Prevalence and Risk Factors of Bruxism in a Selected Population of Iranian Children

Authors

  • Fatemeh Jahanimoghadam
  • Mahsa Tohidimoghadam
  • Hamidreza Poureslami
  • Maryam Sharifi

Keywords:

Parasomnias, Sleep Bruxism, Pediatric Dentistry, Epidemiologic Methods

Abstract

Objective: To investigate the prevalence of bruxism in Iranian children aged 6 to 12 years. Material and Methods: This cross-sectional study was conducted on 600 schoolchildren aged 6-12 years. The questionnaire consisted of two sections: the first section included demographic information, while the second evaluated the occurrence of bruxism. Kruskal-Wallis, Chi-Square, Fisher and Multinomial logistic regression were used. A level of p<0.05 was considered statistically significant. Results: 698 questionnaires were distributed, of which 600 participants were returned. According to Multinomial logistic regression, awake bruxism was associated significantly with the following variables: age, sequence of birth, recurrent headache, gastrointestinal disease, nasal obstruction, neurological disorder, easy child crying, sleep disorders, talking in a dream and snoring and jaw disorder. Sleep bruxism was associated significantly with age, premature birth, allergy, gastrointestinal disease, drooling, mouth breathing, nasal obstruction, oral habit, nail biting, sleep disorder, jaw disorders, and family history. Conclusion: Pre-birth and post-birth factors play an important role in the prevalence of bruxism in society. It is possible to prevent complications of bruxism by informing parents and making a timely diagnosis. Parents should be aware of this occurrence to reduce possible related factors to teeth and the masticatory system.

References

Meira E Cruz M, Ettlin D. Bruxism-What is missing in the new consensus definition? J Oral Rehabil 2018; 45(12):921. https://doi.org/10.1111/joor.12714

Shetty S, Pitti V, Satish Babu CL, Surendra Kumar GP, Deepthi BC. Bruxism: a literature review. J Indian Prosthodont Soc 2010; 10(3):141-8. https://doi.org/10.1007/s13191-011-0041-5

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. https://doi.org/10.1590/2176-9451.19.6.054-061.oar

Weideman CL, Bush DL, Yan-Go FL, Clark GT, Gornbein JA. The incidence of parasomnias in child bruxers versus nonbruxers. Pediatr Dent 1996; 18(7):456-60.

Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain 2009; 23(2):153-66.

Cruz‑Fierro N, Martínez‑Fierro M, Cerda‑Flores RM, Gómez‑Govea MA, Delgado‑Enciso I, Martínez‑De‑Villarreal LE, et al. The phenotype, psychotype and genotype of bruxism. Biomed Rep 2018; 8(3):264-8. https://doi.org/10.3892/br.2018.1041

Demjaha G, Kapusevska B, Pejkovska-Shahpaska B. Bruxism unconscious oral habit in everyday life. Open Access Maced J Med Sci 2019; 7(5):876-81. https://doi.org/10.3889/oamjms.2019.196

Murali RV, Rangarajan P, Mounissamy A. Bruxism: Conceptual discussion and review. J Pharm Bioallied Sci 2015; 7(Suppl 1):S265-S270. https://doi.org/10.4103/0975-7406.155948

Seraj B, Shahrabi M, Ghadimi S, Ahmadi R, Nikfarjam J, Zayeri F, et al. 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.

Winocur E, Messer T, Eli I, Emodi Perlman A, Kedem R, Reiter S, et al. Awake and sleep bruxism among Israeli adolescents. Front Neurol 2019; 10:443. https://doi.org/10.3389/fneur.2019.00443

Garde J, Suryavanshi RK, Jawale BA, Deshmukh V, Dadhe DP, Suryavanshi MK. An epidemiological study to know the prevalence of deleterious oral habits among 6 to 12 year old children. J Int Oral Health 2014; 6(1):39-43.

Ghafournia M, Tehrani MH. Relationship between bruxism and malocclusion among preschool children in Isfahan. J Dent Res Dent Clin Dent Prospects 2012; 6(4):138-42. https://doi.org/10.5681/joddd.2012.028

Emodi‐Perlman A, Eli I, Friedman‐Rubin P, Goldsmith C, Reiter S, Winocur E. Bruxism, oral parafunctions, anamnestic and clinical findings of temporomandibular disorders in children. J Oral Rehabil 2012; 39(2):126-35. https://doi.org/10.1111/j.1365-2842.2011.02254.x

Li Y, Yu F, Niu L, Long Y, Tay FR, Chen J. Association between bruxism and symptomatic gastroesophageal reflux disease: a case-control study. J Dent 2018; 77:51-58. https://doi.org/10.1016/j.jdent.2018.07.005

Mengatto CM, da Silveira Dalberto C, Scheeren B, de Barros SGS. Association between sleep bruxism and gastroesophageal reflux disease. J Prosthet Dent 2013; 110(5):349-55. https://doi.org/10.1016/j.prosdent.2013.05.002

Motta LJ, Silva PFC, Godoy CHL, Bortoletto CC, Garcia PRÁ, Silva FC, et al. Assessment of temporomandibular joint sounds in children with bruxism. Rev CEFAC 2015; 17(1):111-6.

Ahlberg J, Lobbezoo F, Ahlberg K, Manfredini D, Hublin C, Sinisalo J, et al. Self-reported bruxism mirrors anxiety and stress in adults. Med Oral Patol Oral Cir Bucal 2013; 18(1):e7-11. https://doi.org/10.4317/medoral.18232

Rintakoski K, Hublin C, Lobbezoo F, Rose RJ, Kaprio J. Genetic factors account for half of the phenotypic variance in liability to sleep-related bruxism in young adults: a nationwide Finnish twin cohort study. Twin Res Hum Genet 2012; 15(6):714-9. https://doi.org/10.1017/thg.2012.54

Giraki M, Schneider C, Schäfer R, Singh P, Franz M, Raab WH, et al. Correlation between stress, stress-coping and current sleep bruxism. Head Face Med 2010; 6:2. https://doi.org/10.1186/1746-160X-6-2

Carvalho ALdA, Cury AADB, Garcia RCMR. Prevalence of bruxism and emotional stress and the association between them in Brazilian police officers. Braz Oral Res 2008; 22(1):31-5.

Alfano CA, Bower JL, Meers JM. Polysomnography-detected bruxism in children is associated with somatic complaints but not anxiety. J Clin Sleep Med 2018; 14(1):23-9. https://doi.org/10.5664/jcsm.687

Oliveira MTd, Bittencourt ST, Marcon K, Destro S, Pereira JR. Sleep bruxism and anxiety level in children. Braz Oral Res 2015; 29:S1806-83242015000100221. https://doi.org/10.1590/1807-3107BOR-2015.vol29.0024

Goldstein RE, Clark WA. The clinical management of awake bruxism. J Am Dent Assoc 2017; 148(6):387-91. https://doi.org/10.1016/j.adaj.2017.03.005

Kara MI, Yanık S, Keskinruzgar A, Taysi S, Copoglu S, Orkmez M, et al. Oxidative imbalance and anxiety in patients with sleep bruxism. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 114(5):604-9. https://doi.org/10.1016/j.oooo.2012.05.010

de Alencar NA, Leão CS, Leão ATT, Luiz RR, Fonseca-Gonçalves A, Maia LC. Sleep bruxism and anxiety impacts in quality of life related to oral health of Brazilian children and their families. J Clin Pediatr Dent 2017; 41(3):179-85. https://doi.org/10.17796/1053-4628-41.3.17

Ribeiro MB, Manfredini D, Tavares-Silva C, Costa L, Luiz RR, Paiva S, et al. Association of possible sleep bruxism in children with different chronotype profiles and sleep characteristics. Chronobiol Int 2018; 35(5):633-42. https://doi.org/10.1080/07420528.2018.1424176

Gonçalves LPV, Toledo O, Otero SAM. The relationship between bruxism, occlusal factors and oral habits. Dental Press J Orthod 2010; 15(2):97-104.

Cheifetz AT, Osganian SK, Allred EN, Needleman HL. Prevalence of bruxism and associated correlates in children as reported by parents. J Dent Child 2005; 72(2):67-73.

Motta LJ, Bortoletto CC, Marques AJ, Ferrari RAM, Fernandes KPS, Bussadori SK. Association between respiratory problems and dental caries in children with bruxism. Indian J Dent Res 2014; 25(1):9-13. https://doi.org/10.4103/0970-9290.131047

Grechi TH, Trawitzki LV, de Felício CM, Valera FC, Alnselmo-Lima WT. Bruxism in children with nasal obstruction. Int J Pediatr Otorhinolaryngol 2008; 72(3):391-6. https://doi.org/10.1016/j.ijporl.2007.11.014

Downloads

Published

2023-05-08

How to Cite

Jahanimoghadam, F., Tohidimoghadam, M., Poureslami, H., & Sharifi, M. (2023). Prevalence and Risk Factors of Bruxism in a Selected Population of Iranian Children. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 23, e210224. Retrieved from https://revista.uepb.edu.br/PBOCI/article/view/1854

Issue

Section

Original Articles