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Electromyography Frequency Spectrum Is a Better Indicator of Sleep Bruxism Severity Related to Temporomandibular Disorder Pain Than Conventional Masticatory Muscle Activation and Bruxism Time Indices-A Pilot Study
Department of Technical Physics, University of Eastern Finland, Kuopio, Finland; Diagnostic Imaging Centre, Kuopio University Hospital, Wellbeing Services County of North Savo, Kuopio, Finland; Clinical Research Centre, Kuopio University Hospital, Wellbeing Services County of North Savo, Kuopio, Finland.ORCID iD: 0000-0003-1716-3909
Department of Technical Physics, University of Eastern Finland, Kuopio, Finland; Diagnostic Imaging Centre, Kuopio University Hospital, Wellbeing Services County of North Savo, Kuopio, Finland.ORCID iD: 0009-0002-8286-8876
Comprehensive Cancer Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID iD: 0000-0002-8896-4431
Department of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland; Head and Neck Center, Helsinki University Hospital, Helsinki, Finland.ORCID iD: 0000-0002-6052-0441
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2026 (English)In: Journal of Sleep Research, ISSN 0962-1105, E-ISSN 1365-2869, article id e70287Article in journal (Refereed) Epub ahead of print
Abstract [en]

Sleep bruxism (SB) has been reportedly associated with temporomandibular disorder (TMD); however, solid evidence is lacking. Previous studies have primarily used traditional metrics, such as the masticatory muscle activity (MMA) index and bruxism time index (BTI) to investigate the link between SB and TMD. However, we aimed to examine how the electromyography (EMG) frequency spectrum is associated with TMD in SB participants. We hypothesised that the EMG signal frequencies during MMA events would be lower in SB participants with TMD pain compared to those without TMD pain. In this exploratory study, we retrospectively analysed home polysomnography data from 44 participants who indicated possible SB. The median signal frequencies and absolute power were calculated using the Fast Fourier Transform of the EMG signals during MMA events. Moreover, the MMA index and BTI were calculated, and all parameters were compared between SB participants with and without TMD pain. The results showed that the absolute power and median frequencies were significantly lower in SB participants with TMD pain compared to those without TMD pain (p < 0.05), whereas the MMA index and BTI did not differ between the groups (p > 0.05). These findings suggest that masticatory muscles are getting fatigued in TMD participants with SB and therefore, EMG frequency-based analysis may provide a promising direction for future assessment of TMD consequences of SB. However, these preliminary results should be validated in future studies involving a larger and more heterogeneous pool of participants.

Place, publisher, year, edition, pages
Wiley , 2026. article id e70287
Keywords [en]
bruxism, electromyography, frequency spectrum, pain, temporomandibular disorders
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Odontology
Identifiers
URN: urn:nbn:se:mau:diva-82202DOI: 10.1111/jsr.70287ISI: 001669801500001PubMedID: 41581017Scopus ID: 2-s2.0-105028262492OAI: oai:DiVA.org:mau-82202DiVA, id: diva2:2032196
Available from: 2026-01-26 Created: 2026-01-26 Last updated: 2026-02-09Bibliographically approved

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Lobbezoo, Frank

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Pitkänen, MinnaRytkönen, MiroMiettinen, TomiAhlberg, JariLobbezoo, FrankMyllymaa, KatjaTöyräs, JuhaLeppänen, TimoMyllymaa, Sami
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