Bruxism defined and graded: an international consensus

Journal of Oral Rehabilitation - Tập 40 Số 1 - Trang 2-4 - 2013
Frank Lobbezoo1, Jari Ahlberg2, Alan G. Glaros3, Takafumi Kato4, Kiyoshi Koyano5, Gilles Lavigne6, Robert A. de Leeuw7, Daniele Manfredini8, Peter Svensson9,10,11, Ephraim Winocur12
1Department of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), MOVE Research Institute Amsterdam, University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands
2Institute of Dentistry, University of Helsinki, Helsinki, Finland
3Kansas City University of Medicine and Biosciences, Kansas City, MO, USA
4Department of Oral Anatomy and Neurobiology, Osaka University Graduate School of Dentistry, Osaka, Japan
5Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
6Centre d'étude du sommeil Faculty of Dental Medicine Université de Montréal and Hôpital du Sacré‐Coeur Montreal PQ Canada
7Division of Orofacial Pain, Department of Oral Health Science, University of Kentucky, Lexington, KY, USA
8TMD Clinic, Department of Maxillofacial Surgery, University of Padova, Padova, Italy
9Clinical Oral Physiology, School of Dentistry, Aarhus University, Aarhus, Denmark
10Department of Oral Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark
11MINDLab, Center of Functionally Integrative Neuroscience, Aarhus, Denmark
12Orofacial Pain & TMD Clinic, Department of Oral Rehabilitation, The Goldschleger School of Dental Medicine, Tel Aviv, Israel

Tóm tắt

SummaryTo date, there is no consensus about the definition and diagnostic grading of bruxism. A written consensus discussion was held among an international group of bruxism experts as to formulate a definition of bruxism and to suggest a grading system for its operationalisation. The expert group defined bruxism as a repetitive jaw‐muscle activity characterised by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible. Bruxism has two distinct circadian manifestations: it can occur during sleep (indicated as sleep bruxism) or during wakefulness (indicated as awake bruxism). For the operationalisation of this definition, the expert group proposes a diagnostic grading system of ‘possible’, ‘probable’ and ‘definite’ sleep or awake bruxism. The proposed definition and grading system are suggested for clinical and research purposes in all relevant dental and medical domains.

Từ khóa


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