Advertisement
Original Article| Volume 135, ISSUE 3, P456-461, March 2023

Download started.

Ok

Probable bruxism effects on masseter muscle thickness in children: ultrasonographic evaluation

Published:November 03, 2022DOI:https://doi.org/10.1016/j.oooo.2022.10.040

      Objective

      To compare the masseter muscle thickness (MMT) of patients with probable sleep/awake bruxism and controls without bruxism in mixed dentition as measured with ultrasonography (USG), and to calculate the correlation of MMT with body mass index (BMI).

      Study Design

      The diagnosis of probable bruxism was established based on the parents’ reports of the children's behavior, habits, and discomfort, and the presence of clinical signs and symptoms such as attrition-type wear on the teeth and the presence of discomfort, fatigue, and/or pain in the jaw muscles on palpation during clinical examination. The bruxist study group and the control group each included 28 children. MMT was measured separately in relaxed and contracted positions in both groups using USG. The height and weight of the patients were recorded in order to calculate BMI. Statistical analysis was performed with significance established at P < .05.

      Results

      MMT was found to be significantly larger in the study patients than in controls on the right and left sides in the relaxed and contracted positions (P < .001). No statistically significant correlation was found between MMT and BMI (P ≥ .134).

      Conclusions

      MMT as measured with USG can be a beneficial approach in diagnosing bruxism in children. The lack of correlation between MMT and BMI indicates that BMI would not be helpful in diagnosing bruxism.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      References

        • Lobbezoo F
        • Ahlberg J
        • Raphael KG
        • et al.
        International consensus on the assessment of bruxism: Report of a work in progress.
        Journal of oral rehabilitation, 2018;45: 837-844
        • Lobbezoo F
        • Ahlberg J
        • Glaros A
        • et al.
        Bruxism defined and graded: an international consensus.
        J Oral Rehabil. 2013; 40: 2-4
        • Massignan C
        • de Alencar NA
        • Soares JP
        • et al.
        Poor sleep quality and prevalence of probable sleep bruxism in primary and mixed dentitions: a cross-sectional study.
        Sleep Breath. 2019; 23: 935-941
        • de Lira ALS
        • de Sousa FDC
        • de Sousa FJ
        • Fontenele MKV
        • Ribeiro CKC
        • Ferreira LEG
        Prevalence of sleep bruxism in children in primary dentition.
        Braz J Oral Sci. 2020; 19 (e201025-e201025)
        • Manfredini D
        • Lobbezoo F.
        Role of psychosocial factors in the etiology of bruxism.
        J Orofac Pain. 2009; 23: 153-166
        • Calvano Küchler E
        • Arid J
        • Palinkas M
        • et al.
        Genetic polymorphisms in ACTN3 contribute to the etiology of bruxism in children.
        J Clinl Pediatr Dent. 2020; 44: 180-184
        • Beddis H
        • Pemberton M
        • Davies S.
        Sleep bruxism: an overview for clinicians.
        Br Dent J. 2018; 225: 497-501
        • Leal TR
        • de Lima LCM
        • Perazzo MF
        • et al.
        Influence of the practice of sports, sleep disorders and habits on probable sleep bruxism in children with mixed dentition.
        Oral Dis. 2021; 00: 1-9
        • Smardz J
        • Martynowicz H
        • Wojakowska A
        • et al.
        Lower serotonin levels in severe sleep bruxism and its association with sleep, heart rate, and body mass index.
        J Oral Rehabil. 2022; 49: 422-429
        • Siva L
        • Krishnamoorthy V
        • Durai KS
        • Ahamed SSS
        • Rajakumari S
        • Catherine N
        Comparative evaluation of body mass index among school children with and without bruxism of age group of 6–12 years in Kanchipuram district: a cross-sectional study.
        J IndSoc Pedod Prev Dent. 2021; 39: 42-46
        • Fernandes G
        • de Siqueira JTT
        • de Gonçalves DAG
        • Camparis CM
        Association between painful temporomandibular disorders, sleep bruxism and tinnitus.
        Braz Oral Res. 2014; 28: 1-7
        • Castrillon EE
        • Exposto FG.
        Sleep bruxism and pain.
        Dent Clin North Am. 2018; 62: 657-663
        • Giannasi LC
        • Santos IR
        • Alfaya TA
        • Bussadori SK
        • de Oliveira LVF
        Effect of an occlusal splint on sleep bruxism in children in a pilot study with a short-term follow up.
        J Bodyw Mov Ther. 2013; 17: 418-422
        • Raadsheer MC
        • Van Eijden TM
        • Van Spronsen PH
        • Van Ginkel FC
        • Kiliaridis S
        • Prahl-Andersen B.
        A comparison of human masseter muscle thickness measured by ultrasonography and magnetic resonance imaging.
        Arch Oral Biol. 1994; 39: 1079-1084
        • Rohila AK
        • Sharma VP
        • Shrivastav PK
        • Nagar A
        • Singh GP.
        An ultrasonographic evaluation of masseter muscle thickness in different dentofacial patterns.
        Ind J Dent Res. 2012; 23: 726-731
        • Şatıroğlu F
        • Arun T
        • Işık F.
        Comparative data on facial morphology and muscle thickness using ultrasonography.
        Eur J Orthod. 2005; 27: 562-567
        • Emshoff R
        • Bertram S
        • Brandlmaier I
        • Scheiderbauer G
        • Rudisch A
        • Bodner G.
        Ultrasonographic assessment of local cross-sectional dimensions of masseter muscle sites: a reproducible technique?.
        J Oral Rehabil. 2002; 29: 1059-1062
        • Kiliaridis S
        • Kälebo P.
        Masseter muscle thickness measured by ultrasonography and its relation to facial morphology.
        J Dent Res. 1991; 70: 1262-1265
        • de Oliveira MT
        • ST Bittencourt
        • Marcon K
        • Destro S
        • Pereira JR
        Sleep bruxism and anxiety level in children.
        Braz Oral Res. 2015; 29: 1-5
        • Gandara BK
        • Truelove EL.
        Diagnosis and management of dental erosion.
        J Contemp Dent Pract. 1999; 1: 16-23
        • Ganss C
        • Lussi A.
        Diagnosis of erosive tooth wear.
        Monogr Oral Sci. 2014; 25: 22-31
        • Caliskan S
        • Delikan E
        • Ozcan-Kucuk A.
        Knowledge of parents about bruxism in their children.
        Odovtos Int J Dent Sci. 2020; 22: 123-132
        • Clementino M
        • Siqueira M
        • Serra-Negra J
        • Paiva S
        • Granville-Garcia A.
        The prevalence of sleep bruxism and associated factors in children: a report by parents.
        Eur Arch Paediatr Denti. 2017; 18: 399-404
        • Seligman D
        • Pullinger A
        • Solberg W.
        The prevalence of dental attrition and its association with factors of age, gender, occlusion, and TMJ symptomatology.
        J Dent Res. 1988; 67: 1323-1333
        • Shah N
        • Bansal N
        • Logani A.
        Recent advances in imaging technologies in dentistry.
        World J Radiol. 2014; 6: 794-807
        • Andrade A
        • Gavião MB
        • Derossi M
        • Gameiro G.
        Electromyographic activity and thickness of masticatory muscles in children with unilateral posterior crossbite.
        Clin Anat. 2009; 22: 200-206
        • Arslan ZB
        • Demir H
        • Berker Yıldız D
        • Yaşar F.
        Diagnostic accuracy of panoramic radiography and ultrasonography in detecting periapical lesions using periapical radiography as a gold standard.
        Dentomaxillofac Radiol. 2020; 4920190290
        • Corcoran NM
        • Goldman EM
        Anatomy, Head and Neck, Masseter Muscle.
        StatPearls Publishing, LLC, Orlando, FL2022
        • Mezey SE
        • Müller-Gerbl M
        • Toranelli M
        • Türp JC.
        The human masseter muscle revisited: first description of its coronoid part.
        Ann Anat. 2022; 240151879
        • Muthu K
        • Kannan S
        • Muthusamy S
        • Sidhu P.
        Sleep bruxism associated with nocturnal enuresis in a 6-year-old child.
        Cranio. 2015; 33: 38-41
        • Najm AA.
        Sonographic evaluation of masseter muscle thickness in bruxist and non-bruxist subjects.
        J Baghdad Col Dent. 2014; 325: 1-8
        • Bulut DG
        • Avci F
        • Özcan G.
        Ultrasonographic evaluation of jaw elevator muscles in young adults with bruxism and with and without attrition-type tooth wear: a pilot study.
        Cranio. 2020; 38: 248-255
      1. Yalcin ED, Aslan Ozturk EM. Ultrasonographic evaluation of the effect of splint therapy on masseter muscle and blood flow in patients with bruxism [e-pub ahead of print]. Cranio. doi: 10.1080/08869634.2022.2088575. Accessed 25.05.2022

        • Palinkas M
        • Nassar MSP
        • Cecílio FA
        • et al.
        Age and gender influence on maximal bite force and masticatory muscles thickness.
        Arch Oral Biol. 2010; 55: 797-802
        • Castelo PM
        • Pereira LJ
        • Bonjardim LR
        • Gavião MBD.
        Changes in bite force, masticatory muscle thickness, and facial morphology between primary and mixed dentition in preschool children with normal occlusion.
        Ann Anat. 2010; 192: 23-26
        • Soares KA
        • Melo RM
        • Gomes MC
        • Perazzo MF
        • Granville-Garcia AF
        • Menezes VA
        Prevalence and factors associated to bruxism in preschool children.
        J Pub Health. 2016; 24: 209-214
        • Leme M
        • Barbosa T
        • Castelo P
        • Gavião M.
        Associations between psychological factors and the presence of deleterious oral habits in children and adolescents.
        J Clin Pediatr Dent. 2014; 38: 313-317
        • Drumond CL
        • Paiva SM
        • Vieira-Andrade RG
        • et al.
        Do family functioning and mothers’ and children's stress increase the odds of probable sleep bruxism among schoolchildren? A case control study.
        Clin Oral Investig. 2020; 24: 1025-1033
        • Emodi-Perlman A
        • Eli I
        • Friedman-Rubin P
        • Goldsmith C
        • Reiter S
        • Winocur E
        Bruxism, oral parafunctions, anamnestic and clinical findings of temporomandibular disorders in children.
        J Oral Rehabil. 2012; 39: 126-135
        • Ispir NG
        • Toraman M.
        The relationship of masseter muscle thickness with face morphology and parafunctional habits: an ultrasound study.
        Dentomaxillofac Radiol. 2022; 5120220166