The association of self-reported awake bruxism with anxiety, depression, pain threshold at pressure, pain vigilance, and quality of life in patients undergoing orthodontic treatment

Abstract

The association of self-reported awake bruxism with anxiety, depression, pain threshold at pressure, pain vigilance, and quality of life in patients undergoing orthodontic treatment This study aimed to evaluate whether the presence of awake bruxism was associated with temporomandibular dysfunction symptoms, pain threshold at pressure, pain vigilance, oral health-related quality of life (OHRQoL), and anxiety and depression symptoms in patients undergoing orthodontic treatment. Methodology: This observational study followed patients who had started receiving orthodontic treatment for six months. The following variables were measured three times (at baseline, one month, and six months): pressure pain threshold (PPT) in the right and left masseter, anterior temporalis, and temporomandibular joint (TMJ), and right forearm; pain vigilance and awareness questionnaire; and shortened form of the oral health impact profile . Anxiety and depression symptoms were measured using the Beck anxiety inventory and the Beck depression inventory, respectively. The patients were divided into two main groups according to the presence (n=56) and absence (n=58) of possible awake bruxism. The multi-way analysis of variance (ANOVA) was applied on the date (p=0.050). Results: TMJ and/or muscle pain were not observed in both groups. Time, sex, age group, and awake bruxism did not affect the PPT in the masticatory muscles and pain vigilance (p>0.050). However, the primary effect of awake bruxism was observed when anxiety (ANOVA:F=8.61, p=0.004) and depression (ANOVA: F=6.48, p=0.012) levels were higher and the OHRQoL was lower (ANOVA: F=8.61, p=0.004). Conclusion:The patients with self-reported awake bruxism undergoing an orthodontic treatment did not develop TMJ/masticatory muscle pain. The self-reported awake bruxism is associated with higher anxiety and depression levels and a poorer OHRQoL in patients during the orthodontic treatment.

Frequency of awake bruxism behaviour in orthodontic patients: Randomised clinical trial: Awake bruxism behaviour in orthodontic patients

“…In the latter, that value of 48% at baseline decreased to 26% after one month 18 . A similar AB frequency was found in another study, 49% of the sample (114 patients) beginning orthodontic treatment self‐reported awake bruxism behaviour 27 …”

“…18 A similar AB frequency was found in another study, 49% of the sample (114 patients) beginning orthodontic treatment self-reported awake bruxism behaviour. 27 When the frequency of AB behaviour was analysed between groups, there was no significant variation in this frequency comparing each period to the baseline data (Table 3). Therefore, the in SB after the first and third months of treatment has been reported, 14 in contrast to another study which revealed that, after the first month of treatment, the patients showed a significant reduction in the number of SB episodes, and after three months, the values returned to baseline levels.…”

Benefícios Do Extrato De Camellia Sinensis Para a Saúde: Uma Revisão De Literatura

“…Ademais, é imprescindível entender que tanto o bruxismo quanto a ansiedade são problemas que causam alterações na qualidade de vida. Sendo o bruxismo um fenômeno regulado principalmente pelo sistema nervoso central e influenciado por fatores periféricos, que ocasiona desgaste dentário decorrente do aperto e ranger dos dentes, e a ansiedade, que torna-se patológica quando exacerbada, causando dessa forma, uma situação de alerta em demasia, acarretando prejuízo ao indivíduo, sendo citada na literatura como agente coadjuvante na etiologia do bruxismo (FIRMANI et al, 2015;MACHADO et al, 2020).…”

“…Existem dois tipos de bruxismo, o diurno, mais relacionado com a pressão dentária e o noturno, caracterizado pelo ranger dos dentes de forma inconsciente. Tendo em vista que é uma atividade sem função alguma realizada por músculos mastigatórios, pode ocasionar diversas consequências para os indivíduos que possuem essa condição, o que traz a necessidade de descobrir suas possíveis causas (FIRMANI et al, 2015;KUHN e TÜRP, 2018;CAMOINA et al, 2017;MACHADO et al, 2020).…”

“…De acordo com os artigos analisados, fatores psicossociais, como ansiedade e estresse emocional, foram considerados como condições de risco para o desenvolvimento de bruxismo, a pressão entre os dentes está relacionada a picos emocionais de ansiedade e estresse, por modificações dos níveis de alguns neurotransmissores (FIRMANI et al, 2015;KUHN e TÜRP, 2018;CAMOINA et al, 2017;MACHADO et al, 2020). Segundo Oliveira et al (2015)…”