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rev port estomatol med dent cir maxilofac . 2018;59(1):24-29 29
question of whether the patient remembered feeling orofacial references
muscle fatigue upon waking up and whether they were aware
of grinding or clenching their teeth during the day or while 1. Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ,
sleeping. Regarding the first question, since bruxism is charac- et al. Bruxism defined and graded: an international
terized by an involuntary movement of the mandible caused by consensus. J Oral Rehabil. 2013;40:2-4.
contractions of the masticatory muscles, it is believed that there 2. Pintado MR, Anderson GC, Delong R, Douglas WH. Variation
in tooth wear in young adults over a two-year period. J
would be painful sensitivity in the masseter region and difficul- Prosthet Dent. 1997;77:313-20.
3
ty opening the mouth upon awakening. However, masseter 3. Kato T, Yamaguchi T, Okura K, Abe S, Lavigne GJ. Sleep less
muscle hypertrophy should be differentiated from inflamma- and bite more: Sleep disorders associated with occlusal loads
tory edema, tumors, and other syndromes, which should be during sleep. J Prosthodont Res. 2013;57:69-81.
8
discarded during the anamnesis. The second question is fre- 4. Raphael QG, Santiago V, Lobbezoo F. Is bruxism a disorder
quently found in self-report questionnaires of bruxism since or a behaviour? rethinking the international consensus on
defining and grading of bruxism. J Oral Rehabil.
noise production during sleep is a common sign of bruxism. 2016;43:791-8.
However, the response to this question may be compromised in 5. Lobbezoo F, Brouwers JEIG, Cune MS, Naeije M. Dental
cases where the patient sleeps alone or removes the prosthesis implants in patients with bruxing habits. J Oral Rehabil.
to sleep, or where their partner is a deep sleeper. 8 2006;33:152-9.
6. Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A. Bruxism
and dental implant treatment complications: a retrospective
Conclusions comparative study of 98 bruxer patients and a matched
group. Clin Oral Impl Res. 2017;28:1-9.
7. Lobbezoo F, Lavigne GJ, Tanguay R, Montplaisir JY. The effect
The two self-reporting questionnaires analyzed showed fair- of catecholamine precursor L-dopa on sleep bruxism: a
to-low agreement, which indicates limitations in their use to controlled clinical trial. Mov Disord. 1997;12:73-8.
diagnose “possible” bruxism. Although questionnaires are a 8. Kato T, Thie NMR, Montplaisir JY, Lavigne GJ. Bruxism and
simple and easy method to apply in research and dental prac- Orofacial Movements During Sleep. Dent Clin North Am.
tice, the outcome depends heavily on the understanding and 2001;45:657-84.
truthfulness of the patient in answering the questions. Fur- 9. Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of the
Bruxism in the Clinic. J. Oral Rehabil. 2008;35:495-508.
ther research is required to refine self-reported bruxism ques- 10. Carra MC, Huynh N, Lavigne GJ. Diagnostic accuracy of sleep
tionnaires to attain a simple and more predictable method to bruxism scoring in absence of audio-video recording: a pilot
diagnose “possible” bruxism. study. Sleep Breath. 2015;19:183-90.
11. Klasser GD, Nathalie R, Lavigne GJ. Sleep Bruxism Etiology:
The evolution of a Changing Paradigm. J Can Dent Assoc.
Ethical disclosures 2015;81:f2.
12. Winocur E, Uziel N, Lisha T, Goldsmith C, Eli I. Self-reported
Bruxism – associations with perceived stress,motivation for
Protection of human and animal subjects. The authors control, dental anxiety, and gagging. J Oral Rehabil. 2010;38:3-
declare that the procedures followed were in accordance with 11.
the regulations of the relevant clinical research ethics com- 13. Castroflorio T, Bargellini A, Rossini G, Cugliari G, Deregibus A,
mittee and with those of the Code of Ethics of the World Med- Manfredini D. Agreement between clinical and portable EMG/
ical Association (Declaration of Helsinki). ECG diagnosis of sleep bruxism. J Oral Rehabil. 2015;42:759-
64.
14. Landis J. R., Koch G. G. The measurement of observer
Confidentiality of data. The authors declare that they have agreement for categorical data. Biometrics. 1977;33:159-74.
followed the protocols of their work center on the publication 15. Raphael KG, Janal MN, Sirois DA, Dubrovsky B, Klausner JJ,
of patient data. Krieger AC, Lavigne GJ. Validity of self-reported sleep bruxism
among myofascial temporomandibular disorder patients and
Right to privacy and informed consent. The authors have controls. J Oral Rehabil. 2015;42:751-8.
obtained the written informed consent of the patients or sub- 16. Manfredini D, Lobbezoo F. Relationship between bruxism and
jects mentioned in the article. The corresponding author is in temporomandibular disorders: a systematic review of
literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol
possession of this document. Oral Radiol Endod. 2010;109:26-50.
17. Sommer I, et al. Review of self-reported instruments that
measure sleep dysfunction in patients suffering from
Conflict of interest temporomandibular disorders and/or orofacial pain. Sleep
Med. 2015;16:27-38.
18. Casett E, Eus JCR, Stuginski-Barbosa J, Porporatti AL , Carra
The authors have no conflicts of interest to declare.
MC, Peres MA, De Luca Canto G, Manfredini D. Validity of
different tools to assess sleep bruxism: a meta-analysis. J
Oral Rehabil. 2017;44:722-34.
Appendices 19. American Academy of Sleep Medicine. International
classification of sleep disorders, revised: Diagnostic and
Supplementary content Supplementary data associated with coding manual. Chicago, Illinois: American Academy of Sleep
this article can be found, in the online version, at http://doi. Medicine, 2001.
org/10.24873/j.rpemd.2018.06.219.

