Diagnostic accuracy of the use of parental‐reported sleep bruxism in a polysomnographic study in children

Restrepo, Claudia; Manfredini, Daniele; Castrillón, Eduardo; Svensson, Peter; Santamaría, Adriana; Alvarez, Claudia; Manrique, Rubén; Lobbezoo, Frank

doi:10.1111/ipd.12262

Cited by 36 publications

(39 citation statements)

References 30 publications

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“…The prevalence of SB in children is very variable, ranging from 3.5% to 46% . This variance may be attributed to fact that the diagnosis of SB in children is still challenging, once it is predominantly accessed through parental report.0 . Other validated methods such as physical examination and/or questionnaires are often used .…”

Section: Introductionmentioning

confidence: 99%

Sleep bruxism and oral health‐related quality of life in children: A systematic review

Rodrigues

Azevedo

Chami

et al. 2019

Int J Paed Dentistry

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Sleep bruxism (SB) is a masticatory muscle activity during sleep that can cause several consequences to the stomatognathic system. This systematic review investigated the impact of SB on oral health‐related quality of life (OHRQoL) of 0‐ to 6‐year‐old children. Literature search was undertaken through PubMed/MEDLINE, LILACS, Scopus, TRIP, Livivo databases, and grey literature. The search was conducted with no publication year or language limits. Two reviewers independently selected the studies, extracted the data and assessed the risk of bias. The quality of evidence was assessed using GRADE. From 185 potentially eligible studies, three were included in the review. All studies were conducted in Brazil, published between 2015 and 2017, and used the B‐ECOHIS instrument to evaluate OHRQoL. Two studies found no association between SB and OHRQoL, whereas one showed a significant negative impact of SB on the OHRQoL of children. SB was associated with respiratory problems, presence of tooth wear, dental caries, malocclusion as well as income and pacifier use. Risk of bias ranged from moderate to high, and the quality of evidence was judged as very low. The evidence is currently insufficient for definitive conclusions about the impact of SB on OHRQoL of children.

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Section: Introductionmentioning

confidence: 99%

Sleep bruxism and oral health‐related quality of life in children: A systematic review

Rodrigues

Azevedo

Chami

et al. 2019

Int J Paed Dentistry

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“…The sensibility and accuracy of parents' report of sleep bruxism are low, however, it shows excellent specificity when compared with polysomnographic findings 16 . The reliability of the questionnaire-based assessment of SB has been questioned 16 and its use has been of concern to several authors, both in studies involving adults 17,18 and children 3,16 . Despite its obvious limitations, the parental reports of SB remain important for epidemiological studies with large samples.…”

Section: Discussionmentioning

confidence: 99%

“…At least part of the wide prevalence range reported in the literature has been attributed to lack of distinction between wake-time and sleeprelated bruxism 7 . Restrepo et al 3 showed that when parentalreported sleep bruxism is based on multiple observations (5-day diary) there was a better agreement with polysomnography findings than the parental-report of a single observation (1-day diary).…”

Section: Discussionmentioning

confidence: 99%

“…Although polysomnographic exams are excellent tools for sleep bruxism diagnosis, they are too expensive for large population group studies and they may be uncomfortable for children. Despite the questionable validity of parents' report for the evaluation of bruxism 3 , this tool remains frequently used 4,5 . Systematic reviews have shown a lack of methodologically appropriate studies to clarify the effective prevalence and risk factors associated with SB in children 4,5 .…”

Section: Introductionmentioning

confidence: 99%

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Agreement between two different approaches to assess parent-reported sleep bruxism in children

et al. 2017

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Introduction: Parents' report is the most used method for the study of sleep bruxism (SB) in children, especially in research with large samples. However, there is no consensus about the questions used to assess SB, what may difficult the comparisons between studies. Objective: The aim of this research was to evaluate the agreement between two different approaches to assess possible sleep bruxism (PSB) in children using parents' report. Methods: This cross-sectional study was conducted with 201 parents/caregivers. Prior to the questionnaire completion, all participants received a standard explanation of SB concept. Subsequently, the parents/caregivers answered a general question (GQ) and a frequency-time question (FTQ) about SB, and the answers were compared. Results: The majority of the participants were the children´s mothers (73%) and the childrens mean age was 7.5 years (SD: 2.25). PSB frequency in children did not differ statistically through the two questions [GQ: 30.7% (CI95%: 24.2 -37.1) and FTQ: 26.6% (CI95%: 20.4 -32.8)], and an almost perfect agreement was observed between the answers (kp=0.812). Nevertheless, the FTQ showed a more coherent relation with the factors already recognized as associated with childhood bruxism than GQ. Conclusions: Different approaches result in similar PSB frequency, however, they show different ability to identify PSB associated factors and suggest the need of questions including frequency and time in further studies.

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“…Bruxism is as a repetitive jaw‐muscle activity characterized by clenching or grinding of the teeth, which can occur during sleep [sleep bruxism (SB)] or wakefulness [awake bruxism (AB)]. Current evidence suggests that SB may be viewed as a behavior, rather than a disorder, thus requiring a better definition of the clinical relevance of such phenomenon as a treatment‐demanding condition. To this aim, quantifying the masticatory muscle activity (MMA) associated with sleep bruxism yields fundamental information for understanding the role of SB as a risk factor for clinical consequences, such as temporomandibular disorders (TMD) and tooth wear, among others.…”

Section: Introductionmentioning

confidence: 99%

Agreement between jaw‐muscle activity measurement with portable single‐channel electromyography and polysomnography in children

Restrepo

Lobbezoo

Castrillón

et al. 2017

Int J Paed Dentistry

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Background Polysomnography (PSG) is the gold standard for sleep bruxism (SB) assessment. High economical costs, complex technical equipment, and unfamiliar laboratory setting limit its use in children. Aim To determine the night‐to‐night variability of electromyography (EMG) episodes during a five‐night recording with the GrindCare Measure (GCM), and the agreement in the assessment of masticatory muscle activity (MMA) between GCM and PSG in children. Design Forty‐seven children from clinics of Universidad CES participated. Each participant was assessed with GCM for five consecutive nights. The last night, children underwent a single‐night PSG study, together with the GCM. Spearman correlation coefficients were used to analyze data. Results The frequency of SB occurrence was ‘sometimes’ in 12 (25.5%) and ‘usually’ in 19 (40.4%) children. Simultaneous measurements with GCM and PSG obtained during the fifth night of measurement were not significantly correlated. Correlation between GCM total EMG episodes and EMG episodes/h and PSG total SB episodes, SB episodes/h, total bursts and burst/h measured with PSG was also not significant. Conclusion EMG measurement with GCM was not accurate to detect PSG/SB in children. There was not advantage of multiple assessment for five nights with GCM, reducing the impact of night‐to‐night EMG episodes’ variability on the GCM/PSG correlation.

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Diagnostic accuracy of the use of parental‐reported sleep bruxism in a polysomnographic study in children

Abstract: Although multiple-observation report achieved better agreement than single-observation report, our results failed supporting the validity of report strategies for the diagnosis of SB in children, as an equivalent of PSG/SB adult criteria.

Cited by 36 publications

References 30 publications

Sleep bruxism and oral health‐related quality of life in children: A systematic review

Sleep bruxism and oral health‐related quality of life in children: A systematic review

Agreement between two different approaches to assess parent-reported sleep bruxism in children

Agreement between jaw‐muscle activity measurement with portable single‐channel electromyography and polysomnography in children

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