When should sleep bruxism be considered in the diagnosis of temporomandibular disorders?

Chien, Yu Chen; Seferovic, Davor; Holland, J. Nathaniel; Walji, Muhammad F.; Adibi, Shawn S.

doi:10.1016/j.oooo.2020.08.029

Cited by 6 publications

(9 citation statements)

References 13 publications

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“…This association among myofascial TMD (G1 diagnosis), headache, and AB found in the present study corroborated the scientific literature on the subject. 10,16,18,33,34 However, other studies have also found an association between headache and TMD of articular origin, as well as other joint conditions. 13,31,35 In this study, data interpretation did not allow inferring whether myofascial pain is secondary to headaches or vice versa, because a cross-sectional study does not establish a cause-effect relationship.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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The American Academy of Orofacial Pain defines temporomandibular disorders (TMD) as a group of disorders involving masticatory muscles, temporomandibular jpoint (TMJ), and associated structures that have a multifactorial cause. 1 TMD may have a muscular or articular origin. 2 Myofascial pain, a condition of muscular origin, is characterized by localized muscle tenderness and regional muscle pain 3 and may be associated with mouth-opening limitation, 4 being the most prevalent diagnosis among those affected by TMD. 5 Although the literature could not properly clarify the relationship between TMD and bruxism, the latter seems to act as a risk factor

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Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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“…Since they have somatic, psychological, and neurological origins, treatment of myofascial pain is challenging. 10,13,15 Botulinum toxin can be applied to the hypertrophic muscle or muscles in patients who suffer from facial asymmetry even though their pain decreases and want to recover. Injection intervals and the condition of the muscles should be monitored, as botulinum toxin applications may cause an excessive reduction in muscle strength and chewing difficulties.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 Polysomnography is also used in the diagnosis of sleep bruxism however, due to the high costs and the need for a dedicated sleep laboratory, clinical and self-reported diagnosis are still the most common methods in the diagnosis of sleep bruxism. 13 In the treatment of bruxism, it is important to relieve the patient's pain first. Nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants are used for pain control.…”

Section: Introductionmentioning

confidence: 99%

“…The use of dental splints at night reduces both wear on the teeth and the load on the joints. 12,13 Various dental splint applications such as anterior bite plate, posterior bite plate, occlusal splints, anterior positioning splints, pivot splints, and soft-flexible splints can be made according to the desired purpose. Most often, stabilization splints (muscle relaxation splints, flat surface splints) and anterior reposition splints (ARS) are used.…”

Section: Introductionmentioning

confidence: 99%

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Application of Botulinum Toxin in Patients with Secondary Otalgia Caused by Bruxism

Kef¹

2021

JPR

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The aim of this study was to determine the effectiveness of botulinum toxin administration in patients who consulted the otolaryngology clinic with secondary otalgia caused by bruxism. Introduction: Botulinum toxin can be applied to the hypertrophic muscles in patients who suffer from facial asymmetry even though they do not experience pain. Injection intervals and the condition of the muscles should be monitored as botulinum toxin applications to the muscles may result in decreased muscle strength and chewing difficulties. Methods: This prospective study was conducted with bruxism patients at Private Kesan Hospital otorhinolaryngology outpatient clinic between August 2019 and December 2019. The diagnosis was based on the anamnesis and physical examination of the patient. The Visual Analogue Scale was used to evaluate patients' pain levels throughout the treatment. Results: A total of 37 patients, between 19 and 51 years old, 22 (59.46%) females and 15 (40.54%) males, who consulted to the otolaryngology clinic in Private Kesan Hospital between August 2019 and December 2019 with a diagnosis of otalgia caused by bruxism were included in the study. Nine patients (24.3%) had facial asymmetry due to masseter muscle hypertrophy. The average age of the participants was 34.00 ± 9.13 years old. Two weeks after the application of botulinum toxin, patients' complaints subsided. In patients with facial asymmetry, it was observed that asymmetry decreased after the 2nd month and noticeably improved after the 4th month. Discussion: Bruxism should be considered in the differential diagnosis of patients with ear pain. Botulinum toxin can be applied in patients who do not respond adequately to classical treatments such as medical treatments, chewing training, neck and facial muscle relaxation techniques, psychological support, and dental splint applications.

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“…[2] Bruxism is a repetitive jaw movement characterized by grinding or clenching of the teeth. [5] Bruxism can lead to tooth sensitivity and destruction of dentition, leading to difficulty chewing. [5] Bruxism can lead to the failure of dental restoration and implants.…”

Section: Introductionmentioning

confidence: 99%

Retrospective Analysis of the Correlation between TMD, Headache and Bruxism

Morris¹,

Grabowski²,

Talib³

et al. 2023

OJST

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Aims: To evaluate the association between bruxism, headaches, and temporomandibular disorder (TMD). Methods: A keyword search of the clinical notes of patients' charts in AxiUm TM was performed using the search terms "TMD", "headache", and "sleep bruxism" to identify these patients. The inclusion criteria were patients with partial of full dentition, aged 18 to 65 years old who attended the UNLV School of Dental Medicine clinics between January 2014 and September 2018. Patients with incomplete records and those who were completely edentulous formed the exclusion criteria. Data were analyzed using the Pearson Correlation Coefficient. Results: The final sample was made up of 529 patients. The highest percentage of study subjects were in the age range of 29 -34 (17.9%), with a statistically significant correlation to pain on opening (P = 0.0403). Females showed a statistically significant correlation to TMJ clicking (P = 0.0033). Caucasians also had a statistically significant correlation to TMJ clicking (P = 0.0001). In addition, a statistically significant correlation between pain on opening or chewing and headaches was also observed (P = 0.0081). Conclusion: Within the limitations of the present study, Caucasians, and females presented with more TMJ clicking than the other study subjects. Young adults, in particular, experienced more pain on opening or chewing.

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When should sleep bruxism be considered in the diagnosis of temporomandibular disorders?

Cited by 6 publications

References 13 publications

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

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

Application of Botulinum Toxin in Patients with Secondary Otalgia Caused by Bruxism

Retrospective Analysis of the Correlation between TMD, Headache and Bruxism

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