Self-Reported bruxism and associated factors in Israeli adolescents

J Oral Rehabil. 2016 Jun;43(6):443-50. doi: 10.1111/joor.12391. Epub 2016 Mar 9.

Abstract

Little is known about the epidemiological characteristics of sleep and awake bruxism (SB and AB) in adolescents. The aims of the study were: to assess the prevalence rates of self-reported SB and AB in Israeli adolescents; to determine the associations between SB/AB and several demographical, exogenous and psychosocial factors in Israeli adolescents; and to investigate the possible concordance between SB and AB. The study made use of a questionnaire. The study population included 1000 students from different high schools in the centre of Israel. Prevalence of self-reported SB and AB in the Israeli adolescents studied was 9·2% and 19·2%, respectively. No gender difference was found regarding the prevalence of SB and AB. Multiple variable regression analysis revealed that the following predicting variables were related to SB: temporomandibular joint sounds (P = 0·002) and feeling stressed (P = 0·001). The following predicting variables were related to AB: age (P = 0·018), temporomandibular joint sounds (P = 0·002), oro-facial pain (P = 0·006), and feeling stressed (P = 0·002) or sad (P = 0·006). A significant association was found between SB and AB; that is, an individual reporting SB had a higher probability of reporting AB compared with an individual who did not report SB (odds ratio = 5·099). Chewing gum was the most common parafunction reported by adolescents. The results of this study demonstrate that self-reports of AB and SB are common in the Israeli adolescents population studied and are not related to gender. The significant correlation found between SB and AB may be a confounding bias that affects proper diagnosis of bruxism through self-reported questionnaires only.

Keywords: adolescents; awake; psychological factors; sleep bruxism; temporomandibular disorders.

MeSH terms

  • Adolescent
  • Bruxism / epidemiology*
  • Bruxism / psychology
  • Chewing Gum
  • Child
  • Facial Pain / epidemiology*
  • Facial Pain / psychology
  • Female
  • Humans
  • Israel / epidemiology
  • Male
  • Prevalence
  • Self Report*
  • Sex Factors
  • Stress, Psychological / epidemiology*
  • Surveys and Questionnaires
  • Temporomandibular Joint Disorders / complications
  • Temporomandibular Joint Disorders / epidemiology*
  • Temporomandibular Joint Disorders / psychology

Substances

  • Chewing Gum