1
|
Fuentes C, Castañón S, Roldán L. Differences between the Perilaryngeal Pressure Pain Thresholds in Asymptomatic Women, Women With Bruxism, and Women With Odynophonia. J Voice 2023:S0892-1997(23)00219-9. [PMID: 37661520 DOI: 10.1016/j.jvoice.2023.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 07/12/2023] [Accepted: 07/13/2023] [Indexed: 09/05/2023]
Abstract
OBJECTIVE This study was aimed at comparing perilaryngeal pressure pain thresholds (PPT) among asymptomatic women, women with bruxism, and women with odynophonia. DESIGN Observational cross-sectional study. METHODS Eighty-four women whose age mean was 23.75 (SD, 3.02) years were grouped according to inclusion and exclusion criteria into a group of asymptomatic women (G1), another group of women with bruxism (G2), and another of women with odynophonia (G3). Palpation was used to identify regions of interest for this study, and an analog algometer was used to evaluate perilaryngeal PPT in the previously localized regions. Each PPT evaluation was done twice. RESULTS G1 PPT mean were between 1.35 (SD, 0.20) and 2.29 (SD, 0.28) kg/cm2, G2 PPT mean were found between 0.85 (SD, 0.12) and 1.78 (SD, 0.23) kg/cm2, and G3 PPT mean were located between 0.71 (SD, 0.11) and 1.45 (SD, 0.19) kg/cm2. Differences were observed between PPT in the three groups evaluated (P < 0.05). The intra-evaluator agreement between the evaluations performed fluctuated between 60.71% (κ = 0.51) and 92.86% (κ = 0.91). CONCLUSIONS There are significant differences between the perilaryngeal PPT of asymptomatic women, women with bruxism, and women with odynophonia. Asymptomatic women had the highest PPT, while odynophonia sufferers had the lowest.
Collapse
Affiliation(s)
- Christopher Fuentes
- Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Santiago, Región Metropolitana, Chile.
| | - Sebastián Castañón
- Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Santiago, Región Metropolitana, Chile
| | - Lylia Roldán
- Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Santiago, Región Metropolitana, Chile
| |
Collapse
|
2
|
Medina Flores D, Barragán Nuñez MI, Müller de Quevedo H, Bonjardim LR, Rodrigues Conti PC. Real time evaluation of awake bruxism behaviors in young asymptomatic students and its impact on the masticatory muscles. J Prosthet Dent 2023:S0022-3913(23)00174-9. [PMID: 37069016 DOI: 10.1016/j.prosdent.2023.03.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 03/11/2023] [Accepted: 03/13/2023] [Indexed: 04/19/2023]
Abstract
STATEMENT OF PROBLEM The relationship of awake bruxism with pain is still unclear. PURPOSE The purpose of this clinical study was to evaluate awake bruxism behavior for 1 week in healthy young adults with ecological momentary assessment, assess its relationship with masticatory muscle tenderness, and the participation of endogenous analgesia. MATERIAL AND METHODS A total of 150 healthy participants were provided with a smartphone application that sent 10 alerts at random intervals every day. The participants were instructed to report in real time which of the following awake bruxism behaviors best represented their current condition: relaxed jaw muscles, tooth contact, tooth clenching, tooth grinding, or jaw bracing. At baseline, participants underwent recordings of the pressure pain threshold and conditioned pain modulation of the masticatory muscles. Pressure pain threshold recording was also repeated on the last day of the study. A t test was used to compare the first and the last pressure pain threshold recording after 1 week with an ecological momentary assessment evaluation. The Pearson correlation test was performed to evaluate the correlation between variables (α=.05). RESULTS Overall compliance was 75.9%. The average frequency of relaxed jaw muscles was 54.5%, tooth contact 29.4%, jaw bracing 5.8%, tooth clenching 9.7%, and tooth grinding 0.6%. The average frequency of a distinct awake bruxism behavior was 45.5%. A statistically significant increase in pressure pain threshold values was found (P=.001; P=.001; P=.045 for right and left anterior temporalis and left masseter, respectively). No significant correlation was found between the frequency of awake bruxism behaviors, the pressure pain threshold, and conditioned pain modulation (P>.05). CONCLUSIONS The most prevalent behavior was tooth contact (29.4%). No relationship was found between awake bruxism behaviors and masticatory muscle tenderness or endogenous analgesia.
Collapse
Affiliation(s)
- Dyanne Medina Flores
- PhD student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (FOB/USP), Bauru, SP, Brazil.
| | - Maria Isabel Barragán Nuñez
- Post graduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (FOB/USP), Bauru, SP, Brazil
| | - Henrique Müller de Quevedo
- Post graduate student, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (FOB/USP), Bauru, SP, Brazil
| | - Leonardo Rigoldi Bonjardim
- Associate Professor, Section of Head and Face Physiology. Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo (FOB/USP), Bauru, SP, Brazil
| | - Paulo César Rodrigues Conti
- Associate Professor, Department of Prosthodontics and Periodontics, Bauru School of Dentistry, University of São Paulo (FOB/USP), Bauru, SP, Brazil
| |
Collapse
|
3
|
Barbon FJ, Costa YM, Castagno CD, Perroni AP, de Oliveira da Rosa WL, Bonjardim LR, Boscato N. Sleep-related factors and orofacial pain symptoms associated with rhythmic masticatory muscle activity frequency scored by polysomnography recordings: A case-control study. Sleep Med 2023; 101:461-467. [PMID: 36516603 DOI: 10.1016/j.sleep.2022.11.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 11/14/2022] [Accepted: 11/30/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE This study aimed to evaluate the influence of the frequency of rhythmic masticatory muscle activity per hour (RMMA/h) scored by polysomnography (PSG) recordings on sleep-related factors and orofacial pain symptoms. METHODS According to RMMA/h frequency, participants were assigned either to the control group (i.e., CRMMA, n = 40); or the case group according to high (i.e., HRMMA, n = 12) or low (LRMMA, n = 28) RMMA/h frequency. Fisher's exact (nominal variables), One-way Analysis of Variance followed by post-hoc Tukey (continuous variables) and Poisson Regression tests were used to calculate orofacial pain symptoms and sleep-related breathing, behavior, and architecture differences between controls versus cases at a significance level of 5%. RESULTS The CRMMA differed from HRMMA and LRMMA subgroups considering orofacial pain, self-reported tooth clenching or grinding, obstructive sleep apnea (OSA), snoring, and most variables considering sleep architecture (P ≤ 0.05). Multivariate adjusted Poisson regression analysis revealed that bruxers, regardless of RMMA/h frequency, presented a significantly higher prevalence rate (PR) related to orofacial pain (PR 1.68; P = 0.025) and self-reported behavior (PR 1.71; P = 0.012). CONCLUSION Significant differences in N1, N2 and N3 stages, arousals, arousal per hour, and sleep onset latency variables were found comparing bruxer with high or low RMMA/h frequency. Compared to controls, bruxers presented higher PR related to headache and self-reported tooth clenching or grinding.
Collapse
Affiliation(s)
- Fabíola Jardim Barbon
- Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
| | - Yuri M Costa
- Department of Biosciences, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
| | - Clarissa Delpizo Castagno
- Clinical Practice at Pelotas Sleep Institute, Otorhinolaryngology and Member of the Brazilian Sleep Association, Pelotas, Brazil.
| | - Ana Paula Perroni
- Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
| | | | - Leonardo R Bonjardim
- Bauru Orofacial Pain Group, Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil.
| | - Noéli Boscato
- Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Pelotas, Rio Grande do Sul, Brazil.
| |
Collapse
|
4
|
Fehlberg BK, Barros MBDA, Lima MG. Health behaviors and multimorbidity associated with bruxism: Population-based study. Oral Dis 2021; 29:245-253. [PMID: 34056810 DOI: 10.1111/odi.13928] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2020] [Revised: 04/26/2021] [Accepted: 05/26/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES Determine the prevalence of possible bruxism in the adult population of Campinas, Brazil, and investigate its association with health behaviors, health status, and multimorbidity. METHODS A population-based cross-sectional study was conducted with data from the 2014/2015 Campinas Health Survey. The sample was composed of 1986 adults (≥20 years of age). The data were collected with the aid of a pre-coded questionnaire, and the dependent variable was self-reported bruxism (possible bruxism). The prevalence of possible bruxism was estimated according to the independent variables (health-related behaviors, morbidities, demographic and socioeconomic characteristics). A hierarchical model was employed using stepwise backward regression in two stages. Principal component analysis was also performed to identify multimorbidity patterns. RESULTS The prevalence of possible bruxism was 13.6%. Associations were found with the consumption of alcoholic beverages, sleep quality, and the number of chronic diseases/health problems. Bruxism was more associated with multimorbidity pattern 2, which was composed of asthma, rhinitis, sinusitis, dizziness/vertigo, migraine/headache, emotional/mental problem, back pain, and allergy. CONCLUSION The present findings justify the planning of actions directed at reducing the consumption of alcoholic beverages and can help guide the health actions of the multidisciplinary team, prioritizing a reduction in the harm caused by the simultaneous presence of health problems associated with possible bruxism.
Collapse
Affiliation(s)
- Bruna Kelly Fehlberg
- Department of Public Health, School of Medical Sciences, University of Campinas-UNICAMP, Campinas, Brazil
| | | | - Margareth Guimarães Lima
- Department of Public Health, School of Medical Sciences, University of Campinas-UNICAMP, Campinas, Brazil
| |
Collapse
|
5
|
Dimova-Gabrovska MI, Maksimovskaya LN, Dimitrova DG. [Changes in the oral mucosa in patients with bruxism]. STOMATOLOGIIA 2021; 100:48-52. [PMID: 35081701 DOI: 10.17116/stomat202110006248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
OBJECTIVE The aim of the study was to determine changes in the oral mucosa in patients with bruxism using the method of autofluorescence stomatoscopy. MATERIAL AND METHODS 50 patients with bruxism aged 35-65 years were examined at the Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria. Using the digital diagnostic system OccluSense (Bausch, Germany), deviations in static and dynamic occlusion were determined. For the diagnosis of precancerous diseases and early stages of malignant neoplasms of the oral mucosa, we used the method of autofluorescent stomatoscopy using a LED stomatoscope «AFS» made in Russia with radiation in the spectral range of 400 nm. RESULTS The normal mucous membrane of the mouth at this frequency of the spectrum has a green glow. Metabolic and/or structural changes occurring at the cellular and/or tissue level of the oral mucosa lead to a change in its optical properties.Analysis of occlusion in 50 patients with bruxism showed uneven distribution of the chewing load. In 60% of patients, the presence of supercontacts was revealed, and in 76% of cases, occlusion disorders were detected, in 88% of patients, hyperkeratosis of the buccal mucosa was noted, and in 77.3% they were localized along the line of closing of the teeth. CONCLUSION Examination of the oral mucosa using the autofluorescent stomatoscopy method allows visualizing and, accordingly, objectifying the presence of hyperkeratotic changes in the buccal mucosa in patients with bruxism. The APS apparatus allows for a reliable and effective assessment of non-inflammatory and inflammatory changes, precancerous and cancerous lesions, which makes it indispensable for the manifestation of oncological alertness in the daily clinical practice of dentists.
Collapse
Affiliation(s)
| | - L N Maksimovskaya
- A.I. Yevdokimov Moskow State University of Medicine and Dentistry, Moscow, Russia
| | | |
Collapse
|
6
|
Nogueira Coutinho E, Pereira Rodrigues dos Santos K, Henrique Barros Ferreira E, Grailea Silva Pinto R, de Oliveira Sanchez M. Association between self-reported sleep bruxism and temporomandibular disorder in undergraduate students from Brazil. Cranio 2018; 38:91-98. [DOI: 10.1080/08869634.2018.1495874] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
|