Objective: The aim of this study was to investigate the impact of rapid maxillary expansion (RME) on sleep bruxism (SB) and respiratory indexes in pediatric patients.
Methods: Twenty-four subjects needing orthodontic treatment and with suspicion of obstructive sleep apnea (OSA) were recruited. Before orthodontics, a clinical and anamnestic evaluation as well as a polygraphic recording was performed.
Background: Arthrocentesis is effective at reducing pain and improving function in patients with temporomandibular joint intra-articular pain and dysfunction (IPD). It remains unclear if it is equally effective in patients with systemic polyarthritis (SPA) and IPD.
Purpose: The purpose of this study was to compare changes in pain and function following arthrocentesis for IPD in subjects with and without SPA.
Objective: To develop and evaluate an Arabic version of the OBC-21 questionnaire for use among Levantine Arabic-speaking populations.
Methods: A structured translation and cultural adaptation process was performed for the OBC-21, followed by assessment of translational sufficiency and content validity. Reliability was tested with internal consistency, and test-retest reliability was evaluated.
The article presents recommendations from the International Network for Orofacial Pain and Related Disorders Methodology (INfORM) for the management of temporomandibular disorders (TMD), following the article "Temporomandibular disorders: INfORM/IADR key points for good clinical practice based on standard of care" by Manfredini et al. The document was translated by Aleksandra Nitecka-Buchta, Karolina Walczyńska-Dragon and Justyna Sędkiewicz, and reviewed by Aleksandra Nitecka-Buchta, Stefan Baron, Małgorzata Pihut, Jolanta Kostrzewa-Janicka, Edward Kijak, Mieszko Więckiewicz, Magdalena Osiewicz, Małgorzata Gałczyńska-Rusin, Aneta Wieczorek, and Daniele Manfredini.
View Article and Find Full Text PDFObjective: These randomized controlled clinical aims to evaluate the long-term clinical performance of posterior lithium disilicate partial crowns used to restore endodontically treated teeth (ETT), with or without fiber post placement, over a 9-year period in patients who did not report any bruxism activities at baseline.
Materials And Methods: Participants were recruited at the University of Siena, Siena, Italy. Patient were≥18 years, in need for one partial crown on posterior teeth (molars and premolars) following endodontic treatment and with at least 50 % of the coronal structure remaining.
J Evid Based Dent Pract
September 2025
Objectives: Bruxism significantly affects oral health, with consequences such as tooth wear and restoration failures. Additionally, it is linked to various risk factors and co-occurring disorders. Unlike sleep bruxism, awake bruxism (AB) is more strongly associated with psychosocial factors.
View Article and Find Full Text PDFObjective: To assess the relationship between daytime sleepiness and both self-reported awake bruxism (AB) and sleep bruxism (SB) in patients with different severities of obstructive sleep apnoea (OSA).
Material And Methods: One hundred and seventy-four participants (female = 33.9%; mean age [±SD] = 55.
Objective: To investigate possible correlations between depression, anxiety and stress in subjects with instrumental diagnosis of sleep bruxism (SB) and to identify a link between clinical data and sleep-time muscular activity.
Methods: 170 subjects underwent clinical investigation and instrumental night recordings for SB assessment with a portable electromyographyic (EMG) device. The Hospital Anxiety and Depression Scale (HADS) and the Perceived Stress Scale (PSS) were used for psychological evaluation.
Objective: This commentary critically examines the validity of the Canine Protected Occlusion concept, from both biological and evidence-based perspectives.
Methods: An extensive review of the pertinent literature related to the topic of Canine Protected Occlusion was conducted by the authors.
Results: Canine Protected Occlusion is neither the optimal or preferred functional occlusion in dentistry.
Background: Some studies suggest that oral behaviours, such as clenching, grinding and nail biting, are common in patients with temporomandibular disorders (TMDs). However, the relationship between oral behaviours and key aspects of TMDs, such as pain-related disability, remains unexplored.
Study Objective: The study aimed to assess the relationship between oral behaviours and pain in TMD patients with low or high pain-related disability, compared to pain-free individuals without TMD (non-TMD).
Objectives: The aim of the present research is to compare, in a group of healthy young individuals, the number of sleep bruxism (SB) events with the use of two different electromyographic (EMG) devices, which adopt two different protocols for scoring the events.
Materials And Methods: The study was performed on 10 individuals recruited at the University of Siena, Italy. Participants were asked to perform one night of sleep-time recording wearing simultaneously, in their home environment, two different EMG devices, the Bruxoff (Bruxoff, Turin, Italy) and the dia-BRUXO (dia-BRUXO, Biotech-Novations, Sanremo, Italy).
Objectives: The present study seeks to investigate the association between sleep bruxism (SB) and awake bruxism (AB) in healthy individuals, assessing whether self-reported SB is associated with higher AB frequency through self-report and Ecological Momentary Assessment (EMA).
Methods: A cohort of 150 healthy participants (57 males, 93 females; mean age 25.53 ± 3.
Botulinum toxin (BTX) demonstrates potential as a complementary therapy in managing chronic orofacial pain (OFP), but challenges in the standardization of protocols and indications remain.
View Article and Find Full Text PDFBackground: Despite the availability of evidence-based guidelines on temporomandibular disorders (TMD), some past theories of TMD aetiology, diagnosis and treatment are still diffused among clinical practitioners.
Objective(s): The study aims to gather and analyse patient experiences and outcomes related to their seeking care for TMD symptoms.
Methods: In November 2023, a survey to collect comprehensive data on patients' diagnostic journeys, treatment experiences, and outcomes was distributed through online platforms and TMD patient support groups in a variety of countries.
Background: Awake bruxism (AB) is characterised by repetitive jaw muscle activity during wakefulness and is influenced by various stressors. Objective To investigate the effect of national stress (war) on AB muscle behaviours in young adults, the study was planned as a repeated cross-sectional study.
Methods: Two groups were compared: one during peaceful times (no-national stress group, NoNS; n = 106, 63% female, age 25.
J Oral Rehabil
September 2025
Background: Bruxism is receiving increasing attention from both clinicians and researchers over the past decades. Recently, it has become clear that some aspects of the currently proposed, expert-driven bruxism definitions raise questions and cause confusion among clinicians, researchers, educators and patients.
Objectives: The aim of this report is threefold: (1) to provide the reader with a glossary of the existing definitions, (2) to discuss frequently asked questions regarding these definitions and (3) to suggest a road map for the next steps to be taken towards a better understanding of bruxism.
Background: Sleep bruxism (SB) is defined as a masticatory muscle activity during sleep characterised by a multifactorial aetiology. Tobacco smoking and psychological status are considered predisposing factors for SB, but their mutual interaction remains unclear.
Objective: To investigate the relationship between self-report SB, tobacco smoking, and psychological status, adopting a multiple-variable model in a sample of healthy young adults.
Introduction: Discussions related to the diagnosis and management of temporomandibular joint (TMJ) disorders (TMDs) have always been interesting, and at times controversial, since they involve combinations of dental, medical, and surgical etiological theories and management strategies. Amongst the various recommendations that emerged over the years was that any dental and surgical procedures that are primarily focused on mandible repositioning and irreversible changes to dental occlusion should be avoided. This statement has important implications for appraising the validity of physiopathology concepts and treatment proposals centered around the evaluation of TMJ disc position, since they also generally lead to performing irreversible procedures.
View Article and Find Full Text PDFObjective: Temporomandibular disorders (TMDs) have been historically linked to symptoms such as tinnitus, hearing loss, and vertigo. The aim of this systematic review is to investigate the association between TMDs and audiological symptoms.
Methods: Adhering to the PRISMA guidelines, a comprehensive literature search in three databases was performed searching for studies utilizing imaging and audiometric assessments to diagnose TMDs and audiological symptoms.
Objective: To review the clinical success of the various prosthodontic materials (e.g., lithium disilicate, zirconia, resin composite) in patients with different frequencies of bruxism.
View Article and Find Full Text PDFJ Oral Facial Pain Headache
March 2025
Background: The evolution of concepts that have featured the last decade in the field of bruxism led to the necessity of providing clinicians and researchers with adequate tools for the assessment of bruxism, such as the Standardized Tool for the Assessment of Bruxism (STAB) and the BruxScreen. The former is a multidimensional evaluation tool for the evaluation of bruxism status, while the latter is an instrument that could potentially find its applicability in large-scale epidemiological research projects for screening purposes. However, both tools lack the evaluation of orofacial symptoms at awakening, which can be predictive of temporomandibular disorders (TMDs) pain intensity and prognosis.
View Article and Find Full Text PDFJ Oral Facial Pain Headache
March 2025
Background: Calcium pyrophosphate dihydrate deposition disease (CPPD) is a metabolic disease resulting in acute arthritis. CPPD often affects joints containing fibrocartilage. The purpose of this review is to examine the clinical presentations, prevalence, and treatment modalities associated with CPPD when it affects the temporomandibular joint (TMJ).
View Article and Find Full Text PDFObjective: The aim of the present study is to get deeper into the complex interplay that might exist between awake bruxism (AB), tobacco smoking, and anxiety and/or depression symptoms in a group of healthy young adults.
Materials And Methods: The study participants were recruited by advertising the investigation at the University of Siena, Siena, Italy. The inclusion criteria were being in good general health, without systemic diseases or oral diseases.