pain (P = 0·006), and feeling stressed (P = 0·002) or sad (P = 0·006). A significant association was found between SB and AB; that is, an individual reporting SB had a higher probability of reporting AB compared with an individual who did not report SB (odds ratio = 5·099). Chewing gum was the most common parafunction reported by adolescents. The results of this study demonstrate that self-reports of AB and SB are common in the Israeli adolescents population studied and are not related to gender. The significant correlation found between SB and AB may be a confounding bias that affects proper diagnosis of bruxism through self-reported questionnaires only.
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Affiliation(s)
- A Emodi Perlman
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - F Lobbezoo
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam, Amsterdam, The Netherlands
| | - A Zar
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - P Friedman Rubin
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - M K A van Selms
- Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, MOVE Research Institute Amsterdam, Amsterdam, The Netherlands
| | - E Winocur
- Department of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
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89
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Fernandes G, Franco-Micheloni AL, Siqueira JTT, Gonçalves DAG, Camparis CM. Parafunctional habits are associated cumulatively to painful temporomandibular disorders in adolescents. Braz Oral Res 2016; 30:S1806-83242016000100214. [PMID: 26910021 DOI: 10.1590/1807-3107bor-2016.vol30.0015] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2014] [Accepted: 09/25/2015] [Indexed: 12/20/2022] Open
Abstract
This cross-sectional study was designed to evaluate the effect of sleep bruxism, awake bruxism and parafunctional habits, both separately and cumulatively, on the likelihood of adolescents to present painful TMD. The study was conducted on a sample of 1,094 adolescents (aged 12-14). The presence of painful TMD was assessed using the Research Diagnostic Criteria for Temporomandibular Disorders, Axis I. Data on sleep bruxism, awake bruxism and parafunctional habits (nail/pen/pencil/lip/cheek biting, resting one's head on one's hand, and gum chewing) were researched by self-report. After adjusting for potential demographic confounders using logistic regression, each of the predictor variables (sleep bruxism, awake bruxism and parafunctional habits) was significantly associated with painful TMD. In addition, the odds for painful TMD were higher in the concomitant presence of two (OR=4.6, [95%CI=2.06, 10.37]) or three predictor (OR=13.7, [95%CI=5.72, 32.96]) variables. These findings indicate that the presence of concomitant muscle activities during sleep and awake bruxism and parafunctional habits increases the likelihood almost linearly of adolescents to present painful TMD.
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Affiliation(s)
- Giovana Fernandes
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, Universidade Estadual Paulista, Araraquara, SP, Brazil
| | - Ana Lúcia Franco-Micheloni
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, Universidade Estadual Paulista, Araraquara, SP, Brazil
| | | | - Daniela Aparecida Godói Gonçalves
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, Universidade Estadual Paulista, Araraquara, SP, Brazil
| | - Cinara Maria Camparis
- Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, Universidade Estadual Paulista, Araraquara, SP, Brazil
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90
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Quadri MFA, Mahnashi A, Al Almutahhir A, Tubayqi H, Hakami A, Arishi M, Alamir A. Association of Awake Bruxism with Khat, Coffee, Tobacco, and Stress among Jazan University Students. Int J Dent 2015; 2015:842096. [PMID: 26491448 PMCID: PMC4605374 DOI: 10.1155/2015/842096] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2015] [Accepted: 09/16/2015] [Indexed: 12/03/2022] Open
Abstract
Objective. The objective is to assess the prevalence of bruxism among the university students and to check its association with their khat chewing habit. Materials and Methods. A cross-sectional descriptive study is designed using cluster random sampling. Pretested questionnaire was administered by a trained interviewer to assess awake bruxism and the use of variables like khat, coffee, tobacco, and stress. Chi-square test at 5% significance was used for assessing the association. Logistic regression was also performed after adjusting for covariates. Results. A high response rate (95%) was obtained as the distribution and collection of questionnaire was within an hour interval. 85% (63%, males; 22%, females) experienced an episode of bruxism at least one time in the past six months. Regression analysis revealed an association of stress (P = 0.00; OR = 5.902, 95% CI 2.614-13.325) and khat use (P = 0.05; OR = 1.629, 95% CI 0.360-7.368) with bruxism. Interestingly, it is observed that the one who chew khat experienced 3.56 times (95% CI; 2.62-11.22) less pain when compared to the nonusers. Conclusion. This study is the first of its kind to assess the association of bruxism with khat chewing. High amount of stress and khat use can be considered as important risk indicators for awake bruxism.
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Affiliation(s)
- Mir Faeq Ali Quadri
- Department of Dental Public Health, College of Dentistry, Jazan University, P.O. Box 114, Jazan 45142, Saudi Arabia
| | - Ali Mahnashi
- College of Dentistry, Jazan University, P.O. Box 114, Jazan 45142, Saudi Arabia
| | - Ayman Al Almutahhir
- College of Dentistry, Jazan University, P.O. Box 114, Jazan 45142, Saudi Arabia
| | - Hamzah Tubayqi
- College of Dentistry, Jazan University, P.O. Box 114, Jazan 45142, Saudi Arabia
| | - Abdullah Hakami
- College of Dentistry, Jazan University, P.O. Box 114, Jazan 45142, Saudi Arabia
| | - Mohamed Arishi
- College of Dentistry, Jazan University, P.O. Box 114, Jazan 45142, Saudi Arabia
| | - Abdulwahab Alamir
- Department of Diagnostic Sciences, College of Dentistry, Jazan University, P.O. Box 114, Jazan 45142, Saudi Arabia
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91
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Emodi Perelman A, Eli I, Rubin PF, Greenbaum T, Heiliczer S, Winocur E. Occupation as a potential contributing factor for temporomandibular disorders, bruxism, and cervical muscle pain: a controlled comparative study. Eur J Oral Sci 2015; 123:356-361. [PMID: 26333137 DOI: 10.1111/eos.12210] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/29/2015] [Indexed: 11/30/2022]
Abstract
The aim of the study was to compare the prevalence of cervical muscle pain (CMP) and myogenic temporomandibular disorders (MFP) among female dentists, high-tech workers, and a group of subjects employed in other occupations; to investigate the associations among CMP, MFP, and bruxism in those groups; and to evaluate the influence of work-related stress on MFP and CMP. Evaluation was based on clinical examinations of MFP and CMP and self-reported questionnaires concerning pain and stress. The diagnosis of sleep bruxism was adapted using the validated diagnostic criteria of the American Academy of Sleep Medicine (International Classification of Sleep Disorders (ICSD-2), 2005, Westchester, IL), whilst the diagnosis of awake bruxism was made on the basis of a questionnaire. The odds of a subject with MFP experiencing concurrent CMP or bruxism (sleep and/or awake) ranged from 2.603 to 3.077. These results suggest that high-tech workers and dentists are at greater risk for developing temporomandibular disorders (TMDs) and CMP when compared with general occupation workers, as defined in this study. Furthermore, the associations shown here between TMDs and CMP highlight the importance of palpating neck musculature as part of any routine examination of TMD.
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Affiliation(s)
- Alona Emodi Perelman
- Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ilana Eli
- Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Pessia F Rubin
- Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Tzvi Greenbaum
- Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Shimrit Heiliczer
- Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Ephraim Winocur
- Department of Oral Rehabilitation, the Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel
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92
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van Houtem CMHH, van Wijk AJ, Boomsma DI, Ligthart L, Visscher CM, de Jongh A. Self-reported gagging in dentistry: prevalence, psycho-social correlates and oral health. J Oral Rehabil 2015; 42:487-94. [PMID: 25784089 DOI: 10.1111/joor.12289] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/21/2015] [Indexed: 11/30/2022]
Abstract
Although gagging has a profound effect on the delivery of dental care, it is a relatively under-investigated phenomenon. This study aimed to derive a prevalence estimate of gagging during dental treatment based on patient-reported information, to determine some socio-demographic and psychological correlates and to assess the relationship of gagging with self-reported oral health and avoidance of dental care. Data were collected with a survey among Dutch twin families (n = 11 771). Estimated overall prevalence of gagging during dental treatment was 8·2% (95% CI 7·7-8·7). Patients' self-report of gagging was found to be significantly associated with female sex, a lower level of education and higher levels of dental trait anxiety, gagging-related fears (e.g. fear of objects in the mouth), anxious depression and neuroticism. Gagging also appeared to be significantly associated with untreated cavities, gingival bleeding and wearing full dentures, but not with avoidance of dental care. It can be concluded that individuals who report to gag during dental treatment are moderately dentally anxious, fear-specific situations that can trigger a gagging response and, albeit visiting the dentist equally frequently, report to have a poorer oral health compared to those who do not gag.
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Affiliation(s)
- C M H H van Houtem
- Department of Social Dentistry and Behavioural Sciences ACTA, University of Amsterdam and VU University, Amsterdam, The Netherlands
| | - A J van Wijk
- Department of Social Dentistry and Behavioural Sciences ACTA, University of Amsterdam and VU University, Amsterdam, The Netherlands
| | - D I Boomsma
- Department of Biological Psychology, VU University, Amsterdam, The Netherlands
| | - L Ligthart
- Department of Biological Psychology, VU University, Amsterdam, The Netherlands
| | - C M Visscher
- Department of Oral Kinesiology ACTA, Research Institute MOVE, University of Amsterdam and VU University, Amsterdam, The Netherlands
| | - A de Jongh
- Department of Social Dentistry and Behavioural Sciences ACTA, University of Amsterdam and VU University, Amsterdam, The Netherlands.,School of Health Sciences, Salford University, Manchester, UK
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93
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van Linden van den Heuvell GFEC, de Boer B, Ter Pelkwijk BJ, Bildt MM, Stegenga B. Gagging Problem Assessment: a re-evaluation. J Oral Rehabil 2015; 42:495-502. [PMID: 25678327 DOI: 10.1111/joor.12280] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2015] [Indexed: 11/28/2022]
Abstract
The Gagging Problem Assessment (GPA) is an instrument to evaluate dental gagging. Although the GPA seemed to be reliable and valid in a pilot study, a replication study with more subjects was needed. Based on the pilot study, the number of items was reduced, resulting in the revised version of the GPA (GPA-R). The aims of this study were to replicate the reliability of the GPA-R and to investigate the correlation between dental gagging and general anxiety. Dental gagging patients (n = 59) were compared with a control group (n = 17) at t0 and 3 weeks later. The 'gagging group' also filled in the SCL-90 anxiety scale. Gagging-specific homogenous domains and internal consistency were determined. Stability and distinguishing capacity of the GPA-R were assessed. SCL-90-Anxiety scores were compared with standard values in a non-clinical population. The GPA-R patient part was able to reliably discriminate between the absence or the presence of dental gagging. However, the reliability of the GPA-R-dentist part was insufficient. The GPA-R seems to be sensitive to subtle differences in acts of the dentists. To overcome these problems, more detailed and explicit instructions on how to use the GPA-R should be formulated and more specific gagging stimuli should be included. The 'gagging group' reported 'fear of choking' significantly more often than the control group (P = 0·008). This finding might be important for the treatment of dental gagging. Considering the outcome of our study, development of a new diagnostic gagging tool needs another approach that focuses on gagging severity.
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Affiliation(s)
| | - B de Boer
- Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.,Private Dental Practice, Grou, The Netherlands
| | | | - M M Bildt
- Centre for Dentistry and Oral Hygiene University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.,Centre for Special Dental Care, Martini Hospital, Groningen, The Netherlands
| | - B Stegenga
- Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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94
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Almoznino G, Zini A, Sharav Y, Shahar A, Zlutzky H, Haviv Y, Lvovsky A, Aframian DJ. Sleep quality in patients with dental anxiety. J Psychiatr Res 2015; 61:214-22. [PMID: 25529787 DOI: 10.1016/j.jpsychires.2014.11.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2014] [Revised: 09/26/2014] [Accepted: 11/28/2014] [Indexed: 12/23/2022]
Abstract
BACKGROUND Psychological distress is associated with sleep disturbances; however there is little research on sleep quality in dental anxiety (DA) patients. OBJECTIVES To measure the sleep quality in patients with DA compared to patients with an exacerbated gag reflex (GAG) and controls and to analyze its association with various demographic and behavioral parameters. METHODS 67 DA patients, 54 GAG patients and 100 controls with no history of DA or GAG participated in the study. Data regarding: demographic details, smoking habits, the Pittsburgh Sleep Quality Index (PSQI), Numeric Rating Scale (NRS) for pain assessment, Corah's dental anxiety scale (DAS) and Oral Health Impact Profile-14 (OHIP-14), plaque index (PI) and Decay, Missing and Filled Teeth (DMFT) scores were collected. RESULTS 49.3% of the DA group and 38.9% of the GAG group were poor sleepers (mean PSQI score > 5), compared to 29.0% of the controls (PSQI mean scores: 5.8 ± 3.4, DA group; 5.2 ± 3.6 GAG group vs. 4.5 ± 2.7, control group; p = 0.029). Compared to controls, DA and GAG patients exhibited poorer scores in the sleep disturbances PSQI component (p = 0.001). DA patients exhibited poorer scores in the sleep duration PSQI component compared to the control (p = 0.002) and GAG groups (p = 0.033). Female gender (p = 0.039), higher current (p = 0.046) and maximal NRS (p = 0.019), higher DAS (p < 0.001) and OHIP-14 (p < 0.001) scores and more missing teeth (p = 0.003) were positively associated with higher PSQI scores. CONCLUSIONS DA patients suffered more from impaired sleep than controls and GAGs. Impaired sleep in DA patients is multidimensional phenomenon influenced by the specific diagnosis, gender, pain, dental anxiety levels, dental experience and oral health related quality of life.
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Affiliation(s)
- Galit Almoznino
- Department of Oral Medicine, Oral and Maxillofacial Center, Medical Corps, Israel Defense Forces, Tel-Hashomer, Israel; Department of Oral Medicine, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel.
| | - Avraham Zini
- Department of Community Dentistry, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Yair Sharav
- Department of Oral Medicine, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Adi Shahar
- Department of Oral Medicine, Oral and Maxillofacial Center, Medical Corps, Israel Defense Forces, Tel-Hashomer, Israel; In partial fulfillment of DMD Degree, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Hulio Zlutzky
- Department of Oral Medicine, Oral and Maxillofacial Center, Medical Corps, Israel Defense Forces, Tel-Hashomer, Israel
| | - Yaron Haviv
- Department of Oral Medicine, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Alex Lvovsky
- Department of Oral Medicine, Oral and Maxillofacial Center, Medical Corps, Israel Defense Forces, Tel-Hashomer, Israel
| | - Doron J Aframian
- Department of Oral Medicine, Hebrew University - Hadassah School of Dental Medicine, Jerusalem, Israel
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95
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Gu W, Yang J, Zhang F, Yin X, Wei X, Wang C. Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint: a pilot study. J Biomed Res 2014; 29:160-8. [PMID: 25859272 PMCID: PMC4389117 DOI: 10.7555/jbr.28.20130145] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Revised: 03/25/2014] [Accepted: 05/28/2014] [Indexed: 11/16/2022] Open
Abstract
The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management. The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism, compared with occlusal splint. Twenty-four volunteers with sleep bruxism were divided into two groups: the GTB group that were treated with biofeedback therapy (n = 12) and the GTO group that were treated with occlusal splint (n = 12). A mini pressure sensor integrated with a monitoring circuit by use of a maxillary biofeedback splint was fabricated. To foster the relaxation of the masticatory muscles and the nervous system, the wireless device received signals from bruxism events and vibrations alerted the bruxer when the threshold was exceeded. Total episodes and average duration of bruxism events during 8 hours of sleep were analyzed with the monitoring program (TRMY1.0). After 6 and 12 weeks, the episodes (P = 0.001) and duration (P < 0.05) in the GTB group declined dramatically. In contrast, there were no significant differences in the GTO group after the treatment (P > 0.05). Furthermore, the episodes had significant differences between the GTB group and the GTO group after the same period of treatment (P = 0.000). The results suggest that biofeedback therapy may be an effective and convenient measure for mild bruxers, when compared with occlusal splint therapy. The mini wireless biofeedback method may be of value for the diagnosis and management of bruxism in the future.
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Affiliation(s)
- WeiPing Gu
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of General Dentistry, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, Jiangsu 210029, China
| | - Jie Yang
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Stomatology, Jiangsu province Geriatric Institution, Jiangsu Province Official Hospital, Nanjing, Jiangsu 210029, China
| | - FeiMin Zhang
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, Jiangsu 210029, China
| | - XinMin Yin
- Department of Stomatology, Benq Medical Center, Nanjing Medical University, Nanjing, Jiangsu 210019, China
| | - XiaoLong Wei
- College of Automation Engineering, Nanjing University of Aeronautics and Astronautics, Nanjing, Jiangsu, 210016, China
| | - Chen Wang
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, Jiangsu 210029, China
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96
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Sato M, Iizuka T, Watanabe A, Iwase N, Otsuka H, Terada N, Fujisawa M. Electromyogram biofeedback training for daytime clenching and its effect on sleep bruxism. J Oral Rehabil 2014; 42:83-9. [PMID: 25256380 DOI: 10.1111/joor.12233] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2014] [Indexed: 11/30/2022]
Abstract
Bruxism contributes to the development of temporomandibular disorders as well as causes dental problems. Although it is an important issue in clinical dentistry, no treatment approaches have been proven effective. This study aimed to use electromyogram (EMG) biofeedback (BF) training to improve awake bruxism (AB) and examine its effect on sleep bruxism (SB). Twelve male participants (mean age, 26·8 ± 2·5 years) with subjective symptoms of AB or a diagnosis of SB were randomly divided into BF (n = 7) and control (CO, n = 5) groups to undergo 5-h daytime and night-time EMG measurements for three consecutive weeks. EMG electrodes were placed over the temporalis muscle on the habitual masticatory side. Those in the BF group underwent BF training to remind them of the occurrence of undesirable clenching activity when excessive EMG activity of certain burst duration was generated in week 2. Then, EMGs were recorded at week 3 as the post-BF test. Those in the CO group underwent EMG measurement without any EMG BF training throughout the study period. Although the number of tonic EMG events did not show statistically significant differences among weeks 1-3 in the CO group, events in weeks 2 and 3 decreased significantly compared with those in week 1, both daytime and night-time, in the BF group (P < 0·05, Scheffé's test). This study results suggest that EMG BF to improve AB tonic EMG events can also provide an effective approach to regulate SB tonic EMG events.
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Affiliation(s)
- M Sato
- Division of Fixed Prosthodontics, Department of Restorative and Biomaterials Sciences, School of Dentistry, Meikai University, Sakado, Japan
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97
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Hermesh H, Schapir L, Marom S, Skopski R, Barnea E, Weizman A, Winocur E. Bruxism and oral parafunctional hyperactivity in social phobia outpatients. J Oral Rehabil 2014; 42:90-7. [DOI: 10.1111/joor.12235] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2014] [Indexed: 11/28/2022]
Affiliation(s)
- H. Hermesh
- Geha Mental Health Center; Petah Tikva Israel
- Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
| | - L. Schapir
- Geha Mental Health Center; Petah Tikva Israel
- Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
| | - S. Marom
- Geha Mental Health Center; Petah Tikva Israel
| | - R. Skopski
- Department of Oral Rehabilitation; The Maurice and Gabriela Goldschleger School of Dental Medicine; Tel Aviv University; Tel Aviv Israel
| | - E. Barnea
- Geha Mental Health Center; Petah Tikva Israel
| | - A. Weizman
- Geha Mental Health Center; Petah Tikva Israel
- Sackler Faculty of Medicine; Tel Aviv University; Tel Aviv Israel
- Felsenstein Medical Research Center; Rabin Medical Center; Sackler Faculty of Medicine; Tel Aviv University; Petah Tikva Israel
| | - E. Winocur
- Department of Oral Rehabilitation; The Maurice and Gabriela Goldschleger School of Dental Medicine; Tel Aviv University; Tel Aviv Israel
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98
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Hearing CM, Bind RH, Tabacco MJ, Hallock RM. A Reliable and Valid Survey to Predict a Patient's Gagging Intensity. J Oral Maxillofac Res 2014; 5:e3. [PMID: 25089175 PMCID: PMC4115595 DOI: 10.5037/jomr.20014.5203] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2014] [Accepted: 04/01/2014] [Indexed: 11/16/2022]
Abstract
Objectives The aim of this study was to devise a reliable and valid survey to predict the intensity of someone’s gag reflex. Material and Methods A 10-question Predictive Gagging Survey was created, refined, and tested on 59 undergraduate participants. The questions focused on risk factors and experiences that would indicate the presence and strength of someone’s gag reflex. Reliability was assessed by administering the survey to a group of 17 participants twice, with 3 weeks separating the two administrations. Finally, the survey was given to 25 dental patients. In these cases, patients completed an informed consent form, filled out the survey, and then had a maxillary impression taken while their gagging response was quantified from 1 to 5 on the Fiske and Dickinson Gagging Intensity Index. Results There was a moderate positive correlation between the Predictive Gagging Survey and Fiske and Dickinson’s Gagging Severity Index, r = +0.64, demonstrating the survey’s validity. Furthermore, the test-retest reliability was r = +0.96, demonstrating the survey’s reliability. Conclusions The Predictive Gagging Survey is a 10-question survey about gag-related experiences and behaviours. We established that it is a reliable and valid method to assess the strength of someone’s gag reflex.
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Affiliation(s)
- Casey M Hearing
- Neuroscience program, Skidmore College, Saratoga Springs, New York USA. ; The first two authors contributed equally to this work
| | - Rebecca H Bind
- Neuroscience program, Skidmore College, Saratoga Springs, New York USA. ; The first two authors contributed equally to this work
| | - Michael J Tabacco
- Department of Endodontic, Prosthodontics, and Operative Dentistry, University of Maryland, Baltimore, Maryland USA
| | - Robert M Hallock
- Neuroscience program, Skidmore College, Saratoga Springs, New York USA
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99
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DANTAS-NETA NB, LAURENTINO JB, SOUZA CHDCE, NUNES-DOS-SANTOS DL, MENDES RF, PRADO-JÚNIOR RR. Prevalence and potential factors associated with probable sleep or awake bruxism and dentin hypersensitivity in undergraduate students. REVISTA DE ODONTOLOGIA DA UNESP 2014. [DOI: 10.1590/rou.2014.040] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE: To measure the prevalence of probable sleep or awake bruxism and cervical dentin hypersensitivity of undergraduate students and to determine the symptoms associated with these conditions.METHODOLOGY: This was a cross-sectional study. A diagnosis of probable bruxism was reached when students reported clenching or grinding of the teeth during sleep and/or wakefulness, and when they also presented some of the signs and symptoms of bruxism and masseter muscle pain on palpation. Cervical dentinal hypersensitivity was diagnosed by testing for sensitivity to pain in the cervical region of the teeth. Pain was triggered either by touch (using a #5 probe) or by an air jet spray. The sample consisted of 306 university students aged between 19 and 35 years old. The data were stored and analysed using SPSS software, version 15.0 for Windows.RESULT: The prevalence of probable bruxism was 34.3%, with no predominance regarding sex. Probable awake bruxism was more prevalent (61.9%), mostly occurring when the individual reported being in a state of mental concentration (63.1%). There was no association between probable sleep or awake bruxism and dentin hypersensitivity (p = 0.195). Individuals with probable sleep bruxism had increased odds of having muscular pain in the face upon waking (OR = 14.14, 95% CI 5.06-39.55), and those with probable awake bruxism had a increased odds of having facial muscle fatigue when chewing or talking for a long time (OR = 2.88, 95% CI 1.53-5.43) and muscular pain in the face upon waking (OR = 5.31, 95% CI 1.93-14.62).CONCLUSION: The prevalence of probable bruxism was 34.3% and that of HDC was 57.8%, with 22.2% of these subjects also showing probable bruxism. Individuals with probable bruxism tended to have a higher odds of facial pain when they awakened and when chewing or talking for long periods. There were no associations between probable sleep and awake bruxism and cervical dentin hypersensitivity.
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100
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Karakis D, Dogan A. The craniofacial morphology and maximum bite force in sleep bruxism patients with signs and symptoms of temporomandibular disorders. Cranio 2014; 33:32-7. [PMID: 25547142 DOI: 10.1179/2151090314y.0000000009] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVES The purpose of the present study was to compare craniofacial morphology and bite force of bruxist patients with signs and symptoms of temporomandibular disorders. METHOD Fourteen subjects with sleep bruxism and 14 healthy subjects participated. The signs and symptoms of the temporomandibular disorders were identified according to the Craniomandibular Index (CMI). Maximum bite force was measured using strain-gage transducers. Lateral cephalometric films were taken, and linear and angular measurements were performed. RESULTS Bite force between bruxist and non-bruxist females was not significant, whereas males with bruxism revealed higher bite forces. None of the linear and angular measurements differed significantly between bruxist and non-bruxist males. However, higher mandibular corpus length and anterior cranial base length, and lower gonial angle were observed in bruxist females compared to non-bruxist females. Negative correlation between bite force and CMI values was found in both genders. DISCUSSION Bruxist females had higher CMI values than bruxist males, which could lead to relatively lower bite forces.
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