Association among headache, temporomandibular disorder, and awake bruxism: A cross‐sectional study

Silva, Tatiana Bernardon; Ortiz, Fernanda Ruffo; Maracci, Lucas Machado; Silva, Gabriela Bernardon Peixoto; Salbego, Rafaela Stocker; Liedke, Gabriela Salatino; Marquezan, Mariana

doi:10.1111/head.14322

Cited by 14 publications

(12 citation statements)

References 42 publications

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“…Silva et al found a relationship between AB and head ache. 18 However, no relationship was found between bruxism (both SB and AB) and TMDrelated headache in the current study, though SB and AB were associated with painful TMD. Similar to our results, previous studies discovered no relationship between headache and brux ism, and the presence of bruxism did not increase the risk of headache.…”

Section: Discussioncontrasting

confidence: 79%

“…25 Meanwhile, AB has been associated with myofascial TMD in the literature. 18 In another study, self reported bruxism was associated with painful TMD. 26 Our results also support these findings.…”

Section: Discussionmentioning

confidence: 96%

“…17 However, AB and myofascial TMD have been associated with painful conditions, such as headaches. 18 In light of this information, and since SB and AB are considered 2 different types of bruxism, it ap pears that their effects on TMD are different. The present study evaluated the effects of SB and AB on TMD by com paring them with a nonbruxer group.…”

Section: Introductionmentioning

confidence: 99%

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Investigation of the relationship between probable sleep bruxism, awake bruxism and temporomandibular disorders using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)

Karaçay¹,

Şahbaz²

2023

Dent. Med. Probl.

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Background. The causal relationship between bruxism and temporomandibular disorders (TMD) is not clear.Objectives. The present study investigated which TMD are associated with probable sleep bruxism (SB) and awake bruxism (AB) according to the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). The study further evaluated the association between probable SB and AB and TMD. Material and methods.A total of 143 patients were selected -bruxers (SB and AB) and non-bruxers. A diagnosis of probable bruxism was made after a physical examination and when the symptoms were detected. The patients were evaluated using DC/TMD. From among Axis I assessment instruments, the TMD Pain Screener, the Symptom Questionnaire and the Clinical Examination Form were used. Moreover, the Graded Chronic Pain Scale (GCPS) (v. 2), the Jaw Functional Limitation Scale-8 (JFLS-8), the Patient Health Questionnaire-4 (PHQ-4), and the Oral Behaviors Checklist (OBC) were applied within the scope of Axis II.Results. Diagnoses of muscle disorders and disk displacement with reduction were significantly more frequent in the SB and AB groups than in non-bruxers. A diagnosis of arthralgia was significantly more prevalent in the AB group than in non-bruxers. The JFLS-8 scores and the TMD Pain Screener scores were higher in the AB group than in the SB group and in non-bruxers. Distress levels, and the GCPS and OBC scores were higher in the SB and AB groups as compared to non-bruxers. The results of binary logistic regression analysis showed that only the OBC score was significantly higher in the TMD subgroup (OR (odds ratio) = 1.228; 95% CI (confidence interval): 1.014-1.488). Conclusions.Both SB and AB were associated with pain-related TMD and intra-articular joint disorders. The muscle disorders and disk displacement with reduction subtypes were associated with SB and AB. Unlike SB, AB was also associated with arthralgia. Bruxers (both SB and AB) displayed parafunctional habits. However, AB was associated with greater functional limitation of the jaw as compared to SB.

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Section: Discussioncontrasting

confidence: 79%

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Investigation of the relationship between probable sleep bruxism, awake bruxism and temporomandibular disorders using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)

Karaçay¹,

Şahbaz²

2023

Dent. Med. Probl.

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“…In addition, such considerations do not apply to AB, for which correlation studies between self‐reported and measurement strategies do not exist. The role of AB gained importance in the clinical setting because it may represent a main risk factor for orofacial musculoskeletal signs and symptoms, thus being the focus of several recent researches 56,62,95,110,119–122 . Data collection on AB can be more easily conceptualised than SB 34 .…”

Section: Research Routes On Awake Bruxism Metricsmentioning

confidence: 99%

Research routes on awake bruxism metrics: Implications of the updated bruxism definition and evaluation strategies

Lobbezoo

Colonna

Bender³

et al. 2023

J of Oral Rehabilitation

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BackgroundWith time, due to the poor knowledge on it epidemiology, the need to focus on awake bruxism as a complement of sleep studies emerged.ObjectiveIn line with a similar recent proposal for sleep bruxism (SB), defining clinically oriented research routes to implement knowledge on awake bruxism (AB) metrics is important for an enhanced comprehension of the full bruxism spectrum, that is better assessment and more efficient management.MethodsWe summarised current strategies for AB assessment and proposed a research route for improving its metrics.ResultsMost of the literature focuses on bruxism in general or SB in particular, whilst knowledge on AB is generally fragmental. Assessment can be based on non‐instrumental or instrumental approaches. The former include self‐report (questionnaires, oral history) and clinical examination, whilst the latter include electromyography (EMG) of jaw muscles during wakefulness as well as the technology‐enhanced ecological momentary assesment (EMA). Phenotyping of different AB activities should be the target of a research task force. In the absence of available data on the frequency and intensity of wake‐time bruxism‐type masticatory muscle activity, any speculation about the identification of thresholds and criteria to identify bruxers is premature. Research routes in the field must focus on the improvement of data reliability and validity.ConclusionsProbing deeper into the study of AB metrics is a fundamental step to assist clinicians in preventing and managing the putative consequences at the individual level. The present manuscript proposes some possible research routes to advance current knowledge. At different levels, instrumentally based and subject‐based information must be gathered in a universally accepted standardised approach.

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“…TMD is not a single disorder, rather it is the umbrella term that covers 37 entities in accordance with the taxonomy of Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) [ 9 ]. Part of temporomandibular disorders are painful conditions that may co-occur with AB and SB [ 10 , 11 , 12 , 13 , 14 , 15 , 16 ].…”

mentioning

confidence: 99%

Temporomandibular Disorders Related Pain among Sleep & Awake Bruxers: A Comparison among Sexes and Age

Winocur

Więckiewicz

2023

JCM

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Association among headache, temporomandibular disorder, and awake bruxism: A cross‐sectional study

Cited by 14 publications

References 42 publications

Investigation of the relationship between probable sleep bruxism, awake bruxism and temporomandibular disorders using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)

Investigation of the relationship between probable sleep bruxism, awake bruxism and temporomandibular disorders using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD)

Research routes on awake bruxism metrics: Implications of the updated bruxism definition and evaluation strategies

Temporomandibular Disorders Related Pain among Sleep & Awake Bruxers: A Comparison among Sexes and Age

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