Is There an Increase in Possible Sleep Bruxism in Children Over Time? A Longitudinal Study.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-09-03 DOI:10.1111/joor.13851

Josiane Pezzini Soares, Júnia Maria Serra-Negra, Juliana da Silva Moro, Pablo Silveira Santos, Giana Brancher, Maria Eduarda Evangelista, Mariane Cardoso, Carla Miranda Santana, Michele Bolan

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引用次数: 0

Abstract

Background: Bruxism is a behaviour that has several consequences in an individual's life, especially when it starts in childhood. However, bruxism can be a potential protective factor, which is an attribute that reduces the chance of a negative health outcome.

Objectives: To evaluate the incidence of sleep bruxism (SB) and dental wear in children and adolescents.

Materials and methods: This longitudinal study began in 2014 and 2016 (baseline) with initial 1816 children followed for 5 and 3 years, respectively. The follow-up data collection started in 2019. The diagnosis of SB was parents report (baseline) and self-report (follow-up) due to age groups of each phase, and questions related to symptoms of SB were collected. Five calibrated examiners (kappa >0.7) collected the clinical data. The clinical variables were dental erosion and dental wear. Contextual, individual, behaviour and clinical characteristics were collected. A multilevel logistic regression model was used to investigate the association of contextual, individual, behaviour and clinical characteristics with SB. Poisson regression for repeated measures was performed to evaluate the incidence of SB and dental wear (incidence rate ratio-IRR and confidence interval-95% CI).

Results: Two hundred and fifty-three children and adolescents answered questionnaires and were clinically examined. The mean age of the follow-up in 2019 was 11.25 years old (±2.19). There was no increase in the incidence of SB (95% CI: 0.74-1.35). Children/adolescents had a 2.2 higher risk to present dental wear (95% CI: 1.89-2.60). SB at the follow-up was associated with the contextual variable, earache, erosion and awake bruxism.

Conclusions: In this population, children with SB remained with this behaviour and showed higher dental wear over the years.

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儿童可能出现的睡眠磨牙症是否会随着时间的推移而增加？一项纵向研究。

背景介绍磨牙是一种会对个人生活造成多种影响的行为，尤其是在儿童时期。然而，磨牙也可能是一种潜在的保护性因素，它是一种可降低不良健康后果发生几率的属性：评估儿童和青少年睡眠磨牙症（SB）和牙齿磨损的发生率：这项纵向研究始于 2014 年和 2016 年（基线），最初分别对 1816 名儿童进行了为期 5 年和 3 年的随访。随访数据收集始于 2019 年。由于每个阶段的年龄组不同，SB 的诊断分别由家长报告（基线）和自我报告（随访），并收集了与 SB 症状相关的问题。五名经过校准的检查员（kappa>0.7）收集了临床数据。临床变量为牙齿腐蚀和牙齿磨损。还收集了环境、个人、行为和临床特征。采用多层次逻辑回归模型来研究环境、个人、行为和临床特征与 SB 的关系。对重复测量进行泊松回归，以评估 SB 和牙齿磨损的发生率（发生率比-IRR 和置信区间-95% CI）：253名儿童和青少年回答了问卷并接受了临床检查。2019 年随访的平均年龄为 11.25 岁（±2.19）。SB发病率没有增加（95% CI：0.74-1.35）。儿童/青少年出现牙齿磨损的风险高出2.2（95% CI：1.89-2.60）。随访中的SB与环境变量、耳痛、牙蚀和清醒磨牙症有关：结论：在这一人群中，患有磨牙症的儿童多年来一直存在这种行为，并表现出较高的牙齿磨损程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.