Department of Biomedical Technologies, School of Dentistry, University of Siena, Siena, Italy.
Department of Oral and Maxillofacial, Diseases, University of Helsinki, Helsinki, Finland.
J Oral Rehabil. 2024 Jan;51(1):29-58. doi: 10.1111/joor.13411. Epub 2023 Feb 10.
This paper aims to present and describe the Standardised Tool for the Assessment of Bruxism (STAB), an instrument that was developed to provide a multidimensional evaluation of bruxism status, comorbid conditions, aetiology and consequences.
The rationale for creating the tool and the road map that led to the selection of items included in the STAB has been discussed in previous publications.
The tool consists of two axes, specifically dedicated to the evaluation of bruxism status and consequences (Axis A) and of bruxism risk and etiological factors and comorbid conditions (Axis B). The tool includes 14 domains, accounting for a total of 66 items. Axis A includes the self-reported information on bruxism status and possible consequences (subject-based report) together with the clinical (examiner report) and instrumental (technology report) assessment. The Subject-Based Assessment (SBA) includes domains on Sleep Bruxism (A1), Awake Bruxism (A2) and Patient's Complaints (A3), with information based on patients' self-report. The Clinically Based Assessment (CBA) includes domains on Joints and Muscles (A4), Intra- and Extra-Oral Tissues (A5) and Teeth and Restorations (A6), based on information collected by an examiner. The Instrumentally Based Assessment (IBA) includes domains on Sleep Bruxism (A7), Awake Bruxism (A8) and the use of Additional Instruments (A9), based on the information gathered with the use of technological devices. Axis B includes the self-reported information (subject-based report) on factors and conditions that may have an etiological or comorbid association with bruxism. It includes domains on Psychosocial Assessment (B1), Concurrent Sleep-related Conditions Assessment (B2), Concurrent Non-Sleep Conditions Assessment (B3), Prescribed Medications and Use of Substances Assessment (B4) and Additional Factors Assessment (B5). As a rule, whenever possible, existing instruments, either in full or partial form (i.e. specific subscales), are included. A user's guide for scoring the different items is also provided to ease administration.
The instrument is now ready for on-field testing and further refinement. It can be anticipated that it will help in collecting data on bruxism in such a comprehensive way to have an impact on several clinical and research fields.
本文旨在介绍和描述标准化磨牙症评估工具（STAB），该工具旨在提供磨牙症状况、共病、病因和后果的多维评估。
工具的创建原理以及导致 STAB 中包含项目选择的路线图已在之前的出版物中讨论过。
该工具由两个轴组成，专门用于评估磨牙症状况和后果（轴 A）以及磨牙症风险和病因因素及共病（轴 B）。该工具包括 14 个领域，共 66 个项目。轴 A 包括基于自我报告的磨牙症状况和可能后果的信息（基于患者的报告）以及临床（检查者报告）和仪器（技术报告）评估。基于患者的评估（SBA）包括睡眠磨牙症（A1）、清醒磨牙症（A2）和患者投诉（A3）等领域，基于患者的自我报告信息。基于临床的评估（CBA）包括关节和肌肉（A4）、口腔内外组织（A5）和牙齿和修复体（A6）等领域，基于检查者收集的信息。基于仪器的评估（IBA）包括睡眠磨牙症（A7）、清醒磨牙症（A8）和额外仪器使用（A9）等领域，基于使用技术设备收集的信息。轴 B 包括可能与磨牙症有病因或共病关联的因素和状况的自我报告信息（基于患者的报告）。它包括心理社会评估（B1）、并发睡眠相关状况评估（B2）、并发非睡眠状况评估（B3）、规定药物和物质使用评估（B4）和其他因素评估（B5）等领域。通常情况下，无论是完整形式还是部分形式（即特定子量表），都尽可能纳入现有的工具。还提供了不同项目评分的用户指南，以方便管理。
该工具现已准备好进行现场测试和进一步改进。预计它将有助于以如此全面的方式收集磨牙症数据，从而对几个临床和研究领域产生影响。
