Clinical characteristics of sleep bruxism patients with idiopathic facial pain

Abstract

Purpose: To profile various clinical characteristics of sleep bruxism (SB) patients with idiopathic facial pain (IFP) in the orofacial region. Materials and Methods: We analyzed 28 SB patients among 210 patients with IFP complaints. The profiles were evaluated using patient charts including gender, age, pain duration, pain location, pain intensity and affected areas by pain. Results: SB with IFP occurred more often in females (85.7%) than males (14.3%). The mean age at presentation was 48.9 years. The most common IFP sites of SB patients were the right maxilla (28.6%) and the right mandible (25.0%). The pain complaints occurred mostly in 2 teeth or areas (50.0%), followed by 1 area (28.6%) and then in ≥ 3 teeth or areas (21.4%). The mean pain intensity was 5.9 on a visual analogue scale from 0 to 10. The pain was spontaneous in 20 patients (71.4%), and the mean pain duration was 24.4 months. Conclusion: Identification of clinical characteristics of SB patients with IFP could be useful in the diagnosis of various IFP patients and beneficial in decreasing unnecessary care to reduce IFP. Further studies with larger number of subjects and extended duration are required for more systemized diagnostic methods and development of future treatment guidelines. (J Dent Rehabil Appl Sci 2021;37(2):81-7) study results corroborate the previously reported clinical presentations of bilateral facial pain and headache (84.3%) and frontotemporal location (67.1%) in SB patients with pain. 11,12 The commonest pain quality was tightness/pressure and its mean VAS intensity was 4.33. 3 In the present study, pain intensity, was somewhat higher r, with a mean VAS intensity of 5.9 and 71.4% of patients reporting moderate pain, 14.3% mild pain and 7.1% severe pain. The mean pain duration (24.4 months) of SB was less than the mean pain duration (31 months) of IFP without SB.