The BruxChecker System for Quantitatively Assessing Sleep Bruxism at the Dental Level: Reliability, Reference Values and Methodological Considerations

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

Journal of oral rehabilitation Pub Date : 2025-04-17 DOI:10.1111/joor.13959

Mireia Ustrell-Barral, Carla Zamora-Olave, Laura Khoury-Ribas, Bernat Rovira-Lastra, Jordi Martinez-Gomis

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引用次数: 0

Abstract

Background

There is a need for reliable instruments that can quantitatively assess sleep bruxism at the dental level.

Objectives

This study aimed to determine the test–retest reliability of the occlusal peeled area using the BruxChecker, the methodological aspects that affect this reliability, and the reference values in a population of dental students.

Methods

Eighty-four dental students participated in this test–retest study (median age, 21.7 years; 74 women). A BruxChecker was worn for 3 consecutive nights and scanned after each night in the plaster model and by transillumination. The relative and absolute peeled areas were measured using the FIJI software, and BruxChecker perforation was determined visually. Reliability was assessed by the intraclass correlation coefficient (ICC) and Cohen's kappa.

Results

The absolute and relative peeled areas of the BruxChecker by transillumination after 2 or 3 nights provided the highest ICC values, which ranged from 0.918 to 0.929. BruxChecker perforation was present in 45% of the participants, with a kappa value of 0.777. The respective median peeled areas were 84.3 mm² and 9.9% for the absolute and relative values after using the BruxChecker for three nights. Ranges for the 10th–90th percentiles were 4.7%–17.0% and 39.4%–143.4 mm², respectively.

Conclusions

The BruxChecker system demonstrates excellent reliability in measuring the occlusal peeled area in the studied population. This study proposes reference values for absolute and relative peeled areas after using the BruxChecker for three nights and scanning by transillumination.

查看原文本刊更多论文

在牙齿水平定量评估睡眠磨牙的BruxChecker系统：可靠性，参考值和方法学考虑。

背景：需要一种可靠的仪器来定量评估牙齿水平的睡眠磨牙症。目的：本研究旨在确定使用BruxChecker的咬合剥落区域的重测信度，影响该信度的方法学方面，以及在牙科学生群体中的参考价值。方法：84名牙科学生参加复试研究(中位年龄21.7岁；74名女性)。连续3个晚上佩戴BruxChecker，每晚在石膏模型中扫描，并通过透光扫描。使用FIJI软件测量相对和绝对剥落面积，并目测BruxChecker射孔。信度评估采用类内相关系数（ICC）和Cohen’s kappa。结果：2、3夜透照后BruxChecker的绝对剥皮面积和相对剥皮面积ICC值最高，范围为0.918 ~ 0.929。45%的参与者出现BruxChecker穿孔，kappa值为0.777。使用BruxChecker三晚后，平均剥皮面积为84.3 mm2，绝对值和相对值分别为9.9%。第10 -90百分位数的范围分别为4.7%-17.0%和39.4%-143.4 mm2。结论：BruxChecker系统在测量研究人群的咬合剥落面积方面表现出良好的可靠性。本研究提出了在使用BruxChecker三晚并通过透光扫描后绝对和相对剥皮面积的参考值。

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.