RESUMEN Introducción: El bruxismo puede ser fisiológico o patológico y es considerado un fenómeno neuropsicosocial vigente, con importante repercusión en el sistema estomatognático, cuyas consecuencias conllevan a la disfunción masticatoria y a la necesidad de prótesis dental. Objetivo: Caracterizar a los pacientes con bruxismo según variables clínicas y epidemiológicas. Métodos: Se realizó un estudio observacional, descriptivo y transversal de 46 pacientes con bruxismo, atendidos en la Clínica Estomatológica Provincial Docente Mártires del Moncada de Santiago de Cuba desde marzo hasta septiembre del 2022. Entre las variables analizadas figuraron la edad, el sexo, la ocupación, el tipo de bruxismo, las manifestaciones clínicas y la necesidad de prótesis. Los instrumentos aplicados fueron el cuestionario, el interrogatorio y el examen clínico. Se confeccionó una planilla para la recolección de la información, la cual se procesó mediante el sistema estadístico SPSS, versión 22.0. Resultados: Predominaron el grupo etario de 35-54 años (45,6 %), el sexo femenino (58,6%), los profesionales como principal ocupación (28,3 %) y el bruxismo del sueño (69,5 %), específicamente el de tipo excéntrico (65,2 %). El total de la muestra presentó patrones de desgaste no funcional; mientras que 56,5 % manifestó dolor y/o cansancio muscular y 89,1 % tenía necesidad de prótesis parcial. Conclusiones: Los pacientes con bruxismo se caracterizan por presentar patrones de desgaste oclusal, dolor muscular y necesidad de prótesis parcial.

ABSTRACT Introduction: Bruxism can be physiological or pathological and is considered an existing neuropsychosocial phenomenon, with important repercussion in the stomatognathic system whose consequences lead to the masticatory dysfunction and the necessity of dental prosthesis. Objective: To characterize patients with bruxism according to clinical, epidemiological variables. Methods: An observational, descriptive and cross-sectional study of 46 patients with bruxism, who were assisted in Mártires del Moncada Teaching Provincial Stomatological Clinic in Santiago de Cuba from March to September, 2022. The analyzed variables were age, sex, occupation, type of bruxism, clinical manifestations and prosthesis necessity. The applied instruments were the questionnaire, interrogation and clinical exam. A schedule was made for gathering the information, which was processed by means of the statistical system SPSS, version 22.0. Results: There was a prevalence the 35-54 age group (45.6%), the female sex (58.6%), professionals as main occupation (28.3%) and sleep bruxism (69.5%), specifically that of eccentric type (65.2%). The total of the sample presented patterns of non functional waste; while 56.5% manifested pain and/or muscular fatigue and 89.1% had necessity of partial prosthesis. Conclusions: Patients with bruxism are characterized by presenting patterns of occlusal waste, muscular pain and necessity of partial prosthesis.

ABSTRACT Introduction: Anterior teeth have a predominant function in the stomatognatic system, essential for the aesthetics, phonation and mastication. Objective: To characterize adults with anterior guide of dysfunctional dental occlusion according to clinical and epidemiological variables. Methods: A descriptive and cross-sectional study, was carried out from October, 2021 to April, 2022, in the 3 de Octubre Teaching Stomatological Clinic from Las Tunas. The universe was formed by 825 medical records that contained the diagnosis of patients with bruxism, traumatic occlusion and temporomandibular disorders who presented anterior guide of the dysfunctional dental occlusion. By means of the intentional non probabilistic sampling, a sample of 615 with entire dental formula or class III partial toothlessness of Kennedy and concluded stomatologic care or inactivation of the cavity and acute inflammatory processes was selected. Results: There was a prevalence of the female sex (54.8%) and the 40-49 age group (33.5%). Bruxism prevailed as clinical diagnosis (41.9%) with prevalence of the corresponding to sleep (39.1%), secondary (51.2%), probable (59.7%) and moderate (69.4%); among the most outstanding classifications was the dysfunctional stomatognatic system (84.4%). The predominant dental clinical manifestations were the wear facets (87.5%). Conclusions: The characterization of patients with anterior guide of the dysfunctional dental occlusion allows to establish an up-to-date panoramic of this health problem, for a better follow-up and treatment to these patients.

RESUMEN Introducción: Los dientes anteriores tienen una función predominante en el sistema estomatognático, esencial para la estética, la fonación y la masticación. Objetivo: Caracterizar a los adultos con guía anterior de la oclusión dentaria disfuncional según variables clínicas y epidemiológicas. Métodos: Se realizó un estudio descriptivo y transversal, desde octubre de 2021 hasta abril de 2022, en la Clínica Estomatológica Docente 3 de Octubre de Las Tunas. El universo estuvo conformado por 825 historias clínicas que contenían el diagnóstico de pacientes con bruxismo, oclusión traumática y trastornos temporomandibulares, quienes presentaban disfunción de la guía anterior de la oclusión dentaria. Mediante el muestreo no probabilístico intencional, fue seleccionada una muestra de 615 con fórmula dentaria íntegra o desdentamiento parcial de clase III de Kennedy y atención estomatológica concluida o inactivación de los procesos de caries e inflamatorios agudos. Resultados: Primaron el sexo femenino (54,8 %) y las edades de 40-49 años (33,5 %). El bruxismo prevaleció como diagnóstico clínico (41,9 %) con predominio del correspondiente al sueño (39,1 %), el secundario (51,2 %), el probable (59,7 %) y el moderado (69,4 %); entre sus clasificaciones más relevantes se destacó el sistema estomatognático disfuncional (84,4 %). Las manifestaciones clínicas dentarias predominantes fueron las facetas de desgaste (87,5 %). Conclusiones: La caracterización de los pacientes con guía anterior de la oclusión dentaria disfuncional permite establecer una panorámica actualizada de esta problemática de salud para un mejor seguimiento y tratamiento a dichos pacientes.

Abstract Occlusal stabilization splints are the most common treatment for controlling the deleterious effects of sleep bruxism. This study aimed to evaluate the effectiveness of a low-cost, mixed occlusal splint (MOS) compared to that of a rigid splint. A randomized clinical trial was performed on 43 adults of both sexes with possible sleep bruxism and satisfactory dental conditions. They were divided into rigid occlusal splint (ROS) (n = 23) and MOS (n = 20) groups. Masticatory muscle and temporomandibular joint (TMJ) pain intensity (visual analog scale), quality of life (WHOQOL-BREF), indentations in the oral mucosa, anxiety, and depression (HADS), number of days of splint use, and splint wear were evaluated. All variables were evaluated at baseline (T0), 6 months (T6), and 12 months (T12) after splint installation (T0), and splint wear was evaluated at T6 and T12. Student’s t-test, Mann–Whitney U test, non-parametric Friedman’s analysis of variance for paired samples and pairwise multiple comparisons, Pearson’s chi-square test, two-proportion z-test, non-parametric McNemar’s and Cochran’s Q, and Wilcoxon tests were used (p < 0.05). In both groups, there was a decrease in TMJ pain and pain intensity over time and improvements in the quality of life scores. At T6, there was a higher rate of splint wear in the MOS group than in the ROS group (p = 0.023). The MOS showed a higher rate of wear than the rigid splint but had similar results for the other variables. Therefore, the use of a mixed splint appears to be effective in controlling the signs and symptoms of sleep bruxism. lowcost, lowcost low cost, cost low-cost (MOS 4 conditions (ROS n 23 20 groups (TMJ visual scale, scale , scale) WHOQOLBREF, WHOQOLBREF WHOQOL BREF (WHOQOL-BREF) mucosa anxiety HADS, HADS (HADS) T0, T0 T (T0) (T6) 1 T12 (T12 Students Student s ttest, ttest t test t-test MannWhitney Mann Whitney nonparametric non parametric Friedmans Friedman comparisons Pearsons Pearson chisquare chi square twoproportion two proportion ztest, ztest z z-test McNemars McNemar Cochrans Cochran Q p 0.05. 005 0.05 . 0 05 0.05) scores 0.023. 0023 0.023 023 0.023) Therefore 2 (WHOQOL-BREF (HADS (T0 (T6 T1 (T1 00 0.0 002 0.02 02 (T 0.

Abstract Background Children with cerebral palsy have a higher prevalence of sleep disorders, with numerous factors associated with a negative impact on the quality of life of caregivers. Objective To identify factors related to sleep disorders, nonpharmacological treatment, and the impact on the lives of caregivers. Methods The present literature review was carried out in the Latin American and Caribbean Center on Health Sciences Information (BIREME), the Cochrane Library, Scopus, PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, WorldCat, Web of Science, Latin American Literature on Health Sciences (LILACS), and Excerpta Medica Database (EMBASE), with the descriptors sleep, child, cerebral palsy, parents, and nursing. Studies available in Portuguese, English, or Spanish, published between 2010 and 2020, were our inclusion criteria. A total of 29 articles were included in the present review. Results We considered nonpharmacological interventions effective support measures to drug-based treatments. The main sleep disorders in children with cerebral palsy are insomnia, parasomnias, nightmares, sleep bruxism, sleepwalking, sleep talking, disorders of initiation and maintenance of sleep, and sleep hyperhidrosis. Most studies point to a reduction in the quality of life of caregivers whose children have sleep disorders. Conclusion Our review suggests the effectiveness of nonpharmacological treatments combined with the use of medications. Measures such as changes in sleep environment and routine are favorable strategies to improve sleep quality. In addition, children with sleep disorders negatively impact the quality of life of their caregivers. treatment BIREME, BIREME , (BIREME) Library Scopus PubMed CINAHL, CINAHL (CINAHL) PsycInfo WorldCat Science LILACS, LILACS (LILACS) EMBASE, EMBASE (EMBASE) child parents nursing Portuguese English Spanish 201 2020 criteria 2 drugbased drug based insomnia parasomnias nightmares bruxism sleepwalking talking hyperhidrosis medications addition (BIREME (CINAHL (LILACS (EMBASE 20 202

Resumo Antecedentes Crianças com paralisia cerebral apresentam maior prevalência de distúrbios do sono, com inúmeros fatores associados a um impacto negativo na qualidade de vida dos cuidadores. Objetivo Identificar fatores relacionados aos distúrbios do sono, o tratamento não farmacológico e o impacto na vida dos cuidadores. Métodos Esta revisão da literatura foi realizada no Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde (BIREME), Biblioteca Cochrane, Scopus, PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycInfo, WorldCat, Web of Science, Literatura Latino-Americana em Ciências da Saúde (LILACS) e Excerpta Medica Database (EMBASE), com os descritores sono, criança, paralisia cerebral, pais e enfermagem. Estudos disponíveis em português, inglês ou espanhol, publicados entre 2010 e 2020, foram nossos critérios de inclusão. Ao todo, 29 artigos foram incluídos nesta revisão. Resultados Consideramos as intervenções não farmacológicas medidas eficazes de apoio aos tratamentos medicamentosos. Os principais distúrbios do sono em crianças com paralisia cerebral são: insônia, parassonias, pesadelos, bruxismo do sono, sonambulismo, falar dormindo, distúrbios de iniciação e manutenção do sono e hiperidrose do sono. A maioria dos estudos aponta redução na qualidade de vida de cuidadores de crianças com distúrbios do sono. Conclusão Nossa revisão sugere a eficácia de tratamentos não farmacológicos combinados com o uso de medicamentos. Medidas como mudanças no ambiente e na rotina do sono são estratégias favoráveis para melhorar a qualidade do sono. Além disso, crianças com distúrbios do sono provocam impactos negativos na qualidade de vida de seus cuidadores. LatinoAmericano Latino Americano BIREME, BIREME , (BIREME) Cochrane Scopus PubMed CINAHL, CINAHL (CINAHL) PsycInfo WorldCat Science LatinoAmericana Americana LILACS (LILACS EMBASE, EMBASE (EMBASE) criança enfermagem português espanhol 201 2020 inclusão todo 2 medicamentosos insônia parassonias pesadelos sonambulismo dormindo medicamentos disso (BIREME (CINAHL (EMBASE 20 202

ABSTRACT Objective: To assess the influence of perceived stress during the COVID-19 pandemic over awake bruxism (AB) and sleep bruxism (SB). Material and Methods: Observational web-based research carried out in a state in the Brazilian Northeast. The sample was composed of dental students from seven faculties, divided into three groups: beginning (1-4 semesters), middle (5-7), and end (8-10). An online questionnaire was constructed: Socio-demographic, Perceived Stress Scale (PSS-10), Self-reported AB and SB, and COVID-19 Fear Scale. Data were collected from April to June 2021 by sending the questionnaire through WhatsApp®, e-mail, and Instagram®. After bivariate analyses, a multiple logistic regression model was performed to discriminate variables for perceived stress and AB and SB. Hosmer and Lemeshow and chi-square tests were used to check the model's goodness of fit. Results: A total of 391 dental students participated in this research - most women (69.8%), unmarried (69.8%), family income less than three minimum wages (60.9%), self-reported physical activity (63.3%). Perceived stress was low to moderate (72.1%), SB was 39.6%, AB was 49.6%, and low COVID-19 fear was 81.1%. COVID-19 fear (3.03), being female (2.47), and using psychotropic (2.53) increases the chance of being stressed. Perceived stress can predict AB in models 1 (p=0.008) and 4 (p=0.039). There was no significance for perceived stress and SB. Conclusion: Perceived stress during the COVID-19 pandemic influenced awake bruxism. Objective COVID19 COVID 19 COVID-1 (AB . (SB) Methods webbased web based Northeast faculties groups 14 (1- semesters, semesters , semesters) 57, 57 5 7 (5-7) 810. 810 8 10 (8-10) constructed Sociodemographic, Sociodemographic Socio demographic, demographic Socio-demographic PSS10, PSS10 PSS (PSS-10) Selfreported Self reported 202 WhatsApp WhatsApp® email, email e mail, mail e-mail Instagram Instagram® analyses chisquare chi square s fit Results 39 69.8%, 698 69.8% 69 (69.8%) 60.9%, 609 60.9% 60 9 (60.9%) selfreported self 63.3%. 633 63.3% 63 3 (63.3%) 72.1%, 721 72.1% 72 (72.1%) 396 6 39.6% 496 49 49.6% 811 81 81.1% 3.03, 303 3.03 03 (3.03) 2.47, 247 2.47 2 47 (2.47) 2.53 253 53 (2.53 stressed p=0.008 p0008 p 0 008 (p=0.008 p=0.039. p0039 p=0.039 039 (p=0.039) Conclusion COVID1 COVID- (SB (1 (5-7 (8-10 PSS1 (PSS-10 20 69.8 (69.8% 60.9 (60.9% 63.3 (63.3% 72.1 (72.1% 39.6 49.6 81.1 30 3.0 (3.03 24 2.4 (2.47 2.5 25 (2.5 p=0.00 p000 00 (p=0.00 p003 p=0.03 (p=0.039 ( (5- (8-1 (PSS-1 69. (69.8 60. (60.9 63. (63.3 72. (72.1 39. 49. 81. 3. (3.0 2. (2.4 (2. p=0.0 p00 (p=0.0 (p=0.03 (5 (8- (PSS- (69. (60. (63. (72. (3. (2 p=0. p0 (p=0. (8 (PSS (69 (60 (63 (72 (3 p=0 (p=0 (6 (7 p= (p= (p

RESUMO Introdução: O CrossFit® é um método de treinamento físico que visa promover a aptidão física por meio do desenvolvimento de componentes como capacidade aeróbia, força e resistência muscular. Os dados sobre comportamentos de bruxismo em praticantes de CrossFit® são escassos, mas estudos prévios mostraram aumento do comportamento de apertamento dentário durante as práticas de levantamento de peso. Objetivo: O presente estudo teve como objetivo avaliar os sinais clínicos de bruxismo em praticantes de CrossFit®. Métodos: O estudo foi composto por uma amostra de conveniência de praticantes de CrossFit® (n=57), de ambos os sexos, com idade entre 19 e 58 anos, e as variáveis de desfecho foram: Lista de Verificação de Comportamento Oral, Questionário Internacional de Atividade Física e Ferramenta Padronizada para Avaliação do Bruxismo. Os dados foram expressos em termos de valores absolutos e percentuais. Para análise estatística, foram utilizados os testes de correlação de Spearman e exato de Fisher, e considerou-se nível de significância de 5%. Resultados: A média de idade foi de 32,82 anos, com maioria feminina (63,15%). Os praticantes de CrossFit® relataram frequentemente apertar os dentes durante a prática do treinamento (61,40%) e apresentaram linha alba (82,45%), impressão labial (54,38%), impressão de língua (26,31%), exostose óssea (19,29%), desgaste dentário (61,40%) e lesões cervicais não cariosas (35,09%). Conclusões: Não foi encontrada correlação entre sinais clínicos de bruxismo, comportamentos orais e intensidade da atividade física; no entanto, os resultados sugerem que indivíduos que praticam o treinamento CrossFit® apresentam comportamentos orais que podem causar alterações morfofuncionais no sistema estomatognático, principalmente o hábito de apertar os dentes durante o treinamento. Além disso, os dados enfatizam a necessidade de educação em saúde bucal entre os praticantes de CrossFit®, sendo necessários mais estudos com amostras representativas. Introdução CrossFit aeróbia muscular escassos peso Objetivo Métodos n=57, n57 n n=57 , 57 (n=57) sexos 1 5 anos Oral Bruxismo percentuais estatística Fisher considerouse considerou se 5% Resultados 3282 32 82 32,8 63,15%. 6315 63,15% . 63 15 (63,15%) 61,40% 6140 61 40 (61,40% 82,45%, 8245 82,45% 45 (82,45%) 54,38%, 5438 54,38% 54 38 (54,38%) 26,31%, 2631 26,31% 26 31 (26,31%) 19,29%, 1929 19,29% 29 (19,29%) 35,09%. 3509 35,09% 35 09 (35,09%) Conclusões entanto estomatognático disso representativas n5 n=5 (n=57 328 3 8 32, 631 63,15 6 (63,15% 61,40 614 4 (61,40 824 82,45 (82,45% 543 54,38 (54,38% 263 26,31 2 (26,31% 192 19,29 (19,29% 350 35,09 0 (35,09% n= (n=5 63,1 (63,15 61,4 (61,4 82,4 (82,45 54,3 (54,38 26,3 (26,31 19,2 (19,29 35,0 (35,09 (n= 63, (63,1 61, (61, 82, (82,4 54, (54,3 26, (26,3 19, (19,2 35, (35,0 (n (63, (61 (82, (54, (26, (19, (35, (63 (6 (82 (54 (26 (19 (35 ( (8 (5 (2 (1 (3

ABSTRACT Introduction: CrossFit® is a physical training method that aims to promote physical fitness through the development of components such as aerobic capacity, strength and muscular endurance. Data regarding bruxism behaviors in CrossFit® practitioners are scarce, but previous studies have shown increased dental clenching behavior during weightlifting practices. Objective: The present study aimed to evaluate clinical signs of bruxism in CrossFit® practitioners. Methods: The sample comprised a convenience sample of CrossFit® practitioners (n=57), of both genders, aged 19-58 years. Outcome variables were as follows: Oral Behavior Checklist, the International Physical Activity Questionnaire and the Standardized Tool for the Assessment of Bruxism. Data were expressed in terms of absolute values and percentages. Spearman’s correlation and Fisher exact tests were used for statistical analysis, and a significance level of 5% was considered. Results: The mean age was 32.82 years, with a female majority (63.15%). CrossFit® practitioners frequently reported clenching their teeth during training practice (61.40%) and presented linea alba (82.45%), lip impression (54.38%), tongue impression (26.31%), bone exostosis (19.29%), tooth wear (61.40%) and non-carious cervical lesions (35.09%). Conclusions: No correlation was found between clinical signs of bruxism, oral behaviors and physical activity intensity; however, the results suggest that individuals who practice CrossFit® training have oral behaviors that can cause morpho-functional changes in the stomatognathic system, especially the habit of clenching their teeth during training. In addition, data emphasize the need for dental health education among CrossFit® practitioners, and more studies with a representative sample are necessary. Introduction CrossFit capacity endurance scarce practices Objective Methods n=57, n57 n n=57 , 57 (n=57) genders 1958 19 58 19-5 years follows Checklist Bruxism percentages Spearmans Spearman s analysis 5 considered Results 3282 32 82 32.8 63.15%. 6315 63.15% . 63 15 (63.15%) 61.40% 6140 61 40 (61.40% 82.45%, 8245 82.45% 45 (82.45%) 54.38%, 5438 54.38% 54 38 (54.38%) 26.31%, 2631 26.31% 26 31 (26.31%) 19.29%, 1929 19.29% 29 (19.29%) noncarious non carious 35.09%. 3509 35.09% 35 09 (35.09%) Conclusions intensity however morphofunctional morpho functional system addition necessary n5 n=5 (n=57 195 1 19- 328 3 8 32. 631 63.15 6 (63.15% 61.40 614 4 (61.40 824 82.45 (82.45% 543 54.38 (54.38% 263 26.31 2 (26.31% 192 19.29 (19.29% 350 35.09 0 (35.09% n= (n=5 63.1 (63.15 61.4 (61.4 82.4 (82.45 54.3 (54.38 26.3 (26.31 19.2 (19.29 35.0 (35.09 (n= 63. (63.1 61. (61. 82. (82.4 54. (54.3 26. (26.3 19. (19.2 35. (35.0 (n (63. (61 (82. (54. (26. (19. (35. (63 (6 (82 (54 (26 (19 (35 ( (8 (5 (2 (1 (3

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. Purpose Methods crosssectional, crosssectional cross sectional, sectional cross-sectional nonexperimental non experimental design 5 evaluated sheet nonparametric parametric frequencies percentages statistics Results 1056 10 56 10.5 years 75 556 6 55.6 respectively p=0.034. p0034 p p=0.034 . 0 034 (p=0.034) cavity observed p<0.05. p005 p<0.05 05 (p<0.05) Conclusion studies 105 1 10. 7 55. p003 p=0.03 03 (p=0.034 p00 p<0.0 (p<0.05 p=0.0 (p=0.03 p0 p<0. (p<0.0 p=0. (p=0.0 p<0 (p<0. p=0 (p=0. p< (p<0 p= (p=0 (p< (p= (p

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. Objetivo Métodos descriptivo transversal experimental 5 frecuencias porcentajes descriptiva Resultados masculino 1056 10 56 10.5 años 75 556 6 55.6 respectivamente p 0,034. 0034 0,034 . 0 034 0,034) desgaste <0.05. 005 <0.05 05 <0.05) Conclusión muestra estudios 105 1 10. 7 55. 003 0,03 03 00 <0.0 0,0 <0. 0, <0 <

ABSTRACT Objective: To verify the association between bullying and awake and sleep bruxism in school teenagers. Material and Methods: A cross-sectional study was conducted from March to June 2018 with adolescents aged 14 to 19 of both sexes enrolled in the state school system of a city in Pernambuco. Students who participated in the stages of data collection and filled out the questions about bullying and bruxism were considered eligible. Those with disabilities or dysfunctions that made it impossible to fill out the questionnaire themselves were excluded. For data collection, an instrument with questions from the National Survey of Adolescent Health (PeNSE) and the "Research Diagnostic Criteria for Temporomandibular Dysfunction" (RDC/TMD) questionnaire was used. Results: A total of 2,500 adolescents participated in this study. The prevalence of possible awake bruxism among the adolescents was 20.6%, the prevalence of possible sleep bruxism was 21.9%, and 23% of the adolescents reported having experienced bullying. About 2 of 10 male students had possible sleep bruxism (SB), while a fourth of the female students had the condition (p=0.004; OR=1.1). As seen in the awake bruxism, feelings of sadness, school bullying, and cyberbullying had significant correlations with possible SB (p<0.001, OR=2.4; p<0.001, OR=1.9 and p=0.01, OR=1.7, respectively). Conclusion: The association between possible awake and sleep bruxism and bullying in school adolescents was verified, regardless of sex, age, income, and mother's education. Objective teenagers Methods crosssectional cross sectional 201 1 Pernambuco eligible excluded PeNSE (PeNSE Research Dysfunction RDC/TMD RDCTMD RDC TMD (RDC/TMD used Results 2500 500 2,50 206 20 6 20.6% 219 21 9 21.9% 23 SB, , (SB) p=0.004 p0004 p 0 004 (p=0.004 OR=1.1. OR11 OR OR=1.1 . OR=1.1) sadness p0001 001 (p<0.001 OR=2.4 OR24 4 p<0.001 OR19 OR=1. p001 01 p=0.01 OR17 7 OR=1.7 respectively. respectively respectively) Conclusion verified sex age income mothers mother s education 250 50 2,5 20.6 21.9 (SB p=0.00 p000 00 (p=0.00 OR1 (p<0.00 OR=2. OR2 p<0.00 OR=1 p00 p=0.0 25 5 2, 20. 21. (p=0.0 (p<0.0 OR=2 p<0.0 OR= p0 p=0. (p=0. (p<0. p<0. p=0 (p=0 (p<0 p<0 p= (p= (p< p< (p

ABSTRACT Objective: To determine the prevalence of the need for orthodontic treatment, anxiety, and probable sleep bruxism and its association in adolescents. Material and Methods: A cross-sectional study was conducted with 294 adolescents aged between 11 and 16 years. Orthodontic treatment need was determined using the Dental Health Component of the Index of Orthodontic Treatment Needs (IOTN-DHC). Anxiety symptoms were assessed using the Brazilian version of the Multidimensional Anxiety Scale for Children (MASC). The probable sleep bruxism was identified based on the American Academy of Sleep Medicine (AASM) questionnaire. Descriptive data analyses were performed. Simple logistic regression models were applied between each independent variable and the outcome (anxiety score). Variables with p<0.20 in the individual (raw) analyses were studied in a multiple logistic regression model, with p≤0.05 remaining in the final model. Based on the regression models, the prevalence ratios were estimated with the respective 95% confidence intervals. Results: 68.7% of the adolescents had probable sleep bruxism, and 35.4% had a moderate or severe normative need for orthodontic treatment. Adolescents aged up to 12 years (OR=1.82; CI: 1.10-3.02), females (OR=2.67; CI: 1.64-4.34), and with a moderate or severe need for orthodontic treatment according to the IOTN-DHC (OR=1.76; CI: 1.06-2.90), are more likely to have a higher anxiety score. The prevalence of adolescents with a moderate or severe need for normative orthodontic treatment by the IOTN-DHC is 35.4% (95%CI: 29.9-40.8%), while the perceived need for treatment by the IOTN-AC is 14.0% (95%CI: 10.0-17.9%). Adolescents with a high degree of anxiety were more likely to have probable sleep bruxism (OR=3.64; CI: 1.06-12.50). Conclusion: Female adolescents up to 12 years of age and with a moderate or severe need for orthodontic treatment are more likely to have higher levels of anxiety; adolescents with a high degree of anxiety are more likely to have probable sleep bruxism. Objective Methods crosssectional cross sectional 29 1 IOTNDHC. IOTNDHC IOTN DHC . (IOTN-DHC) MASC. MASC (MASC) AASM (AASM questionnaire performed score score) p020 p 0 20 p<0.2 raw (raw model p005 05 p≤0.0 95 intervals Results 687 68 7 68.7 354 35 4 35.4 OR=1.82 OR182 OR 82 (OR=1.82 CI 1.103.02, 110302 1.10 3.02 , 10 3 02 1.10-3.02) OR=2.67 OR267 2 67 (OR=2.67 1.644.34, 164434 1.64 4.34 64 34 1.64-4.34) OR=1.76 OR176 76 (OR=1.76 1.062.90, 106290 1.06 2.90 06 90 1.06-2.90) 95%CI 95CI (95%CI 29.940.8%, 299408 29.9 40.8% 9 40 8 29.9-40.8%) IOTNAC AC 140 14 14.0 10.017.9%. 100179 10.0 17.9% 17 10.0-17.9%) OR=3.64 OR364 (OR=3.64 1.0612.50. 1061250 12.50 50 1.06-12.50) Conclusion (IOTN-DHC (MASC p02 p<0. p00 p≤0. 6 68. 35. OR=1.8 OR18 (OR=1.8 103 1.103.02 11030 110 1.1 302 3.0 1.10-3.02 OR=2.6 OR26 (OR=2.6 644 1.644.34 16443 164 1.6 434 4.3 1.64-4.34 OR=1.7 OR17 (OR=1.7 062 1.062.90 10629 106 1.0 290 2.9 1.06-2.90 940 29.940.8% 29940 299 29. 408 40.8 29.9-40.8% 14. 017 10.017.9% 10017 100 10. 179 17.9 10.0-17.9% OR=3.6 OR36 (OR=3.6 0612 1.0612.50 106125 1250 12.5 5 1.06-12.50 p0 p<0 p≤0 OR=1. OR1 (OR=1. 1.103.0 1103 1. 30 3. 1.10-3.0 OR=2. OR2 (OR=2. 1.644.3 1644 43 4. 1.64-4.3 1.062.9 1062 2. 1.06-2.9 94 29.940.8 2994 40. 29.9-40.8 01 10.017.9 1001 17. 10.0-17.9 OR=3. OR3 (OR=3. 061 1.0612.5 10612 125 12. 1.06-12.5 p< p≤ OR=1 (OR=1 1.103. 1.10-3. OR=2 (OR=2 1.644. 1.64-4. 1.062. 1.06-2. 29.940. 29.9-40. 10.017. 10.0-17. OR=3 (OR=3 1.0612. 1061 1.06-12. OR= (OR= 1.103 1.10-3 1.644 1.64-4 1.062 1.06-2 29.940 29.9-40 10.017 10.0-17 1.0612 1.06-12 (OR 1.10- 1.64- 1.06- 29.94 29.9-4 10.01 10.0-1 1.061 1.06-1 29.9- 10.0-

Abstract The implementation of restrictive measures during the pandemic drastically changed the routine and habits of the population. In the academic sphere, the sudden closure of universities difficulted any advance planning. The objective of this study was to verify the effects of the pandemic on the routine, physical and mental health of students at a public university in southern Brazil. This is a cross-sectional study that applied a questionnaire from May to August 2020. The target population comprised 528 undergraduates. The questionnaire addressed questions about sociodemographic characteristics, physical and mental health. A response was obtained from 406 participants. During the quarantine period evaluated, the main results were: 66.2% reported worsening of anxiety symptoms; 57.6% declared that their physical health was “reasonable” to “bad”. As for the quality of sleep there was an increase in 98.8% in the responses “bad sleep quality” and “very bad sleep quality”; increase in 26.6% for presence bruxism; 12.5% for orofacial pain, 3.8% for headache. It is concluded that there were several negative effects, among these effects, it was observed higher levels of anxiety, worsening physical health and quality of sleep, increase in the prevalence of bruxism, as well as the presence of orofacial pain and headache. sphere planning Brazil crosssectional cross sectional 2020 52 undergraduates characteristics 40 participants evaluated 662 66 2 66.2 symptoms 576 57 6 57.6 reasonable “reasonable bad. . “bad” 988 98 8 98.8 very 266 26 26.6 bruxism 125 12 5 12.5 38 3 3.8 headache 202 4 66. 57. 9 98. 26. 1 12. 3. 20

RESUMO Objetivos: Revisar a literatura referente aos tipos de tratamentos propostos para pacientes com bruxismo e que fazem uso de próteses sobre implante, afim de definir um protocolo de tratamento para esses pacientes, com o propósito de prolongar a longevidade do tratamento a longo prazo. Métodos: Uma busca sistemática eletrônica foi realizada nas bases de dados MEDLINE (PubMed), Google Scholar e SciELO, com a análise da literatura publicada entre 2006 e 2024. Os descritores utilizados foram “bruxismo” e “implantes dentários” e “Prótese Dentária Fixada por Implante”. Resultados: Foram identificados, mediante estratégia de busca, 47 artigos no banco de dados on-line PubMed, 24 no google scholar, 1 na SciELO, com total de 72 artigos. Com a leitura dos títulos e resumos, foram selecionados 56 trabalhos, que foram lidos em usa íntegra. Após análise integral dos estudos e aplicação dos critérios de inclusão e exclusão, sobraram 13 artigos que foram incluídos nessa revisão. Conclusão: O estudo discute sobre os fatores que são peças chave para o sucesso do tratamento de prótese sobre implante em pacientes com bruxismo, que é um fator de risco relevante para falha de implantes, desta forma é indispensável planejar criteriosamente a reabilitação oral destes pacientes, levando em conta as características do implante, como a superfície, módulo de elasticidade, grau de titânio, diâmetro, comprimento, localização do implante na arcada, a oclusão implanto protegida, tipo de material para prótese e a necessidade de placa oclusal. Objetivos prazo Métodos PubMed , (PubMed) SciELO 200 2024 “bruxismo implantes dentários Prótese Implante. Implante . Implante” Resultados identificados 4 online on line 2 scholar 7 resumos 5 trabalhos íntegra exclusão revisão Conclusão superfície elasticidade titânio diâmetro comprimento arcada protegida oclusal (PubMed 20 202

ABSTRACT Objective: This study aimed to review the literature on the types of treatments proposed for patients with bruxism and implant supported, discussing a treatment protocol for those patients, for the purpose of prolonging the treatment longevity. Methods: A literature search in MEDLINE (PubMed), Google Scholar and SciELO databases, with the analysis of the literature published between 2006 and 2024. The descriptors used were “bruxism” and “dental implants” and “Dental Prosthesis, Implant-Supported”. Results: A total of 47 articles were identified in the PubMed online database, 24 in Google Scholar, 1 in SciELO, with a total of 72 articles. After reading the titles and abstracts, 56 works were selected, which were read in full. After full analysis of the studies and application of the inclusion and exclusion criteria, 13 articles remained that were included in this review. Conclusion: The study discusses the key factors to success of implant supported prosthesis treatment in patients with bruxism, which is a relevant risk factor for implant failure. The characteristics of the implant, such as the surface, modulus of elasticity, grade of titanium, diameter, length, location of the implant, implant-protected occlusion, type of prosthesis material and the need for an occlusal splint. Objective longevity Methods PubMed, , (PubMed) databases 200 2024 “bruxism dental implants Dental Prosthesis ImplantSupported. ImplantSupported Implant Supported . Implant-Supported” Results 4 database 2 7 abstracts 5 selected criteria Conclusion failure surface elasticity titanium diameter length implantprotected protected occlusion splint (PubMed 20 202 Implant-Supported

ABSTRACT BACKGROUND AND OBJECTIVES: Recent research has shown that undergraduate students are more susceptible to stressful situations due to the need to exercise various skills, and that this factor is a potential trigger for temporomandibular joint dysfunction (TMD) syndrome. In view of this, there is a need to highlight, through scientific studies, the fact that young students may be more vulnerable to the development of anxiety and stress, which is also associated with the incidence and/or development of bruxism and TMD. The present study’s objective was to describe the intensity of symptoms of anxiety, depression and stress and to characterize the presence and severity of TMD symptoms in dentistry students. METHODS: The sample consisted of 118 students. All of them completed the Índice Anamnésico de Fonseca (Fonseca Anamnesis Index - IAF) questionnaire and the shortened version of the Depression, Anxiety and Stress Scale (DASS-21), which provide relevant information about the sample under investigation and allowed us to acquire epidemiological data about TMD symptoms, associated risk sources and repercussions on quality of life. The data was tabulated and categorized. Descriptive statistical analysis and linear association between the scales are presented. RESULTS: In response to the DASS-21, the three subscales showed that 51% of the individuals had some level of depression, 54% some degree of stress and 61% some level of anxiety. The presence of TMD symptoms was present in 67% of the sample. There was a linear association between the intensity of symptoms of the three subscales of the DASS-21 and the severity of symptoms according to the IAF. CONCLUSION: The information and results obtained in this study revealed a prevalence of signs of anxiety and TMD symptoms in dentistry students. OBJECTIVES skills (TMD syndrome highlight studies andor or studys s METHODS 11 IAF Depression DASS21, DASS21 DASS 21 , (DASS-21) life categorized presented RESULTS 21, 51 54 61 67 DASS-2 CONCLUSION 1 DASS2 2 (DASS-21 5 6 DASS- (DASS-2 (DASS- (DASS

RESUMO JUSTIFICATIVA E OBJETIVOS: Pesquisas recentes alertam que acadêmicos do curso de graduação estão mais suscetíveis a situações de estresse devido à necessidade de exercer diversas habilidades, esse fator é um potencial desencadeador da síndrome da disfunção da articulação temporomandibular (DTM). Diante disso, surge a necessidade de evidenciar, mediante estudos científicos, o fato de que os estudantes jovens podem mostrar-se mais vulneráveis para o desenvolvimento de ansiedade e estresse, estando também associada a incidência e/ou desenvolvimento do bruxismo e da DTM. O objetivo deste estudo foi descrever a intensidade dos sintomas de ansiedade, depressão, estresse e caracterizar a presença e gravidade dos sintomas de DTM em acadêmicos de odontologia. MÉTODOS: A amostra foi de 118 acadêmicos. Todos preencheram o questionário e Índice Anamnésico de Fonseca (IAF) e a versão reduzida da Escala de Depressão, Ansiedade e Estresse (DASS-21), os quais fornecem informações relevantes sobre a amostra investigada e permitiu adquirir dados epidemiológicos acerca de sintomas de DTM, fontes de risco associadas e repercussão sobre a qualidade de vida. Os dados foram tabulados e categorizados. Apresenta-se a análise estatística descritiva e associação linear entre as escalas. RESULTADOS: Em resposta ao DASS-21, as três subescalas demonstraram que 51% dos indivíduos apresentam algum nível de depressão; 54% algum grau de estresse e 61% algum nível de ansiedade. A presença de sintomas de DTM está presente em 67% da amostra. Houve uma associação linear entre a intensidade dos sintomas das três subescalas da DASS-21 com a gravidade dos sintomas pelo IAF. CONCLUSÃO: As informações e resultados obtidos no presente estudo revelaram prevalência de sinais de ansiedade e sintomas de DTM em acadêmicos do curso de Odontologia. OBJETIVOS habilidades . (DTM) disso evidenciar científicos mostrarse mostrar se eou ou depressão odontologia MÉTODOS 11 IAF (IAF Depressão DASS21, DASS21 DASS 21 , (DASS-21) vida categorizados Apresentase Apresenta escalas RESULTADOS 21, 51 54 61 67 DASS-2 CONCLUSÃO Odontologia (DTM 1 DASS2 2 (DASS-21 5 6 DASS- (DASS-2 (DASS- (DASS

Resumen Introducción: El bruxismo está definido como una actividad oral motora que consiste en el apretamiento o rechinamiento involuntario (rítmico o espasmódico no funcional) de los dientes, con una prevalencia de 5,9% a 49,6% en niños. Lo que podría contribuir a problemas clínicos asociados con la articulación temporomandibular. La asociación entre la disfunción temporomandibular (DTM) y el bruxismo en niños aún no está totalmente establecida. Objetivo: El objetivo de esta revisión de literatura es recopilar información actualizada de estudios que hayan abordado la asociación entre el bruxismo y la disfunción temporomandibular en niños de 3 a 12 años. Metodología: Se realizó una búsqueda en las bases de datos de Scopus, Pubmed y Scielo usando los descriptores “Niño”, “Niños”, “Preescolar”, “Bruxismo”, “Bruxismo del sueño”, “Disfunción Temporomandibular”; y, “Síndrome de la Disfunción de Articulación Temporomandibular”. Fueron incluidos artículos publicados en los últimos 15 años en idiomas español, inglés y portugués. Fueron incluidos estudios transversales, de cohorte, casos controles y ensayos clínicos aleatorizados. Resultados: Se evaluaron 242 artículos, de los cuales solo 11 fueron incluidos de acuerdo a los criterios de inclusión. Entre los estudios incluidos, dos de ellos no encontraron asociación entre DTM y bruxismo, tres encontraron una tendencia o probable asociación y seis encontraron una asociación positiva. Conclusiones: Existen estudios que relatan asociación entre el bruxismo y las disfunciones temporomandibulares en niños de 3 a 12 años, relacionando la presencia de signos y síntomas de la DTM con el bruxismo, pudiendo ser este último, un factor de riesgo para la presencia de DTM.

ABSTRACT Introduction: Bruxism is defined as an oral motor activity that consists of involuntary clenching or grinding (non-functional rhythmic or spasmodic) of the teeth, with a prevalence rate ranging from 5.9% to 49.6% in children, which could contribute to clinical problems associated with the temporomandibular joint. The association between bruxism in children and temporomandibular dysfunction (TMD) is not yet fully established. Objective: The objective of this literature review is to collect up-to-date information on studies that have addressed the association between bruxism and temporomandibular dysfunction in children ranging 3 - 12 years of age. Methods: A search was performed in the Scopus, PubMed and SciELO databases using the descriptors “Child”, “Children”, “Child, Preschool”, “Bruxism”, “Sleep Bruxism”, “Temporomandibular Dysfunction” and “Temporomandibular Joint Dysfunction Syndrome.” Articles published in the last 15 years in the Spanish, English and Portuguese languages were included. Results: A total of seventy-two articles were assessed. Only 11 articles were included according to the inclusion criteria. Among the included studies, two of them found no association between TMD and bruxism, three found a trend or probable association, and six found a positive association. Conclusion: There are studies that report an association between bruxism and temporomandibular dysfunctions in children ranging 3 - 12 years old, relating the presence of signs and symptoms of TMD with bruxism.

ABSTRACT Rheumatic diseases are conceptualized as a group of diseases that are characterized by the presence of a sustained inflammatory process that affects any joint. Bruxism is a condition that involves the soft tissues that surround the temporomandibular joint. The objective of this research is to present the clinical case of a 31-year-old male patient, with a 4-year diagnosis of systemic lupus erythematosus, which begins with an acute condition (bruxism), which becomes the initial expression of the activity. of lupus disease. The therapeutic and rehabilitative approach in the patient is exposed. It is concluded that the inflammatory process that characterizes systemic lupus erythematosus can be expressed both locally and systemically. In the case that is reported, the expression of exacerbation of the disease was the presence of the clinical manifestations of bruxism with trismus included. The inflammatory process can affect any anatomical structure of the human economy.

RESUMEN Las enfermedades reumáticas son conceptualizadas como un grupo de enfermedades que se caracterizan por la presencia de un proceso inflamatorio mantenido que afecta cualquier articulación. El bruxismo es una afección que involucra las partes blandas que rodean la articulación temporomandibular. El objetivo de esta investigación es presentar el caso clínico de un paciente masculino de 31 años de edad, con diagnóstico de 4 años de lupus eritematoso sistémico, que comienza con cuadro agudo (bruxismo), el cual se convierte en la expresión inicial de la actividad de la enfermedad lúpica. Se expone el abordaje terapéutico y rehabilitador en el paciente. Se concluye que el proceso inflamatorio que caracteriza al lupus eritematoso sistémico puede expresarse tanto de forma local como sistémica. En el caso que se reporta la expresión de exacerbación de la enfermedad fue la presencia de las manifestaciones clínicas del bruxismo con trismo incluido. El proceso inflamatorio puede afectar cualquier estructura anatómica de la economía humana.