Somatization, Pain Sites And Pain on Awakening in The Morning In Sleep, Diurnal And Mixed Bruxers With Craniomandibular Disorders
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Introduction: Sleep bruxism is a complex psychopathological disorder causing pain in many anatomic structures of the stomatognathic system. Aim:Evaluate frequencies of painful sites on awakening in the morning, somatization scores and a relationship between somatization and painful sites in sleep bruxers. Methods:Comprehensive questionnaires, clinical examination, self-report, pain history, clinical signs and symptoms, and the Rief-Hiller Scale for somatization were used to evaluate 325 bruxers and temporomandibular disorder patients in which 103, 40, and 182 demonstrated sleep, daytime and mixed bruxism, respectively. Forty-eight non bruxers without temporomandibular disorders were used as a control group.Criteria to classify bruxers as diurnal, nocturnal and mixed, were used. Data were analyzed using Kruskal-Wallis´s and Dunn´s,Pearson and Fisher´s exact statistics. Results:Age was not statistically different in the four subgroups. Females predominated in the four subgroups: Sleep bruxers=92.2%; diurnal bruxers= 82.5%; mixed bruxers=93.4%, and control non bruxers non temporomandibular disorders=64.6%. Sleep bruxers demonstrated higher scores in painful sites as compared with diurnal bruxers (p<0.001), and with controls non bruxers, non temporomandibular disorders subjects (p<0.001). Sleep bruxers demonstrated higher scores on pain on awakening in the morning as compared with diurnal bruxers (p<0.001), and with controls non bruxers non temporomandibular disorders subjects (p<0.001). Scores in somatization were higher and significantly different in the four groups (p=0.0001): Sleep bruxers versus diurnal bruxers (p<0.05); sleep bruxers versus controls non bruxers non temporomandibular disorders (p<0.001); diurnal bruxers versus mixed bruxers (p<0.001); mixed bruxers versus non bruxers non temporomandibular disorder subjects (p<0.001). The correlation between painful sites on awakening and scores in somatization was positive and statistically significant in sleep bruxers(p<0.001) and in mixed bruxers (p<0.0001). Conclusion:A higher frequency of painful sites on awakening in the morning was found in sleep bruxers. Most common painful areas on awakening in the morning were the face, temporomandibular joints, head, neck and teeth. There was a significant association between somatization and painful sites on awakening in sleep bruxers.
Authors and Affiliations
Omar Franklin Molina, Bruno Ricardo Simião, Sônia Maria Paiva Torres, Marcus Sobreira Peixoto, ,Maria A Sobreiro, Fausto F da Silva Junior, Fabio Luiz Soares
Keywords
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- EP ID EP263833
- DOI 10.9790/0853-1701071318
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