Download PDF
CC BY-NC-ND 4.0 · Sleep Sci 2018; 11(04): 239-244
DOI: 10.5935/1984-0063.20180038
ORIGINAL ARTICLE

Relationship between stress and sleep bruxism in children and their mothers: A case control study

Nelia Medeiros Sampaio
1   Universidade Estadual de Feira de Santana, Departamento de Saúde - Feira de Santana - Bahia - Brazil.
,
Mario Cezar Oliveira
1   Universidade Estadual de Feira de Santana, Departamento de Saúde - Feira de Santana - Bahia - Brazil.
,
Adriana Castro Andrade
1   Universidade Estadual de Feira de Santana, Departamento de Saúde - Feira de Santana - Bahia - Brazil.
,
Lydia Brito Santos
1   Universidade Estadual de Feira de Santana, Departamento de Saúde - Feira de Santana - Bahia - Brazil.
,
Murilo Sampaio
2   Universidade Federal de Sergipe, Mathematics - Itabaiana - Sergipe - Brazil.
,
Adriana Ortega
3   Universidade Cruzeiro do Sul, Pediatrics - São Paulo - São Paulo - Brazil.
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Introduction Sleep bruxism (SB) is a frequent condition in children. Its pathophysiology involves certain neurotransmitters (serotonin, dopamine, noradrenalin, histamine), but the environment seems to influence its occurrence.

Objective The objective of this study was to investigate the prevalence of SB in children and their biological mothers, relating it to stress through a case control study.

Methods and Material The group of cases (SG) was composed of 48 subjects, including 24 children with SB and their mothers, and the control group (CG), formed by 36 children without SB and their mothers. The chi-Square test was used and the probability was computed with 95% confidence intervals (p<0.05). Results: The prevalence of probable awareness of SB in children was 22.6%, while it was 30.8% among caregivers. There were no significant associations between the socio-demographic variables and SB. There was an increase in the occurrence of SB in children (p=0.02) when their caregiver also had this condition.

Conclusions Psychological stress did not establish a significant relationship with SB in either the child or their mothers.

bruxism - sleep bruxism - child - Stress - Physiological


Publication History

Received: 28 May 2018

Accepted: 04 October 2018

Article published online:
16 October 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • REFERENCES

  • 1 Manfredini D, Restrepo C, Diaz-Serrano K, Winocur E, Lobbezoo F. Prevalence of sleep bruxism in children: a systematic review of the literature. J Oral Rehabil. 2013;40(8):631-42.
  • 2 Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, et al. Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013;40(1):2-4.
  • 3 Gastaldo E, Quatrale R, Graziani A, Eleopra R, Tugnoli V, Tola MR, et al. The excitability of the trigeminal motor system in sleep bruxism: a transcranial magnetic stimulation and brainstem reflex study. J Orofac Pain. 2006;20(2):145-55.
  • 4 Huang H, Song YH, Wang JJ, Guo Q, Liu WC. Excitability of the central masticatory pathways in patients with sleep bruxism. Neurosci Lett. 2014;558:82-6.
  • 5 Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil. 2001;28(12):1085-91.
  • 6 Nashed A, Lanfranchi P, Rompré P, Carra MC, Mayer P, Colombo R, et al. Sleep bruxism is associated with a rise in arterial blood pressure. Sleep. 2012;35(4):529-36.
  • 7 Amato JN, Tuon RA, Castelo PM, Gavião MB, Barbosa Tde S. Assessment of sleep bruxism, orthodontic treatment need, orofacial dysfunctions and salivary biomarkers in asthmatic children. Arch Oral Biol. 2015;60(5):698-705.
  • 8 Ortega AO, Dos Santos MT, Mendes FM, Ciamponi AL. Association between anticonvulsant drugs and teeth-grinding in children and adolescents with cerebral palsy. J Oral Rehabil. 2014;41(9):653-8.
  • 9 Serra-Negra JM, Scarpelli AC, Tirsa-Costa D, Guimarães FH, Pordeus IA, Paiva SM. Sleep bruxism, awake bruxism and sleep quality among Brazilian dental students: a cross-sectional study. Braz Dent J. 2014;25(3):241-7.
  • 10 Serra-Negra JM, Tirsa-Costa D, Guimarães FH, Paiva SM, Pordeus IA. Evaluation of parents/guardian knowledge about the bruxism of their children: family knowledge of bruxism. J Indian Soc Pedod Prev Dent. 2013;31(3):153-8.
  • 11 Takaoka R, Ishigaki S, Yatani H, Ogata S, Hayakawa K. Evaluation of genetic factors involved in nocturnal electromyographic activity of masticatory muscles in twins. Clin Oral Investig. 2017;21(1):319-25.
  • 12 Webster Marketon JI, Glaser R. Stress hormones and immune function. Cell Immunol. 2008;252(1-2):16-26.
  • 13 Lucarelli MDM, Lipp MEN. Validity of the child stress symptoms inventory - ISS-I. Psicol Reflex Crit. 1999;12(1):71-88.
  • 14 McEwen BS. Physiology and neurobiology of stress and adaptation: central role of the brain. Physiol Rev. 2007;87(3):873-904.
  • 15 Gunnarsdottir H, Bjereld Y, Hensing G, Petzold M, Povlsen L. Associations between parents’ subjective time pressure and mental health problems among children in the Nordic countries: a population based study. BMC Public Health. 2015;15:353.
  • 16 Restrepo C, Gómez S, Manrique R. Treatment of bruxism in children: a systematic review. Quintessence Int. 2009;40(10):849-55.
  • 17 Manfredini D, Lobbezoo F, Giancristofaro RA, Restrepo C. Association between proxy-reported sleep bruxism and quality of life aspects in Colombian children of different social layers. Clin Oral Investig. 2017;21(4):1351-8.
  • 18 American Academy of Sleep Medicine. The international classification of sleep disorders: diagnostic and coding manual. Westchester: American Academy of Sleep Medicine; 2005.
  • 19 Hugoson A, Bergendal T, Ekfeldt A, Helkimo M. Prevalence and severity of incisal and occlusal tooth wear in an adult Swedish population. Acta Odontol Scand. 1988;46(5):255-65.
  • 20 Carra MC, Huynh N, Lavigne G. Sleep bruxism: a comprehensive overview for the dental clinician interested in sleep medicine. Dent Clin North Am. 2012;56(2):387-413.
  • 21 Brasil. Instituto Brasileiro de Geografia e Estatística - IBGE. Os novos arranjos familiares e a metodologia para identificação de família. Rio de Janeiro: IBGE; https://www.ibge.gov.br/apps/snig/v1/notas_ metodologicas.html?loc=0
  • 22 Lipp MEN, Guevara ADH. Validação empírica do Inventário de Sintomas de Stress (ISS). Est Psicol (Campinas). 1994;11(3):43-9.
  • 23 Tachibana M, Kato T, Kato-Nishimura K, Matsuzawa S, Mohri I, Taniike M. Associations of sleep bruxism with age, sleep apnea, and daytime problematic behaviors in children. Oral Dis. 2016;22(6):557-65.
  • 24 Huynh NT, Desplats E, Bellerive A. Sleep bruxism in children: sleep studies correlate poorly with parental reports. Sleep Med. 2016;19:63-8.
  • 25 Cheifetz AT, Osganian SK, Allred EN, Needleman HL. Prevalence of bruxism and associated correlates in children as reported by parents. J Dent Child (Chic). 2005;72(2):67-73.
  • 26 Lam MH, Zhang J, Li AM, Wing YK. A community study of sleep bruxism in Hong Kong children: association with comorbid sleep disorders and neurobehavioral consequences. Sleep Med. 2011;12(7):641-5.
  • 27 Lobbezoo F, Visscher CM, Ahlberg J, Manfredini D. Bruxism and genetics: a review of the literature. J Oral Rehabil. 2014;41(9):709-14.
  • 28 Manfredini D, Guarda-Nardini L, Marchese-Ragona R, Lobbezoo F. Theories on possible temporal relationships between sleep bruxism and obstructive sleep apnea events. An expert opinion. Sleep Breath. 2015;19(4):1459-65.
  • 29 Manfredini D, Ahlberg J, Winocur E, Lobbezoo F. Management of sleep bruxism in adults: a qualitative systematic literature review. J Oral Rehabil. 2015;42(11):862-74.
  • 30 Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain. 2009;23(2):153-66.