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Parasomnias pp 281–292Cite as

Sleep Bruxism

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Abstract

Bruxism is a nonfunctional motor activity characterized by teeth grinding, teeth clenching, and grating of teeth. This dyskinesia usually occurs during sleep but can also be seen while being awake. Sleep bruxism is recently classified as a sleep-related movement disorder by the American Academy of Sleep Medicine (AASM). Sleep bruxism (SB) can occur in all age group (infants–old age) but the prevalence decreases with age. It is usually diagnosed clinically but the diagnosis can be confirmed using polysomnogram (PSG) with special masseter muscle electrodes. SB can be asymptomatic and is diagnosed incidentally on dental evaluation or on PSG done for another indication. However, it can also be a cause of significant distress in some patients due to various symptoms associated with it. SB may also result in sleep fragmentation and cause excessive daytime sleepiness. SB can be idiopathic or iatrogenic, but can also be associated with various risk factors. There are various treatment modalities available for SB including referral to dentist. In this chapter, we discuss etiology, risk factors, pathophysiology, evaluation and treatment options for sleep bruxism.

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References

  1. Shetty S, Pitti V, Babu CLS, Kumar GPS, Deepthi BC. Bruxism: a literature review. J Indian Prosthodont Soc. 2010;10(3):141–8.

    Article  PubMed  Google Scholar 

  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 Jan;40(1):2–4.

    Article  PubMed  CAS  Google Scholar 

  3. American Academy of Sleep Medicine. The international classification of sleep disorders: diagnostic and coding manual. 2nd ed. Westchester: American Academy of Sleep Medicine; 2005. xviii, p. 297.

    Google Scholar 

  4. Behr M, Hahnel S, Faltermeier A, Bürgers R, Kolbeck C, Handel G, et al. The two main theories on dental bruxism. Ann Anat. 2012;194(2):216–9.

    Article  PubMed  Google Scholar 

  5. Laberge L, Tremblay RE, Vitaro F, Montplaisir J. Development of parasomnias from childhood to early adolescence. Pediatrics. 2000;106(1 Pt 1):67–74.

    Google Scholar 

  6. Ohayon MM, Li KK, Guilleminault C. Risk factors for sleep bruxism in the general population. Chest. 2001;119(1):53–61.

    Google Scholar 

  7. Hublin C, Kaprio J, Partinen M, Koskenvuo M. Sleep bruxism based on self-report in a nationwide twin cohort. J Sleep Res. 1998;7(1):61–7.

    Google Scholar 

  8. Lobbezoo F, Van Der Zaag J, Naeije M. Bruxism: its multiple causes and its effects on dental implants—an updated review. J Oral Rehabil. 2006;33(4):293–300.

    Article  PubMed  CAS  Google Scholar 

  9. Lobbezoo F, van Denderen RJ, Verheij JG, Naeije M. Reports of SSRI-associated bruxism in the family physicianʼs office. J Orofac Pain. 2001;15(4):340–6.

    PubMed  CAS  Google Scholar 

  10. Lavigne GJ, Guitard F, Rompré PH, Montplaisir JY. Variability in sleep bruxism activity over time. J Sleep Res. 2001;10(3):237–44.

    Article  PubMed  CAS  Google Scholar 

  11. Lavigne GJ, Rompre PH, Montplaisir JY. Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res. 1996;75(1):546–52.

    Article  PubMed  CAS  Google Scholar 

  12. Miyawaki S, Lavigne GJ, Pierre M, Guitard F, Montplaisir JY, Kato T. Association between sleep bruxism, swallowing-related laryngeal movement, and sleep positions. Sleep. 2003;26(4):461–5.

    PubMed  Google Scholar 

  13. Herrera M, Valencia I, Grant M, Metroka D, Chialastri A, Kothare SV. Bruxism in children: effect on sleep architecture and daytime cognitive performance and behavior. Sleep. 2006;29(9):1143–8.

    PubMed  Google Scholar 

  14. Kato T, Rompré P, Montplaisir JY, Sessle BJ, Lavigne GJ. Sleep bruxism: an oromotor activity secondary to micro-arousal. J Dent Res. 2001;80(10):1940–4.

    Article  PubMed  CAS  Google Scholar 

  15. Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 5th ed. Philadelphia: Elsevier; 2011.

    Google Scholar 

  16. Huynh N, Kato T, Rompré PH, Okura K, Saber M, Lanfranchi PA, et al. Sleep bruxism is associated to micro-arousals and an increase in cardiac sympathetic activity. J Sleep Res. 2006;15(3):339–46.

    Article  PubMed  CAS  Google Scholar 

  17. Parrino L, Ferri R, Bruni O, Terzano MG. Cyclic alternating pattern (CAP): the marker of sleep instability. Sleep Med Rev. 2012;16(1):27–45.

    Article  PubMed  Google Scholar 

  18. 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.

    Article  PubMed  Google Scholar 

  19. Gallo LM, Lavigne G, Rompré P, Palla S. Reliability of scoring EMG orofacial events: polysomnography compared with ambulatory recordings. J Sleep Res. 1997;6(4):59–63.

    Article  Google Scholar 

  20. Bader G, Lavigne G. Sleep bruxism; an overview of an oromandibular sleep movement disorder. Sleep Med Rev. 2000;4(1):27–43.

    Article  PubMed  Google Scholar 

  21. Dao TT, Lavigne GJ. Oral splints: the crutches for temporomandibular disorders and bruxism? Crit Rev Oral Biol Med. 1998;9(3):345–61.

    Article  PubMed  CAS  Google Scholar 

  22. Landry-Schonbeck A, de Grandmont P, Rompré PH, Lavigne GJ. Effect of an adjustable mandibular advancement appliance on sleep bruxism: a crossover sleep laboratory study. Int J Prosthodont. 2009;22(3):251–9.

    PubMed  Google Scholar 

  23. Saletu A, Parapatics S, Anderer P, Matejka M, Saletu B. Controlled clinical, polysomnographic and psychometric studies on differences between sleep bruxers and controls and acute effects of clonazepam as compared with placebo. Eur Arch Psychiatry Clin Neurosci. 2010;260(2):163–74.

    Article  PubMed  Google Scholar 

  24. Carra MC, Macaluso GM, Rompré PH, Huynh N, Parrino L, Terzano MG, et al. Clonidine has a paradoxical effect on cyclic arousal and sleep bruxism during NREM sleep. Sleep. 2010;33(12):1711–6.

    PubMed  Google Scholar 

  25. Long H, Liao Z, Wang Y, Liao L, Lai W. Efficacy of botulinum toxins on bruxism: an evidence-based review. Int Dent J. 2012;62(1):1–5.

    Article  PubMed  Google Scholar 

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Correspondence to Umakanth Khatwa MD .

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Khatwa, U., Kothare, S. (2013). Sleep Bruxism. In: Kothare, S., Ivanenko, A. (eds) Parasomnias. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7627-6_19

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  • DOI: https://doi.org/10.1007/978-1-4614-7627-6_19

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  • Publisher Name: Springer, New York, NY

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  • Online ISBN: 978-1-4614-7627-6

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