Temporomandibular Joint Pain-Dysfunction Syndrome and Bruxism: Etiopathogenesis and Treatment from a Psychosomatic Integrative Viewpoint

Biondi, Massimo; Picardi, Angelo

doi:10.1159/000288651

Cited by 41 publications

(28 citation statements)

References 47 publications

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“…Headaches in individuals with severe personality disorders may be aggravated by stress-related muscular bracing in his neck and shoulders. Additional support for the results reported in this study comes from one study 19 ,…”

Section: Somatization and Dissociation In Bruxer And Tmd Individualssupporting

confidence: 81%

“…In one study 19 , bruxism was defined as a psychosomatic disorder which occurs very frequently in TMDs individuals. Additionally, patients affected by chronic and painful TMDs share many psychophysiological characteristics with subjects presenting other chronic painful syndromes at different body regions.…”

Section: The Scores In Somatisation and Dissociation Increased With Tmentioning

confidence: 99%

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Somatisation and Dissociation: A Comparison Study In Bruxers Subgroups

Molina¹,

Santos²,

Scotta³

et al. 2013

RNC

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de 11,8, 9,6 e 16,3 no grupo com bruxismo e Distúrbios temporomandibulares e de 2,6, 4,8, e 10,4 no controle (Somatização entre os dois grupos p<0,0001 e para dissociação p<0,0001). Os valores em somatização e dissociação foram de 9,6 e 16,3 (grupo experimental p<0,0001) e 4,8 e 10,4 (grupo controle p<0,0001), . Os valores em somatização (6,2, 9,6, 10,7, e 11,8 p=0,0001) e dissociação (10,6,16,4,15,2 e 27,1 p=0,0001) aumentaram no bruxismo mais intensamente que no grupo experimental. Bruxismo, somatisação e dissociação apresentaram correlação positiva. A prevalência de dissociação intensa foi de 16.8%. Conclusão. Os valores em somatização e dissociação nos pacientes com DTMS foram mais altos do que nos controles. As frequências de somatisação e dissociação aumentaram no bruxismo mais intenso. Unitermos ABSTRACTObjective. To assess the frequency of somatisation/dissociation in bruxers and temporomandibular disorders patients, to evaluate the frequencies of somatization and dissociation and to correlates with bruxism Method. We evaluated the the questionnaires for TMDs/ bruxism, clinical examination, the Rief and Hiller´s questionnaire, and the Bernstein and Putnam´s instrument in 137 bruxers (123 female, mean age 35.3) and 31 controls (20 female, mean age 34.9) Sign and symptoms of joint noises, facial or temporomandibular joint pain, tenderness to palpation, difficulties to perform jaw movements, and joint noises were evaluated. Results. Mean scores in bruxism, somatisation and dissociation in bruxers /TMDs were 11. 8, 9.6 and 16.3, and 2,6, 4,8 and 10,4 in the controls. Somatisation and dissociation scores in TMDs and controls were about 9,6 and 16,3 (p=0.0001) and 4,8 and 10,4 (p<0.0001). Scores in somatisation (6,2, 9,6, 10,7, and 11,8; p<0.0001) and dissociation (10,6, 16,4, 15,2, and 27.1; p<0.0001) increased with severer bruxism). Bruxism, Somatisation, and dissociation were positively correlated. The frequency of dissociation was about 16,8. Conclusions. Somatization and dissociation scores in TMD individuals were higher as compared to control ones. The frequencies of somatisation and dissociation increased more severe bruxism, and were positive correlated.

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Section: Somatization and Dissociation In Bruxer And Tmd Individualssupporting

confidence: 81%

Section: The Scores In Somatisation and Dissociation Increased With Tmentioning

confidence: 99%

Somatisation and Dissociation: A Comparison Study In Bruxers Subgroups

Molina¹,

Santos²,

Scotta³

et al. 2013

RNC

View full text Add to dashboard Cite

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“…Bruxism has been defined as an anxiety response to environmental stress (Rosales et al, 2002;Slavicek & Sato, 2004;Van Selms et al, 2004). Researchers believe that psychological factors and stress play a major role in promoting and perpetuating bruxism (Biondi & Picardi, 1993). A case study (Van Selms et al, 2004) confirms the paradigm that experienced stress may be related to daytime clenching and to evening and morning jaw muscle pain.…”

Section: Stress (Reaction To Stress)mentioning

confidence: 90%

“…Bruxism has been described as a socially acceptable stress-releasing activity (Mikami, 1977) and researchers believed that psychological factors and stress play a major role in promoting and perpetuating bruxism (Biondi & Picardi, 1993). Bruxism has also been defined as an anxiety response to environmental stress (Rosales et al, 2002;Slavicek & Sato, 2004;Van Selms, Lobbezoo, Wicks, Hamburger, & Naeije, 2004).…”

Section: Overviewmentioning

confidence: 99%

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The Significance of Sub-Threshold Symptoms of Anxiety in the Aetiology of Bruxism

Basson

Mwaba

Rossouw

et al. 2010

South African Journal of Psychology

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Introduction: Bruxism is an oral parafunctional habit involving clenching and grinding of the teeth that occurs mainly unconsciously, diurnally and nocturnally. It is considered an important contributory factor in the aetiology of myofascial pain (MFP) and temporomandibular disorders (TMD). The aetiology of bruxism is considered to be multifactorial, involving physiological and psychological factors. Statement of the problem: Do subthreshold symptoms of anxiety have an effect on bruxing behaviour? Aim: The aim of this study was to examine the relationship between the subthreshold symptoms (subtle, prodromal, atypical and subclinical symptoms of which the severity precludes diagnosis as a disorder) of anxiety and bruxism in a sample of subjects using a spectrum model. Method: Firstly, a self report screening measure consisting of the Spielberger State Trait Anxiety Inventory (SSTAI); the Kessler-10 (K-10); demographic and bruxism criteria were used to determine levels of anxiety, stress and bruxism on a continuum. Secondly, in order to determine a bruxism score, a standardized clinical examination; intra-oral photographs and dental casts were used in the study. Thirdly, the diagnosis of bruxism according to specified criteria was performed.Results: Forty one percent (n = 12) of the sample of 29 subjects was diagnosed as bruxers. A possible relation between subthreshold symptoms of anxiety, stress and bruxism was observed in the results. In approximately half of the subjects with higher than average anxiety and stress scores, bruxism behaviour was found. Clinical significance: The dentist could play a role in recognizing that a patient may be experiencing stress or anxiety, expressed through bruxing behaviour and refer the patient for therapy or counseling. The treatment of bruxism could be complimented by therapy or counseling which focuses on addressing the subthreshold symptoms of anxiety. Conclusions: An understanding of v the psychological factors involved in the aetiology of bruxism could encourage a more holistic approach to the treatment of bruxism.

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2003

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Temporomandibular Joint Pain-Dysfunction Syndrome and Bruxism: Etiopathogenesis and Treatment from a Psychosomatic Integrative Viewpoint

Cited by 41 publications

References 47 publications

Somatisation and Dissociation: A Comparison Study In Bruxers Subgroups

Somatisation and Dissociation: A Comparison Study In Bruxers Subgroups

The Significance of Sub-Threshold Symptoms of Anxiety in the Aetiology of Bruxism

Parasomnias

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