The association of self-reported awake bruxism and sleep bruxism with temporomandibular pain and dysfunction in adult patients with temporomandibular disorders

Chattrattrai, Thiprawee; Aarab, Ghizlane; Su, Naichuan; Blanken, Tessa F; Mitrirattanakul, Somsak; Lobbezoo, Frank

doi:10.1007/s00784-023-05338-y

Cited by 5 publications

(2 citation statements)

References 49 publications

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“…Similar to previous study in adults, a positive correlation was found between oral habits and TMJ symptoms. This correlation supports the direct relationship between TMJ pain, awake bruxism and stress found in previous study 45 . The relationship between TMJ symptoms and oral habits is multifactorial 44 .…”

Section: Discussionsupporting

confidence: 91%

Oral habits and temporomandibular joint disorders according to stress levels among military personnel in South Korea: A cross‐sectional study

Son,

Choi,

Kim

2024

J of Oral Rehabilitation

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BackgroundMilitary personnel suffer from stress‐induced temporomandibular joint disorders (TMD). No previous studies have evaluated the oral habits and TMD in military personnel based on their stress levels.ObjectivesTo examine the correlation between oral habits and TMD based on stress levels. In addition, we assessed the relationship between stress levels and TMD by military rank as well as the impact of oral habits on TMD.MethodThis cross‐sectional survey included 89 military personnel who visited the Armed Forces Medical Center in Korea with discomfort in the temporomandibular joint (TMJ) discomfort. Oral habits, stress level, TMD and general characteristics of the subjects were investigated. A questionnaire was distributed to the subjects who agreed to the study, and they were asked to respond in a self‐written form. Multiple linear regression analysis was performed to examine the factors that affect oral habits and TMJ symptoms.ResultsStress scores and oral habits were highest in the ‘Private’ rank. In contrast, temporomandibular joint symptoms were highest in the ‘Corporal’ rank. Additionally, the high‐risk stress group exhibited higher scores in oral habits and TMD compared to the potential stress group. Furthermore, there was a positive correlation between an increase in high‐risk stress scores and a rise in oral habits. And individuals with more oral habits are at an increased likelihood of experiencing TMD.ConclusionOur study findings suggest that military personnel with prevent TMD and improve oral habits by addressing stress levels.

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Section: Discussionsupporting

confidence: 91%

Oral habits and temporomandibular joint disorders according to stress levels among military personnel in South Korea: A cross‐sectional study

Son,

Choi,

Kim

2024

J of Oral Rehabilitation

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“…This incongruity can be attributed to divergent pain characteristics accompanying different oral behaviors, consequently impacting jaw function [ 14 , 19 ]. While evidence supporting the causal relationship between SSA and TMD remains inconclusive, TMD pain has recently been directly linked to WNA, specifically awake bruxism, stress, and TMJ dysfunction [ 10 , 11 , 41 ]. The robust association between depression and anxiety observed was also reported in other East Asian TMD patients [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Yap,

Kim,

Lee

et al. 2024

Clin Oral Invest

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Objectives This study investigated oral behaviors in various temporomandibular disorder (TMD) subtypes, assessing their frequency, extent, and associations with both jaw functional status and psychological distress. Materials and methods Anonymized data from consecutive "initial-visit" TMD patients at a university-affiliated oral medicine clinic were obtained. Alongside demographic information, patients completed various questionnaires including the Diagnostic Criteria for TMD (DC/TMD) Symptom Questionnaire, Oral Behavior Checklist (OBC), Jaw Functional Limitation Scale-20 (JFLS-20), Patient Health Questionnaire-9 (PHQ-9), and General Anxiety Disorder Scale-7 (GAD-7). Patients underwent a protocolized clinical examination and received diagnoses of pain-related (PT), intra-articular (IT), or combined (CT) TMD using the DC/TMD diagnostic algorithms. Data were evaluated with Chi-square/non-parametric tests and logistic regression analyses (α = 0.05). Results The study comprised 700 patients (mean age 37.4 ± 15.7 years), with 12.6%, 15.1%, and 72.3% diagnosed with PT, IT, and CT, respectively. For all TMD subtypes, oral activities during sleep were more prevalent than those during wakefulness. While variations in total/subscale OBC scores were insignificant, substantial differences were observed in global/subscale JFLS (PT, CT > IT), depression (PT, CT > IT), and anxiety (CT > IT) scores. Near-moderate correlations (rs = 0,36–0.39) were discerned between overall/waking-state non-functional oral behaviors and depression/anxiety. Multivariate analysis indicated that the odds of different TMD subtypes were influenced by sex, age, and jaw functional status. Conclusions For all TMD patients, sleep-related oral activities were more commonly reported than waking-state activities. Factors such as sex, age, and jaw functional limitation are associated with the likelihood of different TMD subtypes. Statement of clinical relevance Oral behaviors, in themselves, do not predict distinct TMD subtypes, in contrast to factors such as sex, age, and jaw functional status.

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Botulinum toxin for bruxism treatment: a nationwide study among oral and maxillofacial surgeons in Germany

Pabst,

Kämmerer,

Heimes

et al. 2024

Clin Oral Invest

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The association of self-reported awake bruxism and sleep bruxism with temporomandibular pain and dysfunction in adult patients with temporomandibular disorders

Cited by 5 publications

References 49 publications

Oral habits and temporomandibular joint disorders according to stress levels among military personnel in South Korea: A cross‐sectional study

Oral habits and temporomandibular joint disorders according to stress levels among military personnel in South Korea: A cross‐sectional study

Sleeping and waking-state oral behaviors in TMD patients: their correlates with jaw functional limitation and psychological distress

Botulinum toxin for bruxism treatment: a nationwide study among oral and maxillofacial surgeons in Germany

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