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Pereira LF, Muniz FWMG, de Lima MDDM, Rösing CK, de Deus Moura LDFA, de Moura MS, Lima CCB. Genetics and sleep bruxism: a systematic review and meta-analysis of studies with twins. Sleep Breath 2024:10.1007/s11325-024-03090-5. [PMID: 38958854 DOI: 10.1007/s11325-024-03090-5] [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: 05/24/2023] [Revised: 06/14/2024] [Accepted: 06/17/2024] [Indexed: 07/04/2024]
Abstract
OBJECTIVE To systematically review the literature regarding the concordance of sleep bruxism (SB) between monozygotic (MZ) and dizygotic (DZ) twins. METHODS The registration for this systematic review was accomplished in the International Prospective Register of Systematic Reviews (PROSPERO, No. CRD42021251751). As of July 2022, four databases were searched, including PubMed, Scopus, Embase, and Web of Science, as well as the grey literature in Google Scholar and OpenGrey. Observational studies evaluating SB in MZ and DZ twins of any age and sex were included. For the evaluation of the risk of bias, the Joanna Briggs checklist was utilized. The certainty of evidence was assessed via the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system. Pooled and subgroup meta-analyses were performed to estimate concordance of SB between twins (p < 0.05). RESULTS In total, 3,155 records were identified. In the qualitative analysis, eleven studies were included; of these, seven were included in the meta-analysis. The majority of the articles exhibited a low risk of bias (63.6%). Greater SB concordance was observed between MZ twins than between DZ twins in the analysis of general concordance (OR = 1.47; 95% CI = 1.07-2.02) and also positive concordance (OR = 1.53; 95% CI = 1.29-1.81). Within the subgroup analyses, the significance of the findings remained only for the reported/self-reported SB regarding general concordance (OR = 1.44; 95% CI = 1.07-1.95) and positive concordance (OR = 1.55; 95% CI = 1.28-1.88). Low certainty of the evidence was observed for the general concordance analysis, while moderate certainty was observed for the positive concordance. CONCLUSION There was a higher concordance of SB in MZ twins compared to DZ twins, indicating a possible genetic influence on the condition's occurrence.
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Affiliation(s)
| | | | - Marina de Deus Moura de Lima
- Department of Pathology and Dental Clinic, Federal University of Piaui, Campus Universitário Ministro Petrônio Portella, Bloco 5 - Postgraduate Program in Dentistry, Teresina, Piaui, 64049-550, Brazil
| | | | - Lúcia de Fátima Almeida de Deus Moura
- Department of Pathology and Dental Clinic, Federal University of Piaui, Campus Universitário Ministro Petrônio Portella, Bloco 5 - Postgraduate Program in Dentistry, Teresina, Piaui, 64049-550, Brazil
| | - Marcoeli Silva de Moura
- Department of Pathology and Dental Clinic, Federal University of Piaui, Campus Universitário Ministro Petrônio Portella, Bloco 5 - Postgraduate Program in Dentistry, Teresina, Piaui, 64049-550, Brazil
| | - Cacilda Castelo Branco Lima
- Department of Pathology and Dental Clinic, Federal University of Piaui, Campus Universitário Ministro Petrônio Portella, Bloco 5 - Postgraduate Program in Dentistry, Teresina, Piaui, 64049-550, Brazil.
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da Costa SV, de Souza BK, Cruvinel T, Oliveira TM, Lourenço Neto N, Machado MAAM. Factors associated with preschool children's sleep bruxism. Cranio 2024; 42:48-54. [PMID: 33764285 DOI: 10.1080/08869634.2021.1903663] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To evaluate the prevalence of sleep bruxism, related factors, and quality of life of preschool children and their families. METHOD The sample was 475 children between 4 and 5 years old enrolled in schools in the city of Bauru-Brazil. Parents/legal guardians answered two questionnaires, one to assess the presence of bruxism and related factors and another that was the validated Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS). Intraoral clinical examination was performed by two trained examiners (Kappa = 0.82) within the school environment. The data were analyzed using statistics and the Mann-Whitney, Kruskal-Wallis, and Spearman correlation coefficient. The significance level was p < 0.05. RESULTS The prevalence of sleep bruxism was 47.4%. The highest prevalence was related to Class I canines and marked overjet, oral habits, such as nail biting, lip biting, chewing gum, and mouth breathing. Children with agitated sleep, reports of headache, and those considered aggressive, anxious, and/or shy were also more related.Conclusion: In the studied sample, sleep bruxism prevalence was high and related to important oral and general factors. Data also indicated SB as the main factor that interfered in the OHRQoL of children and their families.
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Affiliation(s)
| | - Bianca Katsumata de Souza
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Thiago Cruvinel
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Thais Marchini Oliveira
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
- Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil
| | - Natalino Lourenço Neto
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Maria Aparecida Andrade Moreira Machado
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
- Hospital for the Rehabilitation of Craniofacial Anomalies, University of São Paulo, Bauru, São Paulo, Brazil
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Mercan Başpınar M, Mercan Ç, Mercan M, Arslan Aras M. Comparison of the Oral Health-Related Quality of Life, Sleep Quality, and Oral Health Literacy in Sleep and Awake Bruxism: Results from Family Medicine Practice. Int J Clin Pract 2023; 2023:1186278. [PMID: 37808624 PMCID: PMC10560110 DOI: 10.1155/2023/1186278] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2023] [Revised: 07/09/2023] [Accepted: 09/14/2023] [Indexed: 10/10/2023] Open
Abstract
Objectives Bruxism is a common oral behaviour. This study aimed to compare oral health-related quality of life, sleep quality, and oral health literacy in patients with and without possible sleep bruxism (SB) and awake bruxism (AB). Materials and Methods A cross-sectional study including 249 volunteers was conducted in a family medicine clinic of a tertiary hospital in Istanbul, Turkey. The American Sleep Medicine Association Bruxism Diagnostic Criteria, Pittsburgh Sleep Quality Index (PSQI), Oral Health-Related Quality of Life (OHRQoL) tool, Decay Missing Filled Total Teeth (DMFT) score, and Health Literacy Dental Scale-Short Form (HeLD-14) were assessed by face-to-face interviews. Data were examined using Kruskal-Wallis and Mann-Whitney U tests, Spearman correlation, and logistic regression analysis. Results The presence of SB and AB was detected as 41.4% and 21.7%, respectively, among 91 males and 158 females, with a mean age of 36.64 ± 11.60 years. Sleep and awake bruxers had a lower oral health-related quality of life (odds ratio (OR): 0.816, 95% confidence interval (CI) = 0.770-0.864 and OR: 0.923, 95% CI = 0.956-0.982, respectively). Poor sleep quality was detected 1.28 times higher in sleep bruxism (OR: 1.277, 95% CI = 1.152-1.415) and 1.14 times higher in awake bruxism (OR: 1.141, 95% CI = 1.230-1.058). The DMFT score was found to be 1.13 times higher in SB (OR: 1.129, 95% CI = 1.043-1.223). A higher HeLD-14 score was associated with a lower DMFT score (p < 0.001; r = -0.240). The oral health literacy score was lower in AB and SB groups than in patients without bruxism, but it was not statistically significant (p = 0.267, p = 0.376). Conclusion A lower oral health-related quality of life and poor sleep quality would be expected in the presence of SB or AB. However, patients may not be aware of it unless asked by a physician regardless of oral health literacy level.
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Affiliation(s)
- Melike Mercan Başpınar
- Department of Family Medicine, University of Health Sciences, Gaziosmanpaşa Training and Research Hospital, 34255 Gaziosmanpaşa, İstanbul, Turkey
| | - Çiğdem Mercan
- Department of Oral and Maxillofacial Surgery, Istanbul University, Faculty of Dentistry, 34093, Fatih, Istanbul, Turkey
| | - Metin Mercan
- Department of Neurology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Bakirkoy, 34147 Istanbul, Turkey
| | - Merve Arslan Aras
- Department of Family Medicine, Ankara Etlik City Hospital, 06170 Yenimahalle, Ankara, Turkey
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James A, Janakiram C, Meghana RV, Kumar VS, Sagarkar AR, Y YB. Impact of oral conditions on oral health-related quality of life among Indians- a systematic review and Meta-analysis. Health Qual Life Outcomes 2023; 21:102. [PMID: 37653527 PMCID: PMC10470255 DOI: 10.1186/s12955-023-02170-6] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Accepted: 07/20/2023] [Indexed: 09/02/2023] Open
Abstract
OBJECTIVE This review assessed the impact of oral conditions on Oral Health Related Quality of Life among Indians. METHODS Databases, including PubMed and Scopus, CINAHL, Web of Science, PsycInfo were systematically searched for English Language studies conducted among Indians up to July 2022. Two independent reviewers assessed studies selected for retrieval for methodological quality using standardised quality assessment instruments for analytical cross-sectional studies in JBI SUMARI. RESULTS Fourty one publications were included in this review (N = 23,090). Studies includes both cross sectional study and Randomized Controlled Trials. Based on the JBI critical appraisal tools, the quality of the included studies was low to high. Twenty-six studies were considered for the meta-analysis. Individuals with dental caries [OR: 3.54 (95% CI 2.24- 5.60), ten studies, 4945 participants] and malocclusion [ OR: 5.44 (95% CI 1.61, 18.39), six studies, 3720 participants] had poor OHRQoL compared to individuals without oral conditions. CONCLUSIONS Despite the various definitions of the exposures and instruments used to assess Oral Health-Related Quality of Life, our review found that people with dental caries and malocclusion have a significantly higher experience of poor quality of life. PROSPERO SYSTEMATIC REVIEW REGISTRATION NO CRD42021277874.
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Affiliation(s)
- Anju James
- Department of Public Health Dentistry, Amrita School of Dentistry,, Amrita Vishwa Vidyapeetham, Edapally, Ernakulum, 682041, India
| | - Chandrashekar Janakiram
- Department of Public Health Dentistry, Amrita School of Dentistry,, Amrita Vishwa Vidyapeetham, Edapally, Ernakulum, 682041, India.
- Amrita Centre for Evidence Based Oral Health, Amrita School of Dentistry, Ernakulum, 682041, India.
| | - R V Meghana
- Department of Public Health Dentistry, Amrita School of Dentistry,, Amrita Vishwa Vidyapeetham, Edapally, Ernakulum, 682041, India
| | - Vijay S Kumar
- Department of Public Health Dentistry, Amrita School of Dentistry,, Amrita Vishwa Vidyapeetham, Edapally, Ernakulum, 682041, India
| | - Anitha R Sagarkar
- Department of Public Health Dentistry, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, Bangalore, Karnataka, India
| | - Yuvraj B Y
- Department of Public Health, Rajiv Gandhi University of Health Sciences, Bangalore, India
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Oral Health-Related Quality of Life among Children and Adolescents with Beckwith–Wiedemann Syndrome in Northern Italy. J Clin Med 2022; 11:jcm11195685. [PMID: 36233553 PMCID: PMC9572667 DOI: 10.3390/jcm11195685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Revised: 09/20/2022] [Accepted: 09/23/2022] [Indexed: 11/30/2022] Open
Abstract
Due to associated maxillofacial growth anomalies and the impairment of oral functions, macroglossia may negatively impact the oral health-related quality of life (OHRQoL) of people with Beckwith–Wiedemann syndrome (BWS). Therefore, the aim of this cross-sectional study was to determine the OHRQoL of Italian children and adolescents with BWS compared to healthy peers and to identify which symptoms related to macroglossia had the highest impact. A total of 48 patients with BWS and 48 age- and gender-matched controls completed the Italian version of OHIP-14 and a questionnaire on functional, oral and aesthetic outcomes. Parents of patients with BWS who had undergone tongue reduction surgery (TRS) answered additional questions related to surgery. The BWS group scored higher than controls on the total OHIP-14 and on the dimensions of oral function (p: 0.036) and psychosocial impact (p: 0.002), indicating a reduced OHRQoL. Neither gender nor age had an impact on OHRQoL. Scores were worse in children and adolescents treated with TRS, as most of them still had open bite malocclusion and speech difficulties. The OHRQoL of children and adolescents affected by BWS is worse than that of their healthy peers in spite of the surgical treatment of macroglossia.
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Lee YH. Relationship Analogy between Sleep Bruxism and Temporomandibular Disorders in Children: A Narrative Review. CHILDREN 2022; 9:children9101466. [PMID: 36291402 PMCID: PMC9600472 DOI: 10.3390/children9101466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/19/2022] [Accepted: 09/22/2022] [Indexed: 11/16/2022]
Abstract
Sleep bruxism (SB) is a condition characterized by repetitive clenching or grinding teeth and/or by bracing or thrusting of the mandible during sleep. Although SB is not considered a disorder in children, SB can be a potential physical and psychological hazard or consequence, and this study examines whether SB is a risk factor for TMD as it is in adults. A narrative review on the topic of inferring the relationship between sleep bruxism and TMD in children was performed based on a search in the PubMed and Google Scholar databases for articles published between 1999 and 2022. A total of 76 articles were included in this review. SB is very common in children, may be related to psychological distress or sleep breathing disorder, with a prevalence of up to 49%, and mainly occurs in the non-rapid eye movement stage in the sleep structure. SB may be one cause of TMD. The prevalence of TMD in children is 16–33%. Compared to the female-dominant TMD prevalence in adults, the sex-differences in TMD prevalence in children are less pronounced. However, TMD-related pain is more prevalent in girls than in boys. Given the complex etiology of each of SB and TMD in children, it can be inferred that the explanation of the relationship between the two conditions is very challenging. Ultimately, their relationship should be understood in the individual biopsychosocial model in the process of special physical growth and mental development of children. Moreover, appropriate clinical guidelines for a definitive diagnosis of SB and TMD in children and more research with a high scientific evidence level, which is comprehensive, considering physical, psychological, genetic, and social cultural factors, are required.
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Affiliation(s)
- Yeon-Hee Lee
- Department of Orofacial Pain and Oral Medicine, Kyung Hee University School of Dentistry, Kyung Hee University Medical Center, #613 Hoegi-Dong, Dongdaemun-gu, Seoul 02447, Korea
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SILVA SED, LIMA LCMD, LEAL TR, FIRMINO RT, GRANVILLE-GARCIA AF. Use of electronic devices, practice of sports, and awake bruxism in schoolchildren aged eight to ten years. Braz Oral Res 2022; 36:e137. [DOI: 10.1590/1807-3107bor-2022.vol36.0137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 07/07/2022] [Indexed: 12/23/2022] Open
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