Skip to main content

Advertisement

Log in

Enhanced sympathetic cardiac modulation in bruxism patients

  • SHORT COMMUNICATION
  • Published:
Clinical Autonomic Research Aims and scope Submit manuscript

Abstract

Sleep bruxism, an oral parafunction including teeth clenching and grinding, might be related to increased stress. To evaluate sympathetic cardiac activity in bruxism patients, we monitored cardiac autonomic modulation using spectral analysis of heart rate variability and compared results to those of age-matched healthy volunteers. In bruxism patients, sympathetic cardiac activity was higher than in volunteers. The increased sympathetic tone suggests increased stress and might be related to occlusal disharmonies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1
Figure 2

Similar content being viewed by others

References

  1. Okeson JP (1996) Orofacial pain: guidelines for assessment, diagnosis, and management. The American Academy of Orafacial Pain. Quintessenz publishing Co, Inc., Chicago, Berlin, London, Tokyo, Sao Paulo, Moscow, Prague, and Warshaw

    Google Scholar 

  2. Thorpy MJ (1997) International classification of sleep disorders: diagnostic and coding manual. American sleep disporders Association, Rochester, MN

    Google Scholar 

  3. 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 90:194–200

    Article  PubMed  Google Scholar 

  4. Lavigne GJ, Rompre PH, Guitard F, Sessle BJ, Kato T, Montplaisir JY (2002) Lower number of K-complexes and K-alphas in sleep bruxism: a controlled quantitative study. Clin Neurophysiol 113:686–693

    Article  PubMed  CAS  Google Scholar 

  5. 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 82:284–288

    PubMed  CAS  Google Scholar 

  6. Gomez FM, Giralt MT, Sainz B, Arrue A, Prieto M, Garcia-Vallejo P (1999) A possible attenuation of stress-induced increases in striatal dopamine metabolism by the expression of non-functional masticatory activity in the rat. Eur J Oral Sci 107:461–467

    Article  PubMed  CAS  Google Scholar 

  7. McGee DL (2005) Body mass index and mortality: a meta-analysis based on person-level data from twenty-six observational studies. Ann Epidemiol 15:87–97

    Article  PubMed  Google Scholar 

  8. Druschky A, Hilz MJ, Hopp P, Platsch G, Radespiel-Troger M, Druschky K, Kuwert T, Stefan H, Neundorfer B (2001) Interictal cardiac autonomic dysfunction in temporal lobe epilepsy demonstrated by [(123)I]metaiodobenzylguanidine-SPECT. Brain 124:2372–2382

    Article  PubMed  CAS  Google Scholar 

  9. Hilz MJ (2002) Quantitative autonomic functional testing in clinical trials. In: Brown R, Bolton C, Aminoff M (eds) Neuromuscular function and disease. W.B. Saunders Company, Philadelphia, pp 1899–1929

    Google Scholar 

  10. Task Force of the European Society of Cardiology, the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation 93:1043–1065

    Google Scholar 

  11. Wieling W, Karemaker JM (1999) Measurement of heart rate and blood pressure to evaluate disturbances in neurocardiovascular control. In: Mathias CJ, Bannister R (eds) Autonomic failure: a textbook of clinical disorders of the autonomic nervous system. Oxford Medical Publications, Oxford, pp 196–210

    Google Scholar 

  12. Ponikowski P, Rosano GM, Amadi AA, Collins P, Coats AJ, Poole-Wilson PA, Kaski JC (1996) Transient autonomic dysfunction precedes ST-segment depression in patients with syndrome X. Am J Cardiol 77:942–947

    Article  PubMed  CAS  Google Scholar 

  13. Sjoholm TT, Piha SJ, Lehtinen I (1995) Cardiovascular autonomic control is disturbed in nocturnal teethgrinders. Clin Physiol 15:349–354

    PubMed  CAS  Google Scholar 

  14. Areso MP, Giralt MT, Sainz B, Prieto M, Garcia-Vallejo P, Gomez FM (1999) Occlusal disharmonies modulate central catecholaminergic activity in the rat. J Dent Res 78:1204–1213

    Article  PubMed  CAS  Google Scholar 

  15. Satoh T, Harada Y (1973) Electrophysiological study on tooth-grinding during sleep. Electroencephalogr Clin Neurophysiol 35:267–275

    Article  PubMed  CAS  Google Scholar 

  16. Ahlberg J, Rantala M, Savolainen A, Suvinen T, Nissinen M, Sarna S, Lindholm H, Kononen M (2002) Reported bruxism and stress experience. Community Dent Oral Epidemiol 30:405–408

    Article  PubMed  CAS  Google Scholar 

  17. Rao SM, Glaros AG (1979) Electromyographic correlates of experimentally induced stress in diurnal bruxists and normals. J Dent Res 58:1872–1878

    PubMed  CAS  Google Scholar 

  18. Frohman BS (1931) The application of psychotherapy to dental problems. Dental Cosmos 68:1117–1122

    Google Scholar 

  19. Casas JM, Beemsterboer P, Clark GT (1982) A comparison of stress-reduction behavioral counseling and contingent nocturnal EMG feedback for the treatment of bruxism. Behav Res Ther 20:9–15

    Article  PubMed  CAS  Google Scholar 

  20. Jankelson B (1955) Physiology of human dental occlusion. J Am Dent Assoc 50:664–680

    PubMed  CAS  Google Scholar 

  21. Ramfjord SP (1961) Bruxism, a clinical and electromyographic study. J Am Dent Assoc 62:21–44

    PubMed  CAS  Google Scholar 

  22. Solberg WK, Clark GT, Rugh JD (1975) Nocturnal electromyographic evaluation of bruxism patients undergoing short term splint therapy. J Oral Rehabil 2:215–223

    PubMed  CAS  Google Scholar 

  23. Sjoholm TT, Lehtinen I, Piha SJ (1996) The effect of propranolol on sleep bruxism: hypothetical considerations based on a case study. Clin Auton Res 6:37–40

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Harald Marthol MD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Marthol, H., Reich, S., Jacke, J. et al. Enhanced sympathetic cardiac modulation in bruxism patients. Clin Auton Res 16, 276–280 (2006). https://doi.org/10.1007/s10286-006-0355-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10286-006-0355-2

Keywords

Navigation