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Assessment of the pain, stress and emotional factor related to the occurrence of bruxism

Balkan Journal of Dental MedicineOctober 13, 2022October 13, 2022

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Pejkovska-Shahpaska Budima

PHO University Dental Clinical Centre “St. Pantelejmon”, Clinic for removable prosthetics, Skopje, Republic of North Macedonia

Summary

Background/Aim: Bruxism is a parafunctional habit that has multiple etiology. Globally it is a widespread problem. The purpose of this study was to assess the presence of pain, stress and to understand the emotional factor and their relations to the occurrence of bruxism. Material and Methods: For the purpose of this paper, 40 patients with partial edentuloissness and bruxism were treated prosthetically and with night dentures. They were assessed for the degree of the pain they feel and were given questionnaires for the level of stress they feel and for their psychological situation. The control group consisted of 40 patients who were not treated but were diagnosed with the same methods like the previous group. Results: Patient feel pain from the consequences of bruxism, disregarding the statistical significance related to gender. Stress pays a major role as we live in a dynamic and demanding society. The more competitive and ambitious the person is the more there are possibilities for occurrence of bruxism. Emotions are a very complex matter that unconsciously can be connected to the presence of bruxism. Conclusions: Besides prosthetic rehabilitation, sometimes a multidisciplinary approach is needed. Dentists should be aware of their role as psychiatrist and need to be educated of the principles of a patient’s analysis and of the cognitive behavioral therapy.

Keywords: pain; stress; emotional factor; bruxism

Reference

*** Pain scale chart: 1 to 10 levels. https://www.disabled-world.com/health/pain/scale.php

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De-La-hoz, J.L. (2013) Sleep bruxism: Review and update for the restorative dentist. Alpha Omega, 106: 23-8

Kapuševska, B. (2014) Bruksizam i okluzalni parafuncii – opšt del. Скопје: Техносан

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Kato, T., Thie, N., Huynh, N., Miyawaki, S., Lavigne, G. (2003) Topical review: sleep bruxism and the role of peripheral sensory influences. J Orofac Pain, 17: 191-213

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Lavigne, G.J., Kato, T., Kolta, A., Sessle, B.J. (2003) Neurobiological mechanisms involved in sleep bruxism. Critical Reviews in Oral Biology & Medicine, 14(1): 30-46

Lobbezoo, F., Hamburger, H.L., Naeije, M. (2010) Etiology of bruxism. u: Paesani D.A. [ur.] Bruxism: Theory and practice, London: Quintessence, 53-65

Manfredini, D., Landi, N., Fantoni, F., Segù, M., Bosco, M. (2005) Anxiety symptoms in clinically diagnosed bruxers. Journal of Oral Rehabilitation, 32(8): 584-588

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Selms, M.K.A., Lobbezoo, F., Wicks, D.J., Hamburger, H.L., Naeije, M. (2004) Craniomandibular pain, oral parafunctions, and psychological stress in a longitudinal case study. Journal of Oral Rehabilitation, 31(8): 738-745

Strausz, T., Ahlberg, J., Lobbezoo, F., Restrepo, C.C., Hublin, C., Ahlberg, K., Könönen, M. (2010) Awareness of tooth grinding and clenching from adolescence to young adulthood: A nine-year follow-up. Journal of Oral Rehabilitation, 37(7): 497-500

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Balkan Journal of Dental Medicine, 2019, vol. 23, br. 3, str. 147-151

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