Sleep bruxism: Current knowledge and contemporary management

Adrian U Yap, Ai Ping Chua, Adrian U Yap, Ai Ping Chua

Abstract

Bruxism is defined as the repetitive jaw muscle activity characterized by the clenching or grinding of teeth. It can be categorized into awake and sleep bruxism (SB). Frequent SB occurs in about 13% of adults. The exact etiology of SB is still unknown and probably multifactorial in nature. Current literature suggests that SB is regulated centrally (pathophysiological and psychosocial factors) and not peripherally (morphological factors). Cited consequences of SB include temporomandibular disorders, headaches, tooth wear/fracture, implant, and other restoration failure. Chairside recognition of SB involves the use of subjective reports, clinical examinations, and trial oral splints. Definitive diagnosis of SB can only be achieved using electrophysiological tools. Pharmacological, psychological, and dental strategies had been employed to manage SB. There is at present, no effective treatment that "cures" or "stops" SB permanently. Management is usually directed toward tooth/restoration protection, reduction of bruxism activity, and pain relief.

Keywords: Consequences; diagnosis; etiology; management; sleep bruxism.

Figures

Figure 1
Figure 1
A 30 s epoch showing bruxism lasting approximately 7 s with accompanying EEG arousals and transient increased heart rate. Patient was sleeping supine

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