Article Data

  • Views 614
  • Dowloads 85

Original Research

Open Access

Self-reported mandible bracing and teeth clenching are associated with anxiety and depression traits in a group of healthy young individuals

  • Ovidiu Ionut Saracutu1,*,
  • Daniele Manfredini1
  • Alessandro Bracci2
  • Edoardo Ferrari Cagidiaco1
  • Marco Ferrari1
  • Anna Colonna1

1Department of Medical Biotechnologies, School of Dentistry, University of Siena, 53100 Siena, Italy

2Department of Neurosciences, School of Dentistry, University of Padova, 35128 Padova, Italy

DOI: 10.22514/jofph.2024.041 Vol.38,Issue 4,December 2024 pp.85-90

Submitted: 07 June 2024 Accepted: 19 July 2024

Published: 12 December 2024

*Corresponding Author(s): Ovidiu Ionut Saracutu E-mail: ovidiu.saracutu@unisi.it

Abstract

To assess the correlation between awake bruxism (AB) behaviors and psychological status in a group of healthy young adults. Participants were recruited at the University of Siena, Siena, Italy, by advertising the initiative. The reported frequency of AB behaviors was evaluated through the Oral Behavior Checklist (OBC). The 4-item Patient Health Questionnaire-4 (PHQ-4) was adopted to evaluate the participants’ psychological status. Student’s t-test was used to detect differences between genders. The Pearson correlation test was performed to assess the correlation between the two questionnaires. Mandible bracing showed the strongest correlation with anxiety and depression traits (r = 0.62), followed by teeth clenching (r = 0.54). Teeth contact (r = 0.33) and teeth grinding (r = 0.32) had the lowest level of correlation. In a sample of healthy young individuals, there is a moderate-to-high correlation between the reported teeth clenching and mandible bracing frequency and the degree of anxiety and depression symptoms. Such findings suggest the importance of the psychological assessment in awake bruxers.


Keywords

Awake bruxism; Self-report; Psychological status; Anxiety; Depression; STAB


Cite and Share

Ovidiu Ionut Saracutu,Daniele Manfredini,Alessandro Bracci,Edoardo Ferrari Cagidiaco,Marco Ferrari,Anna Colonna. Self-reported mandible bracing and teeth clenching are associated with anxiety and depression traits in a group of healthy young individuals. Journal of Oral & Facial Pain and Headache. 2024. 38(4);85-90.

References

[1] Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, et al. Bruxism defined and graded: an international consensus. Journal of Oral Rehabilitation. 2013; 40: 2–4.

[2] Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, et al. International consensus on the assessment of bruxism: report of a work in progress. Journal of Oral Rehabilitation. 2018; 45: 837–844.

[3] Manfredini D, Ahlberg J, Lavigne GJ, Svensson P, Lobbezoo F. Five years after the 2018 consensus definitions of sleep and awake bruxism: an explanatory note. Journal of Oral Rehabilitation. 2024; 51: 623–624.

[4] Oliveira JMD, Pauletto P, Massignan C, D’Souza N, Gonçalves DAG, Flores-Mir C, et al. Prevalence of awake bruxism: a systematic review. Journal of Dentistry. 2023; 138: 104715.

[5] Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F. Epidemiology of bruxism in adults: a systematic review of the literature. Journal of Orofacial Pain. 2013; 27: 99–110.

[6] Manfredini D, De Laat A, Winocur E, Ahlberg J. Why not stop looking at bruxism as a black/white condition? Aetiology could be unrelated to clinical consequences. Journal of Oral Rehabilitation. 2016; 43: 799–801.

[7] Manfredini D, Ahlberg J, Aarab G, Bracci A, Durham J, Ettlin D, et al. Towards a standardized tool for the assessment of bruxism (STAB)-Overview and general remarks of a multidimensional bruxism evaluation system. Journal of Oral Rehabilitation. 2020; 47: 549–556.

[8] Manfredini D, Ahlberg J, Aarab G, Bracci A, Durham J, Emodi-Perlman A, et al. The development of the standardised tool for the assessment of bruxism (STAB): an international road map. Journal of Oral Rehabilitation. 2024; 51: 15–28.

[9] Manfredini D, Ahlberg J, Aarab G, Bender S, Bracci A, Cistulli PA, et al. Standardised tool for the assessment of bruxism. Journal of Oral Rehabilitation. 2024; 51: 29–58.

[10] Lobbezoo F, Ahlberg J, Verhoeff MC, Aarab G, Bracci A, Koutris M, et al. The bruxism screener (BruxScreen): development, pilot testing and face validity. Journal of Oral Rehabilitation. 2024; 51: 59–66.

[11] Markiewicz MR, Ohrbach R, McCall WD Jr. Oral behaviors checklist: reliability of performance in targeted waking-state behaviors. Journal of Orofacial Pain. 2006; 20: 306–316.

[12] Mungia R, Lobbezoo F, Funkhouser E, Glaros A, Manfredini D, Ahlberg J, et al. Dental practitioner approaches to bruxism: preliminary findings from the national dental practice-based research network. To be published in CRANIO®. 2023. [Preprint].

[13] Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. Journal of Orofacial pain. 2009; 23: 153–166.

[14] Caivano T, Felipe-Spada N, Roldán-Cubero J, Tomàs-Aliberas J. Influence of genetics and biopsychosocial aspects as etiologic factors of bruxism. CRANIO®. 2021; 39: 183–185.

[15] Manfredini D, Landi N, Tognini F, Montagnani G, Bosco M. Occlusal features are not a reliable predictor of bruxism. Minerva Stomatologica. 2004; 53: 231–239.

[16] Manfredini D, Visscher CM, Guarda-Nardini L, Lobbezoo F. Occlusal factors are not related to self-reported bruxism. Journal of Orofacial Pain. 2012; 26: 163–167.

[17] Dias R, Lima R, Prado IM, Colonna A, Ferrari M, Serra-Negra JM, et al. Impact of confinement by COVID-19 in awake and sleep bruxism reported by portuguese dental students. Journal of Clinical Medicine. 2022; 11: 6147.

[18] Colonna A, Guarda-Nardini L, Ferrari M, Manfredini D. COVID-19 pandemic and the psyche, bruxism, temporomandibular disorders triangle. CRANIO®. 2024; 42: 429–434.

[19] van Selms MKA, Thymi M, Lobbezoo F. Psychological distress and the belief that oral behaviours put a strain on the masticatory system in relation to the self-report of awake bruxism: four scenarios. Journal of Oral Rehabilitation. 2024; 51: 170–180.

[20] Knibbe W, Lobbezoo F, Voorendonk EM, Visscher CM, de Jongh A. Prevalence of painful temporomandibular disorders, awake bruxism and sleep bruxism among patients with severe post-traumatic stress disorder. Journal of Oral Rehabilitation. 2022; 49: 1031–1040.

[21] Câmara-Souza MB, Carvalho AG, Figueredo OMC, Bracci A, Manfredini D, Rodrigues Garcia RCM. Awake bruxism frequency and psychosocial factors in college preparatory students. CRANIO®. 2023; 41: 178–184.

[22] Emodi-Perlman A, Manfredini D, Shalev T, Bracci A, Frideman-Rubin P, Eli I. Psychosocial and behavioral factors in awake bruxism-self-report versus ecological momentary assessment. Journal of Clinical Medicine. 2021; 10: 4447.

[23] Machado NAG, Costa YM, Quevedo HM, Stuginski-Barbosa J, Valle CM, Bonjardim LR, et al. The association of self-reported awake bruxism with anxiety, depression, pain threshold at pressure, pain vigilance, and quality of life in patients undergoing orthodontic treatment. Journal of Applied Oral Science. 2020; 28: e20190407.

[24] Rofaeel M, Chow JC, Cioffi I. The intensity of awake bruxism episodes is increased in individuals with high trait anxiety. Clinical Oral Investigations. 2021; 25: 3197–3206.

[25] van Selms MKA, Lobbezoo F. The reports of specific waking-state oral behaviours, including awake bruxism activities, and psychological distress have a dose-response relationship: a retrospective medical record study. To be published in CRANIO®. 2024. [Preprint].

[26] Löwe B, Wahl I, Rose M, Spitzer C, Glaesmer H, Wingenfeld K, et al. A 4-item measure of depression and anxiety: validation and standardization of the patient health questionnaire-4 (PHQ-4) in the general population. Journal of Affective Disorders. 2010; 122: 86–95.

[27] Gonzalez YM, Schiffman E, Gordon SM, Seago B, Truelove EL, Slade G, et al. Development of a brief and effective temporomandibular disorder pain screening questionnaire: reliability and validity. The Journal of the American Dental Association. 2011; 142: 1183–1191.

[28] Pingitore G, Chrobak V, Petrie J. The social and psychologic factors of bruxism. The Journal of Prosthetic Dentistry. 1991; 65: 443–446.

[29] Penlington C, Araújo-Soares V, Durham J. Predicting persistent orofacial pain: the role of illness perceptions, anxiety, and depression. JDR Clinical and Translational Research. 2020; 5: 40–49.

[30] Donnarumma V, Ohrbach R, Simeon V, Lobbezoo F, Piscicelli N, Michelotti A. Association between waking-state oral behaviours, according to the oral behaviors checklist, and TMD subgroups. Journal of Oral Rehabilitation. 2021; 48: 996–1003.

[31] Kroenke K, Spitzer RL, Williams JB, Löwe B. An ultra-brief screening scale for anxiety and depression: the PHQ-4. Psychosomatics. 2009; 50: 613–621.

[32] Simoen L, Van den Berghe L, Jacquet W, Marks L. Depression and anxiety levels in patients with temporomandibular disorders: comparison with the general population. Clinical Oral Investigations. 2020; 24: 3939–3945.

[33] Câmara-Souza MB, Bracci A, Colonna A, Ferrari M, Rodrigues Garcia RCM, Manfredini D. Ecological momentary assessment of awake bruxism frequency in patients with different temporomandibular disorders. Journal of Clinical Medicine. 2023; 12: 501.

[34] Colonna A, Bracci A, Ahlberg J, Câmara-Souza MB, Bucci R, Conti PCR, et al. Ecological momentary assessment of awake bruxism behaviors: a scoping review of findings from smartphone-based studies in healthy young adults. Journal of Clinical Medicine. 2023; 12: 1904.

[35] Kothari SF, Visser M, Timmerman K, Baad-Hansen L, Koutris M, Lobbezoo F, et al. Painful and non-painful symptoms evoked by experimental bracing and thrusting of the mandible in healthy individuals. Journal of Oral Rehabilitation. 2021; 48: 1004–1012.

[36] Dawson A. Experimental tooth clenching. A model for studying mechanisms of muscle pain. Swedish Dental Journal. Supplement. 2013; 9–94.

[37] Dawson A, Ghafouri B, Gerdle B, List T, Svensson P, Ernberg M. Effects of experimental tooth clenching on pain and intramuscular release of 5-HT and glutamate in patients with myofascial TMD. The Clinical Journal of Pain. 2015; 31: 740–749.

[38] Bracci A, Djukic G, Favero L, Salmaso L, Guarda-Nardini L, Manfredini D. Frequency of awake bruxism behaviours in the natural environment. A 7-day, multiple-point observation of real-time report in healthy young adults. Journal of Oral Rehabilitation. 2018; 45: 423–429.

[39] Zani A, Lobbezoo F, Bracci A, Ahlberg J, Manfredini D. Ecological momentary assessment and intervention principles for the study of awake bruxism behaviors, part 1: general principles and preliminary data on healthy young Italian adults. Frontiers in Neurology. 2019; 10: 169.

[40] Zani A, Lobbezoo F, Bracci A, Djukic G, Guarda-Nardini L, Favero R, et al. Smartphone-based evaluation of awake bruxism behaviours in a sample of healthy young adults: findings from two University centres. Journal of Oral Rehabilitation. 2021; 48: 989–995.

[41] Dias R, Vaz R, Rodrigues MJ, Serra-Negra JM, Bracci A, Manfredini D. Utility of Smartphone-based real-time report (Ecological Momentary Assessment) in the assessment and monitoring of awake bruxism: a multiple-week interval study in a Portuguese population of university students. Journal of Oral Rehabilitation. 2021; 48: 1307–1313.

[42] Emodi-Perlman A, Manfredini D, Shalev T, Yevdayev I, Frideman-Rubin P, Bracci A, et al. Awake bruxism-single-point self-report versus ecological momentary assessment. Journal of Clinical Medicine. 2021; 10: 1699.

[43] Bucci R, Manfredini D, Lenci F, Simeon V, Bracci A, Michelotti A. Comparison between ecological momentary assessment and questionnaire for assessing the frequency of waking-time non-functional oral behaviours. Journal of Clinical Medicine. 2022; 11: 5880.

[44] Bracci A, Lobbezoo F, Häggman-Henrikson B, Colonna A, Nykänen L, Pollis M, et al. Current knowledge and future perspectives on awake bruxism assessment: expert consensus recommendations. Journal of Clinical Medicine. 2022; 11: 5083.

[45] Pereira NC, Oltramari PVP, Conti PCR, Bonjardim LR, de Almeida-Pedrin RR, Fernandes TMF, et al. Frequency of awake bruxism behaviour in orthodontic patients: randomised clinical trial: awake bruxism behaviour in orthodontic patients. Journal of Oral Rehabilitation. 2021; 48: 422–429.

[46] Manfredini D, Landi N, Romagnoli M, Bosco M. Psychic and occlusal factors in bruxers. Australian Dental Journal. 2004; 49: 84–89.

[47] Chow JC, Cioffi I. Effects of trait anxiety, somatosensory amplification, and facial pain on self-reported oral behaviors. Clinical Oral Investigations. 2019; 23: 1653–1661.

[48] Flueraşu MI, Bocşan IC, Țig IA, Iacob SM, Popa D, Buduru S. The epidemiology of bruxism in relation to psychological factors. International Journal of Environmental Research and Public Health. 2022; 19: 691.

[49] Kuhn M, Türp JC. Risk factors for bruxism. Swiss Dental Journal. 2018; 128: 118–124.

[50] Manfredini D, Colonna A, Bracci A, Lobbezoo F. Bruxism: a summary of current knowledge on aetiology, assessment and management. Oral Surgery. 2020; 13: 358–370.

[51] Montero J, Gómez-Polo C. Personality traits and dental anxiety in self-reported bruxism. A cross-sectional study. Journal of Dentistry. 2017; 65: 45–50.

[52] Chen WH, Lu YC, Lui CC, Liu JS. A proposed mechanism for diurnal/nocturnal bruxism: hypersensitivity of presynaptic dopamine receptors in the frontal lobe. Journal of Clinical Neuroscience. 2005; 12: 161–163.

[53] Hidaka O, Yanagi M, Takada K. Mental stress-induced physiological changes in the human masseter muscle. Journal of Dental Research. 2004; 83: 227–231.

[54] Cano-Vindel A, Muñoz-Navarro R, Medrano LA, Ruiz-Rodríguez P, González-Blanch C, Gómez-Castillo MD, et al. A computerized version of the patient health questionnaire-4 as an ultra-brief screening tool to detect emotional disorders in primary care. Journal of Affective Disorders. 2018; 234: 247–255.

[55] Colonna A, Noveri L, Ferrari M, Bracci A, Manfredini D. Electromyographic assessment of masseter muscle activity: a proposal for a 24 h recording device with preliminary data. Journal of Clinical Medicine. 2022; 12: 247.

[56] Yamaguchi T, Mikami S, Maeda M, Saito T, Nakajima T, et al. Portable and wearable electromyographic devices for the assessment of sleep bruxism and awake bruxism: a literature review. CRANIO®. 2023; 41: 69–77.


Abstracted / indexed in

Science Citation Index (SCI)

Science Citation Index Expanded (SCIE)

BIOSIS Previews

Scopus

Cumulative Index to Nursing and Allied Health Literature (CINAHL)

Submission Turnaround Time

Top