Severity of Sleep Bruxism and its Implications for the Stomatognathic System in Healthy Subjects

Marcelo Palinkas; NatÃ¡lia Yanota  Marin; CÃ©sar Bataglion; Edneia CorrÃªa de Mello; Graziela De Luca Canto; Ligia Maria Napolitano GonÃ§alves; Takami Hirono Hotta; Isabela Hallak Regalo; Jaime Eduardo Cecilio Hallak; Selma SiÃ©ssere; Simone Cecilio Hallak Regalo

doi:10.3889/oamjms.2020.3727

Authors

Marcelo Palinkas RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil; Anhanguera Faculty, RibeirÃ£o Preto, SÃ£o Paulo, Brazil; National Institute and Technology - Translational Medicine; 4Federal University of Santa Catarina, Florianopolis, Brazil
NatÃ¡lia Yanota Marin RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil
CÃ©sar Bataglion RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil
Edneia CorrÃªa de Mello RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil
Graziela De Luca Canto Federal University of Santa Catarina, Florianopolis, Brazil
Ligia Maria Napolitano GonÃ§alves RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil
Takami Hirono Hotta RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil
Isabela Hallak Regalo RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil
Jaime Eduardo Cecilio Hallak National Institute and Technology - Translational Medicine, Brazil
Selma SiÃ©ssere RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil
Simone Cecilio Hallak Regalo RibeirÃ£o Preto School of Dentistry, University of SÃ£o Paulo, SÃ£o Paulo, Brazil

DOI:

https://doi.org/10.3889/oamjms.2020.3727

Keywords:

Sleep Bruxism,, Electromyography, Bite Force, Masticatory Muscles, Stomatognathic System

Abstract

BACKGROUND: Sleep bruxism (SB) changes the functionality patterns of the stomatognathic system. However, its severity can be an aggravating factor in the function of this complex system.

AIM: The purpose of the study was to investigate the stomatognathic system of healthy subjects with different severity of SB, as determined by BiteStrip.

METHODS: Thirty-four subjects were divided into two groups: Mild SB (n = 15) and severe SB (n = 19). Electromyograph was used to evaluate the electromyographic activity of the right masseter (RM), left masseter (LM), right temporal (RT), and left temporal (LT) muscles at mandibular rest, right and left laterality, protrusion, and maximum voluntary contraction. Molar bite force was measured by the dynamometer. The data were tabulated and submitted for statistical analysis (p < 0.05).

RESULTS: Molar bite force was significantly lower in the severe SB group. There was a significant increase in electromyographic activity in the severe SB group for the mandibular rest tasks (RM, RT, and LT), protrusion (RM, LM, RT, and LT), and right and left laterality in the temporalis muscles. There was a significant decrease in electromyographic activity in the severe SB group in maximum voluntary contraction for the masseter and temporalis muscles.

CONCLUSION: Subjects with severe SB demonstrated greater functional impairment of the stomatognathic system, mainly affecting the electromyographic activity and molar bite force.

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