Sleep Bruxism in Children: Etiology, Diagnosis, and Treatment-A Literature Review

Int J Environ Res Public Health. 2021 Sep 10;18(18):9544. doi: 10.3390/ijerph18189544.

Abstract

(1) Background: Bruxism, a condition characterized by grinding and involuntary clenching of the teeth, is a risk factor for the development of masticatory dysfunction. It can occur together with sleep disturbances and may be associated with abnormal body movements, breathing difficulties, increased muscle activity, and heart rate disturbances. This disorder is becoming an important dental concern in children. (2) Methods: A literature review was carried out based on a search in PubMed and Google Scholar databases for articles on bruxism in children, published between 2014 and 2021. The etiology, diagnosis, and treatment of bruxism in children were of particular interest in the study. (3) Results: A total of 40 articles were included in the review. The analyzed studies indicated that the prevalence rates of bruxism in children vary widely from 13% to 49%. The etiology of bruxism is complex and incomprehensible, and the main diagnostic criteria for this condition in children are subjective observation, clinical history, and clinical examination. The recommended therapy for sleep bruxism in children is physiotherapy and psychotherapy. (4) Conclusions: Dentists and primary care physicians should correctly diagnose bruxism in children, educate parents, prevent potential consequences for oral health, and identify possible comorbidities. Appropriate clinical guidelines for the treatment and prophylaxis of bruxism in children should also be developed.

Keywords: bruxism; bruxism diagnosis; bruxism etiology; bruxism treatment; children.

Publication types

  • Review

MeSH terms

  • Child
  • Comorbidity
  • Humans
  • Prevalence
  • Risk Factors
  • Sleep Bruxism* / diagnosis
  • Sleep Bruxism* / epidemiology
  • Sleep Bruxism* / etiology
  • Sleep Wake Disorders*