Bruxism, Sleep
Conditions
Brief summary
Background. Bruxism is an involuntary, non-functional activity of the masticatory system, and is frequently seen in childhood. Bruxism has many aetiologies, like malocclusion, psychological factors, allergies and gastrointestinal disorders. Aim. To investigate the relationship between Enterobius vermicularis infection and bruxism in children.
Detailed description
Bruxism has many aetiologies, like occlusal interferences, malocclusion, malnutrition, psychological factors, allergies and gastrointestinal disorders. Among these gastrointestinal disorders, are various intestinal parasitic infections. Given the controversy surrounding the potential association between bruxism and intestinal parasitic infestations, both important health issues, this study sought to evaluate the relationship between E. vermicularis infection and bruxism in E. vermicularis-positive and E. vermicularis-negative 3-10-year-olds children with bruxism.
Interventions
The parents of the patients were asked to complete a survey that included questions about the demographic data, medical history of the patient, clinical findings of E. For diagnosis of sleep bruxism, a single-use BiteStrip® device (Up2dent, Inc.), including an electromyographic electrode, small display screen and lithium cell, was used to record the increased electromyographic activity of the masticatory muscles during sleep and bruxism, other harmful oral habits, family life and habits.
Sponsors
Study design
Eligibility
Inclusion criteria
* Teeth-grinding at least once a week in the last 3 months before recruitment according to the criteria established by the American Academy of Sleep Medicine (AASM) * Angle class I occlusion * Mesial step occlusion according to flush terminal plane.
Exclusion criteria
* Treated with anti-helminthic drugs in the last 2 months before recruitment * Drugs used that could affect the central nervous system and prevent sleep (sedatives, anti-depressants, neuroleptics, anti-muscarinics, selective serotonin re-uptake inhibitors) * Sleep disorders (snoring, insomnia, obstructive sleep apnoea, restless leg syndrome, sleep-related epilepsy) * Psychiatric or neurological disorders * Upper respiratory system obstruction (last 15 days), * Any systemic disease; * Teeth erosion due to internal (reflux) or external (acidic drinks) factors * Dermatological problems, associated with the use of BiteStrip (Up2dent, Inc., Pulheim, Germany); * Unsuitable skin structure; * Previously diagnosed and treated for bruxism; * Angle class II or class III occlusion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survey | 24.03.2017-20.05.2018 | The parents of the patients were asked to complete a survey that included questions about the demographic data, medical history of the patient, clinical findings of E. vermicularis and bruxism, other harmful oral habits, family life and habits. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Oral examination | 24.03.2017-20.05.2018 | The patients who had a teeth-grinding habit were invited to, our clinic for clinical evaluation of bruxism. Patients were examined under a reflector light with inspection, palpation and mirror-sond. The extraoral examination evaluated mandibular asymmetry, joint sounds, deviation/deflection during opening/closing actions, sensitivity to palpation of masticatory muscles and pain/tenderness, sensitivity to palpation of the temporomandibular joint and masseter muscle hypertrophy10. The intraoral examination assessed the presence of wear facets on the teeth, according to a modification of the method by Johansson. The assessed teeth included primary incisors, canines and molars, permanent incisors and lower first molars. Scores were calculated as follows: 0 = no wear (none); 1 = enamel wear only (mild); 2 = enamel and dentin wear (moderate); 3 = significant loss of tooth structure (severe). |
Other
| Measure | Time frame | Description |
|---|---|---|
| BiteStrip | 24.03.2017-20.05.2018 | For diagnosis of sleep bruxism, a single-use BiteStrip® device (Up2dent, Inc.), including an electromyographic electrode, small display screen and lithium cell, was used to record the increased electromyographic activity of the masticatory muscles during sleep. |
Countries
Turkey (Türkiye)