Post-Graduation Program in Dentistry, Dental School, Universidade Estadual da Paraíba - UEPB, Campina Grande, Brazil.
Department of Pediatric Dentistry and Orthodontics, Dental School, Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, Brazil.
Int J Paediatr Dent. 2022 Jan;32(1):22-30. doi: 10.1111/ipd.12786. Epub 2021 May 20.
Bruxism is a repetitive activity of the masticatory muscles that has been associated with orofacial disorders and psychosocial factors AIM: The aim of this study was to investigate associations between possible awake bruxism (PAB) and family functioning, bullying, and dental caries in children 8-10 years of age.
A school-based study was conducted with 739 pairs of parents/guardians and children. The parents/guardians answered the Family Adaptability and Cohesion Evaluation Scales for the establishment of family functioning. Information on bullying due to dental conditions was collected from the children. Dental caries in the children was evaluated using International Caries Detection and Assessment System criteria. A directed acyclic graph was used to define the theoretical model and select control factors. Descriptive analysis was performed, followed by multivariate logistic regression for complex samples.
Considering the parental reports, fewer years of mother's schooling, a low family income, very flexible family adaptability, and cavitated dental caries were associated with PAB. The female sex, bullying, and orofacial dysfunction were associated with self-reported PAB.
Therefore, the factors associated with PAB differ according to the reports of parents/guardians or self-reports of children. Healthcare providers should consider both reports for a more effective intervention addressing PAB.
磨牙症是咀嚼肌的一种重复性活动，与口面障碍和社会心理因素有关。目的：本研究旨在调查 8-10 岁儿童可能的清醒磨牙症（PAB）与家庭功能、欺凌和龋齿之间的关联。设计：采用基于学校的研究方法，共纳入 739 对儿童及其父母/监护人。父母/监护人回答家庭适应性和凝聚力评估量表，以确定家庭功能。从儿童那里收集有关因牙齿状况而遭受欺凌的信息。采用国际龋病检测和评估系统标准评估儿童的龋齿情况。使用有向无环图来定义理论模型并选择控制因素。进行描述性分析，然后对复杂样本进行多变量逻辑回归分析。结果：考虑到父母的报告，母亲受教育年限较少、家庭收入低、家庭适应性非常灵活以及有龋洞的龋齿与 PAB 相关。女性、欺凌和口面功能障碍与自我报告的 PAB 相关。结论：因此，与 PAB 相关的因素根据父母/监护人的报告或儿童的自我报告而有所不同。医疗保健提供者应同时考虑这两种报告，以便更有效地干预 PAB。
