The risk factors related to bruxism in children: A systematic review and meta-analysis

Guo, Huaqi; Wang, Tongxia; Niu, Xiaofeng; Wang, Hui; Yang, Wei; Qiu, Jie; Yang, Lan

doi:10.1016/j.archoralbio.2017.11.004

Cited by 90 publications

(113 citation statements)

References 31 publications

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“…Overall, three SR investigated prevalence rates among different populations, seventeen investigated associated factors, six evaluated effects on stomatognathic structures, two evaluated diagnostic accuracy of bruxism assessment tools, and thirteen assessed interventions' effectiveness . Statistical pooling of data using MA was available in 7 studies . Regarding language of publication, most reviews were published in English, one in German and one in Portuguese .…”

Section: Resultsmentioning

confidence: 99%

“…Overall, nine SR were judged with low risk, seventeen with moderate risk and fifteen with high risk of bias . Major concerns regarding risk of bias were observed, which included the following: (a) lack of a priori registration of the study protocol; (b) inappropriate range of database/electronic sources searched; (c) no risk of bias assessment; (d) study selection, data collection or bias assessment performed by only one reviewer; (e) no publication bias assessment or sensitivity analysis; (f) high risk of bias in included primary studies.…”

Section: Resultsmentioning

confidence: 99%

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Bruxism: An umbrella review of systematic reviews

Melo

Duarte

Pauletto

et al. 2019

J of Oral Rehabilitation

163

136

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Objectives To synthesise available knowledge about both sleep (SB) and awake bruxism (AB) as depicted by previous published systematic reviews (SR). Methods SR investigating any bruxism‐related outcome were selected in a two‐phase process. Searches were performed on seven main electronic databases and a partial grey literature search on three databases. Risk of bias of included SR was assessed using the “University of Bristol's tool for assessing risk of bias in SR”. Results From 1038 studies, 41 SR were included. Findings from these SR suggested that (a) among adults, prevalence of AB was 22%‐30%, SB (1%‐15%), and SB among children and adolescents (3%‐49%); (b) factors consistently associated with bruxism were use of alcohol, caffeine, tobacco, some psychotropic medications, oesophageal acidification and second‐hand smoke; temporomandibular disorder signs and symptoms presented a plausible association; (c) portable diagnostic devices showed overall higher values of specificity (0.83‐1.00) and sensitivity (0.40‐1.00); (d) bruxism might result in biomechanical complications regarding dental implants; however, evidence was inconclusive regarding other dental restorations and periodontal impact; (e) occlusal appliances were considered effective for bruxism management, although current evidence was considered weak regarding other therapies. Conclusions Current knowledge from SR was mostly related to SB. Higher prevalence rates were found in children and adolescents than in adults. Associated factors and bruxism effects on stomatognathic structures were considerably heterogeneous and inconsistent. Overall good accuracy regarding portable diagnostic devices was found. Interventions' effectiveness was mostly inconclusive regarding the majority of available therapies, with the exception of occlusal appliances.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Bruxism: An umbrella review of systematic reviews

Melo

Duarte

Pauletto

et al. 2019

J of Oral Rehabilitation

163

136

View full text Add to dashboard Cite

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“…This study found an association between sleep quality (not sleeping well and changing positions often during sleep) and the presence of possible SB. Sleep behaviours such as snoring, mouth breathing, restless sleep, drooling, sleeping position, sleep duration, sleeping with light on or noise in the room are associated to SB in children . It seems that sleep plays an important role in SB's occurrence and health professionals should be aware of patients’ sleeping condition and quality, in order to inform parents/caregivers about its importance to child's development and health …”

Section: Discussionmentioning

confidence: 99%

“…Sleep behaviours such as snoring, mouth breathing, restless sleep, drooling, sleeping position, sleep duration, sleeping with light on or noise in the room are associated to SB in children. 4,30 It seems that sleep plays an important role in SB's occurrence and health professionals should be aware of patients' sleeping condition and quality, in order to inform parents/caregivers about its importance to child's development and health. 7 There was also an association between possible SB occurrence among parents/caregivers and its occurrence among their children.…”

Section: Discussionmentioning

confidence: 99%

“…8 The family characteristics and social behaviours can affect children's emotional development, 5 which are important factors associated to SB in children. 5,30 It seems that when referring to bruxism, the family behaviour has influence on the child more than the genetic aspect, which enhancing the question if SB is a disorder or a behaviour. 31 The interpretation of these findings should take some issues into account.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge of parents/caregivers about the sleep bruxism of their children from all five Brazilian regions: A multicenter study

Prado

Paiva

Fonseca‐Gonçalves

et al. 2019

Int J Paed Dentistry

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Background Sleep bruxism (SB) is a masticatory muscle activity that affects children. Parents’ knowledge is important for its identification and report to dentists. Aim To investigate parents’ knowledge about SB among their children. Design A cross‐sectional study included 1325 parents of children from dental clinics of seven institutions from all regions of Brazil. Parents answered questions about child's sleep, knowledge about SB and its occurrence among children and parents. SB definition given by parents was dichotomized as “correct”/“incorrect”, based on the American Academy of Sleep Medicine definition. Descriptive, bivariate and multivariate analyses were performed (P < 0.05). Results Most parents (57.3%) did not know what SB is and 88.9% would like to receive more information. SB prevalence among parents was 15.4% and 24.0% among children. Between parents who correctly defined SB, its prevalence increased to 27.5% among parents and 40.6% among children. Parents whose children had/have SB, who would like to receive more information about SB and were from the North, Central‐West, Southeast, and South regions were more likely to define SB correctly (P > 0.05). Conclusion There is a lack of knowledge of parents about SB. SB among children, parents’ interest in receiving more information and their location were factors associated to their knowledge.

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