Presence of bruxism according to the type of cerebral palsy
Presencia de bruxismo según tipo parálisis cerebral
Belkis David Parra-Reyes; Olenka Lili Yupan Aley
Abstract
Purpose: to determine the presence of bruxism, according to the type of cerebral palsy.
Methods: a descriptive, cross-sectional, quantitative study with a non-experimental design. A total of 55 children with cerebral palsy were evaluated, using an oral observation sheet, and data were analyzed by non-parametric tests of frequencies, percentages, arithmetic mean and descriptive statistics.
Results: there was a majority of male children, with mean age 10.56 years. Sleep bruxism and daytime tooth clenching prevailed in the spastic cerebral palsy with 75% and 55.6% respectively, compared to the other types of cerebral palsy (p=0.034). In the characteristics of oral cavity, the presence of wear facets was observed, associated with all types of bruxism (p<0.05).
Conclusion: there was a high prevalence of bruxism in spastic cerebral palsy, evidencing the need to implement treatment options for this pathology in people presented with cerebral palsy, requiring more studies, with standardized diagnostic protocols and representative samples to evaluate the factors that influence the presence of several types of bruxism.
Keywords
Resumen
Objetivo: determinar la presencia de bruxismo según tipo de parálisis cerebral.
Métodos: estudio de tipo descriptivo, corte transversal, cuantitativo y diseño no experimental. Se evaluaron 55 niños con parálisis cerebral, se utilizó una ficha de observación oral, además de pruebas no paramétricas de frecuencias, porcentajes, media aritmética y estadística descriptiva.
Resultados: hubo mayoría de niños de género masculino, con una edad promedio de 10.56 años. El bruxismo del sueño y el apretamiento dentario durante el día prevalecen en el tipo de PC parálisis cerebral espástico con un 75% y 55.6% respectivamente, en comparación de los otros tipos de parálisis cerebral (p = 0,034). En las características de la cavidad oral se observó la presencia de facetas de desgaste, asociadas a todos los tipos de bruxismo presentes (p <0.05).
Conclusión: existe una alta prevalencia de los tipos bruxismo en la parálisis cerebral de tipo espástica de la muestra, por lo que es necesario implementar opciones de tratamiento para esta patología en personas con parálisis cerebral, siendo necesario más estudios, con protocolos de diagnóstico estandarizados y muestras representativas para evaluar los factores que influyen en la presencia de varios tipos de bruxismo.
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Referências
1. Capalbo L, Dal-Fabbro R, de Albuquerque Donine A, Saraiva J, Bigliazzi R, Weber S et al. Rapid maxillary expansion as a treatment for obstructive sleep apnea syndrome in children and adolescents: An evaluation by polysomnography and quality of life. RSD. 2021;10(2):e52710212825-e52710212825.
2. Brandão de Almeida A, Rodrigues R, Simão C, de Araújo R, Figueiredo J. Prevalence of sleep bruxism reported by parents/caregivers in a portuguese pediatric dentistry service: A retrospective study. Int J Environ Res Public Health. 2022;19(13):7823.
3. Paiva P, Morais I, Sábio D, Pinheiro H, de Miranda D, Júnior P. A abordagem do bruxismo em paciente infantil: relato de caso. Revista Eletrônica Acervo Saúde. 2020;12(11):e4433-e4433.
4. Ferrari-Piloni C, Barros L, Evangelista K, Serra-Negra J, Silva M, Valladares-Neto J. Prevalence of bruxism in Brazilian children: A systematic review and meta-analysis. Pediatr Dent. 2022;44(1):8-20. PMID: 35232529.
5. Silveira M, Ramos R. Uso da toxina botulínica em casos de bruxismo: uma revisão atualizada. Revista Ibero-Americana de Humanidades, Ciências e Educação. 2022;8(5):1097-107.
6. Costa S. Bruxismo na infância: estudo clínico aleatório sobre fatores relacionados à ocorrência e influência na qualidade de vida [Dissertation]. Bauru (SP): Universidade de São Paulo; 2013.
7. Dawson P. Oclusão funcional: da ATM ao desenho do sorriso. São Paulo: Santos. 2008.
8. De Araújo A, Dorvillé G, Sales N, de Sá Freitas N, Cota A. Bruxism in childhood: How to treat? Revista de Odontopediatría Latinoamericana. 2021;11(1):124-35.
9. Marpole R, Blackmore A, Gibson N, Cooper M, Langdon K, Wilson A. Evaluation and management of respiratory illness in children with cerebral palsy. Front Pediatr. 2020;8(1):333.
10. De Souza Ferraz M, Bastos F, Del Vecchio S. Interação fluido-estrutura na investigação do coeficiente de atrito em modelo de contato lubrificado entre superfícies rugosas. Mecánica Computacional [journal on the internet]. 2018 [accessed 2023 Dec 12]; 36(25):1183-93. Available at:
11. Abanto J, Ortega A, Raggio D, Bönecker M, Mendes F, Ciamponi A. Impact of oral diseases and disorders on oral-health-related quality of life of children with cerebral palsy. Spec Care Dentist. 2014;34(5):56-63.
12. Cahlin B, Lindberg C, Dahlström L. Cerebral palsy and bruxism: Effects of botulinum toxin injections - A randomized controlled trial. Clin Exp Dent Res. 2019;5(5):460-8.
13. Soares JP, Moro J, Massignan C, Cardoso M, Serra-Negra J, Maia L et al. Prevalence of clinical signs and symptoms of the masticatory system and their associations in children with sleep bruxism: A systematic review and meta-analysis. Sleep Med Rev. 2021;57(1):101468.
14. Kuang B, Li D, Lobbezoo F, de Vries R, Hilgevoord A, De Vries N et al. Associations between sleep bruxism and other sleep-related disorders in adults: A systematic review. Sleep Med. 2022;89(1):31-47.
15. Beltramin R, Martimbianco A, Gonçalves M, Rocha M, Silva S, Horliana A et al. Abnormal activity of masticatory muscles in patients with diagnosis of cerebral palsy. A systematic review and meta-analysis of observational studies. Phys Occup Ther Pediatr. 2023;43(5):1-16.
16. Da Rocha Carvalho M, Barbosa A, dos Santos J, de Sales A, da Franca C, Menezes V et al. Associação entre possível bruxismo e violência em adolescentes escolares: estudo exploratório. Revista Eletrônica Acervo Saúde. 2023;23(3):e11824-e11824.
17. Guerreiro G, Malta C, Marques C, Martins J, Bento L. Association between oral health status and type of motor function in children and adolescents with cerebral palsy. Research, Society and Development. 2021;10(16):e06101622515-e06101622515.
18. Santos M, Ferreira M, Guaré R, Guimarães A, Ortega A. Teeth grinding, oral motor performance and maximal bite force in cerebral palsy children. Spec Care Dentist. 2015;35(4):170-4.
19. Pirovani B, Dos Santos D, Guiotti A, Brandini D. Relationship of bruxism with oral health-related quality of life and facial muscle pain in dentate individuals. J Clin Exp Dent. 2022;14(5):e385.
20. Bracci A, Lobbezoo F, Colonna A, Bender S, Conti PC, Emodi-Perlman A et al. Research routes on awake bruxism metrics: Implications of the updated bruxism definition and evaluation strategies. J Oral Rehabil. 2024;51(1):150-61.
21. Dutt R, Roduta-Roberts M, Brown CA. Sleep and children with cerebral palsy: A review of current evidence and environmental non- pharmacological interventions. Children (Basel). 2015;2(1):78-88.
22. Garde J, Suryavanshi R, Jawale B, Deshmukh V, Dadhe D, Suryavanshi M. An epidemiological study to know the prevalence of deleterious oral habits among 6- to 12-year-old children. J Int Oral Health. 2014;6(1):39-43.
23. Lai Y, Downs J, Wong K, Zafar S, Walsh L, Leonard H. Oral parafunction and bruxism in Rett syndrome and associated factors: an observational study. Oral Dis. 2023;29(1):220-31.
24. Guaré R, Ferreira M, Leite M, Rodrigues J, Lussi A, Santos M. Dental erosion and salivar flow rate in cerebral palsy individuals with gastroesophageal reflux. J Oral Pathol Med. 2012;41(5):367-71.
25. Godinho G, Cabral L. Disfunção craniocervicomandibular e alterações vestibulococleares: revisão de literatura. Arch Health Invest. 2019;8(8):114-20.
Submetido em:
22/01/2024
Aceito em:
20/05/2024