Standardised Tool for the Assessment of Bruxism

Manfredini, Daniele; Ahlberg, Jari; Bender, Steven D.; Cistulli, Peter A.; Conti, Paulo César Rodrigues; Leeuw, Reny de; Durham, Justin; Emodi‐Perlman, Alona; Ettlin, Dominik A; Gallo, Luigi M.; Häggman‐Henrikson, Birgitta; Hublin, Christer; Kato, Takafumi; Klasser, Gary D.; Koutris, Michail; Lavigne, Gilles; Paesani, Daniel; Peroz, Ingrid; Svensson, Peter; Wetselaar, Peter; Lobbezoo, Frank

doi:10.1111/joor.13411

Cited by 48 publications

(56 citation statements)

References 38 publications

(101 reference statements)

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“…This lack of interest could be explained by the compelling issues related to the diagnosis, clinical management, and rehabilitative needs of DOC patients, which, in part, can overshadow this intriguing topic that deserves more attention. Another reason why bruxism in DOC patients has been neglected is probably that self-report of the symptoms by patients is not possible [ 2 , 17 ]. As a result, disorders related to NFJMA presence are underrated in DOC patients.…”

Section: Discussionmentioning

confidence: 99%

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Non-Functional Jaw Muscular Activity in Patients with Disorders of Consciousness Revealed by A Long-Lasting Polygraphy

et al. 2023

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The presence of involuntary, non-functional jaw muscle activity (NFJMA) has not yet been assessed in patients with disorders of consciousness (DOC), although the presence of bruxism and other forms of movement disorders involving facial muscles is probably more frequent than believed. In this work, we evaluated twenty-two prolonged or chronic DOC patients with a long-lasting polygraphic recording to verify NFJMA occurrence and assess its neurophysiological patterns in this group of patients. A total of 5 out of 22 patients showed the presence of significant NFJMA with electromyographic patterns similar to what can be observed in non-DOC patients with bruxism, thus suggesting a disinhibition of masticatory motor nuclei from the cortical control. On the other hand, in two DOC patients, electromyographic patterns advised for the presence of myorhythmia, thus suggesting a brainstem/diencephalic involvement. Functional, non-invasive tools such as long-lasting polygraphic recordings should be extended to a larger sample of patients, since they are increasingly important in revealing disorders potentially severe and impacting the quality of life of DOC patients.

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Section: Discussionmentioning

confidence: 99%

“…PG is low-cost, easy to apply at the patient’s bedside, repeatable, and free of side effects. In the last decade, neurophysiological techniques such as PG are growing in importance both in the diagnostic workup of DOC patients [ 11 , 13 , 14 ] as well as in the diagnosis of bruxism [ 1 , 15 , 16 , 17 ].…”

Section: Introductionmentioning

confidence: 99%

Non-Functional Jaw Muscular Activity in Patients with Disorders of Consciousness Revealed by A Long-Lasting Polygraphy

et al. 2023

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“…It is important to develop multidimensional evaluation tools for SB in children that are not defined in terms of the simple dichotomy of ‘present versus absent’. Regretfully, a standard tool for the assessment of bruxism (STAB), such as the one recently published for use in adults [ 57 ], does not yet refer to children. Further studies to validate parental reports through instruments relying on artificial intelligence are necessary.…”

Section: Discussionmentioning

confidence: 99%

Sleep Bruxism in Children—What Can Be Learned from Anamnestic Information

Emodi‐Perlman

Shreiber-Fridman

Kaminsky-Kurtz

et al. 2023

JCM

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Sleep bruxism (SB) is a masticatory muscle activity during sleep, and its clinical manifestation in young children is still unclear. The aim of the present study was to evaluate the role of anamnestic information in predicting possible SB in children aged 4–12 years. In a cross-sectional retrospective exploratory study, the dental files of 521 children were examined with regard to the following anamnestic information: gender, age, medical conditions associated with ear, nose, and throat (ENT), respiratory disorders, use of methylphenidate (Ritalin), oral habits, and bruxing during sleep. A child was defined as presenting possible SB when a positive report was received from parents regarding such behavior (SB positive, No. = 84). There were no age- and/or gender-wise differences between SB-positive children and children whose parents did not report SB behavior (SB negative). SB-positive children suffered more from ENT and respiratory disorders than children without SB. Additionally, the use of pacifiers/finger sucking, as well as snoring, were more common among SB-positive children as compared to their SB-negative counterparts (Chi-square). The variables which were found to significantly increase the odds of possible SB in children were mouth breathing, ENT problems, and use of a pacifier or finger sucking (forward stepwise logistic regression). Clinicians should look for clinical signs of possible SB in children whose anamnesis reveals one or more of these anamnestic signals.

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“…In 2012, based on the definitions developed in the 8th edition of the Glossary of Prosthodontic Terms (GPT-8) [ 2 ], in the second edition of the International Classification of Sleep Disorders (ICSD-2) [ 3 ], and in the fourth edition of the Orofacial Pain Guidelines (OFPG-4) [ 4 ], published by the American Academy of Orofacial Pain, a new definition of bruxism was developed that could be used by all specialists. In 2018, the second Consensus on bruxism was developed in which separate definitions were formulated for the two forms of bruxism [ 5 ], and later, in 2020, the development of a standardized system for evaluating bruxism was proposed (STAB—Standardized Tool for the Assessment of Bruxism) [ 6 , 7 , 8 , 9 , 10 , 11 , 12 ]. According to this standardized system, future research in the field of bruxism will be directed along two axes: Axis A, which will include studies related to the evaluation of bruxism, and Axis B, which will include studies related to the etiology of bruxism, risk factors, and predisposing factors and the importance of the two forms of bruxism (SB and AB) due to different etiologies.…”

Section: Introductionmentioning

confidence: 99%

Aspects of Dental Occlusion Assessed with the T-Scan System among a Group of Romanian Dental Students in a Cross-Sectional Study

Vlăduțu

Ionescu

Noveri³

et al. 2023

IJERPH

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This study evaluated the occlusal relationships in students with bruxism, using the T-Scan III system, and their correlation with the activity of the masticatory muscles assessed through surface electromyography (sEMG). The study group was divided into two subgroups (based on self-reporting): 20 participants with possible bruxism and 20 participants without possible bruxism; all participants underwent the following evaluations: sEMG recordings using the dia-BRUXO device for masticatory muscles assessment, as well as static and dynamic occlusion using the T-SCAN III system. The analysis of the maximum intercuspidal (MI) position revealed a positive moderate association between the values of the occlusal forces in MI distributed along the two hemiarches, and the number of grinding events during daytime, which was statistically significant (p < 0.05). The analysis of protrusion movements reflected statistically significant differences between the non-working interferences and sEMG parameters specific to bruxism (p < 0.05). The analysis of laterotrusion movements indicated that participants with anterolateral guidance presented higher values of awake bruxism indexes and higher values of clenching events during nighttime. For all three mandibular movements, their duration was higher for the study group compared to the control group. Therefore, this study confirmed the utility of sEMG recordings in the bruxism diagnosis process, as well as the association between dental occlusion and bruxism.

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Standardised Tool for the Assessment of Bruxism

Abstract: Objective: This paper aims to present and describe the Standardised Tool for the Assessment of Bruxism (STAB), an instrument that was developed to provide a multidimensional evaluation of bruxism status, comorbid conditions, aetiology and consequences.

Cited by 48 publications

References 38 publications

Non-Functional Jaw Muscular Activity in Patients with Disorders of Consciousness Revealed by A Long-Lasting Polygraphy

Non-Functional Jaw Muscular Activity in Patients with Disorders of Consciousness Revealed by A Long-Lasting Polygraphy

Sleep Bruxism in Children—What Can Be Learned from Anamnestic Information

Aspects of Dental Occlusion Assessed with the T-Scan System among a Group of Romanian Dental Students in a Cross-Sectional Study

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