Respiratory Problems and Different Manifestations of Bruxism in Children: A Retrospective Cross-Sectional Study

Juliana de Lima Gonçalves; Lucas Masaru Marubayashi; Carolina Paes Torres; Rodrigo Galo; Kranya Victoria Díaz-Serrano

Authors

Juliana de Lima Gonçalves
Lucas Masaru Marubayashi
Carolina Paes Torres
Rodrigo Galo
Kranya Victoria Díaz-Serrano

Keywords:

Bruxism, Nasal Obstruction, Sleep Apnea, Obstructive, Adenoidectomy, Child

Abstract

Objective: To comparatively analyze associations between respiratory problems and adenoidectomy with the different manifestations of bruxism in children. Material and Methods: Were analyzed retrospectively on secondary data from the database of a service specializing in bruxism and temporomandibular disorder (TMD) of 279 children, aged 6 to 12 years, from October to November 2022. Two trained and calibrated examiners performed data extraction, checked and organized it. Descriptive and comparative analysis was carried out using the chi-square test, and Pearson’s association test was used for the relationship between variables, both with a significance level of 5%. Results: The sample included secondary data from 259 dental records of children with a mean age of 8.6 years (±7.7), 44% male and 51% female. Probable bruxism was diagnosed in 55% of these children. A negative association between adenoidectomy and teeth clenching while awake (p=0.002), clenching during sleep (p=0.004), and grinding during sleep (p=0.040) was observed. Conclusion: The respiratory problems analyzed were not associated with the occurrence of bruxism in its different types of manifestation. However, all manifestations of awake and sleep bruxism were less frequent in association with adenoidectomy.

References

Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, et al. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil 2018; 45(11):837-844. https://doi.org/10.1111/joor.12663

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. https://doi.org/10.3390/ijerph18189544

Ferrari-Piloni C, Barros LAN, Evangelista K, Serra-Negra JM, Silva MAG, Valladares-Neto J. Prevalence of bruxism in Brazilian children: A systematic review and meta-analysis. Pediatr Dent 2022; 44(1):8-20.

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

Prado IM, Abreu LG, Silveira KS, Auad SM, Paiva SM, Manfredini D, et al. Study of associated factors with probable sleep bruxism among adolescents. J Clin Sleep Med 2018; 14(8):1369-1376. https://doi.org/10.5664/jcsm.7276

Manfredini D, Restrepo C, Diaz-Serrano K, Winocur E, Lobbezoo F. Prevalence of sleep bruxism in children: A systematic review of the literature. J Oral Rehabil 2013; 40(8):631-642. https://doi.org/10.1111/joor.12069

Wetselaar P, Vermaire EJH, Lobbezoo F, Schuller A. The prevalence of awake bruxism and sleep bruxism in the Dutch adolescent population. J Oral Rehabil 2021; 48(2):143-149. https://doi.org/10.1111%2Fjoor.13117

Castroflorio T, Bargellini A, Rossini G, Cugliari G, Rainoldi A, Deregibus A. Risk factors related to sleep bruxism in children: A systematic literature review. Arch Oral Biol 2015; 60(11):1618-1624. https://doi.org/10.1016/j.archoralbio.2015.08.014

Guo H, Wang T, Niu X, Wang H, Yang W, Qiu J, et al. The risk factors related to bruxism in children: A systematic review and meta-analysis. Arch Oral Biol 2018; 86:18-34. https://doi.org/10.1016/j.archoralbio.2017.11.004

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):391-396. https://doi.org/10.1016/j.ijporl.2007.11.014

Antunes LA, Castilho T, Marinho M, Fraga RS, Antunes LS. Childhood bruxism: Related factors and impact on oral health-related quality of life. Spec Care Dentist 2016; 36(1):7-12. https://doi.org/10.1111/scd.12140

Baena-Cagnani CE, Sánchez-Borges M, Zernotti ME, Larenas-Linnemann D, Cruz AA, González-Díaz SN, et al. [ARIA (Allergic Rhinitis and its Impact on Asthma). Achievements in 10 years and future needs in Latin America]. Rev Alerg Mex 2013; 60(4):184-192. [In Spanish].

Gregório PB, Athanazio RA, Bitencourt AGV, Neves FBCS, Terse R, Hora F. Symptoms of obstructive sleep apnea-hypopnea syndrome in children. J Bras Pneumol 2008; 34(6):356-361. https://doi.org/10.1590/S1806-37132008000600004

Oh JS, Zaghi S, Ghodousi N, Peterson C, Silva D, Lavigne GJ, et al. Determinants of probable sleep bruxism in a pediatric mixed dentition population: A multivariate analysis of mouth vs. nasal breathing, tongue mobility, and tonsil size. Sleep Med 2021; 77:7-13. https://doi.org/10.1016/j.sleep.2020.11.007

Pauletto P, Polmann H, Réus JC, Massignan C, Souza BDM, Gozal D, et al. Sleep bruxism and obstructive sleep apnea: Association, causality or spurious finding? A Scoping Review. Sleep 2022; 45:zsac073. https://doi.org/10.1093/sleep/zsac073

Hoch HE, Houin PR, Stillwell PC. Asthma in children: A brief review for primary care providers. Pediatr Ann 2019; 48(3):e103-e109. https://doi.org/10.3928/19382359-20190219-01

Patwari PP, Sharma GD. Common pediatric airway disorders. Pediatr Ann 2019; 48(4):e162-e168. https://doi.org/10.3928/19382359-20190326-03

Leal RB, Gomes MC, Granville-Garcia AF, Goes PS, de Menezes VA. Impact of breathing patterns on the quality of life of 9- to 10-year-old schoolchildren. Am J Rhinol Allergy 2016; 30(5):147-152. https://doi.org/10.2500/ajra.2016.30.4363

Pegas PN, Alves CA, Scotto MG, Evtyugina MG, Pio CA, Freitas MC. Risk factors and prevalence of asthma and rhinitis among primary school children in Lisbon. Pulmonol J 2011; 17(3):109-116. https://doi.org/10.1016/j.rppneu.2011.01.00

Petry C, Pereira MU, Pitrez P, Jones MH, Stein RT. The prevalence of symptoms of sleep-disordered breathing in Brazilian schoolchildren. J. Pediatr 2008; 84(2):123-129. https://doi.org/10.1590/S0021-75572008000200006

Mattar SE, Valera FC, Faria G, Matsumoto MA, Anselmo-Lima WT. Changes in facial morphology after adenotonsillectomy in mouth‐breathing children. Int J Paediatr Dent 2011; 21(5):389-396. https://doi.org/10.1111/j.1365-263x.2011.01117.x

Soares JP, Giacomin A, Cardoso M, Serra-Negra JM, Bolan M. Association of gender, oral habits, and poor sleep quality with possible sleep bruxism in schoolchildren. Braz Oral Res 2020; 34:e019. https://doi.org/10.1590/1807-3107bor-2020.vol34.0019

Intmodi-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; 39:126-135. https://doi.org/10.1111/j.1365-2842.2011.02254.x

Drumond CL, Souza DS, Serra-Negra JM, Marques LS, Ramos-Jorge ML, Ramos-Jorge J. Respiratory disorders and the prevalence of sleep bruxism among schoolchildren aged 8 to 11 years. Sleep Breath 2017; 21(1):203-208. https://doi.org/10.1007/s11325-017-1466-9

Instituto Brasileiro de Geografia e Estatística. Síntese de Indicadores Sociais. Brasil. 2019. Available from: https://www.ibge.gov.br/estatisticas/sociais/educacao [Accessed on June 20, 2024]. [In Portuguese].

Salvato MA, Ferreira PCG, Duarte AJMA. The impact of education about income distribution. Estud Econ 2010; 40(4):753-791. https://doi.org/10.1590/S0101-41612010000400001

Simões CF, Amaral SCS. The relationship between schooling and poverty: an analysis of policies for democratization of access to higher education in Brazil. Rev Bras Ens Sup 2018; 4(2):21-43. https://doi.org/10.18256/2447-3944.2018.v4i2.2392

Minervini G, Franco R, Marrapodi MM, Fiorillo L, Cervino G, Cicciù M. The association between parent education level, oral health, and oral-related sleep disturbance. An observational cross sectional study. Eur J Paediatr Dent 2023; 24(3):218-223. https://doi.org/10.23804/ejpd.2023.1910

Soares JP, Klein D, Ximenes M, Pereira CS, Antunes EC, Dias L, et al. Mouth breathing and prevalence of sleep bruxism among preschoolers aged 2 to 5 years. Pesqui Bras Odontopediatria Clin Integr 2018; 18(1):3490. https://doi.org/10.4034/PBOCI.2018.181.46

Balasubramaniam R, Klasser GD, Cistulli PA, Lavigne GJ. The link between sleep bruxism, sleep disordered breathing and temporomandibular disorders: An evidence-based review. J Dent Sleep Med 2014; 2(1):9-16. https://doi.org/10.15331/jdsm.3736

DiFrancesco RC, Junqueria PA, Trezza PM, de Faria ME, Frizzarini R, Zerati FE. Improvement of bruxism, after T & A surgery. Int J Pediatr Otorhinolaryngol 2004; 68(4):441-455. https://doi.org/10.1016/j.ijporl.2003.11.022