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Abstract
Sleep bruxism is defined as an involuntary habit characterized by the act of clenching and/or grinding teeth. It can occur in two ways: when the patient is awake (wakefulness bruxism) and when he is sleeping (sleep bruxism). Factors such as stress and anxiety are important components in the development of this habit. Problems such as tooth wear, headache, TMD and sleep disorders are among those that are developed by bruxism. There are several forms of treatment, the most common are: occlusal approaches, behavioral approaches, biofeedback and pharmacological approaches. The aim of this study is to discuss the etiology and treatment of sleep bruxism. We used a systematic literature review in the methodology. A computerized search was performed in the PubMed database, using the following keywords: bruxism, sleep disorders, diagnosis and treatment. A total of 212 articles were found, 42 of which included the topic sleep bruxism, etiology and treatment. The results showed that a large part of the population suffers from bruxism, several randomized studies were carried out to find the correct treatment. Among the forms of treatment, the occlusal splint is the most used today and is considered efficient and safe. It is concluded that the diagnosis must be performed by combining a detailed anamnesis, clinical findings, extra and intraoral examination and, mainly, by electromyography and polysomnography examinations , the latter two being considered the gold standard in the diagnosis. New and long studies on sleep bruxism are still needed, as the etiology is still uncertain and the ideal treatment does not yet exist.
References
ALMEIDA-LEITE, C. M.; STUGINSKI-BARBOSA, J.; CONTI, P. C. R. Como os impactos psicossociais e econômicos da pandemia de COVID-19 podem interferir no bruxismo e nas disfunções temporomandibulares? J Appl Oral Sci. n. 28: e20200263. doi: 10.1590/1678-7757-2020-0263. 2020.
AMORIM, C. S. M.; ESPÍRITO SANTO, A. S.; SOMMER, M.; MARQUES, A. P. Effect of physical therapy in bruxism treatment: a systematic review. J Manip Physiol Ther 2018; 41 (5): 389–404.
ATTANASIO, R. Nocturnal bruxism and its clinical management. Dent. Clin. North Am., Philadelphia, v.35, n.1, p.245-252. Jan. 1991.
BAHALI, K.; YALCIN, O.; AVCI, A. Atomoxetine-induced wake-timeteeth clenching and sleep bruxism in a child patient. Eur ChildAdolesc Psychiatry. 2014; 23: 1233-5.
BEDDIS, H.; PEMBERTON, M.; DAVIES, S. Sleep bruxism: an overview for clinicians. British dental journal, v. 225, n. 6, p. 497-501, 2018.
BERGMANN, A.; EDELHOFF, D.; SCHUBERT, O.; ERDELT, K.J.; DUC, J. M. Effect of treatment with a full-occlusion biofeedback splint on sleep bruxism and TMD pain: a randomized controlled clinical trial. Clin Oral Invest; v.24 (11): n.4005–18. 2020.
BRANCO, R. S.; BRANCO, C. S.; TESCH, R. S.; RAPOPORT, A. Frequência de relatos de parafunções nos subgrupos diagnósticos de DTM de acordo com os critérios diagnósticos para pesquisa em disfunções temporomandibulares (RDC/TMD). R Dental Press Ortodon Ortop Facial. Maringá, v. 13, n. 2, p. 61-69, mar./abr. 2008.
BOWLEY, J. F.; STOCKSTILL, J. W.; PIERCE, C. J. Reliability and validity of instrumentation used to record nocturnal clenching and/or grinding. J Orofac Pain. v.7, n.4, 1993.
CARLSSON, G. E.; MAGNUSSON, T. Management of Temporomandibular Disorders in the General Dental Practice. Chicago: Quintessence, 1999.
CARRA, M. C.; HUYHH, N.; LAVIGNE, G. Sleep bruxism: A comprehensive overview for the Dental Clinician interested in Sleep Medicine. Dent Clin N Am.: v.21, n.58, 2012.
CHIKHANI, L.; DICHAMP, J. Bruxism, temporomandibular dysfunction and botulinum toxin. Ann Readapt Med Phys. Jul; n.46, v.6, 2003.
DE LAAT, A.; MACALUSO, G. M.: Sleep bruxism as a motor disorder. Mov Disord. v.17, n.67, 2002.
DIAS, G. M.; BONATO, L, L.; GUIMARÃES, J, P.; SILVA, J. N. N.; FERREIRA, L, A.; GROSSMANN, E.; CARVALHO, A. C. P. A. Study of the Association Between Sleep Bruxism, Low Quality of Sleep, and Degenerative Changes of the Temporomandibular Joint. Journal of Craniofacial Surgery, v.58, n.116, 2015.
DUTRA, K. M.; PEREIRA, F. J. J. R.; ROMPRE, P. H. et al. Oro-facial activities in sleep bruxism patients and in normal subjects: a controlled polygraphic and audio-video study. J Oral Rehabil. v. 36, n. 86, 2009.
FABER, C.; FABER, J.; SOUZA, A. O. Sleep bruxism and its associated factors: narrative overview. Clin Orthod. Aug-Sept, v. 20, n.4, 2021.
GARCIA, R. A.; HORTELANO, T. J. M.; CORREA, L. Bruxismo del sueño. Actualización sobre mecanismos etiopatogénicos, diagnóstico y tratamento. Revista vigília sueño, 2014. https://pesquisa.bvsalud.org/portal/resource/pt/ibc-129995>. Acesso em 28 ago 2022.
GONÇALVES, L. P. V.; TOLEDO, O. A.; OTERO, S. A. M. O bruxismo infantil e o plano transversal de oclusão: há relação ou não? Dental Press J. Orthod. v. 15, no. 2, p. 97-104, Mar./Apr. 2010.
GONÇALVES, L. P. V.; TOLEDO, O. A.; OTERO, S. A. M. Relação entre bruxismo, fatores oclusais e hábitos bucais. Dental Press J. Orthod. v. 15, no. 2, p. 97-104, Mar./Apr. 2010.
GOULARTE, J. F.; SERAFIM, S. D.; COLOMBO, R.; HOGG, B.; CALDIERARO, M. A.; ROSA, A. R. COVID-19 e saúde mental no Brasil: sintomas psiquiátricos na população geral. J Psiquiatra Res. janeiro; v.132, n.32-7. 2020.
JOHANSSON, A.; JOHANSSON, A. K.; OMAR, R.; CARLSSON, G. E. Rehabilitation of the worn dentition. J Oral Rehabil. Jul, v.35 (7): n.548-66, 2008.
KATO, T.; ROMPRE, P.; MONSTPLAISIR, J, Y, et al.: Sleep bruxism: an oromotor activity secondary to micro-arousal. J Dent Res. v.80 (10): n.940, 2001.
KATO, T.; YAMAGUCHI, T.; OKURA, K.; ABE, S.; LAVIGNE, G. J. Sleep less andbite more: Sleep disorders associated with occlusal loads duringsleep. J Prosthodont Res. v.57, n.69, 2013.
KOYANO, K.; TSUKIYAMA, Y.; ICHIKI, R.; KUWATA, T. Assessment of bruxism in the clinic. J Oral Rehabil. Jul. v.35, n.08. 2008.
KOYANO, K.; TSUKIYAMA, Y. Clinical approach to diagnosis of sleep bruxism. In: LAVIGNE, G. J.; CISTULLI, P. A.; SMITH, M. T. Sleep medicine for dentists. A practical overview. 1st edition. Hanover Park (IL): Quintessence Publishing Co, Inc; 2009.
LAVIGNE, G. J.; KHOURY, S.; ABE, S.; YAMAGUCHI, T.; RAPHAEL, K. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. v.35, n.47, 2008.
LAVIGNE, G. J.; ROMPRE, P. H.; POIRIER, G, et al.: Rhythmic masticatory muscle activity during sleep in humans. J Dent Res. n.80(2): 443–8. 2001.
LOBBEZOO, F.; AHLBERG, J.; GLAROS, A. G, et al. Bruxism defined and graded: an international consensus. J Oral Rehabil. v.40 n.2, 2013.
LOBBEZOO, F.; AHLBERG, J.; RAPHAEL, K. G.; WETSELAAR, P.; GLAROS, A. G.; KATO, T, et al. International consensus on the assessment of bruxism: report of a work in progress. J Oral Rehabil. v.45, n.11, 2018.
LUKIC, N.; SAXER, T.; ZUMBRUNN-WOJCZYNSKA, A.; GALLO, L. M.; COLOMBO, V. Short-term effects of NTI-tss and Michigan splint on nocturnal jaw muscle activity: A pilot study. Clin Exp Dent Res. 2020.
MACEDO, C. R.; SILVA, A. B.; MACHADO, M. A.; SACONATO, H.; PRADO, G. F. Occlusal splints for treating sleep bruxism (tooth grinding): Cochrane Review. The Cochrane Library. Oxford: Update Software, 2007.
MACHADO, E.; MACHADO, P.; CUNALI, P. A.; DAL FABBRO, C. Bruxismo do sono: possibilidades terapêuticas baseadas em evidências. Dental Press J Orthod. 2011 Mar-Apr; 16(2): 58-64.
MAJOR, M.; ROMPRE, P. H.; GUITARD, F.; TENBOKUM, L.; O’CONNOR, K.; NIELSEN, T.; LAVIGNE, G. J. A controlled daytime challenge of motor performance and vigilance in sleep bruxers. J. Dent. Res., Alexandria, v. 78, no. 11, p. 1754-1762, 1999.
MESQUITA, C. L.; SILVA, C. V. M.; NADER, A. C.; SILVA, B.; SARI, G. Bruxismo Na Dentição Decídua: Uma Revisão De Literatura. Revista da Mostra de Iniciação Científica e Extensão, v.4, n.1, 2018.
MINAKUCHIA, H.; FUJISAWAB, M.; ABEC, Y.; LIDAD, T.; OKIE, K.; OKURAF, K.; TANAGEB, N.; NISHIYAMAH, A. Managements of sleep bruxism in adult: A systematic review. Japanese Dental Science Review. v.26, n.12, 2022: 1523-1561.
NAKAZATO, Y.; TAKABA, M.; ABE, Y.; NAKAMURA, H.; OHARA, H.; SUGANUMA, T.; CLARK, G. T.; BABA, K.; Effect of contingent vibratory stimulus via an oral appliance on sleep bruxism after the splint adaptation period. J Oral Rehabil.; v. 48 (8), n. 90, 2021.
OMMERBORN, M. A.; SCHNEIDER, C.; GIRAKI, M.; SCHÄFER, R.; HANDSCHEL, J.; FRANZ, M, et al. Effects of an occlusal splint compared with cognitive-behavioral treatment on sleep bruxism activity. Eur J Oral Sci. Feb; v.115, n.14. 2007.
RÉDUA, R. B.; KLOSS, P. C. A.; FERNANDES, G. B.; SILVA, P. L. F. Bruxismo na infância– aspectos contemporâneos no século 21–revisão sistemática. Full dent. Sci., v.131, n.137, 2019.
Revista Internacional de Ciências Odontológicas Aplicadas, v. 8 (1): 94-98. 2022.
SAKAI, T.; KATO, T.; YOSHIZAWA, S.; SUGANUMA, T.; TAKABA, M.; ONO, Y, et al. Effect of clonazepam and clonidine on primary sleep bruxism: a double-blind, crossover, placebo-controlled trial. J Sleep Res.; v.26 (1): n.73, 2016.
SANTOS, R. L. F. Bruxismo, do diagnóstico ao tratamento. São Paulo: Artrix, 2011.
SHIM, Y. J.; LEE, H. J.; PARK, K. J.; KIM, H. T.; HONG, I. H.; KIM, S. T. Botulinum Toxin Therapy for Managing Sleep Bruxism: A Randomized and Placebo – Controlled Trial. Toxin., v.12, n.168; doi:10.3390/toxins12030168, 2020.
SHULMAN, J. Teaching patients how to stop bruxing habits. J Am Dent Assoc. Sep; n. 132 (9): 127-157, 2001.
TAKEUCHI, H.; IKEDA, T.; CLARK, G. T. A piezoelectric film-based intrasplint detection method for bruxism. J Prosthet Dent. Aug; n. 86 (2): 195-202, 2001.
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