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Clinical Oral Investigations

, Volume 16, Issue 1, pp 305–311 | Cite as

Psychopathological profile of patients with different forms of bruxism

  • Gurkan Rasit Bayar
  • Recep Tutuncu
  • Cengizhan Acikel
Original Article

Abstract

The aim of the current study was to evaluate the prevalence of psychopathological symptoms in patients who self-reported different forms of bruxism by means of clinical and anamnestic diagnostic criteria. Eighty-five participants were divided into four groups as sleep bruxers (12), awake bruxers (24), sleep–awake bruxers (33), and non-bruxers (16). A self-report symptom inventory questionnaire (Symptom Checklist-90—Revised (SCL-90-R)) was filled out by all groups to determine their psychopathological symptoms. As regards mean psychopathological scores, patients with sleep–awake bruxism endorsed the highest scores. In addition, patients with awake bruxism showed higher scores than patients with sleep bruxism and non-bruxism in most SCL-90-R subscales. Kruskal–Wallis test revealed significant differences between groups in any of the SCL-90-R subscales, except for the psychoticism subscale. Mann–Whitney test followed by Bonferroni’s test correction between non-bruxer and sleep–awake bruxer groups revealed significant differences in depression, anxiety, hostility, phobic anxiety, paranoid ideation, global severity index, positive symptom distress index, and positive symptom total in all SCL-90-R subscales. Statistical analysis of our study showed that differences between groups were significant in all SCL-90-R subscales except for the psychoticism subscale. Better distinction of bruxism forms may help to develop new treatment strategies for bruxism disorder.

Keywords

Bruxism Form Etiology Psychopathology Symptom checklist (SCL-90-R) 

Notes

Conflict of interest

Authors of this manuscript declare that they have no conflict of interest.

References

  1. 1.
    Manfredini D, Lobbezzo F (2009) Role of psychosocial factors in the etiology of bruxism. Review. J Orofac Pain 23(2):153–166PubMedGoogle Scholar
  2. 2.
    De Laat A, Macaluso GM (2002) Sleep bruxism as a motor disorder. Mov Disord 17(suppl 2):67–69CrossRefGoogle Scholar
  3. 3.
    Manfredini D, Landi N, Fantoni F, Segu M, Bosco M (2005) Anxiety symptoms in clinically diagnosed bruxers. J Oral Rehabil 32:584–588PubMedCrossRefGoogle Scholar
  4. 4.
    Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K (2008) Bruxism physiology and pathology: an overview for clinicians; review article. J Oral Rehabil 35:476–494PubMedCrossRefGoogle Scholar
  5. 5.
    Mehta N, Forgione AG, Maloney G, Greene R (2000) Different effects of nocturnal parafunction on the masticatory system: the Weak Link Theory. Cranio 18(4):280–286PubMedGoogle Scholar
  6. 6.
    Melis M, Abou-Atme YS (2003) Prevalence of bruxism awareness in a Sardinian population. Cranio 21(2):144–151PubMedGoogle Scholar
  7. 7.
    Pergamalian A, Rudy TE, Zaki HS, Greco CM (2003) The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent 90(2):194–200PubMedCrossRefGoogle Scholar
  8. 8.
    Janal MN, Raphael KG, Klausner J, Teaford M (2007) The role of tooth-grinding in the maintenance of myofascial face pain: a test of alternate models. Pain Med 8(6):486–496PubMedCrossRefGoogle Scholar
  9. 9.
    Lobbezoo F, van der Zaag J, van Selms MK, Hamburger HL, Naeije M (2008) Principles for the management of bruxism. Review article. J Oral Rehabil 35:509–523PubMedCrossRefGoogle Scholar
  10. 10.
    Olkinuora M (1972) Psychosocial aspects in a series of bruxist compared with a group of non-bruxist. Proc Fin Dent Soc 68:200–208Google Scholar
  11. 11.
    Rao SM, Glaros AG (1979) Electromyographic correlates of experimentally induced stress in diurnal bruxists and normals. J Dent Res 58:1872–1878PubMedCrossRefGoogle Scholar
  12. 12.
    Manfredini D, Ciapparelli A, Dell Osso L, Bosco M (2005) Mood disorders in subjects with bruxing behavior. J Dent 33:485–490PubMedCrossRefGoogle Scholar
  13. 13.
    Macaluso GM, Guerra P, Di Giovanni G, Boselli M, Parrino L, Terzano MG (1998) Sleep bruxism is a disorder related to periodic arousal during sleep. J Dent Res 77:565–573PubMedCrossRefGoogle Scholar
  14. 14.
    Kato T, Montplaisir JY, Guitard F, Sessle BJ, Lund JP, Lavigne GJ (2003) Evidence that experimentally induced sleep bruxism is a consequence of transient arousal. J Dent Res 82:284–288PubMedCrossRefGoogle Scholar
  15. 15.
    Huynh N, Kato T, Rompre PH, Okura K, Saber M, Lanfranchi PA et al (2006) Sleep bruxism associated to micro-arousals and an increase in cardiac sympathetic activity. J Sleep Res 15:339–346PubMedCrossRefGoogle Scholar
  16. 16.
    Bader G, Lavigne GJ (2000) Sleep bruxism: overview of an oromandibular sleep movement disorder. Sleep Med Rev 4:27–43PubMedCrossRefGoogle Scholar
  17. 17.
    Marbach JJ, Raphael KG, Janal MN, Hirschkorn-Roth R (2003) Reliability of clinician judgement of bruxism. J Oral Rehabil 30:113–118PubMedCrossRefGoogle Scholar
  18. 18.
    Lavigne GJ, Kato T, Kolta A, Sessle BJ (2003) Neurobiological mecanisms involved in sleep bruxism. Crit Rev Oral Biol Med 14:30–46PubMedCrossRefGoogle Scholar
  19. 19.
    Dağ I (1991) Symptom Check List (SCL-90-R); a reliability and validity study. Türk Psikiyatri Derg 2(1):5–12Google Scholar
  20. 20.
    Derogatis LR, Lipman RS, Covi L (1973) SCL-90: an outpatient psychiatric rating scale. Preliminary report. Psychopharmacol Bull 9:13–28PubMedGoogle Scholar
  21. 21.
    Dworkin SF, Leresche L (1992) Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 6(4):301–355PubMedGoogle Scholar
  22. 22.
    Manfredini D, Landi N, Romagnoli M, Bosco M (2004) Psychic and occlusal factors in bruxers. Aust Dent J 49(2):84–89PubMedCrossRefGoogle Scholar
  23. 23.
    Lavigne GJ, Rompre PH, Montplaisir JY (1996) Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res 75:546–552PubMedCrossRefGoogle Scholar
  24. 24.
    Katayoun E, Sima F, Naser V, Anahita D (2008) Study of the relationship of psychosocial disorders to bruxism in adolescents. J Indian Soc Pedod Prev Dent 26(Suppl 3):S91–S97PubMedGoogle Scholar
  25. 25.
    Malki GA, Zawawi KH, Melis M, Huges CV (2004) Prevalance of bruxism in children receiving treatment for attention deficit hyperactivity disorder: a pilot study. J Clin Pediatr Dent 29:63–68PubMedGoogle Scholar
  26. 26.
    Schmitz N, Hartkamp N, Kuise J, Franke G, Reister G, Tress W (2000) The symptom Check –List-90-R (SCL-90-R): a German validation study. Qual Life Res 9(2):185–193PubMedCrossRefGoogle Scholar
  27. 27.
    Manfredini D, Marini M, Pavan C, Pavan L, Guarda-Nardini L (2009) Psychosocial profiles of painful TMD patients. J Oral Rehabil 36:193–198PubMedCrossRefGoogle Scholar
  28. 28.
    Attanasio R (1997) An overview of bruxism and its management. Dent Clin North Am 41:229–241PubMedGoogle Scholar
  29. 29.
    Lobbezoo F, van der Zaag J, Naeije M (2006) Bruxism: its multiple causes and its effects on dental implants. An updated review. J Oral Rehabil 33:293–300PubMedCrossRefGoogle Scholar
  30. 30.
    Gungormus Z, Erciyas K (2009) Evaluation of the relationship between anxiety and depression and bruxism. J Int Med Res 37:547–550PubMedGoogle Scholar
  31. 31.
    American Academy of Sleep Medicine (AASM) (2005) International classification of sleep disorders, 2nd edn. AASM, WestchesterGoogle Scholar
  32. 32.
    Lobbezoo F, Lavigne GJ, Tanguay R, Montplaisir YJ (1997) The effect of catecholamine precursor L-dopa on sleep bruxism: a controlled clinical trial. Mov Disord 12:73–78PubMedCrossRefGoogle Scholar
  33. 33.
    Manfredini D, Landi N, Bandettini di Poggio A, Dell’Osso L, Bosco M (2003) A critical review on the importance of psychological factors in temporomandibular disorders. Minerva Stomatol 52:321–330PubMedGoogle Scholar
  34. 34.
    Manfredini D, Bandettini di Poggio A, Cantini E, Dell’Osso L, Bosco M (2004) Mood and anxiety psychopathology and temporomandibular disorder: a spectrum approach. J Oral Rehabil 31:933–940PubMedCrossRefGoogle Scholar
  35. 35.
    Manfredini D, Cantini E, Romagnoli M, Bosco M (2003) Prevalence of bruxism in patients with different research diagnostic criteria for temporomandibular disorders (RDC/TMD) diagnoses. Cranio 21:279–285PubMedGoogle Scholar
  36. 36.
    Erdfelder E, Faul F, Buchner A (1996) A general power analysis program. Behav Res Meth Instrum Comput 28:1–11CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Gurkan Rasit Bayar
    • 1
    • 4
  • Recep Tutuncu
    • 2
  • Cengizhan Acikel
    • 3
  1. 1.Gulhane Military Medical Academy Department of Oral and Maxillofacial SurgeryAnkaraTurkey
  2. 2.Etimesgut Military Hospital Department of PsychiatryAnkaraTurkey
  3. 3.Gulhane Military Medical Academy Department of EpidemiologyAnkaraTurkey
  4. 4.Gulhane Askeri Tip AkademisiAgiz, Dis, Cene Hastaliklari ve Cerrahisi ADAnkaraTurkey

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