Advertisement

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

  • Esra Ceren Tatlı
    Correspondence
    Address for correspondence: Assistant Professor Esra Ceren TATLI, Department of Pedodontics, Faculty of Dentistry, Yıldırım Beyazıt University, Ankara, Turkey
    Affiliations
    Assistant Professor, Department of Pedodontics, Faculty of Dentistry, Yıldırım Beyazıt University, Ankara, Turkey
    Search for articles by this author
  • Zeynep Betül Arslan
    Affiliations
    Assistant Professor, Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Yıldırım Beyazıt University, Ankara, Turkey
    Search for articles by this author
Published:November 03, 2022DOI:https://doi.org/10.1016/j.oooo.2022.10.040

      Abstract

      Objective

      To compare masseter muscle thickness (MMT) of patients with probable sleep/awake bruxism and controls without bruxism in mixed dentition as measured with ultrasonography (USG), and 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 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.

      Keywords

      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

        • Medicine AAoS
        The international classification of sleep disorders, revised. 297. American Academy of Sleep Medicine, Chicago, IL2005: 51-55
        • Lobbezoo F
        • Ahlberg J
        • Glaros A
        • et al.
        Bruxism defined and graded: an international consensus.
        Journal of oral rehabilitation. 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 and Breathing. 2019; 23: 935-941
        • de Lira ADLS
        • de Sousa FDC
        • de Sousa FJ
        • Fontenele MKV
        • Ribeiro CKC
        • Ferreira LEG
        Prevalence of sleep bruxism in children in primary dentition.
        Brazilian Journal of Oral Sciences. 2020; 19: e201025-e201035
        • 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.
        Journal of Clinical Pediatric Dentistry. 2020; 44: 180-184
        • Beddis H
        • Pemberton M
        • Davies S.
        Sleep bruxism: an overview for clinicians.
        British dental journal. 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 Diseases. 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.
        Journal of Oral Rehabilitation. 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.
        Journal of Indian Society of Pedodontics and Preventive Dentistry. 2021; 39: 42-46
        • Fernandes G
        • Siqueira JTTD
        Gonçalves DAdG, Camparis CM. Association between painful temporomandibular disorders, sleep bruxism and tinnitus.
        Brazilian oral research. 2014; 28: 1-7
        • Castrillon EE
        • Exposto FG.
        Sleep bruxism and pain.
        Dental Clinics. 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.
        Journal of bodywork and movement therapies. 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 (Dec): 1079-1084
        • Rohila AK
        • Sharma VP
        • Shrivastav PK
        • Nagar A
        • Singh GP.
        An ultrasonographic evaluation of masseter muscle thickness in different dentofacial patterns.
        Indian Journal of Dental Research. 2012; 23: 726-731
        • Şatıroğlu F
        • Arun T
        • Işık F.
        Comparative data on facial morphology and muscle thickness using ultrasonography.
        The European Journal of Orthodontics. 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?.
        Journal of oral rehabilitation. 2002; 29: 1059-1062
        • Kiliaridis S
        • Kälebo P.
        Masseter muscle thickness measured by ultrasonography and its relation to facial morphology.
        Journal of dental research. 1991; 70: 1262-1265
        • Oliveira MTD
        • Bittencourt ST
        • Marcon K
        • Destro S
        • Pereira JR
        Sleep bruxism and anxiety level in children.
        Brazilian oral research. 2015; 29: 1-5
        • Gandara BK
        • Truelove EL.
        Diagnosis and management of dental erosion.
        The journal of contemporary dental practice. 1999; 1: 16-23
        • Ganss C
        • Lussi A.
        Diagnosis of erosive tooth wear.
        Erosive Tooth Wear. 2014; 25: 22-31
        • Caliskan S
        • Delikan E
        • Ozcan-Kucuk A.
        Knowledge of Parents about Bruxism in their Children.
        Odovtos-International Journal of Dental Sciences. 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.
        European Archives of Paediatric Dentistry. 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.
        Journal of dental research. 1988; 67: 1323-1333
        • Shah N
        • Bansal N
        • Logani A.
        Recent advances in imaging technologies in dentistry.
        World journal of radiology. 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.
        Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 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.
        Dentomaxillofacial Radiology. 2020; 4920190290
      1. Corcoran NM, Goldman EM. Anatomy, head and neck, masseter muscle. StatPearls. Treasure Island (FL): StatPearls Publishing Copyright. 2022, StatPearls Publishing LLC; 2022.

        • Mezey SE
        • Müller-Gerbl M
        • Toranelli M
        • Türp JC.
        The human masseter muscle revisited: First description of its coronoid part.
        Annals of Anatomy-Anatomischer Anzeiger. 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.
        Journal of Baghdad College of Dentistry. 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
        • Yalcin ED
        • Aslan Ozturk EM
        Ultrasonographic evaluation of the effect of splint therapy on masseter muscle and blood flow in patients with bruxism.
        CRANIO®. 2022; : 1-9
        • Palinkas M
        • Nassar MSP
        • Cecílio FA
        • et al.
        Age and gender influence on maximal bite force and masticatory muscles thickness.
        Archives of oral biology. 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.
        Annals of Anatomy-Anatomischer Anzeiger. 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.
        Journal of Public Health. 2016; 24: 209-214
        • Leme M
        • Barbosa T
        • Castelo P
        • Gaviao M.
        Associations between psychological factors and the presence of deleterious oral habits in children and adolescents.
        Journal of Clinical Pediatric Dentistry. 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.
        Clinical oral investigations. 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.
        Journal of oral rehabilitation. 2012; 39: 126-135
        • Ispir NG
        • Toraman M.
        The relationship of masseter muscle thickness with face morphology and parafunctional habits: an ultrasound study.
        Dentomaxillofacial Radiology. 2022; 5120220166