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Ecological Momentary Assessment of Awake Bruxism Frequency in Patients with Different Temporomandibular Disorders

Self-reported awake bruxism (AB) has been associated with temporomandibular disorders (TMD). However, the daily amount of AB behavior has not been quantified in pain patients. Therefore, this study aimed to assess AB frequency in patients with myofascial pain and temporomandibular joint (TMJ) pain a...

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Autores principales: Câmara-Souza, Mariana Barbosa, Bracci, Alessandro, Colonna, Anna, Ferrari, Marco, Rodrigues Garcia, Renata Cunha Matheus, Manfredini, Daniele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9862722/
https://www.ncbi.nlm.nih.gov/pubmed/36675431
http://dx.doi.org/10.3390/jcm12020501
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author Câmara-Souza, Mariana Barbosa
Bracci, Alessandro
Colonna, Anna
Ferrari, Marco
Rodrigues Garcia, Renata Cunha Matheus
Manfredini, Daniele
author_facet Câmara-Souza, Mariana Barbosa
Bracci, Alessandro
Colonna, Anna
Ferrari, Marco
Rodrigues Garcia, Renata Cunha Matheus
Manfredini, Daniele
author_sort Câmara-Souza, Mariana Barbosa
collection PubMed
description Self-reported awake bruxism (AB) has been associated with temporomandibular disorders (TMD). However, the daily amount of AB behavior has not been quantified in pain patients. Therefore, this study aimed to assess AB frequency in patients with myofascial pain and temporomandibular joint (TMJ) pain and compare it to a group of pain-free individuals. Eighty-four individuals belonging to either a TMD group (n = 54) or a healthy control group (n = 30) were selected. AB frequency was obtained by ecological momentary assessment with a dedicated smartphone application that sent sound alerts at random intervals during the day for one week. Upon receiving the alert, the volunteer reported the current muscular condition and/or the teeth position, i.e., relaxed jaw muscle, jaw bracing, teeth contact, teeth clenching, or teeth grinding. Data were evaluated by independent t-test (α = 0.05). During the seven days, AB frequency was 62.1% ± 26.8% for TMD patients and 36.2% ± 27.3% for pain-free subjects (p < 0.001). Mandible bracing was most common in the TMD group (p < 0.001), while teeth contact, clenching, and grinding did not differ between groups. Moreover, no differences were found in AB frequency between myofascial pain and TMJ pain patients. Therefore, TMD patients have higher AB frequency characterized by jaw bracing, irrespective of pain location.
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spelling pubmed-98627222023-01-22 Ecological Momentary Assessment of Awake Bruxism Frequency in Patients with Different Temporomandibular Disorders Câmara-Souza, Mariana Barbosa Bracci, Alessandro Colonna, Anna Ferrari, Marco Rodrigues Garcia, Renata Cunha Matheus Manfredini, Daniele J Clin Med Article Self-reported awake bruxism (AB) has been associated with temporomandibular disorders (TMD). However, the daily amount of AB behavior has not been quantified in pain patients. Therefore, this study aimed to assess AB frequency in patients with myofascial pain and temporomandibular joint (TMJ) pain and compare it to a group of pain-free individuals. Eighty-four individuals belonging to either a TMD group (n = 54) or a healthy control group (n = 30) were selected. AB frequency was obtained by ecological momentary assessment with a dedicated smartphone application that sent sound alerts at random intervals during the day for one week. Upon receiving the alert, the volunteer reported the current muscular condition and/or the teeth position, i.e., relaxed jaw muscle, jaw bracing, teeth contact, teeth clenching, or teeth grinding. Data were evaluated by independent t-test (α = 0.05). During the seven days, AB frequency was 62.1% ± 26.8% for TMD patients and 36.2% ± 27.3% for pain-free subjects (p < 0.001). Mandible bracing was most common in the TMD group (p < 0.001), while teeth contact, clenching, and grinding did not differ between groups. Moreover, no differences were found in AB frequency between myofascial pain and TMJ pain patients. Therefore, TMD patients have higher AB frequency characterized by jaw bracing, irrespective of pain location. MDPI 2023-01-07 /pmc/articles/PMC9862722/ /pubmed/36675431 http://dx.doi.org/10.3390/jcm12020501 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Câmara-Souza, Mariana Barbosa
Bracci, Alessandro
Colonna, Anna
Ferrari, Marco
Rodrigues Garcia, Renata Cunha Matheus
Manfredini, Daniele
Ecological Momentary Assessment of Awake Bruxism Frequency in Patients with Different Temporomandibular Disorders
title Ecological Momentary Assessment of Awake Bruxism Frequency in Patients with Different Temporomandibular Disorders
title_full Ecological Momentary Assessment of Awake Bruxism Frequency in Patients with Different Temporomandibular Disorders
title_fullStr Ecological Momentary Assessment of Awake Bruxism Frequency in Patients with Different Temporomandibular Disorders
title_full_unstemmed Ecological Momentary Assessment of Awake Bruxism Frequency in Patients with Different Temporomandibular Disorders
title_short Ecological Momentary Assessment of Awake Bruxism Frequency in Patients with Different Temporomandibular Disorders
title_sort ecological momentary assessment of awake bruxism frequency in patients with different temporomandibular disorders
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9862722/
https://www.ncbi.nlm.nih.gov/pubmed/36675431
http://dx.doi.org/10.3390/jcm12020501
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