Behavioral problems and emotional stress in children with bruxism

Brazilian Dental Journal - Tập 23 Số 3 - Trang 246-251 - 2012
Adriana do Vale Ferreira-Bacci1, Cármen Lúcia Cardoso1, Kranya Victória Díaz‐Serrano1
1University of São Paulo, Brazil

Tóm tắt

Bruxism has a multifactorial etiology, and psychosocial factors have been considered to increase the risk of occurrence of this parafunction. The aim of this study was to evaluate the behavior profile of a group of children diagnosed with bruxism. Eighty 7-11-year-old children of both genders (mean age 8.8 years) first recruited as eligible participants. Twenty-nine children (18 males and 11 females) whose parents/guardians reported to present frequent episodes of tooth grinding/clenching while awake or during sleep (at least 3 nights a week) in the previous 3 months were enrolled in the study. The diagnosis of bruxism was established based on the parents/guardians' report about the children's behavior, habits and possible discomforts in the components of the stomatognathic system allied to the presence of signs and symptoms such as pain on the masticatory muscles, masseter muscle hypertrophy, wear facets, fractures of restorations, dental impressions on the cheek mucosa and tongue. As part of the psychological evaluation, the Rutter's Child Behavior Scale-A2 was applied to the parents/caregivers (one for each child) and the Child Stress Scale was applied to the children. Data were analyzed descriptively based on the frequency of each studied variable. Twenty-four (82.76%) children needed psychological or psychiatric intervention; 17 of them presented neurotic disorders and 7 children presented antisocial disorders. Six (20.70%) children presented significant physical and psychological manifestations of stress. The findings of the present study suggest that behavioral problems and potential emotional problems can be risk factors to bruxism in children.

Từ khóa


Tài liệu tham khảo

Barbosa TS, 2008, Temporomandibular disorders and bruxism in childhood and adolescence: Review of the literature, Int J Pediatr Otorhinolaryngol, 72, 299, 10.1016/j.ijporl.2007.11.006

Lavigne GL, 2003, Neurobiological mechanisms involved in sleep bruxism, Crit Rev Oral Biol Med, 14, 30, 10.1177/154411130301400104

Nekora-Azak A, 2010, Prevalence of bruxism awareness in Istanbul, Turkey, Cranio, 28, 122, 10.1179/crn.2010.017

Kato T, 2003, Current knowledge on awake and sleep bruxism: overview, Alpha Omegan, 96, 24

Laberge L, 2000, Development of parasomnias from childhood to early adolescence, Pediatrics, 106, 67, 10.1542/peds.106.1.67

Okeson JP, 1996

Kato T, 2001, Bruxism and orofacial movements during sleep, Dent Clin North Am, 45, 657, 10.1016/S0011-8532(22)00487-6

Lobbezoo F, 2006, Bruxism: its multiple causes and its effects on dental implants - an update review, J Oral Rehabil, 33, 293, 10.1111/j.1365-2842.2006.01609.x

Manfredini D, 2005, Anxiety symptoms in clinically diagnosed bruxers, J Oral Rehabil, 32, 584, 10.1111/j.1365-2842.2005.01462.x

Manfredini D, 2004, Psychic and occlusal factors in bruxers, Aust Dent J, 49, 84, 10.1111/j.1834-7819.2004.tb00055.x

Kanehira H, 2008, Association between stress and temporomandibular disorder, Nihon Hotetsu Shika Gakkai Zasshi, 52, 375, 10.2186/jjps.52.375

Manfredini D, 2009, Role of psychosocial factors in the etiology of bruxism, J Orofac Pain, 23, 153

Restrepo CC, 2008, Personality traits and temporomandibular disorders in a group of children with bruxing behaviour, J Oral Rehabil, 35, 585, 10.1111/j.1365-2842.2007.01838.x

Cheifetz AT, 2005, Prevalence of bruxism and associated correlates in children as reported by parents, J Dent Child, 72, 67

Herrera M, 2006, Bruxism in children: effect on sleep architecture and daytime cognitive performance and behavior, Sleep, 29, 1143, 10.1093/sleep/29.9.1143

Nilner M, 1981, Prevalence of functional disturbances and diseases of the stomatognathic system in 7-14 year-olds, Swed Dent J, 5, 173

Rutter M, 1970, Appendix 6: A children's behavior questionnaire for completion by parents, 412

Lucarelli MDM, 1999, Validity of the child stress symptoms inventory, Psicologia: Reflexão e Crítica, 12, 71

Graminha SSV, 1994, Rutter's A2 Child's behavior scale: adaptation and reliability studies, Estudos de Psicologia, 11, 34

Lipp MN, 1987, Child stress, Estudos de Psicologia, 4, 42

Thông tin
Thông tin xuất bản

Brazilian Dental Journal

Tập 23 Số 3

246-251

Thông tin tác giả