Epidemiology of Bruxism and Temporomandibular Joint Disorders (TMD) in Iranian Adults: A Cross-Sectional Study

Parviz Amini, Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran
Maryam Sharifi, Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran; Department of Pediatric Dentistry, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
Reyhane Aftabi, Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, Iran; Department of Pediatric Dentistry, School of Dentistry, Kerman University of Medical Sciences, Kerman, Iran
Fatemeh Jahanimoghadam, Social Determinants on Oral Health Research Center, Kerman University of Medical Sciences, Kerman, IranFollow
Hamidreza Jahanimoghadam, Dentist, Private Practice, Kerman, Iran

Abstract

Objective: The prevalence of bruxism in the literature has been reported differently. The aim of this study was to assess the prevalence of bruxism in patients aged 25–40 who were referred to Kerman Dental School. Methods: This analytical descriptive cross-sectional study was performed on 320 patients referred to the Department of Oral Medicine of Kerman Dentistry Faculty in the age range of 25 to 40 years old. The prevalence of bruxism as well as TMJ disorders were evaluated. Data were collected in a questionnaire and entered into SPSS version 24. Analyzing was done by a chi-square test at a significant level of 0.05. Results: The prevalence of bruxism was 23.8%, with superiority in women. Although clenching was observed in 95.5% of the patients, 84.4% showed premature contacts on teeth, most of them related to the non-working side, and 82.9% presented premature contacts on restorations, especially on the non-working side. Regarding TMD symptoms, pain was the most common (83.4%), and clicking and crepitus were seen in 42% and 6% of the patients, respectively. Also, in 63.7% of the subjects with bruxism, jaw deviation was observed, and 18.7% showed restricted jaw movement. Conclusion: The prevalence of bruxism in the studied population is in the range of similar studies. Regarding TMD, troublesome symptoms such as pain, jaw deviation, and limited mouth opening were the only ones significantly related to bruxism.

References

1. Manfredini D, Ahlberg J, Aarab G, Bracci A, Durham J, Emodi-Perlman A, Ettlin D, Gallo LM, Häggman-Henrikson B, Koutris M, Peroz I, Svensson P, Wetselaar P, Lobbezoo F. The development of the Standardised Tool for the Assessment of Bruxism (STAB): An international road map. J Oral Rehabil. 2024; 51(1):15-28.

2. Moreno-Hay I, Bender SD. Bruxism and oro-facial pain not related to temporomandibular disorder conditions: Comorbidities or risk factors? J Oral Rehabil. 2024; 51(1):196-201.

3. Machado E, Dal-Fabbro C, Cunali PA, Kaizer OB. Prevalence of sleep bruxism in children: A systematic review. Dental Press J Orthod. 2014; 19(6):54-61.

4. da Costa SV, de Souza BK, Cruvinel T, Oliveira TM, Lourenço Neto N, Machado MAAM. Factors associated with preschool children’s sleep bruxism. Cranio. 2024; 42(1):48-54.

5. Câmara-Souza MB, Carvalho AG, Figueredo OMC, Bracci A, Manfredini D, Rodrigues Garcia RCM. Awake bruxism frequency and psychosocial factors in college preparatory students. Cranio. 2023; 41(2):178-84.

6. Osses-Anguita ÁE, Sánchez-Sánchez T, Soto- Goñi XA, García-González M, Alén Fariñas F, Cid-Verdejo R, Sánchez Romero EA, Jiménez- Ortega L. Awake and sleep bruxism prevalence and their associated psychological factors in first-year university students: A pre-mid-post COVID-19 pandemic comparison. Int J Environ Res Public Health. 2023; 20(3):2452.

7. Korkmaz C, Bellaz İB, Kılıçarslan MA, Dikicier S, Karabulut B. Influence of psychiatric symptom profiles of parents on sleep bruxism intensity of their children. Acta Odontol Scand. 2024; 82(1):33-9.

8. Gupta R, Goel D, Kandpal SD, Mittal N, Dhyani M, Mittal M. Prevalence of sleep disorders among primary school children. Indian J Pediatr. 2016; 83(11):1232-6.

9. Emodi Perlman A, Lobbezoo F, Zar A, Friedman Rubin P, van Selms MK, Winocur E. Selfreported bruxism and associated factors in Israeli adolescents. J Oral Rehabil. 2016; 43(6):443-50.

10. Clementino MA, Siqueira MB, Serra-Negra JM, Paiva SM, Granville-Garcia AF. The prevalence of sleep bruxism and associated factors in children: A report by parents. Eur Arch Paediatr Dent. 2017; 18(6):399-404.

11. Blanco Aguilera A, Gonzalez Lopez L, Blanco Aguilera E, De la Hoz Aizpurua JL, Rodriguez Torronteras A, Segura Saint-Gerons R, Blanco Hungría A. Relationship between self-reported sleep bruxism and pain in patients with temporomandibular disorders. J Oral Rehabil. 2014; 41(8):564-72.

12. Yap AU, Chua AP. Sleep bruxism: Current knowledge and contemporary management. J Conserv Dent. 2016; 19(5):383-9.

13. Yıldırım B, Kırarslan Karagoz O, Tekeli Simsek A, Koca C, Cicek MF. Associations between selfreported bruxism, sleep quality, and psychological status among dental students in Turkey. Cranio. 2024; 42(1):63-8.

14. Safari A, Jowkar Z, Farzin M. Evaluation of the relationship between bruxism and premature occlusal contacts. J Contemp Dent Pract. 2013; 14(4):616-21.

15. de-la-Hoz JL. Sleep bruxism: Review and update for the restorative dentist. Alpha Omegan. 2013; 106(1-2):23-8.

16. Seraj B, Shahrabi M, Ghadimi S, Ahmadi R, Nikfarjam J, Zayeri F, Taghi FP, Zare H. The prevalence of bruxism and correlated factors in children referred to dental schools of Tehran, based on parent’s report. Iran J Pediatr. 2010; 20(2):174-80.

17. Bracci A, Lobbezoo F, Colonna A, Bender S, Conti PCR, Emodi-Perlman A, Häggman-Henrikson B, Klasser GD, Michelotti A, Lavigne GJ, Svensson P, Ahlberg J, Manfredini D. Research routes on awake bruxism metrics: Implications of the updated bruxism definition and evaluation strategies. J Oral Rehabil. 2024; 51(1):150-61.

18. Colonna A, Bracci A, Ahlberg J, Câmara-Souza MB, Bucci R, Conti PCR, Dias R, Emodi-Perlmam A, Favero R, Häggmän-Henrikson B, Michelotti A, Nykänen L, Stanisic N, Winocur E, Lobbezoo F, Manfredini D. Ecological momentary assessment of awake bruxism behaviors: A scoping review of findings from smartphone-based studies in healthy young adults. J Clin Med. 2023; 12(5):1904.

19. Jiménez-Silva A, Peña-Durán C, Tobar-Reyes J, Frugone-Zambra R. Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: A systematic review from 2003 to 2014. Acta Odontol Scand. 2017; 75(1):36-58.

20. Serra-Negra JM, Paiva SM, Fulgêncio LB, Chavez BA, Lage CF, Pordeus IA. Environmental factors, sleep duration, and sleep bruxism in Brazilian schoolchildren: A case-control study. Sleep Med. 2014; 15(2):236-9.

21. Hashemipour MA, Mohammadi L, Gandjalikhan- Nassab SAH. Self-reported bruxism and stress and anxiety in adults: A study from Iran. J Oral Health Oral Epidemiol 2021; 10(2):86-92.

22. Chisini LA, San Martin AS, Cademartori MG, Boscato N, Correa MB, Goettems ML. Interventions to reduce bruxism in children and adolescents: A systematic scoping review and critical reflection. Eur J Pediatr. 2020; 179(2):177- 89.

23. Flueraşu MI, Bocşan IC, Țig IA, Iacob SM, Popa D, Buduru S. The epidemiology of bruxism in relation to psychological factors. Int J Environ Res Public Health. 2022; 19(2):691.

24. Arifagaoglu O, Koseoglu Secgin C, Yuzugullu B. Effect of the COVID-19 pandemic on anxiety in patients with masticatory muscle pain. J Prosthet Dent. 2023; 130(1):74-79.

25. Dawson PE. Functional occlusion: From TMJ to smile design. 1st ed. St. Louis: Mosby; 2007. pp. 333-41.

26. Ca d a r M, A l mă şa n O. Dent al occlusion characteristics in subjects with bruxism. Med Pharm Rep. 2024; 97(1):70-5.

27. Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F. Epidemiology of bruxism in adults: A systematic review of the literature. J Orofac Pain. 2013; 27(2):99-110.

28. Kato M, Saruta J, Takeuchi M, Sugimoto M, Kamata Y, Shimizu T, To M, Fuchida S, Igarashi H, Kawata T, Tsukinoki K. Grinding patterns in migraine patients with sleep bruxism: a casecontrolled study. Cranio. 2016; 34(6):371-7.

29. Reddy SV, Kumar MP, Sravanthi D, Mohsin AH, Anuhya V. Bruxism: A literature review. J Int Oral Health. 2014; 6(6):105-9.

30. Bulanda S, Ilczuk-Rypuła D, Nitecka-Buchta A, Nowak Z, Baron S, Postek-Stefańska L. Sleep bruxism in children: Etiology, diagnosis, and treatment-A literature review. Int J Environ Res Public Health. 2021; 18(18):9544.

31. Phuong NTT, Ngoc VTN, Linh LM, Duc NM, Tra NT, Anh LQ. Bruxism, related factors and oral health-related quality of life among Vietnamese medical students. Int J Environ Res Public Health. 2020; 17(20):7408.

32. Ohlmann B, Waldecker M, Leckel M, Bömicke W, Behnisch R, Rammelsberg P, Schmitter M. Correlations between sleep bruxism and temporomandibular disorders. J Clin Med. 2020; 9(2):611.

33. Berger M, Szalewski L, Szkutnik J, Ginszt M, Ginszt A. Different association between specific manifestations of bruxism and temporomandibular disorder pain. Neurol Neurochir Pol. 2017; 51(1):7- 11.

34. Castrillon EE, Ou KL, Wang K, Zhang J, Zhou X, Svensson P. Sleep bruxism: An updated review of an old problem. Acta Odontol Scand. 2016; 74(5):328-34.

35. Wieckiewicz M, Smardz J, Martynowicz H, Wojakowska A, Mazur G, Winocur E. Distribution of temporomandibular disorders among sleep bruxers and non-bruxers-A polysomnographic study. J Oral Rehabil. 2020; 47(7):820-6.

36. Baad-Hansen L, Thymi M, Lobbezoo F, Svensson P. To what extent is bruxism associated with musculoskeletal signs and symptoms? A systematic review. J Oral Rehabil. 2019; 46(9):845-61.

37. Kirov D, Doichinova L, Deliverska E, Kirilova J. Assessing the influence of increased stress on bruxism during the COVID-19 pandemic. J of IMAB. 2022; 28(1):4237-41.

38. Khoury S, Carra MC, Huynh N, Montplaisir J, Lavigne GJ. Sleep bruxism-tooth grinding prevalence, character ist ics and familial aggregation: A large cross-sectional survey and polysomnographic validation. Sleep. 2016; 39(11):2049-56.

39. Unell L, Johansson A, Ekbäck G, Ordell S, Carlsson GE. Prevalence of troublesome symptoms related to temporomandibular disorders and awareness of bruxism in 65- and 75-year-old subjects. Gerodontology. 2012; 29(2):e772-9.

Comments (0)

No login
gif