The Effect of Bruxism on Temporomandibular Disorders

NCT04866849 | Completed

• 1 other identifier: 2017-KAEK-189_2021.03.10_19
• Study Type: observational
• Target: 143
• Locations: 1 country
• Sites: 1

Brief Summary

This case-control study consists of 120 participants aged between 18 and 65 years. Case group included 60 patients with bruxism who presented to physical medicine and rehabilitation outpatient clinic between May 2021 and August 2021. Control group included 60 healthy participant. Patients who had temporomandibular region surgery, congenital teporomandibular joint pathologies, and previous temporomandibular region trauma were also excluded. Assessments including age, gender, body mass index (BMI), education level, and symptom duration were recorded. Patients was evaluated according to the Diagnostic Criteria for Temporomandibular Disorders: Assessment Instruments. Patients was evaluated by Diagnostic Criteria for Temporomandibular Disorders: TMD Pain Screener, Symptom questionnaire, Clinical Examination Form from Assessment Instruments Axis I. Pain Drawing, Graded Chronic Pain (version 2), Jaw Functional Limitation Scale-8 (JFLS-8), Patient Health Questionnaire (PHQ-4) , Oral Behaviors Checklist were applied within the scope of Axis II.

Conditions

Bruxism; Temporomandibular Disorder

Keywords

bruxism; Temporomandibular Disorder

Outcome Measures

Primary Outcomes (3)

• DCTMD: AI Axis I Pain Screener

  MD Pain Screener which is a simple, reliable, and valid self-report instrument used to assess for the presence of any pain-related TMD, with sensitivity and specificity ≥ 0.95 which is recommended for all patients in any clinical setting. A positive screen is followed by further evaluation to arrive at the specific TMD pain-related diagnoses.

  0 day

• DCTMD: AI Axis I Symptom questionnaire

  Symptom questionnaire which assess pain characteristics as well as history of jaw noise, jaw locking, and headache.

  0 day

• DCTMD: AI Axis I Clinical Examination Form

  Clinical Examination Form- The clinical examination includes provocation tests for TMJ arthralgia of pain with any jaw movement (ie, opening, lateral, and protrusive) and TMJ palpation. For myalgia, the tests include pain with opening jaw movements and palpation of the temporalis and masseter muscles.

  0 day

Secondary Outcomes (5)

• DCTMD: AI Axis II-Pain Drawing

  0 day

• DCTMD: AI Axis II-Graded Chronic Pain (version 2)

  0 day

• DCTMD: AI Axis II-Jaw Functional Limitation Scale-8 (JFLS-8)

  0 day

• DCTMD: AI Axis II-Patient Health Questionnaire (PHQ-4)

  0 day

• DCTMD: AI Axis II- Oral Behaviors Checklist (OBC)

  0 day

Study Arms (2)

STUDY GROUP

patient diagnosed with bruxism The presence of bruxism was based on self-reported bruxism and examination. Self reported bruxism was recorded as "yes" or "no" . Participants were examined for the existence of four clinical signs of bruxism: (I) abnormal tooth wear, (II) impressions of teeth in the buccal area, (III) impressions of teeth on the tongue, and (IV) hypertrophy of the masseter muscle. In this study, clinical signs of bruxism were considered present if one of the four items was answered "yes."

Other: examination

CONTROL GROUP

healthy volunteers

Other: examination

Interventions

examination OTHER

The presence of bruxism was based on self-reported bruxism and examination. Self reported bruxism was recorded as "yes" or "no" . Participants were examined for the existence of four clinical signs of bruxism: (I) abnormal tooth wear, (II) impressions of teeth in the buccal area, (III) impressions of teeth on the tongue, and (IV) hypertrophy of the masseter muscle. In this study, clinical signs of bruxism were considered present if one of the four items was answered "yes."

CONTROL GROUP; STUDY GROUP

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

This case-control study consists of 120 participants aged between 18 and 65 years. Case group included 60 patients with bruxism who presented to physical medicine and rehabilitation outpatient clinic between May 2021 and August 2021. Control group included 60 healthy participant.

You may qualify if:

• Sixty patients diagnosed with bruxism according to self-reported bruxism and examination.
• Sixty healthy volunteers

You may not qualify if:

• Patients with temporomandibular region surgery
• Congenital teporomandibular joint pathologies
• Previous temporomandibular region trauma were excluded from the study.

Sponsors & Collaborators

• Yerkoy State Hospital: lead

Study Sites (1)

Başak Çiğdem Karaçay

Yerköy, Yozgat, 66900, Turkey (Türkiye)

Location

Related Publications (7)

• Goldstein RE, Auclair Clark W. The clinical management of awake bruxism. J Am Dent Assoc. 2017 Jun;148(6):387-391. doi: 10.1016/j.adaj.2017.03.005.

  PMID: 28550845 BACKGROUND

• Poveda Roda R, Bagan JV, Diaz Fernandez JM, Hernandez Bazan S, Jimenez Soriano Y. Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal. 2007 Aug 1;12(4):E292-8.

  PMID: 17664915 BACKGROUND

• Manfredini D, Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jun;109(6):e26-50. doi: 10.1016/j.tripleo.2010.02.013.

  PMID: 20451831 BACKGROUND

• Lobbezoo F, Lavigne GJ. Do bruxism and temporomandibular disorders have a cause-and-effect relationship? J Orofac Pain. 1997 Winter;11(1):15-23.

  PMID: 10332307 BACKGROUND

• Nakata A, Takahashi M, Ikeda T, Hojou M, Araki S. Perceived psychosocial job stress and sleep bruxism among male and female workers. Community Dent Oral Epidemiol. 2008 Jun;36(3):201-9. doi: 10.1111/j.1600-0528.2007.00388.x.

  PMID: 18474052 BACKGROUND

• Guo H, Wang T, Niu X, Wang H, Yang W, Qiu J, Yang L. The risk factors related to bruxism in children: A systematic review and meta-analysis. Arch Oral Biol. 2018 Feb;86:18-34. doi: 10.1016/j.archoralbio.2017.11.004. Epub 2017 Nov 11.

  PMID: 29149621 BACKGROUND

• Cigdem Karacay B, Sahbaz T. Investigation of the relationship between probable sleep bruxism, awake bruxism and temporomandibular disorders using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Dent Med Probl. 2023 Oct-Dec;60(4):601-608. doi: 10.17219/dmp/158926.

  PMID: 36651343 DERIVED

MeSH Terms

Conditions

Bruxism; Temporomandibular Joint Disorders

Interventions

Restraint, Physical

Condition Hierarchy (Ancestors)

Tooth Diseases; Stomatognathic Diseases; Habits; Behavior; Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases

Intervention Hierarchy (Ancestors)

Behavior Control; Therapeutics; Immobilization; Investigative Techniques

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Spesialist

Study Record Dates

• First Submitted: April 26, 2021
• First Posted: April 30, 2021
• Study Start: June 15, 2021
• Primary Completion: July 1, 2021
• Study Completion: August 25, 2021
• Last Updated: July 13, 2022

Record last verified: 2022-07

Locations

TU (1)