History of Past/Current of Medication Use in Severe or Destructive Bruxers: An Intragroup Comparison Study.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Introduction: Severe or destructive bruxing behavior being diurnal, nocturnal or mixed is a significant problem and a challenge regarding both, restorative dentistry and pharmacological intervention. Aim:Evaluate past and current use of medication in destructive bruxers, test the hypothesis that they have a history of greater use of antidepressants and anti-anxiety medication. Methods: Clinical examination, use of self-reported questionnaires, history of chief complaint and data collection about past present use of medication in 41 subjects with both craniomandibular disorders and destructive bruxing behavior. Results: Mean of different past and or current medications reported were about 5,1 (destructive bruxers); 1,8 (mild bruxers) and 2,6 (No CMDs). Kruskal-Wallis statistics, p<0,0001: Destructive versus mild bruxers (p<0,001); destructive bruxers versus no CMDs (p<0,001); mild bruxers versus No CMDs (p>0,05). 82,9% destructive bruxers, 56,7% mild bruxers and 40% Non CMDs subjects respectively, reported past and or current use of analgesics or anti-inflammatory drugs: Chi-squared for independence p<0,0008, for trends p<0,0002. Destructive versus mild bruxers p<0,01; destructive bruxers versus Non CMDs p<0,0003; mild bruxers versus Non CMDs p=0,30. 29=70,7% destructive bruxers, 13=43,3% mild bruxers and 9=30% Non CMDs subjects reported past and or current use of muscle relaxation drugs. Chi-squared for independence p<0,002, for trends p<0,0005: destructive versus mild bruxers (p<0,02); destructive bruxers versus No CMDs (p<0,0008); mild bruxers versus No CMDs (p=0,42). 31,7% (n=13) destructive bruxers, 4=13,3% mild bruxers and 6=20% No CMDs subjects reported past or current use of antidepressants. Chi-squared for independence p=0,17, for trends p=0,19: destructive versus mild bruxers (p=0,09): destructive bruxers versus No CMDs (p=0,29): mild bruxers versus No CMDs (p=0,73). Use of anti-anxiety drugs were reported by 17,1% destructive bruxers, 0% mild bruxers and 3,3% No CMD subjects, respectively. Chi-squared for independence (p<0,01), for trends (p<0,02): Fisher´s exact test, Destructive versus mild bruxers (p<0,01); destructive versus no CMDs (p=0,12): mild bruxers versus No CMDs (p=1,000). Conclusions: Destructive bruxers used a higher frequency o different medications to alleviate or reduce their pain, muscle tension, anxiety and depression.
Authors and Affiliations
Maria A Sobreiro, Jamil Elias Dib, Bruno Ricardo Simião, Fausto F. Junior, Ed Wilson César, Fabio Luiz Soares, Omar F Molina
Keywords
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- EP ID EP555328
- DOI 10.9790/0853-1803077680.
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