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Research routes on awake bruxism metrics: implications of the updated bruxism definition and evaluation strategies.
Department of Neuroscience, School of Dentistry, University of Padova, Padova, Italy.
Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Biomedical Technologies, School of Dentistry, University of Siena, Siena, Italy.
Department of Oral and Maxillofacial Surgery, Texas A&M School of Dentistry, Dallas, Texas, USA.
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2024 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 51, no 1, p. 150-161Article, review/survey (Refereed) Published
Abstract [en]

OBJECTIVE: In line with a similar recent proposal for sleep bruxism (SB), defining clinically oriented research routes to implement knowledge on awake bruxism (AB) metrics is important for an enhanced comprehension of the full bruxism spectrum, i.e. better assessment and more efficient management.

METHODS: We summarised current strategies for AB assessment and proposed a research route for improving its metrics.

RESULTS: Most of the literature focuses on bruxism in general or SB in particular, whilst knowledge on AB is generally fragmental. Assessment can be based on non-instrumental or instrumental approaches. The former include self-report (questionnaires, oral history) and clinical examination, whilst the latter include electromyography (EMG) of jaw muscles during wakefulness as well as the technology-enhanced ecological momentary assesment (EMA). Phenotyping of different AB activities should be the target of a research task force. In the absence of available data on the frequency and intensity of wake-time bruxism-type masticatory muscle activity, any speculation about the identification of thresholds and criteria to identify bruxers is premature. Research routes in the field must focus on the improvement of data reliability and validity.

CONCLUSIONS: Probing deeper into the study of AB metrics is a fundamental step to assist clinicians in preventing and managing the putative consequences at the individual level. The present manuscript proposes some possible research routes to advance current knowledge. At different levels, instrumentally-based and subject-based information must be gathered in a universally accepted standardized approach.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024. Vol. 51, no 1, p. 150-161
Keywords [en]
Assessment, Awake Bruxism, Bruxism, Evaluation, STAB
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-61393DOI: 10.1111/joor.13514ISI: 001009692600001PubMedID: 37191494Scopus ID: 2-s2.0-85162055444OAI: oai:DiVA.org:mau-61393DiVA, id: diva2:1775509
Available from: 2023-06-27 Created: 2023-06-27 Last updated: 2024-01-17Bibliographically approved

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Häggman-Henrikson, BirgittaSvensson, Peter

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