Kinder- und Jugendmedizin 2025; 25(03): 174-177
DOI: 10.1055/a-2534-7977
Schwerpunkt

Bruxismus bei Kindern und Jugendlichen – Ätiologie, Therapiemöglichkeiten und Prävention

Bruxism in children and adolescents – aetiology, treatment options and prevention
Janine Borngräber
Poliklinik für Kinderzahnheilkunde und Primärprophylaxe, Department für Kopf- und Zahnmedizin, Universitätsklinikum Leipzig AöR, Leipzig
,
Christian Hirsch
Poliklinik für Kinderzahnheilkunde und Primärprophylaxe, Department für Kopf- und Zahnmedizin, Universitätsklinikum Leipzig AöR, Leipzig
› Institutsangaben

Zusammenfassung

Bruxismus ist ein im Kindes- und Jugendalter häufiges Problem, das wegen seiner Tendenz zur Chronifizierung präventiv und therapeutisch angegangen werden muss. Die Ursachen für das Phänomen liegen überwiegend außerhalb des Kausystems und müssen dort identifiziert und kausal therapiert werden. In der zahnärztlichen Praxis kommt der symptomatischen Therapie die Aufgabe zu, die Zähne vor weiterer Attrition (Abrieb) zu schützen und ggf. bestehende Beschwerden der Kaumuskulatur und angrenzender Strukturen zu lindern. Die Evidenzlage für wirksame Therapiemaßnahmen im Kindes- und Jugendalter ist allerdings schwach.

Abstract

Bruxism is a common problem in childhood and adolescence that needs to be addressed preventively and therapeutically due to its tendency to become chronic. The causes of the phenomenon lie predominantly outside the masticatory system and must be identified and treated causally there. In dental practice, symptomatic therapy has the task of protecting the teeth from further attrition and, if necessary, alleviating existing complaints of the masticatory muscles and neighboring structures. However, the evidence base for effective therapeutic measures in childhood and adolescence is weak.



Publikationsverlauf

Artikel online veröffentlicht:
05. Juni 2025

© 2025. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 
  • Literatur

  • 1 Okeson JP. Orofacial pain: guidelines for assessment, diagnosis, and management. Revised edition. Chicago: Quintessence Publishing Co Inc.,U. S.; 1996
  • 2 Lal SJ, Weber DDS. Bruxism management. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. Im Internet: Zugriff am 16. September 2023 unter: http://www.ncbi.nlm.nih.gov/books/NBK482466
  • 3 Bulanda S, Ilczuk-Rypuła D, Nitecka-Buchta A. et al. Sleep bruxism in children: etiology, diagnosis, and treatment – a literature review. Int J Environ Res Public Health 2021; 18: 9544
  • 4 Shellis RP, Addy M. The interactions between attrition, abrasion and erosion in tooth wear. Monogr Oral Sci 2014; 25: 32-45
  • 5 Weideman CL, Bush DL, Yan-Go FL. et al. The incidence of parasomnias in child bruxers versus nonbruxers. Pediatr Dent 1996; 18: 456-460
  • 6 Lavigne G. Bruxism: Epidemiology, diagnosis, pathophysiology, and pharmacology. Orofacial pain and temporomandibular disorders. New York: Raven Press; 1995: 387-404
  • 7 Johansson A, Haraldson T, Omar R. et al. A system for assessing the severity and progression of occlusal tooth wear. J Oral Rehabil 1993; 20: 125-131
  • 8 Jordan RA, Bodechtel C, Hertrampf K. et al. The Fifth German Oral Health Study (Fünfte Deutsche Mundgesundheitsstudie, DMS V) – rationale, design, and methods. BMC Oral Health 2014; 14: 161
  • 9 Hirsch C, John MT, Lobbezoo F. et al. Incisal tooth wear and self-reported TMD pain in children and adolescents. Int J Prosthodont 2004; 17: 205-210
  • 10 Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil 2001; 28: 1085-1091
  • 11 European Union. Ethical considerations for clinical trials on medicinal products conducted with the paediatric population. Eur J Health Law 2008; 15: 223-250 10.1163/157180908×333228
  • 12 Peroz I, Peroz S. Bruxismus – die S3-Leitlinie zu Diagnostik und Therapie. Der junge Zahnarzt 2020; 11: 35-39
  • 13 Chin W-C, Huang Y-S, Chou Y-H. et al. Subjective and objective assessments of sleep problems in children with attention deficit/hyperactivity disorder and the effects of methylphenidate treatment. Biomed J 2018; 41: 356-363
  • 14 Amato JN, Tuon RA, Castelo PM. et al. Assessment of sleep bruxism, orthodontic treatment need, orofacial dysfunctions and salivary biomarkers in asthmatic children. Arch Oral Biol 2015; 60: 698-705
  • 15 Godara N, Godara R, Khullar M. Impact of inhalation therapy on oral health. Lung India 2011; 28: 272-275
  • 16 Drumond CL, Paiva SM, Vieira-Andrade RG. et al. Do family functioning and mothers’ and children’s stress increase the odds of probable sleep bruxism among schoolchildren? A case control study. Clin Oral Invest 2020; 24: 1025-1033
  • 17 Restrepo CC, Alvarez E, Jaramillo C. et al. Effects of psychological techniques on bruxism in children with primary teeth. J Oral Rehabil 2001; 28: 354-360
  • 18 De Lima LCM, Leal TR, De AraúJo LJS. et al. Impact of the COVID-19 pandemic on sleep quality and sleep bruxism in children eight to ten years of age. Braz Oral Res 2022; 36: e046
  • 19 Chindamo S, Buja A, DeBattisti E. et al. Sleep and new media usage in toddlers. Eur J Pediatr 2019; 178: 483-490
  • 20 Carra MC, Huynh N, Morton P. et al. Prevalence and risk factors of sleep bruxism and wake-time tooth clenching in a 7- to 17-yr-old population. Eur J Oral Sci 2011; 119: 386-394
  • 21 Castroflorio T, Bargellini A, Rossini G. et al. Risk factors related to sleep bruxism in children: a systematic literature review. Arch Oral Biol 2015; 60: 1618-1624
  • 22 Tecco S, Festa F. Prevalence of signs and symptoms of temporomandibular disorders in children and adolescents with and without crossbites. World J Orthod 2010; 11: 37-42
  • 23 Hirsch C. No Increased risk of temporomandibular disorders and bruxism in children and adolescents during orthodontic therapy. J Orofac Orthop 2009; 70: 39-50
  • 24 Bellerive A, Montpetit A, El-Khatib H. et al. The effect of rapid palatal expansion on sleep bruxism in children. Sleep Breath 2015; 19: 1265-1271
  • 25 Lamenha Lins RM, Cavalcanti Campêlo MC, Mello Figueiredo L. et al. Probable sleep bruxism in children and its relationship with harmful oral habits, type of crossbite and oral breathing. J Clin Pediatr Dent 2020; 44: 66-69
  • 26 DiFrancesco RC, Junqueira PAS, Trezza PM. et al. Improvement of bruxism after T & A surgery. Int J Pediatr Otorhinolaryngol 2004; 68: 441-445
  • 27 Fereshteh S, Gholamrezaei A, Shahram H. Effect of trazodone on sleep bruxism in children and adolescents 6–18 years of age, a pilot study. J Res Med Sci 2008; 13: 29-33
  • 28 Naeije M, Hansson TL. Short-term effect of the stabilization appliance on masticatory muscle activity in myogenous craniomandibular disorder patients. J Craniomandib Disord 1991; 5: 245-250
  • 29 Nilner M. Prevalence of functional disturbances and diseases of the stomatognathic system in 15–18 year olds. Swed Dent J 1981; 5: 189-197
  • 30 Nilner M, Lassing SA. Prevalence of functional disturbances and diseases of the stomatognathic system in 7–14 year olds. Swed Dent J 1981; 5: 173-187
  • 31 Manzano FS, Granero LM, Masiero D. et al. Treatment of muscle spasticity in patients with cerebral palsy using BTX-A: a pilot study. Spec Care Dentist 2004; 24: 235-239
  • 32 Monroy PG, da Fonseca MA. The use of botulinum toxin-a in the treatment of severe bruxism in a patient with autism: a case report. Spec Care Dentist 2006; 26: 37-39
  • 33 Hachmann A, Martins EA, Araujo FB. et al. Efficacy of the nocturnal bite plate in the control of bruxism for 3 to 5 year old children. J Clin Pediatr Dent 1999; 24: 9-15
  • 34 Kobayashi FY, Castelo PM, Gonçalves MLL. et al. Evaluation of the effectiveness of infrared light-emitting diode photobiomodulation in children with sleep bruxism: study protocol for randomized clinical trial. Medicine (Baltimore) 2019; 98: e17193
  • 35 Quintero Y, Restrepo CC, Tamayo V. et al. Effect of awareness through movement on the head posture of bruxist children. J Oral Rehabil 2009; 36: 18-25