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1.
Ned Tijdschr Tandheelkd ; 131(7-08): 331-334, 2024 Jul.
Artigo em Holandês | MEDLINE | ID: mdl-38973663

RESUMO

A recent publication in the Nederlands Tijdschrift Voor Tandheelkunde (Dutch Journal of Dentistry) suggests botulinum toxin as a primary treatment for bruxism, especially for severe complaints of teeth grinding or jaw clenching. However, in the opinion of Lobbezoo et al., some outdated views on bruxism are used, and botulinum toxin is incorrectly classified as safe, according to them. In this Vision article, the authors describe the current insights into bruxism; they indicate how the presence of bruxism can be assessed in the clinic; when and how bruxism is treated; and finally, what the role of botulinum toxin is: an ultimum refugium. Therefore, regarding the use of botulinum toxin within the discipline of orofacial pain and dysfunction Lobbezoo et al. recommend: think twice!


Assuntos
Toxinas Botulínicas , Bruxismo , Humanos , Bruxismo/tratamento farmacológico , Toxinas Botulínicas/uso terapêutico , Toxinas Botulínicas/administração & dosagem , Fármacos Neuromusculares/uso terapêutico , Fármacos Neuromusculares/administração & dosagem , Toxinas Botulínicas Tipo A/uso terapêutico , Toxinas Botulínicas Tipo A/administração & dosagem
2.
BMC Oral Health ; 24(1): 798, 2024 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-39010000

RESUMO

BACKGROUND: The aim of this study was to evaluate the content and quality of videos about bruxism treatments on YouTube, a platform frequently used by patients today to obtain information. METHODS: A YouTube search was performed using the keywords "bruxism treatment" and "teeth grinding treatment". "The sort by relevance" filter was used for both search terms and the first 150 videos were saved. A total of 139 videos that met the study criteria were included in the study. Videos were classified as poor, moderate or excellent based on a usefulness score that evaluated content quality. The modified DISCERN tool was also used to evaluate video quality. Additionally, videos were categorized according to the upload source, target audience and video type. The types of treatments mentioned in the videos and the demographic data of the videos were recorded. RESULTS: According to the usefulness score, 59% of the videos were poor-quality, 36.7% were moderate-quality and 4.3% were excellent-quality. Moderate-quality videos had a higher interaction index than excellent-quality videos (p = 0.039). The video duration of excellent-quality videos was longer than that of moderate and poor-quality videos (p = 0.024, p = 0.002). Videos with poor-quality content were found to have significantly lower DISCERN scores than videos with moderate (p < 0.001) and excellent-quality content (p = 0.008). Additionally, there was a significantly positive and moderate (r = 0.446) relationship between DISCERN scores and content usefulness scores (p < 0.001). There was only a weak positive correlation between DISCERN scores and video length (r = 0.359; p < 0.001). The videos uploaded by physiotherapists had significantly higher views per day and viewing rate than videos uploaded by medical doctors (p = 0.037), university-hospital-institute (p = 0.024) and dentists (p = 0.006). The videos uploaded by physiotherapists had notably higher number of likes and number of comments than videos uploaded by medical doctors (p = 0.023; p = 0.009, respectively), university-hospital-institute (p = 0.003; p = 0.008, respectively) and dentists (p = 0.002; p = 0.002, respectively). CONCLUSIONS: Although the majority of videos on YouTube about bruxism treatments are produced by professionals, most of the videos contain limited information, which may lead patients to debate treatment methods. Health professionals should warn patients against this potentially misleading content and direct them to reliable sources.


Assuntos
Bruxismo , Mídias Sociais , Gravação em Vídeo , Humanos , Bruxismo/terapia , Reprodutibilidade dos Testes
3.
BMC Oral Health ; 24(1): 721, 2024 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-38914975

RESUMO

BACKGROUND: This paper aimed to explore the prevalence of temporomandibular disorders (TMDs) signs/symptoms, and to investigate the possible link between signs/symptoms of TMDs and mouth breathing (MB) by evaluating along with other risk factors, in a Turkish subpopulation of children and adolescence. METHODS: This study was conducted with the archival data of the patients who applied with orthodontic complaints. Data on demographic characteristics, family-related factors, systemic status, occlusion, breathing patterns, oral habits, and bruxism were retrieved from the archival records. RESULTS: Nine hundred forty-five children and adolescents with a mean age of 14.82 ± 2.06 years were included in the study. Of the participants, 66% were girls, 60.4% were delivered by C-section, 8.4% of the participants had at least one systemic disease, 9.2% of the participants had allergy, and 4.3% of the participants' parents were divorced, 18.7% have an oral habit, 6.6% have bruxism, 29.8% have malocclusion and 14.1% have MB. Eight-point-five percent of participants have signs/symptoms of TMD. Among them 2.9% have pain, 3.7% have joint sounds, 1.4% have deflection, and 3.9% have deviation. Evaluation of the risk factors revealed a significant relation between the signs/symptoms of TMD and bruxism (OR 8.07 95% CI 4.36-14.92), gender (OR 2.01 95% CI 1.13-3.59), marital status of parents (OR 2.62 95% CI 1.07-6.42), and MB (OR 3.26 95% CI 1.86-5.71). CONCLUSIONS: According to the study's findings, girls and those with bruxism, divorced parents, and MB behavior are more likely to have signs/symptoms of TMD. Age found to have significant effect on the occurrence of the signs/symptoms of TMD alone, but together with other factors the effect of the age is disappeared. Early screening and intervention of MB as well as the signs/symptoms of TMD can help to limit detrimental effects of these conditions on growth, and quality of life of children and adolescents.


Assuntos
Respiração Bucal , Transtornos da Articulação Temporomandibular , Humanos , Feminino , Adolescente , Masculino , Turquia/epidemiologia , Estudos Transversais , Transtornos da Articulação Temporomandibular/epidemiologia , Criança , Respiração Bucal/epidemiologia , Respiração Bucal/complicações , Fatores de Risco , Prevalência , Bruxismo/epidemiologia , Bruxismo/complicações , Má Oclusão/epidemiologia , Má Oclusão/complicações , Dor Facial/epidemiologia , Hipersensibilidade/epidemiologia , Hipersensibilidade/complicações
4.
Clin Oral Investig ; 28(7): 401, 2024 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-38940883

RESUMO

OBJECTIVES: This study aimed to assess whether awake bruxism and masticatory muscle activity could be related to external root resorption (ERR) in second molars adjacent to impacted mandibular third molars. MATERIALS AND METHODS: Sixty patients, with requests for a cone-beam, computed tomography, were divided into two groups: ERR (patients with ERR in the second molar, n = 30), and control group (n = 30). Awake bruxism was assessed through the Oral Behaviors Checklist (OBC) and an ecological momentary assessment (EMA). Surface electromyography (EMG) was used to assess the masseter and anterior temporal muscle function. Normality and homogeneity of variances were demonstrated. Descriptive analysis was performed, using the T-test and Chi-square test to compare the characteristics of the groups. A multiple regression model was performed. RESULTS: The ERR group presented more non-functional oral activities related to awake bruxism than the control group, according to OBC (p = 0.027) and EMA (p = 0.035). In addition, the ERR group had higher EMG activity than the control group in rest and isotonic protocols (p < 0.05). CONCLUSIONS: Awake bruxism and greater masticatory muscle activity seem to be related to the presence of ERR in second molars adjacent to impacted mandibular third molars. CLINICAL RELEVANCE: The results of the present study can reinforce the theory that triggering ERR in the second molars adjacent to impacted mandibular third molars may be related to mechanical forces coming from the masticatory function.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Eletromiografia , Dente Serotino , Reabsorção da Raiz , Dente Impactado , Humanos , Dente Serotino/diagnóstico por imagem , Dente Serotino/fisiopatologia , Feminino , Masculino , Dente Impactado/fisiopatologia , Dente Impactado/diagnóstico por imagem , Adulto , Reabsorção da Raiz/fisiopatologia , Reabsorção da Raiz/diagnóstico por imagem , Dente Molar/fisiopatologia , Bruxismo/fisiopatologia , Músculos da Mastigação/fisiopatologia , Mandíbula/fisiopatologia , Mandíbula/diagnóstico por imagem
5.
Clin Oral Investig ; 28(6): 348, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38822934

RESUMO

OBJECTIVES: This study aims to map evidence on the relationship between hard drug use and dental wear. The scoping review is guided by the question: What is the relationship between hard drug consumption and dental wear? MATERIALS AND METHODS: Adhering to PRISMA-ScR guidelines, searches were conducted across PubMed, Embase, and four databases in March 2024. Inclusion criteria included studies investigating the association between hard drug use and dental wear, regardless of publication date or language. Data were presented through narrative exposition, tables, and a conceptual framework. RESULTS: Twenty-eight studies (four case-control, three cross-sectional, five case reports, and sixteen literature reviews) were included. Among case-control studies, 75% observed an association between drug use and dental erosion; however, no cross-sectional studies demonstrated this association. Despite questionable quality, reviews established connections between drug use and dental erosion. Studies aimed to elucidate potential causes for dental erosion. CONCLUSIONS: Analysis suggests a potential link between hard drug use and dental wear, though indirect. Factors like bruxism and reduced salivary pH may contribute to dental wear among drug users. Further investigation through primary studies exploring this relationship is necessary. CLINICAL RELEVANCE: Dentists should focus not only on clinical characteristics of dental wear but also on mediating factors such as bruxism and decreased salivary pH associated with drug use. This holistic approach allows for a deeper understanding of dental wear mechanisms, enabling targeted preventive and therapeutic interventions.


Assuntos
Desgaste dos Dentes , Humanos , Erosão Dentária/induzido quimicamente , Bruxismo , Concentração de Íons de Hidrogênio , Transtornos Relacionados ao Uso de Substâncias , Saliva/química
6.
Dent Med Probl ; 61(3): 323-333, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38808615

RESUMO

BACKGROUND: The Standardized Tool for the Assessment of Bruxism (STAB) has recently been published. It contains Axis A for evaluating bruxism status and its potential consequences, and Axis B for bruxism risk, etiological factors and comorbid conditions. Suggestions from daily clinical practice can contribute to the further development of the STAB. OBJECTIVES: The study aimed to investigate the experiences and attitudes of general dentists, dentists specialized in Orofacial Pain and Dysfunction (OPD) and Disability Care (DC) regarding the assessment and etiology of sleep and awake bruxism and to examine the concordance of their experiences and attitudes with the respective STAB axes and its domains. MATERIAL AND METHODS: Semi-structured interviews were conducted with 11 dentists. The main themes included bruxism assessment and etiology. Thematic analysis identified subthemes. The concordance between main themes, subthemes, and the corresponding STAB axes and domains was examined. RESULTS: Overall, there was a good correspondence between the experiences and attitudes of the interviewees and the respective STAB axes and domains. Some discrepancies were identified, but they were mainly related to the lack of appropriate tools for the DC setting. CONCLUSIONS: It is suggested that future versions of the STAB include appropriate tools for the assessment of bruxism in DC settings.


Assuntos
Bruxismo , Humanos , Feminino , Masculino , Pesquisa Qualitativa , Entrevistas como Assunto , Adulto , Atitude do Pessoal de Saúde , Odontólogos , Pessoa de Meia-Idade
7.
Br Dent J ; 236(10): 773-779, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38789754

RESUMO

Dental implants are a regular feature in daily clinical practice and there is a need to undertake routine assessment and maintenance of implants and their restorations on par with that provided for natural teeth. Occlusal checks form an important part of the maintenance regime for preserving the integrity of implants, their restorations, and health of the peri-implant tissues. Implant restorations are subjected to the full characteristics and magnitude of occlusal forces, including those associated with parafunction. Compared with the periodontal ligament around teeth, the biophysical response to occlusal forces of osseointegration is different through the more rigid link of implant to bone and reduced proprioception. Risks attributable to occlusal forces primarily affect implant restorations and they are elevated in the presence of bruxism. The occlusal guidelines recommended by the literature are aimed at reducing these risks and regular assessment and maintenance of the occlusion is essential. A four-step sequence is presented to ensure that the annual occlusal checks include the patient's input and evaluation of restoration integrity, occlusal scheme, additional protection, and spatial changes.


Assuntos
Implantes Dentários , Humanos , Força de Mordida , Oclusão Dentária , Bruxismo
8.
J Oral Rehabil ; 51(8): 1499-1506, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38706184

RESUMO

BACKGROUND: Military 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. OBJECTIVES: To 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. METHOD: This 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. RESULTS: Stress 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. CONCLUSION: Our study findings suggest that military personnel with prevent TMD and improve oral habits by addressing stress levels.


Assuntos
Militares , Transtornos da Articulação Temporomandibular , Humanos , Militares/estatística & dados numéricos , Militares/psicologia , Estudos Transversais , Transtornos da Articulação Temporomandibular/epidemiologia , Transtornos da Articulação Temporomandibular/psicologia , Transtornos da Articulação Temporomandibular/fisiopatologia , República da Coreia/epidemiologia , Masculino , Adulto , Feminino , Inquéritos e Questionários , Adulto Jovem , Estresse Psicológico/epidemiologia , Fatores de Risco , Bruxismo/epidemiologia , Hábitos
9.
J Evid Based Dent Pract ; 24(2): 101988, 2024 06.
Artigo em Inglês | MEDLINE | ID: mdl-38821662

RESUMO

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Häggman-Henrikson B, Ali D, Aljamal M, Chrcanovic BR. Bruxism and dental implants: A systematic review and meta-analysis. J Oral Rehabil. 2024 Jan;51(1):202-217. 10.1111/joor.13567. Epub 2023 Aug 17. PMID: 37589382. SOURCE OF FUNDING: None. TYPE OF STUDY/DESIGN: Systematic review with meta-analysis.


Assuntos
Bruxismo , Implantes Dentários , Falha de Restauração Dentária , Humanos , Fatores de Risco
10.
Wiad Lek ; 77(3): 417-423, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38691781

RESUMO

OBJECTIVE: Aim: This study aimed to assess the effectiveness of the developed algorithm for treatment and prevention measures aimed at eliminating clinical manifestations of bruxism in young people. PATIENTS AND METHODS: Materials and Methods: A cohort of 377 individuals aged 25 to 44 years underwent examination. Based on identified etiological factors, three distinct groups were delineated. Treatment and preventive strategies were then implemented and evaluated. Tailored treatment algorithms were devised for each group: Group one received selective grinding of supracontacts (up to 0.5-0.75 mm) and treatment for orthodontic issues utilizing removable and fixed orthodontic structures. Group two underwent finger self-massage of masticatory muscles, fabrication of biting dental splints, and anti-inflammatory drug therapy. Group three received sedative drug therapy in conjunction with psychiatric consultation, based on indications. Treatment efficacy was assessed 12 months post-initiation. Statistical analyses were conducted using Statistica 10.0 (StatSoft, Inc., USA) and Microsoft Office Excel 2010. RESULTS: Results: In cases where orthodontic pathology and supracontacts predominated (r=0.99, p<0.05), employing selective grinding and orthodontic treatment according to specific indications yielded significant efficacy. This approach resulted in a notable reduction in bruxism severity, corroborated by occludogram results 12 months post-treatment initiation. Notably, 90.0% of occludogram indicators fell within the 90-100% range, accompanied by a decrease in the BruxChecker abrasion facets area (p<0.05). Further, there was a substantial enhancement in occlusal contacts (Ck=0.68, Ck =0.71, Ck =0.93). In instances where TMJ pathology predominated with high reliability (r=0.98, p<0.05), effective normalization of masticatory muscle tone and alleviation of temporomandibular joint issues were observed. After 12 months, palpation revealed minimal tenderness in specific muscle areas and normalization of electromyography readings from initial indicators (p<0.05). Moreover, when the psycho-emotional factor primarily contributed to bruxism etiology (r=0.97, p<0.05), medical intervention proved effective. This approach led to bruxism disappearance and normalization of the psycho-emotional state within 12 months (p<0.05). CONCLUSION: Conclusions: The conducted studies provide high-confidence evidence of the effectiveness of bruxism treatment when diagnosing the prevailing etiological factor and targeting its specific impact, leading to the normalization of all other factors, a reduction in bruxism intensity, and its complete disappearance.


Assuntos
Bruxismo , Humanos , Adulto , Masculino , Feminino , Bruxismo/terapia , Resultado do Tratamento , Algoritmos , Placas Oclusais , Estudos de Coortes
11.
J Dent ; 145: 104983, 2024 06.
Artigo em Inglês | MEDLINE | ID: mdl-38574847

RESUMO

OBJECTIVE: This study presents a scoping review to determine the association between tooth wear and bruxism. DATA: A protocol was developed a priori (Open Science Framework (DOI 10.17605/OSF.IO/CS7JX)). Established scoping review methods were used for screening, data extraction, and synthesis. Risk of bias was assessed using JBI tools. Direct associations between tooth wear and bruxism were assessed. SOURCES: Embase, SCOPUS, Web of Science, Cochrane, and PubMed were searched. STUDY SELECTION: Any clinical study containing tooth wear and bruxism assessment done on humans in any language was included. Animal, in-vitro studies and case reports were excluded. CONCLUSIONS: Thirty publications reporting on the association between tooth wear and bruxism were included. The majority of publications were cross-sectional studies (90%) while only three were longitudinal (10%). Eleven papers assessed definitive bruxism for analysis (instrumental tools), one paper assessed probable bruxism (clinical inspection with self-report) and eighteen assessed possible bruxism (self-report). Of the eleven papers assessing definitive bruxism, eight also reported outcomes of non-instrumental tools. Tooth wear was mostly scored using indexes. Most studies reported no or weak associations between tooth wear and bruxism, except for the studies done on cervical tooth wear. When bruxism assessment was done through self-report, more often an association was found. Studies using multivariate analyses did not find an association between tooth wear and bruxism, except the cervical wear studies. Evidence shows inconclusive results as to whether bruxism and tooth wear are related or not. Therefore, well-designed longitudinal trials are needed to address this gap in the literature. CLINICAL SIGNIFICANCE: Based on the evidence, dental clinicians should not infer bruxism activity solely on the presence of tooth wear.


Assuntos
Bruxismo , Desgaste dos Dentes , Humanos , Bruxismo/complicações , Estudos Transversais
12.
J Oral Rehabil ; 51(7): 1337-1347, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38616519

RESUMO

BACKGROUND: The noteworthy correlation between bite force and masticatory performance emphasizes its significance as a meaningful and objective method for assessing oral function. Furthermore, in the study of bruxism, the measurement of intraoral bite force assumes critical importance. Given the importance of assessing occlusal forces and bite force, this systematic review aims to assess the efficacy of wireless sensors in measuring these forces. METHODS: The search methodology employed in this systematic review adhered to the guidelines outlined by PRISMA. The strategy involved the exploration of various databases, including PubMed/MEDLINE, SCOPUS and SCIELO. An assessment tool was employed to evaluate the bias risk and study quality. RESULTS: This systematic review encompassed six prospective clinical studies involving a total of 89 participants. Wireless sensors for measuring occlusal forces and bite forces were predominantly employed in healthy adults or individuals with bruxism, along with children undergoing orthodontic treatment. All wireless sensors employed in the studies underwent validation and reproducibility assessments, affirming their reliability. The findings indicated that all wireless sensors exhibited efficacy in detecting occlusal forces and bite forces. CONCLUSION: Wireless sensors offer real-time monitoring of occlusal and bite forces, aiding in understanding force distribution and identifying bruxism patterns. Despite limited studies on their application, these sensors contribute to evolving insights. Integration into clinical practice requires careful consideration of factors like calibration and patient compliance. Ongoing research is crucial to address limitations and enhance the efficacy of wireless sensors in measuring occlusal and bite forces and managing bruxism.


Assuntos
Força de Mordida , Bruxismo , Tecnologia sem Fio , Humanos , Bruxismo/fisiopatologia , Bruxismo/diagnóstico , Tecnologia sem Fio/instrumentação , Reprodutibilidade dos Testes , Mastigação/fisiologia
13.
J Oral Maxillofac Surg ; 82(4): 390-391, 2024 04.
Artigo em Inglês | MEDLINE | ID: mdl-38565285
14.
PLoS One ; 19(4): e0296652, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38626037

RESUMO

INTRODUCTION: Stress is characterized as a challenging occurrence that triggers a physiological and/or behavioral allostatic response, alongside the demands typically encountered throughout the natural course of life. A sustained state of stress gives rise to secondary effects, including insomnia and neck pain. Also, the risk of musculoskeletal problems in the cervical and lumbar spine can be increased due to a sustained state of stress. The present study main objective is to study the association between orofacial and pelvic floor muscles in women in Spain. METHODOLOGY: An observational, cross-sectional, retrospective analytical study was designed and carried out in the laboratories of the European University of Madrid. Sixty-five participants were recruited with a mean age of 29.9 ± 7.69. Measurements were taken by myotonometry on natural oscillation frequency (Hz), dynamic stiffness (N/m), elasticity (N/m2), mechanical stress relaxation time (ms) and creep, for the following muscles: right and left masseter, right and left temporalis and central fibrous nucleus of the perineum (CFPF). On the other hand, the subjects completed the following questionnaires: perceived stress scale (PSS-14), anxiety scale (STAI), self-reported bruxism questionnaire (CBA), Fonseca Anamnestic Index and the Pittsburgh Sleep Quality Scale (PSQI). RESULTS: Significant correlations were found in several parameters between the right temporalis and CFPF (p<0.05). Highlighting the correlation between TMDs and lubrication r = -0.254 (p = 0.041) and bruxism with pain in sexual intercourse r = 0.261 (p = 0.036). CONCLUSION: The results support the proposed hypothesis. To the author's knowledge, this is the first study which relates both locations, and it is suggested to continue with the research and expand the knowledge of it.


Assuntos
Bruxismo , Distúrbios do Assoalho Pélvico , Testes Psicológicos , Autorrelato , Humanos , Feminino , Adulto Jovem , Adulto , Bruxismo/epidemiologia , Estudos Transversais , Estudos Retrospectivos
15.
Ned Tijdschr Tandheelkd ; 131(4): 151-158, 2024 04.
Artigo em Holandês | MEDLINE | ID: mdl-38591118

RESUMO

What is the prevalence of temporomandibular dysfunction in patients with early rheumatoid arthritis and individuals at risk of rheumatoid arthritis? 3 groups (of 50 participants each) were examined for a possible TMD diagnosis: 1. patients with early rheumatoid arthritis, 2. at-risk individuals, and 3. healthy controls. A possible association with bruxism, determined on the basis of self-reporting and clinical features, was also examined. At-risk patients had a higher prevalence of TMD pain diagnoses compared to healthy controls (p = 0.046). Within the early rheumatoid arthritis group, seronegative patients had a higher prevalence of TMD pain diagnoses than seropositive patients (p = 0.048). No further differences in the prevalence of TMD diagnoses were found between the groups. Participants with a TMD pain diagnosis were more often diagnosed with probable sleep bruxism than those without a TMD pain diagnosis. The prevalence of TMD pain is increased in individuals at risk of rheumatoid arthritis and seronegative early rheumatoid arthritis patients, and is associated with signs of bruxism.


Assuntos
Artrite Reumatoide , Bruxismo , Bruxismo do Sono , Transtornos da Articulação Temporomandibular , Humanos , Bruxismo/epidemiologia , Bruxismo/complicações , Transtornos da Articulação Temporomandibular/epidemiologia , Estudos Transversais , Bruxismo do Sono/epidemiologia , Dor Facial/epidemiologia , Dor Facial/etiologia , Artrite Reumatoide/complicações , Artrite Reumatoide/epidemiologia
16.
J Oral Rehabil ; 51(7): 1213-1220, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-38606658

RESUMO

OBJECTIVE: The Ecological Momentary Assessment (EMA) concept was the basis for developing a smartphone application for the real-time report of awake bruxism (AB) activities. The aim of this study was to assess the effects of the EMA with a randomised controlled trial designed to compare the frequency of AB reported in two separate single observation points between a group of students monitored over time with an EMA smartphone application and a non-EMA monitored group. METHODS: Sixty-four (N = 64) dental students (22.3 YO [±2.6]; 52F; 12 M) answered the Oral Behaviour Checklist (OBC-1) and were randomised into an EMA-group (EG) and control group (CG). EG were monitored with a smartphone application for AB report during seven consecutive days and completed three EMA monitoring periods (EMA-1, 2 and 3) at one-month intervals. After the third period (EMA-3), both EG and CG answered again the OBC (OBC-2). Descriptive statistics were performed to characterise the sample. Pearson's chi-squared test, Fixer Exact test and post hoc Z test with Bonferroni correction were performed. The study hypothesis was that EMA could influence the AB reported by the participants because it implies an increase in the awareness, self-recognition, and self-control of bruxism behaviours. The level of significance was set at p < .05. RESULT: The percentage of participants who changed the report of the activity of clenching their teeth while awake between OBC-1 and OBC-2 was significantly higher among participants in EG, when compared to CG (p = .027). For all other behaviours reported the within- and between-group differences from OBC-1 to OBC-2 were not significant. Clenching and bracing were the most frequently reported, whilst grinding was the less frequent behaviour. CONCLUSION: A smartphone-based EMA approach demonstrated be useful to monitor AB over time, increasing individual's awareness, particularly to bracing and clenching behaviours.


Assuntos
Bruxismo , Avaliação Momentânea Ecológica , Aplicativos Móveis , Smartphone , Estudantes de Odontologia , Humanos , Masculino , Feminino , Estudantes de Odontologia/psicologia , Adulto Jovem , Vigília/fisiologia , Adulto
17.
Neurol Clin ; 42(2): 573-584, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38575267

RESUMO

Temporomandibular disorders (TMDs) and headache disorders are highly prevalent in the population. TMDs can present headache symptoms as a secondary headache and, in addition, be comorbid with primary headache disorders. This overlap has significant clinical implications for which it is essential for the physician to be aware, and they should screen for the potential presence of TMDs in a headache patient. Bruxism is a parafunctional behavior also prevalent in the population which has a role in TMDs and may influence headache symptomatology, but it is still necessary to clarify this relationship.


Assuntos
Bruxismo , Transtornos da Articulação Temporomandibular , Humanos , Bruxismo/complicações , Bruxismo/diagnóstico , Bruxismo/epidemiologia , Cefaleia/diagnóstico , Cefaleia/etiologia , Transtornos da Articulação Temporomandibular/complicações , Transtornos da Articulação Temporomandibular/diagnóstico , Transtornos da Articulação Temporomandibular/epidemiologia , Comorbidade
18.
Cient. dent. (Ed. impr.) ; 21(1): 1-8, abr.-2024. graf, ilus
Artigo em Espanhol | IBECS | ID: ibc-232705

RESUMO

Introducción: La presencia de signos y síntomas dentales en pacientes con apnea obstructiva del sueño (AOS) reconocibles para el odontólogo, nos sitúa en la primera línea de diagnóstico y tratamiento posterior para los pacientes que sufren esta patología. Métodos: Han sido reclutados de forma retrospectiva pacientes con problemas en distintas rehabilitaciones sobre implantes de tipo eminentemente mecánico (fractura de cerámica, de prótesis o de componentes, así como de implantes) a los que se ha realizado una poligrafía respiratoria para poner de manifiesto la posible presencia de un AOS. En aquellos casos donde se ha constatado la presencia de este trastorno, hemos seleccionado los pacientes con un AOS moderado-severo (índice de apnea-hipopnea (IAH) ≥ 20), para analizar los distintos eventos adversos acontecidos en función de la severidad del cuadro. Resultados: Fueron reclutados 22 pacientes que cumplieron los criterios de inclusión. En todos los pacientes se identificaron eventos adversos, siendo estas complicaciones: fractura de la cerámica de la prótesis (63,6%), fractura estructural de la prótesis en un 18,2% de los casos (estructura en sí misma o recubrimiento de resina en las híbridas) y fracturas o fisuras en los implantes en un 18,2% de los casos. Se realizó un abordaje terapéutico con CPAP (dispositivo de presión continua de oxígeno en vía aérea) unido a un dispositivo de avance mandibular (DIA) en dos pacientes, en el resto solamente DIA. Con el tratamiento finalizado, los pacientes pasaron de una media de IAH de 33,29 (+/- 18,90) a una media de 17,38 (+-10,37), siendo estas diferencias estadísticamente significativas (p<0,001). Conclusiones: El bruxismo y la AOS están íntimamente relacionados, así como los signos dentales de ambos procesos, como son el desgaste y la fractura de dientes, implantes o rehabilitaciones. (AU)


Introduction: The presence of dental signs and symptoms in patients with sleep apnea (OSA) that are recognizable to the dentist places us in the first line of diagnosis and subsequent treatment for patients suffering from this pathology. From problems such as wear and tear and fractures, we can reach a diagnosis of a pathology with great repercussions for the patient and address crucial part of the treatment, such as recovering the vertical dimension and the use of mandibular advancement devices. Material and method: We retrospectively recruited patients who attended our dental clinic with problems in different implant rehabilitations of an eminently mechanical nature (fracture of ceramics, prostheses, or components as well as implants) who underwent respiratory polygraphy to reveal the possible presence of OSA. In those cases where this disorder was found to be present, we selected patients with moderate-severe OSA (apneahypopnea index (AHI) ≥ 20) to analyze the different adverse events that occurred according to the severity of the sleep disorder recorded. Results: Twenty-two patients who met the previously established inclusion criteria were recruited. Adverse events were identified in all patients in their implant restorations, these complications being: fracture of the prosthesis ceramic (63.6%), structural fracture of the prosthesis in 18.2% of the cases (structure itself or resin coating in hybrids) and fractures or cracks in the implants in 18.2% of the cases. The mean AHI (apnea-hypopnea index) of all patients was 33.29 (+/- 18.90; range 20-110). If we analyze the presence of adverse events in the prostheses according to the AHI, we find that most adverse events are concentrated in the higher AHI ranges... (AU)


Assuntos
Humanos , Fraturas Ósseas , Bruxismo , Apneia Obstrutiva do Sono , Sintomas Locais , Odontólogos
19.
Cient. dent. (Ed. impr.) ; 21(1): 1-8, abr.-2024. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-232706

RESUMO

Introducción: El COVID-19 ha causado una amplia sintomatología, incluyendo la presente en la cavidad oral. Cada día cobra más importancia un nuevo síndrome relacionado: el COVID persistente. El objetivo de este trabajo es analizar el efecto de la infección por SARS-CoV-2 a nivel oral en sujetos diagnosticados de COVID persistente, en comparación con la infección aguda. Métodos: Se llevó a cabo un estudio de casos y controles con 102 sujetos reclutados entre 2021 y 2022, de los que se obtuvieron 34 variables de salud oral y posibles factores de riesgo. Resultados: El análisis estadístico reveló que los sujetos COVID persistente presentaban significativamente mayor prevalencia de: adenopatías, dolor de ATM, irritación faríngea, xerostomía, obturaciones, ausencias y coronas dentales, mayor valor en índices CAOM y CAOD y mayor número de síntomas odontológicos en total. Además, el estrés apareció como factor de riesgo; aquellos pacientes con COVID persistente que presentaron mayor nivel de estrés (7,73 ± 2,02) también eran los que sufrían, en mayor medida, xerostomía o bruxismo, responsable del dolor de ATM, también más prevalente en este grupo. Conclusiones: El COVID persistente provoca manifestaciones orales relacionadas, algunas de ellas, con el hecho de que la cavidad oral sea vía de entrada del virus, como la irritación mucosa; otras, relacionadas con su posible naturaleza autoinmune, como la xerostomía y, de la misma manera, otras relacionadas con el estrés, reflejado en la presencia de bruxismo. Resulta imprescindible desarrollar protocolos que mejoren tanto el diagnóstico precoz como el manejo de estos pacientes en nuestras clínicas. (AU)


Introduction: COVID-19 has caused a wide range of symptomatology, including that present in the oral cavity. A new related syndrome is gaining importance: Long COVID. The aim of this work is to analyse the effect of SARS-CoV-2 infection at the oral level in subjects diagnosed with Long COVID, compared to acute infection. Methods: A case-control study was conducted with 102 subjects recruited between 2021 and 2022, from whom 34 oral health variables and possible risk factors were obtained. Results: Statistical analysis revealed that Long COVID subjects had significantly higher prevalence of: adenopathies, TMJ pain, pharyngeal irritation, xerostomia, fillings, dental absences and dental crowns, higher CAOM and CAOD index values and higher total dental symptoms. In addition, stress appeared as a risk factor; those patients with Long COVID who presented a higher level of stress (7.73 ± 2.02) were also those who suffered, to a greater extent, from xerostomia or bruxism, responsible for TMJ pain, also more prevalent in this group. Conclusions: Long COVID causes oral manifestations related, some of them, to the fact that the oral cavity is a route of entry of the virus, such as mucosal irritation; others, related to its possible autoimmune nature, such as xerostomia and, in the same way, others related to stress, reflected in the presence of bruxism. It is essential to develop protocols that improve both the early diagnosis and management of these patients in our clinics. (AU)


Assuntos
Humanos , Mucosa Bucal , Xerostomia , Bruxismo
20.
Clin Oral Investig ; 28(3): 207, 2024 Mar 09.
Artigo em Inglês | MEDLINE | ID: mdl-38459231

RESUMO

OBJECTIVE: To compare the clinical performance of a glass hybrid (GH) restorative and a nano-ceramic composite resin (CR) in the restoration of non-carious cervical lesions (NCCLs) of bruxist individuals in a 60-month randomized clinical trial. MATERIALS AND METHODS: Twenty-five bruxist candidates having NCCLs were recruited in this clinical study. The depth, height (cervico-incisal), width (mesio-distal), internal angles of the NCCLs, degree of tooth wear (TWI) and gingival index (GI) were measured. One hundred-and-forty-eight NCCLs were restored either with a GH restorative (Equia Forte Fil) or a CR (Ceram.X One Universal). Modified USPHS criteria was used to evaluate restorations after 1 week and 12, 24, 36 and 60 months. Pearson's Chi-Square, Fisher's Exact and Cochran Q tests were run for analysis. Survival rates of the restorations were compared with Kaplan-Meier analysis (p < 0.05). RESULTS: After 60 months, 97 restorations in 15 patients were examined. The recall rate was 60.0%. Retention rates were 73.5% for CR and 66.7% for GH. A total of 29 restorations were lost (13CR (26.5%), 16GH (33.3%)). There was not a significant difference between tested restoratives in retention (p = 0.464), marginal adaptation (p = 0.856) and marginal discoloration (p = 0.273). There was no relationship between internal angle, depth, height or width and retention of the GH or CR restorations (p > 0.05). The increase in retention loss and marginal discoloration of both restorations over time were significant (p < 0.001). Sensitivity or secondary caries were not detected after 60 months. CONCLUSION: GH and nano-ceramic CR showed similar clinical performances in NCCLs after 60 months in patients with bruxism. CLINICAL SIGNIFICANCE: After 60 months, CR and GH materials showed clinically acceptable performances in restoration of NCCLs in patients with bruxism.


Assuntos
Bruxismo , Cárie Dentária , Humanos , Restauração Dentária Permanente , Colo do Dente/patologia , Resinas Compostas , Cárie Dentária/patologia , Adaptação Marginal Dentária , Cimentos de Resina
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