Daytime bruxism in individuals undergoing non-elective maxillofacial surgery: a cross-sectional study
DOI:
https://doi.org/10.17267/2238-2704rpf.2025.e6063Keywords:
Bruxomania, Maxillofacial Trauma, Mandible, Mastication, Recovery of Physiological FunctionAbstract
ABSTRACT | INTRODUCTION: Daytime bruxism is a repetitive and sustained masticatory muscle activity involving tooth contact without the functional purpose of chewing, which can negatively impact the biomechanics of masticatory functions. Studies have pointed to the possible harmful consequences of bruxism, however, in cases of mandibular fractures where early joint movement is essential for functional recovery these effects have not been explored. OBJECTIVE: To identify the frequency of daytime bruxism in individuals undergoing non-elective mandibular surgery and to investigate the possible relation between bruxism, masticatory limitations, and full mouth opening. MATERIALS AND METHODS: The sample consisted of 289 individuals who underwent non-elective maxillofacial surgeries. Oral behavior and mandibular function were assessed using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Pearson’s chi-square test was used, with significance set at p ≤ 0.05. RESULTS: Possible daytime bruxism was observed in 203 participants (70.2%); 177 (61.2%) reported being unable to achieve full mouth opening; 94 (32.5%) presented limitations in chewing soft foods, 218 (75.5%) in chewing firm foods, and 232 (80.3%) in chewing hard-consistency foods. CONCLUSION: Possible daytime bruxism was frequent in this population. There was a high prevalence of masticatory dysfunction for hard foods. Limitation in full mouth opening was related to the frequency of bruxism. Further longitudinal studies are needed to confirm these results.
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1. Zamboni RA, Wagner JCB, Volkweis MR, Gerhardt EL, Buchmann EM, Bavaresco CS. Epidemiological study of facial fractures at the Oral and Maxillofacial Surgery Service, Santa Casa de Misericordia Hospital Complex, Porto Alegre – RS – Brazil. Rev Col Bras Cir 2017; 44(5): 491-497. https://doi.org/10.1590/0100-69912017005011
2. Pinheiro LHZ, Silva BB, Basso RCF, Franco FF, Andrade TFC, Pili RC, et al. Epidemiological profile of patients undergoing surgery to treat facial fractures in a university hospital. Rev. Bras. Cir. Plást. 2022;37(2):177-182. https://doi.org/10.5935/2177-1235.2022RBCP0029
3. Blanco GO, Pelissaro GS, Oliveira JGP, Mendonça JCG, Figueiredo FT, Silva JCL, et al. Chronic osteomyelitis associated with mandibular fracture in a pediatric patient - case report. RSD. 2022;11(3):e50511327004. https://doi.org/10.33448/rsd-v11i3.27004
4. Muller VA, Bruksch GK, Sória GS, Gallas KR, De-Moura FRR, Brew MC, et al. Functional recovery time after facial fractures: characteristics and associated factors in a sample of patients from southern Brazil. Rev Col Bras Cir. 2021;48:e20202581. https://doi.org/10.1590/0100-6991e-20202581
5. Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, et. al. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil. 2018;45(11):837-844. https://doi.org/10.1111/joor.12663
6. Archer AB, Da-Cas CD, Valesan LF, Cunha TCA, Januzzi E, Garanhani RR, et al. Prevalence of awake bruxism in the adult population: a systematic review and meta-analysis. Clinical Oral Investigations. 2023; 27:7007–7018. https://doi.org/10.1007/s00784-023-05302-w
7. Commisso MS, Martínez-Reina J, Mayo J. A study of the temporomandibular joint during bruxism. International Journal of Oral Science. 2014;6:116-123. https://doi.org/10.1038/ijos.2014.4
8. Feng Z, Chen R, Zhang Y, Yang M, Lin Y, Tian W, et. al. Outcome of postsurgical sequential functional exercise of jaw fracture. Journal of Craniofacial Surgery. 2009;20(1):46-8. https://doi.org/10.1097/SCS.0b013e3181945e22
9. Zhou HH, Liu Q, Cheng G, Li ZB. Aetiology, pattern and treatment of mandibular condylar fractures in 549 patients: a 22-year retrospective study. Journal of Cranio-Maxillo-Facial Surgery. 2013;41(1):34-41. https://doi.org/10.1016/j.jcms.2012.05.007
10. Orestes-Cardoso S, Aragão-Neto AC, Pires ELM, Lôbo JS, Silva JJ, Vieira FLT. Epidemiological analysis of mandibular trauma in high complexity health unity located in Recife - PE. Odontol. Clín.-Cient. [Internet]. 2016;15(1). Available from: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1677-38882016000100009
11. Kozakiewicz M, Walczyk A. Current Frequency of Mandibular Condylar Process Fractures. J. Clin. Med. 2023;12(4):1394. https://doi.org/10.3390/jcm12041394
12. Wetselaar P, Vermaire EJH, Lobbezoo F, Schuller AA. The prevalence of awake bruxism and sleep bruxism in the Dutch adult population. J Oral Rehabil. 2019;46(7):617-623. https://doi.org/10.1111/joor.12787
13. Ekman A, Rousu J, Näpänkangas R, Kuoppala R, Raustia A, Sipilä K. Association of self-reported bruxism with temporomandibular disorders - Northern Finland Birth Cohort (NFBC) 1966 study. Cranio. 2023;41(3):212-217. https://doi.org/10.1080/08869634.2020.1853306
14. Melis M, Abou-Atme YS. Prevalence of bruxism awareness in a Sardinian population. Cranio. 2003;21(2):144-51. https://doi.org/10.1080/08869634.2003.11746243
15. Montero J, Gómez-Polo C. Personality traits and dental anxiety in self-reported bruxism. A cross-sectional study. Journal of Dentistry. 2017;65:45-50. https://doi.org/10.1016/j.jdent.2017.07.002
16. Macfarlane TV, Blinkhorn AS, Davies RM, Worthington HV. Association between local mechanical factors and orofacial pain: survey in the community. Journal of Dentistry. 2003;31(8):535-42. https://doi.org/10.1016/s0300-5712(03)00108-8
17. Bortolleto PPB, Moreira APSM, Madureira PR. Analyses parafunctional habits and association with Temporomandibular Disorder. Rev. Assoc. Paul. Cir. Dent. [Internet]. 2013;67(3):216-221. Available from: http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S0004-52762013000300008
18. Henrique VL, Pacheco KCM, Aguiar IHA, Brito WCO, Silva PLP, Batista AUD, et. al., Prevalence of temporomandibular dysfunction symptoms, associated factors and impact on quality of life in primary health care network users. RSD. 2022;11(1):e13911124560. https://doi.org/10.33448/rsd-v11i1.24560
19. Manfredini D, Guarda-Nardini L, Marchese-Ragona R, Lobbezoo F. Theories on possible temporal relationships between sleep bruxism and obstructive sleep apnea events. An expert opinion. Sleep and Breathing. 2015;19:1459-65. https://doi.org/10.1007/s11325-015-1163-5
20. Karacay BC, Sahbaz T. Investigation of the relationship between probable sleep bruxism, wakefulness bruxism and temporomandibular disorders using the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD). Dent Med Problem. 2023;60(4):601–608. Cited: PMID: 36651343
21. Pavlou IA, Spandidos DA, Zoumpourlis V, Adamaki M. Nutrient insufficiencies and deficiencies involved in the pathogenesis of bruxism (Review). Exp Ther Med. 2023;26(6):563. https://doi.org/10.3892/etm.2023.12262
22. Silva AP, Sassi FC, Bastos E, Alonso N, Andrade CRF. Oral motor and electromyographic characterization of adults with facial fractures: a comparison between different fracture severities. Clinics. 2017;72(5):276-283. https://doi.org/10.6061/clinics/2017(05)04
23. van der Bilt A, Abbink JH. The influence of food consistency on chewing rate and muscular work. Archives of Oral Biology. 2017;83:105-110. https://doi.org/10.1016/j.archoralbio.2017.07.011
24. Daian MR, Petroianu A, Alberti LR, Jeunon EE. Estresse em procedimentos cirúrgicos. ABCD Arq Bras Cir Dig 2012;25(2):118-124. https://doi.org/10.1590/S0102-67202012000200012
25. Saund DS, Pearson D, Dietrich T. Reliability and validity of self-assessment of mouth opening: a validation study. BMC Oral Health. 2012;12:48. https://doi.org/10.1186/1472-6831-12-48
26. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: Guidelines for Reporting Observational Studies. PLoS Med. 2007;4(10):e296. https://doi.org/10.1371/journal.pmed.0040296
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Copyright (c) 2025 Débora Ferreira dos Anjos Viana, Katia Nunes Sá, Paulo Brasil Brandão da Silveira, Eulália Silva dos Santos Pinheiro Barros
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This work is licensed under a Creative Commons Attribution 4.0 International License.
