Associations between tooth wear and dental sleep disorders: A narrative overview

Wetselaar, Peter; Manfredini, Daniele; Ahlberg, Jari; Johansson, Anders; Aarab, Ghizlane; Papagianni, Chryssa E.; Sevilla, Marisol Reyes; Koutris, Michail; Lobbezoo, Frank

doi:10.1111/joor.12807

Cited by 108 publications

(108 citation statements)

References 77 publications

(188 reference statements)

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“…Mechanical tooth wear maybe due to sleep‐time masticatory muscle activity, which in turn maybe associated with respiratory arousals and may decrease with the reduction in apnoea events in some individuals, thus representing a positive indirect health outcome. A similar example could concern the relationship between bruxism, tooth wear and gastroesophageal reflux disease …”

Section: Discussionmentioning

confidence: 99%

Towards a Standardized Tool for the Assessment of Bruxism (STAB)—Overview and general remarks of a multidimensional bruxism evaluation system

Manfredini

Ahlberg

Aarab

et al. 2020

J of Oral Rehabilitation

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AbstractsThe aim of the present paper was to give an overview of the general project and to present the macrostructure of a comprehensive multidimensional toolkit for the assessment of bruxism, viz. a bruxism evaluation system. This is a necessary intermediate step that will be detailed in a successive extended publication and will ultimately lead to the definition of a Standardized Tool for the Assessment of Bruxism (STAB) as the final product. Two invitation-only workshops were held during the 2018 and 2019 General Session & Exhibition of the International Association for Dental Research (IADR) meetings. Participants of the IADR closed meetings were split into two groups, to put the basis for a multidimensional evaluation system composed of two main axes: an evaluation Axis A with three assessment domains (ie subject-based, clinically based and instrumentally based assessment) and an aetiological/risk factors Axis B assessing different groups of factors and conditions (ie psychosocial assessment; concurrent sleep and non-sleep conditions; drug and substance use or abuse;and additional factors). The work of the two groups that led to the identification of different domains for assessment is summarised in this manuscript, along with a road map for future researches. Such an approach will allow clinicians and researchers to modulate evaluation of bruxism patients with a comprehensive look at the clinical impact of the different bruxism activities and aetiologies. The ultimate goal of this multidimensional system is to facilitate the refinement of decision-making algorithms in the clinical setting. K E Y W O R D S assessment, bruxism, evaluation, sleep bruxism, STAB

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Section: Discussionmentioning

confidence: 99%

Towards a Standardized Tool for the Assessment of Bruxism (STAB)—Overview and general remarks of a multidimensional bruxism evaluation system

Manfredini

Ahlberg

Aarab

et al. 2020

J of Oral Rehabilitation

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113

145

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“…Thus, incipient dental lesions can be diagnosed in early stages, avoiding irreversible tooth loss and laborious prosthetic rehabilitation. Advanced stages need complex prosthetic treatment and multidisciplinary approach [24][25][26][27]. It has even been proposed to screen for GERD symptoms all patients who present to oral health providers [28].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with dental erosions in gastroesophageal reflux disease: a cross-sectional study in patients with heartburn

Lasserre¹,

Chisnoiu

Berar

et al. 2019

Medicine and Pharmacy Reports

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Background and aim. Dental erosion (DE) represents a frequent condition in adults and the elderly. The gastroesophageal reflux disease (GERD) is considered an important endogenous factor causing dental erosions. The objective of this study was to assess the prevalence of DE in GERD patients and to establish the correlation between pathogenic intrinsic and extrinsic factors of DE and their relation to GERD. Methods. A cross-sectional study was conducted on 263 patients (median age 43). Patients with heartburn were recruited in two countries with different prevalence of GERD. Patients were recruited from France (n=158, 60%) and Romania (n=105, 40%) including 163 females and 100 males. The Basic Erosive Wear Examination (BEWE) index for diagnosis and evaluation of dental erosion was used. Based on the value of BEWE score, each patient was included in a risk group for DE development (low risk: BEWE=3-8, medium risk: BEWE=9-13, high risk: BEWE ≥14). Patients filled a questionnaire regarding GERD symptoms, medications, life style. Salivary parameters (pH and buffering capacity) were also assessed and analyzed. Results. DE was significantly more frequent and more severe in GERD subjects than in the non-GERD controls. Low salivary pH but not salivary buffering capacity was associated with BEWE scores. Buffering capacity however was significantly more altered in patients with BEWE score over 9 (medium DE) than in patients with mild DE (BEWE <9). Although extrinsic factors (consumption of citrus fruits, soda drinks) were associated with DE in GERD, there was no statistical correlation with the BEWE score. From the total of 263 patients, 229 (87.1%) presented BEWE score <9, and 34 (12.9%) presented BEWE ≥9. The DE was significantly associated with the presence of GERD (p<0.001). BEWE score >9 was more frequently present in GERD patients (30 patients: 21.3%) than in non GERD patients (4 patients: 3.3%). DE were more frequent in French subjects compared to Romanian subjects. Romanians had lower BEWE scores than the French. Conclusions. DE is more frequent and more severe with GERD vs. non-GERD. DE in GERD is associated with extrinsic dietary factors like citrus fruits and soda drinks.

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“…1,45 In short, the interrelationship among bruxism, pain, tooth wear and concurrent sleep disorders is really complicated to evaluate at the individual level, especially considering that different health outcomes may co-occur. 46…”

Section: Aetiology and Pathophysiologymentioning

confidence: 99%

Bruxism: a summary of current knowledge on aetiology, assessment and management

et al. 2019

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Bruxism is a common condition that clinicians come across in both adult and children. Prevalence rates in adults range from 22% to 30% for awake bruxism (AB) and from 8% to 16% for sleep bruxism (SB), while in children they raise up to 40% for SB. Currently, bruxism is considered an 'umbrella term' for different jaw muscle activities, occurring during sleep and/or wakefulness. They have a different aetiology, but there is agreement on their central, not peripheral, origin. In otherwise healthy individuals, bruxism can be considered a muscle behaviour, which can be harmless or represent a risk and/or protective factor for clinical consequences, rather than being a disorder per se. Nonetheless, given the merging knowledge on the interaction with several associated factors and concurrent conditions, bruxism should be investigated for being a possible sign of an underlying primary condition. Consequently, treatment should be directed to the management of the possible clinical consequences and/or to the underlying primary conditions. It is generally based on the conservative strategies. The present manuscript summarises the available knowledge on bruxism aetiology, assessment and management for both SB and AB in adults and children, with focus on the future directions to implement the clinical relevance of bruxism researches. Clinical relevance: A narrative overview summarising such a quickly evolving topic as bruxism may be useful to help clinicians understanding the complex relationship among bruxism, the possible underlying primary conditions, and the possible clinical consequences.

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Associations between tooth wear and dental sleep disorders: A narrative overview

Cited by 108 publications

References 77 publications

Towards a Standardized Tool for the Assessment of Bruxism (STAB)—Overview and general remarks of a multidimensional bruxism evaluation system

Towards a Standardized Tool for the Assessment of Bruxism (STAB)—Overview and general remarks of a multidimensional bruxism evaluation system

Factors associated with dental erosions in gastroesophageal reflux disease: a cross-sectional study in patients with heartburn

Bruxism: a summary of current knowledge on aetiology, assessment and management

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