Bruxism in Completely Edentulous Patients: A Scoping Review

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-06-12 DOI:10.1111/joor.14046

Daniela Bianchini Orlandi, Alexandra Feldmann, Helena Polmann, Júlia Meller Dias de Oliveira, Patrícia Pauletto, Cristine Miron Stefani, Thais Marques Simek Vega Gonçalves, Graziela De Luca Canto

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引用次数: 0

Abstract

Background

Bruxism is a masticatory muscle activity that can be manifested asleep or awake. It is hypothesised that edentulous patients may also experience bruxism, as dentate patients do. Further investigation is required to provide clearer scientific evidence. Based on this context, this scoping review aims to identify conceptual categories and knowledge gaps about bruxism in completely edentulous patients.

Methods

A scoping review approach was used, and data were reported using the PRISMA-ScR checklist. The studies evaluating bruxism in completely edentulous patients were included without language or time of publication restrictions. The following databases were searched: Cochrane Library, Embase, LILACS, MEDLINE (via PubMed), Scopus, and Web of Science. Additional searching was performed through Google Scholar, ProQuest Dissertations & Theses Global, and ClinicalTrials.gov, as well as expert consultation and manual searches. Three independent authors selected the studies in a two-phase process.

Results

The review's findings comprised three observational studies. Bruxism detection was primarily conducted using self-administered questionnaires and portable electromyographic devices. Contrasting results were found in the muscular activity with prosthesis use, varying between decreased and increased muscular activity during sleep. All studies presented methodological issues that jeopardised further analysis and robust evidence.

Conclusion

Based on limited evidence, our study offers insights into sleep bruxism in completely edentulous patients. The gap in knowledge on the subject hindered further conclusions about bruxism in completely edentulous patients or the influence of dental prostheses on muscular activity. Future studies with better methodology are necessary to understand the characteristics of bruxism in edentulous patients.

Scoping Review Registration

The protocol has been registered prospectively on the Open Science Framework (https://osf.io/ycjnd/) DOI 10.17605/OSF.IO/YCJND.

Abstract Image

查看原文本刊更多论文

完全无牙患者的磨牙症：范围综述。

背景：磨牙症是一种咀嚼肌肉活动，可以在睡眠或清醒时表现出来。据推测，没有牙齿的患者也可能像有牙齿的患者一样有磨牙症。需要进一步调查以提供更明确的科学证据。基于此背景，本综述旨在确定完全无牙患者磨牙的概念分类和知识差距。方法：采用范围审查方法，并使用PRISMA-ScR检查表报告数据。评估完全无牙患者磨牙的研究没有语言或出版时间限制。检索了以下数据库：Cochrane Library、Embase、LILACS、MEDLINE（通过PubMed）、Scopus和Web of Science。通过谷歌Scholar、ProQuest disserts&theses Global和ClinicalTrials.gov以及专家咨询和人工搜索进行了额外的搜索。三位独立作者分两阶段选择了这些研究。结果：该综述的发现包括三项观察性研究。磨牙症的检测主要采用自填问卷和便携式肌电图仪。在使用假肢的肌肉活动中发现了相反的结果，睡眠期间肌肉活动在减少和增加之间变化。所有的研究都存在方法学上的问题，危及进一步的分析和有力的证据。结论：基于有限的证据，我们的研究为完全无牙患者的睡眠磨牙症提供了见解。这方面的知识差距阻碍了对完全无牙患者的磨牙症或义齿对肌肉活动的影响的进一步结论。未来的研究需要更好的方法来了解无牙患者磨牙的特点。范围审查注册：该协议已在开放科学框架（https://osf.io/ycjnd/） DOI 10.17605/OSF.IO/YCJND上前瞻性注册。

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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.