Assessment of sleep bruxism, orthodontic treatment need, orofacial dysfunctions and salivary biomarkers in asthmatic children

Amato, Juliana Neide; Tuon, Rogério Antônio; Castelo, Paula Midori; Gavião, Maria Beatriz Duarte; Barbosa, Taís de Souza

doi:10.1016/j.archoralbio.2015.02.011

Cited by 27 publications

(25 citation statements)

References 66 publications

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“…Secretion of cortisol and SAA in the saliva can be considered a physiological response of the body to oral parafunctional movements, including bruxism, which may cause pain in the TMJ and other damages over time [ 3 ]. Perceived stress is associated with TMD; for instance, sleep bruxism, chewing and swallowing malfunctions, and higher concentrations of salivary cortisol have been noticed in children with asthma [ 13 ]. However, it is still unclear whether stress biomarkers are elevated in individuals with TMD [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Relationship Between Parafunctional Habits and Salivary Biomarkers

Khayamzadeh

Mirzaii‐Dizgah

Aghababainejad³

et al. 2020

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Objectives: Parafunctional habits, as one of the etiological factors of temporomandibular disorders (TMD), are an individual’s response to increased stress. During stress and depression, biomarkers such as cortisol and salivary alpha-amylase (SAA) are secreted in the saliva. The present study aimed to investigate whether there is a correlation between salivary stress biomarkers and parafunctional habits. Materials and Methods: Thirty-two cases, from May to September 2015, were selected based on two standard stress questionnaires, namely the depression anxiety stress Scale-21 (DASS-21) and the Beck Anxiety Inventory (BAI). Saliva samples were collected to examine the level of unstimulated salivary cortisol and SAA. The significance of the results was assessed via student’s t-test and Mann-Whitney test (α=0.05). Results: The mean concentrations of cortisol and SAA in unstimulated saliva were significantly higher in the case group than in the control group (P=0.01 and 0.44, respectively). The mean scores of anxiety, stress, and depression were significantly higher in the case group than in the control group (P<0.05). Conclusion: It seems that the levels of salivary cortisol and SAA, as well as stress, anxiety, and depression scores, are higher in patients with parafunctional habits.

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Section: Introductionmentioning

confidence: 99%

Relationship Between Parafunctional Habits and Salivary Biomarkers

Khayamzadeh

Mirzaii‐Dizgah

Aghababainejad³

et al. 2020

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“…Castelo et al (2012), evaluated the response of salivary cortisol levels when awaking, in children with sleep bruxism, and concluded that these children demonstrated low hormone levels in the saliva. On the other hand, Amato et al (2015), found presence of sleep bruxism and a high salivary cortisol level associated with asthmatic children. However, this study did not verify a direct association between bruxism and salivary cortisol levels.…”

Section: Discussionmentioning

confidence: 98%

“…The literature converges in a multifactorial etiology for this behavior, however, there are hypothesis that anxiety and stress are primary factors for bruxism development (Kampe et al, 1997;Vanderas et al, 1999). Currently, the saliva sample collection for investigation of cortisol presence, a biomarker for stress, has been widely applied, mainly because it is a non-invasive, secure and simple method (Refulio et al;Verdhara et al;Karakoulaki et al;Castelo et al;Amato et al, 2015;Tahara et al, 2007). Thus, as the cortisol level and bruxism are both related to stress (Karakoulaki et al), it was expected that there were studies associating these two variables.…”

Section: Discussionmentioning

confidence: 99%

Association Between Bruxism and Salivary Cortisol Levels: A Systematic Review

Cruz

Falci

Galvão³

2016

Int. J. Odontostomat.

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CRUZ, T. M. M.; FALCI, S. G. M.; GALVÃO, E. L.Association between bruxism and salivary cortisol levels: A systematic review. Int. J. Odontostomat., 10(3):469-474, 2016.ABSTRACT: The objective of this study was to verify the existence of an association between daytime and/or nighttime bruxism and the levels of cortisol in patients that carry this parafunction. A systematic review of observational studies were conducted in the following databases: PubMed; OVID and VHL (Virtual Health Library, LILACS, IBECS; MEDLINE and Scielo), until January of 2016 and without language restriction. An evaluation of titles and abstracts was conducted, followed by the full reading of the articles to determine which researches would be included. Observational studies that associated daytime and nighttime bruxism with salivary cortisol levels were included. Evaluation of the methodological quality was performed and extraction of data from the researches included. Two articles were included in this review. One of them showed moderate positive correlation between the BiteStrip scores and the levels of salivary cortisol in patients with bruxism. On the other hand, the other research demonstrated that children with sleep bruxism are more likely to have low levels of salivary cortisol. There is no conclusive evidence of association between bruxism and salivary cortisol.

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“…However, individuals with class I or II malocclusion and vertical growth have decreased pharyngeal air space compared to individuals who have a normal growth pattern [23], confirming the fact that the width of the air space can be influenced by the craniofacial growth pattern [24]. It is important to emphasize the prevalence of mouth breathing in individuals with nasopharyngeal airway obstruction and class II malocclusion [25]. This is because individuals with asthma or allergies may develop Of the 4 studies included, one has a high RoB [17] and one a moderate risk [16].…”

Section: Summary Of Evidencementioning

confidence: 89%

Allergies/asthma and root resorption: a systematic review

et al. 2021

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Background This review synthesizes the available evidence about the predisposition of individuals with asthma or allergies to orthodontically induced inflammatory root resorption (OIIRR) and possible factors related to root resorption that were investigated in the included studies, such as the type of malocclusion, duration of orthodontic treatment, and tooth units. Material and methods Six electronic databases and partial gray literature were searched without date or language restrictions until September 2020. Prospective and retrospective observational cohort and case-control studies were included. The risk of bias (RoB) was assessed using the checklists from the Joanna Briggs Institute and the certainty of the evidence using the GRADE tool. To complement the case-control studies, the odds ratio (OR) of the individuals with allergies/asthma to develop root resorption was calculated. Results Six studies were included. One study with low RoB, one with moderate, and one with high RoB stated that allergic patients did not report a greater chance of developing OIIRR (OR = 1.17 to 2.10, p = 0.1 to 1), while only one study with low RoB reported that individuals with allergies tend to develop root resorption (OR = 2.4, 95% CI = 1.08-5.37). Three studies with low RoB and one with moderate showed no significant association between asthma and OIIRR (OR = 1.05 to 3.42, p = 0.12 to 0.94). No association was identified between the type of malocclusion and the degree of OIIRR. Uniradicular dental units and a prolonged treatment time seem to be associated with an increased risk of resorption. The certainty of the evidence was considered low for both exposure factors. Conclusion Evidence with a low level of certainty indicates that individuals with allergies or asthma are not more predisposed to OIIRR. Uniradicular teeth and long-term orthodontic treatments are associated with a higher risk of OIIRR. Systematic review registration PROSPERO CRD42020188463

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Assessment of sleep bruxism, orthodontic treatment need, orofacial dysfunctions and salivary biomarkers in asthmatic children

Cited by 27 publications

References 66 publications

Relationship Between Parafunctional Habits and Salivary Biomarkers

Relationship Between Parafunctional Habits and Salivary Biomarkers

Association Between Bruxism and Salivary Cortisol Levels: A Systematic Review

Allergies/asthma and root resorption: a systematic review

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