Sleep bruxism in school-aged children – are tooth wear and orthodontic anomalies common risk factors?
DOI:
https://doi.org/10.2478/AMB-2025-0044Keywords:
sleep bruxism, tooth wear, orthodontic anomalies, attritionAbstract
Sleep bruxism is a parafunction characterized by squeezing and/or grinding of the teeth. It occurs in both adults and children, and is associated with a wide variety of risk factors like harmful habits, tooth wear, orthodontic anomalies, psychological issues, etc. Aim: The aim of the present study is to investigate the prevalence and clinical characteristics of sleep bruxism in school-age children and its relationship with tooth wear and orthodontic anomalies. Materials and Methods: The object of the study are 262 children in 2 age groups: elementary scholars (aged 7-10) and middle scholars (aged 11-14). They underwent clinical examinations, which included registration of dental status, type, degree and prevalence of tooth wear and orthodontic malocclusions. Afterwards, the parents completed a questionnaire about the child’s general health, bruxism, harmful habits, etc. The results were statistically processed with SPSS-19. Results: Sleep bruxism was found in 22.1% of the examined children without predominance in any gender, but a slightly higher prevalence in the elementary school group. Tooth wear was registered in 70.6% of the examined patients. The registered orthodontic anomalies had almost the same frequency – 66.4%. None of the examined risk factors presented a significant relation with sleep bruxism. Conclusions: Sleep bruxism occurs in 1/5 of the examined children, but cannot be definitely related to tooth wear or orthodontic anomalies.
References
Sateia, MJ. International Classification of Sleep Disorders- Third Edition. Chest, 2014, 146 (5), 303-311. https://doi.org/10.1378/chest.14-0970
Strausz T, Ahlberg J, Lobbezoo F, et al. Awareness of tooth grinding and clenching from adolescence to young adulthood: a nine-year follow-up. J Oral Rehabil 2010;37(7):497-500.
The Glossary of Prosthodontic Terms: Ninth Edition. J Prosthet Dent. 2017 May;117(5S):1-e105. doi: 10.1016/j.prosdent.2016.12.001.
World Health Organization. 2021.[Internet]. International Classification of Diseases for Mortality and Morbidity Statistics (11th Revision). Available from: http://id.who.int/icd/entity/60908067
Kandasamy S, Greene CS, Rinchuse DJ, Stockstill JW, TMD and Orthodontics: A Clinical Guide for the Orthodontist, Springer International Publishing AG Switzerland; 2015, 63-79.
Lobbezoo F, et al. Bruxism defi ned and graded: an international consensus. J Oral Rehabil 2013;40:2–4.
Lavigne GJ, Montplaisir JY. Restless legs syndrome and sleep bruxism: prevalence and association among Canadians. Sleep 1994;17(8):739-43.
Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest 2001;119(1):53-61.
Breda M, Belli A, Esposito D, et al. Sleep habits and sleep disorders in Italian children and adolescents: a cross-sectional survey. J Clin Sleep Med. 2023 Apr 1;19(4):659-672. doi:10.5664/jcsm.10400.
Brandão de Almeida A, Rodrigues RS, Simão C, et al. Prevalence of Sleep Bruxism Reported by Parents/Caregivers in a Portuguese Pediatric Dentistry Service: A Retrospective Study. Int J Environ Res Public Health. 2022;19(13):7823.
Pergamalian A, Rudy TE, Zaki HS, Greco CM. The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent. 2003; 90:194-200.
Field J, Walls A, Steele J, Wassell R. Recognizing Tooth Surface Loss. In: Wassell R, Nohl F, Steele J, Walls A. (eds) Extra-Coronal Restorations. BDJ Clinician’s Guides. 2019, Springer, Cham
Mehl A, Gloger W, Kunzelmann KH, Hickel R. A new optical 3-D device for the detection of wear. Journal of Dental Research 1997; 76: 1799-1807.
Serra-Negra, JM, Paiva, SM, Auad, SM, et al. Signs, symptoms, parafunctions, and associated factors of parent-reported sleep bruxism in children: a case-control study. Brazilian Dental Journal, 2012, 23(6), 746-752.
Lavigne GJ, Goulet JP, Zuconni M, et al. Sleep disorders and the dental patient: an overview. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 Sep;88(3):257-72.
Castelo PM, Gavião MB, Pereira LJ, Bonjardim LR. Relationship between oral parafunction/nutritive sucking habits and temporomandibular joint dysfunction in primary dentition. Int J Paediatr Dent. 2005; 15:29-36.
Ghafournia M, Hajenourozali Tehrani M. Relationship between bruxism and malocclusion among preschool children in Isfahan. J Dent Res Dent Clin Dent Prospects. 2012; 6:138-42.
Van Selms MKA, Marpaung C, Pogosian A, Lobbezoo F. Geographical variation of parental-reported sleep bruxism among children: comparison between the Netherlands, Armenia and Indonesia. Int Dent J. 2019 Jun;69(3):237-243.
Manfredini D, Ahlberg J, Winocur E, Lobbezoo F. Management of sleep bruxism in adults: a qualitative systematic literature review. J Oral Rehabil. 2015 Nov; 42(11):862-74.
Storari M, Serri M, Aprile M, et al. Bruxism in children: What do we know? Narrative Review of the current evidence. Eur J Paediatr Dent. 2023 Sep 1;24(3):207-210.
Manfredini D, Restrepo C, Diaz-Serrano K, et al. Prevalence of sleep bruxism in children: a systematic review of the literature. J Oral Rehabil. 2013 Aug;40(8):631-42.
Martins IM, Alonso LS, Vale MP, et al. Association between the severity of possible sleep bruxism and possible awake bruxism and attrition tooth wear facets in children and adolescents. Cranio. 2022 Jul 25:1-7.
Soares JP, Moro J, Massignan C, et al. Prevalence of clinical signs and symptoms of the masticatory system and their associations in children with sleep bruxism: A systematic review and meta-analysis. Sleep Med Rev. 2021 Jun; 57:101468.
Nota A, Pittari L, Paggi M, Abati S, Tecco S. Correlation between Bruxism and Gastroesophageal Reflux Disorder and Their Effects on Tooth Wear. A Systematic Review. J Clin Med. 2022 Feb 19;11(4):1107. doi: 10.3390/jcm11041107.
Da Costa SV, de Souza BK, Cruvinel T, et al. Factors associated with preschool children’s sleep bruxism. Cranio. 2024 Jan;42(1):48-54. doi: 10.1080/08869634.2021.1903663.
Sari S, Sonmez H. The relationship between occlusal factors and bruxism in permanent and mixed dentition in Turkish children. J Clin Pediatr Dent. 2001;25(3):191-4.
Van Lierde KM, Luyten A, D’haeseleer E, et al. Articulation and oromyofunctional behavior in children seeking orthodontic treatment. Oral Dis. 2015 May;21(4):483-92.
Gomes MC, Neves ÉT, Perazzo MF, et al. Association between psychological factors, socio-demographic conditions, oral habits and anterior open bite in five-year-old children. Acta Odontol Scand. 2018 Nov;76(8):553-8.
Demir A, Uysal T, Guray E, Basciftci FA. The relationship between bruxism and occlusal factors among seven- to-19-year-old Turkish children. Angle Orthod. 2004 Oct;74(5):672-6.
Gonçalves LP, de Toledo OA, Otero SA. The relationship between bruxism, occlusal factors and oral habits. Dental Press J Orthod. 2010;15(2):97-104.
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