Background: The gold standard for the diagnosis of sleep bruxism (SB) is laboratory polysomnography (L-PSG) recording. However, many clinicians still define SB using patients' self-assessment and/or clinical tooth wear (TW). The purpose of this cross-sectional controlled study was to compare the prevalence of TW, head-neck muscles sensitivity and Temporomandibular Disorders (TMD) between SB and non-SB patients diagnosed with L-PSG in a cohort of patient with sleep disorders (SD). Methods: 102 adult subjects with suspected SD underwent L-PSG recording to assess the presence of sleep disorder and SB. TW was clinically analyzed using TWES 2.0. The pressure pain threshold (PPT) of masticatory muscles were assessed using a Fisher algometer. Diagnostic criteria for TMD (DC/TMD) were used to evaluate the presence of TMD. SB self-assessment questionnaires were administered. TWES score, PPT, TMD prevalence and questionnaire results were compared between SB and non-SB patients. Results: 22 SB patients and 66 non-SB patients with SD were included. No significant differences emerged between groups in regards to TW, the PPT values, or SB's self-assessment questionnaires as well the prevalence of TMD. Conclusion: in a SD population, TW is not pathognomonic of active SB and SB self-assessment is not reliable. There seems to be no correlation between SB, TMD and head/neck muscle sensitivity.

Bartolucci, M.L., Incerti Parenti, S., Bortolotti, F., Della Godenza, V., Vandi, S., Pizza, F., et al. (2023). Sleep Bruxism and Orofacial Pain in Patients with Sleep Disorders: A Controlled Cohort Study. JOURNAL OF CLINICAL MEDICINE, 12(8), 2997-3007 [10.3390/jcm12082997].

Sleep Bruxism and Orofacial Pain in Patients with Sleep Disorders: A Controlled Cohort Study

Bartolucci, Maria Lavinia
;
Incerti Parenti, Serena;Bortolotti, Francesco;Vandi, Stefano;Pizza, Fabio;Plazzi, Giuseppe;Alessandri-Bonetti, Giulio
2023

Abstract

Background: The gold standard for the diagnosis of sleep bruxism (SB) is laboratory polysomnography (L-PSG) recording. However, many clinicians still define SB using patients' self-assessment and/or clinical tooth wear (TW). The purpose of this cross-sectional controlled study was to compare the prevalence of TW, head-neck muscles sensitivity and Temporomandibular Disorders (TMD) between SB and non-SB patients diagnosed with L-PSG in a cohort of patient with sleep disorders (SD). Methods: 102 adult subjects with suspected SD underwent L-PSG recording to assess the presence of sleep disorder and SB. TW was clinically analyzed using TWES 2.0. The pressure pain threshold (PPT) of masticatory muscles were assessed using a Fisher algometer. Diagnostic criteria for TMD (DC/TMD) were used to evaluate the presence of TMD. SB self-assessment questionnaires were administered. TWES score, PPT, TMD prevalence and questionnaire results were compared between SB and non-SB patients. Results: 22 SB patients and 66 non-SB patients with SD were included. No significant differences emerged between groups in regards to TW, the PPT values, or SB's self-assessment questionnaires as well the prevalence of TMD. Conclusion: in a SD population, TW is not pathognomonic of active SB and SB self-assessment is not reliable. There seems to be no correlation between SB, TMD and head/neck muscle sensitivity.
2023
Bartolucci, M.L., Incerti Parenti, S., Bortolotti, F., Della Godenza, V., Vandi, S., Pizza, F., et al. (2023). Sleep Bruxism and Orofacial Pain in Patients with Sleep Disorders: A Controlled Cohort Study. JOURNAL OF CLINICAL MEDICINE, 12(8), 2997-3007 [10.3390/jcm12082997].
Bartolucci, Maria Lavinia; Incerti Parenti, Serena; Bortolotti, Francesco; Della Godenza, Veronica; Vandi, Stefano; Pizza, Fabio; Plazzi, Giuseppe; Al...espandi
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/924837
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