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

Autor: Chien YC; Student, Year 4, University of Texas School of Dentistry at Houston, Houston, TX, USA. Electronic address: Yu.Chen.Chien@uth.tmc.edu., Seferovic D; Research Assistant, Department of General Practice and Dental Public Health, University of Texas School of Dentistry at Houston, Houston, TX, USA., Holland JN; Senior Statistician & Quantitative Biologist, Department of Research, University of Texas School of Dentistry at Houston, Houston, TX, USA., Walji MF; Associate Dean for Technology Services & Informatics; Professor, Department of Diagnostic and Biomedical Sciences, Technology Services and Informatics, University of Texas School of Dentistry at Houston, Houston, TX, USA., Adibi SS; Associate Professor, Department of General Practice and Dental Public Health, University of Texas School of Dentistry at Houston, Houston, TX, USA.
Jazyk: angličtina
Zdroj: Oral surgery, oral medicine, oral pathology and oral radiology [Oral Surg Oral Med Oral Pathol Oral Radiol] 2020 Dec; Vol. 130 (6), pp. 645-650. Date of Electronic Publication: 2020 Aug 29.
DOI: 10.1016/j.oooo.2020.08.029
Abstrakt: Objective: Both temporomandibular disorders (TMDs) and sleep bruxism (SB) are known to be destructive to the masticatory system. However, the association between the 2 conditions is poorly understood. The aim of our study was to assess the relationship between TMD and SB through the signs and symptoms in 2 patient groups: TMD only and TMD with SB.
Study Design: A retrospective chart review was conducted from November 1, 2015, to April 1, 2018, on patients with completed International Network for Orofacial Pain and Related Disorders Methodology history questionnaires and Diagnostic Criteria for Temporomandibular Disorder clinical examinations. Fifty-two patients, including 12 with TMD only and 40 with TMD with SB, met the study criteria. Subjective descriptions and objective measurements of patient symptoms were investigated. The χ 2 test and Fisher's exact test were used for statistical analysis.
Results: The TMD with SB group exhibited increased oral behaviors compared with the TMD-only group (P = .0004). The TMD with SB group also experienced more headaches compared with the TMD-only group (P = .045).
Conclusions: Our results revealed that patients with jaw pain who self-report increased oral behaviors and/or exhibit temporal headaches should be evaluated for sleep bruxism.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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