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Respiratory disorders and the prevalence of sleep bruxism among schoolchildren aged 8 to 11 years

  • Pediatrics • Original Article
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Abstract

Purpose

The aim of this study was to evaluate the association between respiratory disorders and sleep bruxism, with an evaluation of demographic/socioeconomic factors and childhood stress as confounding variables.

Methods

A cross-sectional study was performed in the city of Diamantina, Brazil, with 448 randomly selected schoolchildren aged 8 to 11 years. The schoolchildren underwent an oral examination for the evaluation of bruxism. Parents/caregivers answered a questionnaire for the assessment of sleep bruxism; socioeconomic-demographic factors; and respiratory disorders, such as rhinitis, sinusitis, and bronchitis. The schoolchildren filled out the Children’s Stress Scale. Poisson regression models were constructed separately for each respiratory disorder to determine prevalence ratios (PRs) and 95% confidence intervals (CIs).

Results

Sleep bruxism was more prevalent among children with rhinitis (PR = 1.45; 95%CI 1.08–1.93; p = 0.012) and sinusitis (PR = 1.58; 95%CI 1.06–2.36; p = 0.023). No significant association was found between sleep bruxism and bronchitis. A greater frequency of sleep bruxism was found among children whose mothers had a higher level of schooling and those who reported stress in the resistance/exhaustion phase.

Conclusion

Rhinitis and sinusitis were associated with sleep bruxism. Moreover, sleep bruxism was more prevalent among children whose mothers had a higher level of schooling and those with higher degrees of stress.

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References

  1. American Academy of Sleep Medicine (2005) The international classification of sleep disorders, revised: diagnostic and coding manual, 2 ª ed. Westchester, 189–192

  2. Manfredini D, Restrepo C, Diaz-Serrano K, Winocur E, Lobbezoo F (2013) Prevalence of sleep bruxism in children: a systematic review of the literature. J Oral Rehabil 40:631–642

    Article  CAS  PubMed  Google Scholar 

  3. Serra-Negra JM, Ramos-Jorge ML, Flores-Mendoza CE, Paiva SM, Pordeus IA (2009) Influence of psychosocial factors on the development of sleep bruxism among children. Int J Paediatr Dent 19:309–317

    Article  PubMed  Google Scholar 

  4. Renner AC, da Silva AA, Rodriguez JD, Simões VM, Barbieri MA, Bettiol H, Thomaz EB, Saraiva Mda C (2012) Are mental health problems and depression associated with bruxism in children? Community Dent Oral Epidemiol 40:277–287

    Article  PubMed  Google Scholar 

  5. Carra MC, Huynh N, Morton P et al (2011) Prevalence and risk factors of sleep bruxism and wake-time tooth clenching in a 7- to 17-yr-old population. Eur J Oral Sci 119:386–394

    Article  PubMed  Google Scholar 

  6. Nagamatsu-Sakaguchi C, Minakuchi H, Clark GT, Kuboki T (2008) Relationship between the frequency of sleep bruxism and the prevalence of signs and symptoms of temporomandibular disorders in an adolescent population. Int J Prosthodont 21:292–298

    PubMed  Google Scholar 

  7. Manfredini D, Lobbezoo F (2009) Role of psychosocial factors in the etiology of bruxism. J Orofac Pain 23:153–166

    PubMed  Google Scholar 

  8. Serra-Negra JM, Paiva SM, Flores-Mendoza CE, Ramos-Jorge ML, Pordeus IA (2012) Association among stress, personality traits, and sleep bruxism in children. Pediatr Dent 34:30–34

    Google Scholar 

  9. Strachan D, Sibbald B, Weiland S, Aït-Khaled N, Anabwani G et al (1997) Worldwide variations in prevalence of symptoms of allergic rhinoconjunctivitis in children: the International Study of Asthma and Allergies in Childhood (ISAAC). Pediatr Allergy Immunol 8:161–176

    Article  CAS  PubMed  Google Scholar 

  10. Pénard-Morand C, Raherison C, Charpin D, Kopferschmitt C, Lavaud F, Caillaud D, Annesi-Maesano I (2010) Long-term exposure to close-proximity air pollution and asthma and allergies in urban children. Eur Respir J 36:33–40

    Article  PubMed  Google Scholar 

  11. Marks MB (1980) Bruxism in allergic children. Am J Orthod 1980(77):48–59

    Article  Google Scholar 

  12. Sjöholm TT, Lowe AA, Miyamoto K, Fleetham JA, Ryan CF (2000) Sleep bruxism in patients with sleep-disordered breathing. Arch Oral Biol 45:889–896

    Article  PubMed  Google Scholar 

  13. Hosoya H, Kitaura H, Hashimoto T, Ito M, Kinbara M et al (2014) Relationship between sleep bruxism and sleep respiratory events in patients with obstructive sleep apnea syndrome. Sleep Breath 18:837–844

    Article  PubMed  Google Scholar 

  14. Mayer P, Heinzer R, Lavigne G (2016) Sleep bruxism in respiratory medicine practice. Chest 149:262–271

    Article  PubMed  Google Scholar 

  15. Baiardini I, Braido F, Cauglia S, Canonica GW (2006) Sleep disturbances in allergic diseases. Allergy 61(11):1259–1267

    Article  CAS  PubMed  Google Scholar 

  16. Lin YT, Chen YC, Gau SS, Yeh TH, Fan HY, Hwang YY, Lee YL (2016) Associations between allergic diseases and attention deficit hyperactivity/oppositional defiant disorders in children. Pediatr Res 80(4):480–485

    Article  CAS  PubMed  Google Scholar 

  17. Carra MC, Bruni O, Huynh N (2012) Topical review: sleep bruxism, headaches, and sleep-disordered breathing in children and adolescents. J Orofac Pain 26:267–276

    PubMed  Google Scholar 

  18. Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, de Leeuw R, Manfredini D, Svensson P, Winocur E (2013) Bruxism defined and graded: an international consensus. J Oral Rehabil 40:2–4

    Article  CAS  PubMed  Google Scholar 

  19. Smith BG, Knight JK (1984) An index for measuring the wear of teeth. Br Dent J 156:435–438

    Article  CAS  PubMed  Google Scholar 

  20. Lipp MEN, Lucarelli MDM (1998) Escala de stress infantile—ESI—Manual. Editora Casa do Psicólogo, São Paulo

    Google Scholar 

  21. Grechi TH, Trawitzki LV, de Felício CM, Valera FC, Alnselmo-Lima WT (2008) Bruxism in children with nasal obstruction. Int J Pediatr Otorhinolaryngol 72:391–396

    Article  PubMed  Google Scholar 

  22. Yamada T, Tanne K, Miyamoto K, Yamauchi K (1997) Influences of nasal respiratory obstruction on craniofacial growth in young Macaca fuscata monkeys. Am J Orthod Dentofac Orthop 111:38–43

    Article  CAS  Google Scholar 

  23. DiFrancesco RC, Junqueira PA, Trezza PM, de Faria ME, Frizzarini R, Zerati FE (2004) Improvement of bruxism after T & A surgery. Int J Pediatr Otorhinolaryngol 68:441–445

    Article  PubMed  Google Scholar 

  24. Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A et al (2008) Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 update (in collaboration with the World Health Organization, GA(2) LEN and AllerGen). Allergy 63(Suppl 86):8–160

    Article  PubMed  Google Scholar 

  25. Serra-Negra JM, Paiva SM, Abreu MH, Flores-Mendoza CE, Pordeus IA (2013) Relationship between tasks performed, personality traits,and sleep bruxism in Brazilian school children—a population-based cross-sectional study. PLoS One 8(11):e80075

    Article  PubMed  PubMed Central  Google Scholar 

  26. Oliveira MT, Bittencourt ST, Marcon K, Destro S, Pereira JR (2015) Sleep bruxism and anxiety level in children. Braz Oral Res 29

  27. Manfredini D, Guarda-Nardini L, Marchese-Ragona R, Lobbezoo F (2015) Theories on possible temporal relationships between sleep bruxism and obstructive sleep apnea events. An expert opinion. Sleep Breath 19:1459–1465

    Article  PubMed  Google Scholar 

  28. Lavigne GJ, Rompré PH, Montplaisir JY (1996) Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res 75:546–552

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

The authors appreciate the support of the Brazilian Coordination of Higher Education (CAPES), the Research Foundation of the State of Minas Gerais (FAPEMIG), and the National Council for Scientific and Technological Development (CNPQ), Brazil.

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Authors and Affiliations

  1. Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

    Clarissa Lopes Drumond & Júnia Maria Serra-Negra

  2. Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais, Brazil

    Débora Souto Souza, Leandro Silva Marques, Maria Letícia Ramos-Jorge & Joana Ramos-Jorge

Authors
  1. Clarissa Lopes Drumond
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  2. Débora Souto Souza
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  3. Júnia Maria Serra-Negra
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  4. Leandro Silva Marques
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  5. Maria Letícia Ramos-Jorge
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  6. Joana Ramos-Jorge
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Corresponding author

Correspondence to Débora Souto Souza.

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Funding

No funding was received for this research.

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical considerations

The present study received approval from the Human Research Ethics Committee of the Universidade Federal dos Vales do Jequitinhonha and Mucuri (Brazil) under process number 370.291.

Informed consent

All legal guardians received clarifications regarding the objectives and procedures of the study. Those who agreed to their child’s participation signed a statement of informed consent.

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Cite this article

Drumond, C.L., Souza, D.S., Serra-Negra, J.M. et al. Respiratory disorders and the prevalence of sleep bruxism among schoolchildren aged 8 to 11 years. Sleep Breath 21, 203–208 (2017). https://doi.org/10.1007/s11325-017-1466-9

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  • DOI: https://doi.org/10.1007/s11325-017-1466-9

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