Sleep bruxism and temporomandibular disorders: A scoping review of the literature

Manfredini, Daniele; Lobbezoo, Frank

doi:10.1016/j.jdent.2021.103711

Cited by 70 publications

(75 citation statements)

References 84 publications

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“…The prevalence of probable SB and probable AB in both groups (ranging from 20-30%) is in line with previous studies performed in Israel on the general population [66,67]. It was suggested that SB should be evaluated in its continuum spectrum, rather than using a simplified dichotomous approach of presence/absence [68]. In the present study, no differences between groups were observed in the presence of clinical signs supporting SB and/or AB behavior.…”

Section: Discussionsupporting

confidence: 92%

Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study

Eli¹,

Zigler-Garburg²,

Winocur³

et al. 2022

JCM

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Sex workers are a highly underprivileged population which is present all around the world. Sex work is associated with negative social stigma which affects all aspects of the sex workers’ lives including healthcare, service providers and police. The stigma may result in increased stress, mental health problems, feelings of isolation and social exclusion. In the present study, 36 sex workers (SW) and 304 subjects from the general population in Israel (GP) were evaluated for the presence of bruxism and Temporomandibular disorders (TMD), with the use of Diagnostic Criteria for Temporomandibular Disorders (DC/TMD- Axis I). When compared to the general population, sex workers presented larger maximal assisted mouth opening and higher prevalence of the following TMD diagnoses: Disc displacement with reduction, Myalgia, Myofascial pain with referral, Arthralgia (left and right) and Headache attributed to TMD. The odds of sex workers suffering from one of these diagnoses were twice to five times higher than those of the general population. The study shows that health problems of sex workers go beyond venereal diseases, HIV and mental disorders which are commonly studied. Oral health, TMD and oral parafunctions are some of the additional health issues that should be addressed and explored in this population.

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Section: Discussionsupporting

confidence: 92%

Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study

Eli¹,

Zigler-Garburg²,

Winocur³

et al. 2022

JCM

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“…Painful TMD and bruxism are often considered to be related conditions 16–18 . Thus, if painful TMD and PTSD are found to be associated, bruxism may be associated with PTSD as well.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of painful temporomandibular disorders, awake bruxism and sleep bruxism among patients with severe post‐traumatic stress disorder

Knibbe

Lobbezoo

Voorendonk

et al. 2022

J of Oral Rehabilitation

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Background Post‐traumatic stress disorder (PTSD) is associated with painful temporomandibular disorder (TMD) and may be part of the aetiology of awake bruxism (AB) and sleep bruxism (SB). Investigating the associations between PTSD symptoms on the one hand, and painful TMD, AB and SB on the other, can help tailoring treatment to the needs of this patient group. Objectives The aim of this study was to investigate the associations between PTSD symptoms and painful TMD, AB and SB among patients with PTSD, focusing on prevalence, symptom severity and the influence of trauma history on the presence of painful TMD, AB and SB. Methods Individuals (N = 673) attending a specialised PTSD clinic were assessed (pre‐treatment) for painful TMD (TMD pain screener), AB and SB (Oral Behaviours Checklist), PTSD symptoms (Clinician‐Administered PTSD Scale) and type of traumatic events (Life Events Checklist). Results Painful TMD, AB and SB were more prevalent among patients with PTSD (28.4%, 48.3% and 40.1%, respectively) than in the general population (8.0%, 31.0% and 15.3%, respectively; all p's < .001). PTSD symptom severity was found to be significantly, but poorly, associated with the severity of painful TMD (rs = .126, p = .001), AB (rs = .155, p < .001) and SB (rs = .084, p = .029). Patients who had been exposed to sexual assault were more likely to report AB than patients who had not. Similarly, exposure to physical violence was associated with increased odds for SB. Conclusion Patients with severe PTSD are more likely to experience painful TMD, AB or SB, whereas type of traumatic event can be of influence. These findings can contribute to selecting appropriate treatment modalities when treating patients with painful TMD, AB and SB.

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“…The intraoral inspection should include a comprehensive dental examination (e.g., tooth wear, tooth enamel chipping, cracks and fractures of natural teeth, restoration failures, tooth mobility, and periodontal ligament widening on radiographic imaging) and an inspection of the mucosa of the cheek, lip, and tongue (e.g., linea alba, tongue scalloping, and traumatic lesions), as well as the presence of intraoral pain (e.g., teeth soreness and/or hypersensitivity) ( Figure 2 ). As pointed out above, this approach is more oriented to identify the potential consequences of bruxism rather than the actual bruxism activity, and is unlikely to discriminate between AB and SB [ 39 , 40 , 41 ]. All clinical signs and symptoms should thus be assessed within the framework of a comprehensive differential diagnostic process.…”

Section: Assessment Of Awake Bruxism Statusmentioning

confidence: 99%

Current Knowledge and Future Perspectives on Awake Bruxism Assessment: Expert Consensus Recommendations

Lobbezoo¹,

Häggman‐Henrikson²,

Colonna³

et al. 2022

JCM

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Awake bruxism (AB) is differentiated from sleep bruxism (SB) by the differences in etiology, comorbidities, and consequences related to the different spectrum of muscle activities exerted in relation to the different circadian manifestations. Furthermore, less literature data are available on AB than on SB. The introduction of ecological momentary assessment (EMA) strategies has allowed for collecting valuable data on the frequency of the different activities reported by an individual in his/her natural environment. This strategy has been further improved with the recent use of smartphone technologies. Recent studies have described an average frequency of AB behaviors, within the range of 23–40% for otherwise healthy young adults. An association between AB and some psychological traits has emerged, and the findings have indicated that patients with musculoskeletal symptoms (e.g., temporomandibular joint and/or muscle pain, muscle stiffness, and fatigue) report higher AB frequencies. Preliminary data suggest that muscle bracing and teeth contact are the most commonly reported behaviors, while teeth clenching is much less frequently reported than commonly believed previously. Report of teeth grinding during wakefulness is almost absent. This paper has critically reviewed the currently available approaches for the assessment of AB. In addition, some future perspectives and suggestions for further research have been provided.

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Sleep bruxism and temporomandibular disorders: A scoping review of the literature

Cited by 70 publications

References 84 publications

Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study

Temporomandibular Disorders and Bruxism among Sex Workers—A Cross Sectional Study

Prevalence of painful temporomandibular disorders, awake bruxism and sleep bruxism among patients with severe post‐traumatic stress disorder

Current Knowledge and Future Perspectives on Awake Bruxism Assessment: Expert Consensus Recommendations

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