Factors associated with bruxism in children with developmental disabilities

Abstract

The aim of the present study was to investigate factors associated with bruxism in children aged from 1 to 13 years with developmental disabilities. A total of 389 dental records were examined. The bruxism analyzed was determined based on parental reports. The following variables were also analyzed: gender, age, International Code of Diseases (ICD), mouth breathing, history of gastroesophageal reflux, use of psychotropic drugs, gingival status, reports of xerostomia, hyperkinesis, pacifier use, thumb sucking and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without bruxism. Variables with a p-value < 0.25 in the bivariate analysis were incorporated into the logistic regression models. Females had a 0.44-fold (95%CI: 0.25 to 0.78) greater chance of exhibiting bruxism than males. Individuals with gastroesophageal reflux had a 2.28-fold (95%CI: 1.03 to 5.02) greater chance of exhibiting bruxism. Individuals with reported involuntary movements had a 2.24-fold (95%CI: 1.19 to 4.24) greater chance of exhibiting bruxism than those without such movements. Exhibiting involuntary movements, the male gender and gastroesophageal reflux are factors associated with bruxism in children with developmental disabilities.

Oral Health Status among Girls with Developmental Disabilities: A Cluster Analysis

“…For analysis purposes, the individuals were categorized with or without bruxism experience based on reports by parents/caregivers ("Does your child have audible teeth grinding?). Sleep bruxism was not differentiated from awake bruxism [6].…”

“…Among the patients in the extension project "Dental Care for Patients with Special Needs", boys are more likely to breathe through the mouth [5], present bruxism [6] and present dental caries when they use fluoride-free dentifrice [7].…”

Dental care for children with Congenital Zika Syndrome

“…Bruxism is very prevalent in the CZS population and is closely related to neurological disorders that trigger involuntary movements, biting, and grinding. Gastroesophageal reflux and oral breathing may also lead to this parafunction in children [31]. If treatment of bruxism is necessary in children with CZS, a multidisciplinary approach should be considered, including restorative procedures, occlusal splint therapy, pharmacologic therapy (benzodiazepines and muscle relaxants), psychological therapy, physiotherapy, acupuncture, orthodontic treatment, and application of botulinum toxin.…”

“…Manufacturing an occlusal splint for a child with CZS is a difficult task involving a series of steps to shape the device and establish centric occlusion contacts. If the child's dental arches are not fully developed, the device is a problem in itself, posing a risk of aspiration and choking [31].…”

Impacto do bruxismo do sono na musculatura do sistema estomatognático: avaliação eletromiográfica, força de mordida, função mastigatória, ultrassonográfica e qualidade de vida

“…Fatores patofisiológicos, psicológicos, neurofisiológicos, medicamentosos e, ainda, substâncias fisioativas (cafeína, álcool, nicotina, alucinógenos e opióides), bem como, os que promovem, por exemplo, interferências oclusais, podem provocar desequilíbrio na dinâmica da mastigação e causar o aparecimento de sobrecarga e fadiga muscular, ranger e apertar dos dentes, desgaste de superfícies dentais e dor orofacial (OKESON; ATTANASIO;MOHL, 1992; LAVIGNE et al, 2001, LOBBEZOO;NAEIJE, 2006;POMPONIO, 2010;MANFREDINI et al, 2011;SIQUEIRA, 2012;SERRA-NEGRA et al, 2012; VAN SELMS et al, 2013;SOUZA et al, 2015).…”