Journal of Oral Rehabilitation,
Год журнала:
2023,
Номер
51(1), С. 87 - 102
Опубликована: Апрель 28, 2023
Abstract
Background
Sleep
bruxism
(SB),
an
oral
behaviour
in
otherwise
healthy
individuals,
is
characterised
by
frequent
rhythmic
masticatory
muscle
activity
(RMMA)
during
sleep.
RMMA/SB
episodes
occur
over
various
sleep
stages
(N1‐N3
and
rapid
eye
movement
(REM)),
cycles
(non‐REM
to
REM),
frequently
with
microarousals.
It
currently
remains
unclear
whether
these
characteristics
of
architecture
are
phenotype
candidates
for
the
genesis
RMMA/SB.
Objectives
This
narrative
review
investigated
relationship
between
occurrence
RMMA
as
a
SB
candidate.
Methods
PubMed
research
was
performed
using
keywords
related
architecture.
Results
In
non‐SB
were
most
light
non‐REM
N1
N2,
particularly
ascending
phase
cycles.
The
onset
individuals
preceded
physiological
arousal
sequence
autonomic
cardiovascular
cortical
activation.
not
possible
extract
consistent
pattern
presence
comorbidities.
lack
standardisation
variability
subject
complexified
search
specific
phenotype(s).
Conclusion
largely
affected
oscillations
stage
cycle
well
microarousal.
Furthermore,
cannot
be
confirmed
comorbidity.
Further
studies
needed
delineate
candidate(s)
that
contribute
more
accurate
diagnosis
treatment
approaches
standardised
innovative
methodologies.
Journal of Oral Rehabilitation,
Год журнала:
2022,
Номер
51(1), С. 15 - 28
Опубликована: Окт. 20, 2022
This
paper
summarises
the
background
reasoning
and
work
that
led
to
selection
of
items
included
in
Standardised
Tool
for
Assessment
Bruxism
(STAB),
also
introducing
list
items.
The
instrument
is
currently
being
tested
face
validity
on-field
comprehension.
underlying
premise
different
motor
activities
bruxism
spectrum
(e.g.
clenching
vs.
grinding,
with
or
without
teeth
contact)
potentially
need
be
discriminated
from
each
other,
based
on
their
purportedly
aetiology,
comorbidities
potential
consequences.
Focus
should
a
valid
impression
activities'
frequency,
intensity
duration.
methods
can
used
above
purposes
grouped
into
strategies
collect
information
patient's
history
(subject-based),
clinical
assessment
performed
by
an
examiner
(clinically
based)
use
instruments
measure
certain
outcomes
(instrumentally
based).
three
apply
all
aspects
(i.e.
status,
comorbid
conditions,
aetiology
consequences).
STAB
will
help
gathering
many
aspects,
factors
conditions
are
poorly
investigated
field
bruxism.
To
this
purpose,
it
divided
two
axes.
Axis
A
includes
self-reported
status
consequences
(subject-based
report)
together
(examiner
instrumental
(technology
report).
B
may
have
etiological
role
comprehensive
multidimensional
system
allow
building
predictive
model
research
purposes.
Scientific Reports,
Год журнала:
2024,
Номер
14(1)
Опубликована: Март 22, 2024
Abstract
To
compare
masticatory
muscle
thickness
in
patients
with
temporomandibular
disorders
(TMDs)
during
rest
and
clenching,
by
body
position,
using
ultrasonography.
This
prospective
study
included
96
TMD
(67
females,
29
males;
mean
age:
40.41
±
17.88
years):
group
1,
comprising
66
without
bruxism
(TMD_nonbruxer),
2,
30
concurrent
(TMD_bruxer).
In
TMD,
was
correlated
the
presence
of
tinnitus,
stiffness,
sleep
problems,
psychological
stress,
restricted
mouth
opening.
The
masseter
significantly
thickened
clenching
(11.16
3.03
mm
vs
14.04
3.47
mm,
p
<
0.001),
whereas
temporalis
showed
no
significant
increase
from
resting
to
an
upright
position
(7.91
1.98
8.39
2.08,
=
0.103).
Similarly,
supine
thicker
compared
(11.24
2.42
13.49
3.09,
but
difference
observed
temporal
(8.21
2.16
8.43
1.94,
0.464).
comparison
between
two
groups,
average
greater
among
TMD_bruxers
than
TMD_nonbruxers
both
positions
(all
0.05).
generalized
lineal
model,
female
sex
(B
−
1.018,
95%
confidence
interval
[CI]
1.855
0.181,
0.017)
0.868,
CI
0.567
1.169,
0.048)
predicted
changes
thickness.
Female
0.201,
0.299
0.103,
0.011),
increased
age
0.003,
0.005
0.000,
0.038),
stiffness
1.373,
2.369
0.376,
0.007)
were
linked
decreased
Comparing
nonbruxer
bruxer
thicknesses
revealed
not
muscle.
Masseter
varied
sex,
resting/clenching,
notably
influenced
bruxism.
These
findings
emphasize
relevance
these
factors
clinical
examinations
TMD.
Diagnostics,
Год журнала:
2025,
Номер
15(2), С. 200 - 200
Опубликована: Янв. 16, 2025
Background/Objectives:
The
study
aimed
to
validate
the
diagnostic
system
proposed
by
Standardized
Tool
for
Assessment
of
Bruxism
(STAB)
correlating
results
obtained
based
on
questionnaire
and
non-instrumental
instrumental
tools.
Methods:
had
three
stages
(questionnaire,
clinical
examination,
electromyographic
study).
subjects
completed
a
exam.
Positive
signs
bruxism
included
oral
mucosal
presence
dental
wear
according
BEWE
index.
In
stage
three,
sEMG
was
performed
after
allocating
into
four
groups
exam
results:
sleep
(SB),
awake
(AB),
(SB
AB),
no
(no
B).
After
third
stage,
new
selection
made,
were
divided
groups,
results.
Diagnostic
accuracy
computed
possible
SB
grinding
clenching
sound
diagnosis,
AB
acknowledgment,
AB,
tooth
Results:
For
SB,
sensitivity
specificity
tools
highest.
assessment
identified
67%
cases
89%
without
SB.
higher
(84%),
while
lower
(55%),
as
almost
half
not
aware
AB.
tests
showed
low
(15%)
but
high
(83%)
wear.
absence
frequently
associated
with
bruxism,
did
necessarily
imply
existence
bruxism.
Conclusions:
Non-instrumental
evaluation
through
questionnaires
exams
is
valuable,
especially
Instrumental
electromyography
remains
gold
standard
diagnosis.
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(3), С. 687 - 687
Опубликована: Янв. 25, 2024
Background:
Sleep
bruxism
(SB)
is
a
common
sleep-related
movement
behavior
with
multifaceted
etiology
and
deficiently
understood
pathophysiology.
A
recent
hypothesis
suggests
link
between
SB
systemic
inflammation.
The
scope
of
the
study
was
to
determine
whether
bruxers
have
altered
sleep
structure
different
levels
inflammatory
parameters
compared
nonbruxers.
Methods:
total
83
adults
underwent
full-night
polysomnography.
polysomnograms
were
evaluated
using
American
Academy
Medicine
(AASM)
guidelines.
Then,
blood
samples
obtained
from
participants
by
venipuncture
analyses
performed.
group
divided
based
on
episode
index
(BEI)
into
two
groups:
BEI
≤
4
>
4.
Results:
In
comparison
nonbruxers,
oxygen
desaturation
(ODI)
significantly
higher
in
severe
(7.5
±
11.08
vs.
3.33
5.75,
p
<
0.005),
as
well
arousal
(7.77
4.68
4.03
2.97,
0.001),
mean
(3.49
0.69
3.01
0.67,
0.05).
Moreover,
differences
architecture
deprivation
deep
phase
observed,
non-REM
stage
3
shorter
(p
0.03).
Differences
also
noted
1
REM
phase.
investigated
group,
there
no
statistical
cytokines
Conclusions:
associated
alterations
may
be
deprivation.
markers
are
not
linearly
correlated
severity
expressed
BEI.
To
evaluate
the
available
evidence
on
putative
relationships
between
sleep
bruxism
(SB)
and,
obstructive
apnea
(OSA)
to
assess
extent
of
research
this
topic,
and
formulate
suggestions
for
future
research.A
scoping
review
including
studies
examining
temporal
overall
association
prevalence
SB
OSA
was
performed.
Six
main
databases
gray
literature
were
searched.
The
selection
conducted
by
three
independent
reviewers.
A
narrative
synthesis
results
carried
out.Thirteen
in
adults
eight
children
finally
included.
median
concomitant
conditions
39.3%
26.1%
children.
Marked
methodological
variability
identified
among
even
more
when
we
compared
detection
methods
No
significant
emerged
most
adults,
while
an
may
be
possible
children.Based
current
literature,
it
is
not
confirm
that
there
a
relationship
adults.
In
patients
under
pediatric
care,
although
seems
plausible,
currently
insufficient
supportive
evidence.
Standardized
validated
methodologies
identifying
should
consistently
used
both
populations
before
reaching
any
conclusion
regarding
such
association.
Furthermore,
assessment
shared
phenotypes
with
reveal
new
insights
will
contribute
personalized
approaches
aiming
optimize
management
comorbidities.
