Characterization of Sleep Architecture in Adults with Sleep Bruxism: A Retrospective Descriptive Study

Arquitectura del Sueño en Adultos con Bruxismo del Sueño

Authors

  • Olga-Patricia López Soto Odontóloga, Facultad de Salud, Departamento de Salud Oral, Universidad Autónoma de Manizales, Colombia https://orcid.org/0000-0002-5045-820X
  • Raúl Alberto Aguilera-Eguía Departamento de Salud Pública, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile. https://orcid.org/0000-0002-4123-4255
  • Juan-Alberto Aristizábal Hoyos Facultad de Salud, Departamento de Salud Oral, Universidad Autónoma de Manizales, Colombia https://orcid.org/0000-0003-0474-4683
  • Héctor Fuentes-Barria Escuela de Odontología, Facultad de Odontología, Universidad Andrés Bello. Concepción, Chile. Facultad de educación y ciencias sociales, Universidad Central de Chile. Santiago, Chile. https://orcid.org/0000-0003-0774-0848

DOI:

https://doi.org/10.19230/jonnpr.5329

Abstract

Objective: To characterize sleep architecture in a population group of adults with sleep bruxism, in general and by sex.

Materials and method: Retrospective descriptive study, with intentional sampling of 33 polysomnographies that identified subjects with sleep bruxism, according to the “cut off” suggested by Lavigne et al (25 events /hour/), between the years 2011-2019. The variables sex, age, weight, height and body mass index (BMI) were considered. Sleep architecture was determined in terms of duration of sleep stages, micro-awakenings, and bruxism events. A descriptive anlysis of the variables was carried out and the results were compared between the sexes.

Results: In the population group, 64% were women and 36% men. The average age was 32.5 years, height 1.65 m, weight 68 kg, with an average BMI of 24.89 (normal weight). Subjects had an average of 387.6 minutes of sleep, 270 minutes in non-rapid eye movement (NREM) and 10.8 in rapid eye movement (REM), with an average of 50 micro-awakenings during the night and 48.64 bruxism events per hour. According to sex, the values in minutes were: NMOR (H:316.2 – M:256.8); MOR (H:105 – M:104.4); microawakenings (H:58.9 – M:45.1); BS events/hour: (H:48.6 – M: 46.6), no significant differences were found between them (p>0.05). Subjects with BS slept, on average, a greater number of minutes in the lateral decubitus position (196.59).

Conclusion: Subjects with BS register certain characteristics in their sleep architecture that must be considered. There was no difference in sleep architecture according to sex.

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References

Ferini-Strambi L, Pozzi P, Manconi M, Zucconi M, Oldani A. Bruxism and nocturnal groaning. Arch Ital Biol. 2011 Dec 1;149(4):467-77. doi: 10.4449/aib.v149i4.1358.

Klasser GD, Rei N, Lavigne GJ. Sleep bruxism etiology: the evolution of a changing paradigm. J Can Dent Assoc. 2015;81:f2.

Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014 Nov;146(5):1387-1394. doi: 10.1378/chest.14-0970.

Baba K, Haketa T, Sasaki Y, Ohyama T, Clark GT. Association between masseter muscle activity levels recorded during sleep and signs and symptoms of temporomandibular disorders in healthy young adults. J Orofac Pain. 2005 Summer;19(3):226-31.

Carra MC, Huynh N, Lavigne G. Sleep bruxism: a comprehensive overview for the dental clinician interested in sleep medicine. Dent Clin North Am. 2012 Apr;56(2):387-413. doi: 10.1016/j.cden.2012.01.003.

Jafari B, Mohsenin V. Polysomnography. Clin Chest Med. 2010 Jun;31(2):287-97. doi: 10.1016/j.ccm.2010.02.005.

Harrington JJ, Lee-Chiong T Jr. Sleep and older patients. Clin Chest Med. 2007 Dec;28(4):673-84, v. doi: 10.1016/j.ccm.2007.07.002.

Gemignani A, Menicucci D, Laurino M, Piarulli A, Mastorci F, Sebastiani L, Allegrini P. Linking Sleep Slow Oscillations with consciousness theories: new vistas on Slow Wave Sleep unconsciousness. Arch Ital Biol. 2015 Jun-Sep;153(2-3):135-43. doi: 10.12871/000398292015238.

Consensus Conference Panel; Watson NF, Badr MS, Belenky G, Bliwise DL, Buxton OM, Buysse D, Dinges DF, Gangwisch J, Grandner MA, Kushida C, Malhotra RK, Martin JL, Patel SR, Quan SF, Tasali E. Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society on the Recommended Amount of Sleep for a Healthy Adult: Methodology and Discussion. Sleep. 2015 Aug 1;38(8):1161-83. doi: 10.5665/sleep.4886.

Yoshida M, Shinohara H, Kodama H. Assessment of nocturnal sleep architecture by actigraphy and one-channel electroencephalography in early infancy. Early Hum Dev. 2015 Sep;91(9):519-26. doi: 10.1016/j.earlhumdev.2015.06.005.

Frank MG. The mystery of sleep function: current perspectives and future directions. Rev Neurosci. 2006;17(4):375-92. doi: 10.1515/revneuro.2006.17.4.375.

Manfredini D, Ahlberg J, Lobbezoo F. Bruxism definition: Past, present, and future - What should a prosthodontist know? J Prosthet Dent. 2022 Nov;128(5):905-912. doi: 10.1016/j.prosdent.2021.01.026.

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008 Apr;61(4):344-9. doi: 10.1016/j.jclinepi.2007.11.008.

Lavigne GJ, Kato T, Kolta A, Sessle BJ. Neurobiological mechanisms involved in sleep bruxism. Crit Rev Oral Biol Med. 2003;14(1):30-46. doi: 10.1177/154411130301400104.

Fluera?u MI, Bocsan IC, Buduru S, Pop RM, Vesa SC, Zaharia A, Negucioiu M, Iacob SM. The correlation between sleep bruxism, salivary cortisol, and psychological status in young, Caucasian healthy adults. Cranio. 2021 May;39(3):218-224. doi: 10.1080/08869634.2019.1619250.

Refulio Z, Rocafuerte M, de la Rosa M, Mendoza G, Chambrone L. Association among stress, salivary cortisol levels, and chronic periodontitis. J Periodontal Implant Sci. 2013 Apr;43(2):96-100. doi: 10.5051/jpis.2013.43.2.96. Epub 2013 Apr 30.

Rosar JV, Marquezin MCS, Pizzolato AS, Kobayashi FY, Bussadori SK, Pereira LJ, Castelo PM. Identifying predictive factors for sleep bruxism severity using clinical and polysomnographic parameters: a principal component analysis. J Clin Sleep Med. 2021 May 1;17(5):949-956. doi: 10.5664/jcsm.9078.

van Selms MK, Visscher CM, Naeije M, Lobbezoo F. Bruxism and associated factors among Dutch adolescents. Community Dent Oral Epidemiol. 2013 Aug;41(4):353-63. doi: 10.1111/cdoe.12017.

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 Jul;46(7):617-623. doi: 10.1111/joor.12787.

Restrepo C, Lobbezoo F, Castrillon E, Svensson P, Santamaria A, Alvarez C, Manrique R, Manfredini D. Agreement between jaw-muscle activity measurement with portable single-channel electromyography and polysomnography in children. Int J Paediatr Dent. 2018 Jan;28(1):33-42. doi: 10.1111/ipd.12308.

Maluly M, Andersen ML, Dal-Fabbro C, Garbuio S, Bittencourt L, de Siqueira JT, Tufik S. Polysomnographic study of the prevalence of sleep bruxism in a population sample. J Dent Res. 2013 Jul;92(7 Suppl):97S-103S. doi: 10.1177/0022034513484328.

de Holanda TA, Castagno CD, Barbon FJ, Costa YM, Goettems ML, Boscato N. Sleep architecture and factors associated with sleep bruxism diagnosis scored by polysomnography recordings: A case-control study. Arch Oral Biol. 2020 Apr;112:104685. doi: 10.1016/j.archoralbio.2020.104685.

van der Zaag J, Naeije M, Wicks DJ, Hamburger HL, Lobbezoo F. Time-linked concurrence of sleep bruxism, periodic limb movements, and EEG arousals in sleep bruxers and healthy controls. Clin Oral Investig. 2014;18(2):507-13. doi: 10.1007/s00784-013-0994-3.

Halász P, Terzano M, Parrino L, Bódizs R. The nature of arousal in sleep. J Sleep Res. 2004 Mar;13(1):1-23. doi: 10.1111/j.1365-2869.2004.00388.x.

Smardz J, Wieckiewicz M, Wojakowska A, Michalek-Zrabkowska M, Poreba R, Gac P, Mazur G, Martynowicz H. Incidence of Sleep Bruxism in Different Phenotypes of Obstructive Sleep Apnea. J Clin Med. 2022 Jul 14;11(14):4091. doi: 10.3390/jcm11144091.

Michalek-Zrabkowska M, Wieckiewicz M, Macek P, Gac P, Smardz J, Wojakowska A, Poreba R, Mazur G, Martynowicz H. The Relationship between Simple Snoring and Sleep Bruxism: A Polysomnographic Study. Int J Environ Res Public Health. 2020 Dec 2;17(23):8960. doi: 10.3390/ijerph17238960.

Rao DP, Orpana H, Krewski D. Physical activity and non-movement behaviours: their independent and combined associations with metabolic syndrome. Int J Behav Nutr Phys Act. 2016 Feb 19;13:26. doi: 10.1186/s12966-016-0350-5.

Published

2024-01-30