Palavras-chave
Occlusal splint
Quality of life
Anxiety
Depression
COVID-19
Como Citar
Resumo
Introduction: The COVID-19 pandemic may lead to increased risk of developing or worsening bruxism and facial pain. Objective: To evaluate the influence of pandemic on adults with Sleep Bruxism (BS), both sexes, rigid occlusal splint users. Methods: Longitudinal observational study conducted in adults, both sexes, with Possible BS (n= 50), mean age 35.95 ± 10.35 years, before (T1) and during (T2) COVID-19 pandemic, in person and remotely, respectively. Presence and intensity of pain (Visual Analog Scale) in the masseter and temporal muscles and temporomandibular joint (TMJ) region, anxiety and depression (HADS), quality of life (QoL) (WHOQOL - Brief) and Awake Bruxism (AB) were assessed. Student's t- test, Mann-Whitney U-test, Wilcoxon, Pearson's chi-square and Mc-Nemar tests were applied (p<0.05). Results: The frequency of subjects with masseter, temporal and TMJ pain was 72%, 22%, 42% at T1 and 44%, 26%, 60% at T2, respectively; AB was 78% at T1 and 70% at T2. At both times pain intensity was moderate, there was absence of anxiety and depression, and QoL was regular. At T2, the frequency of subjects with masseter pain decreased 28%, domains physical, psychological and QoL mean worsened (p<0.05). The other variables showed no difference between times (p>0.05). Conclusions: During the COVID-19 pandemic, the use of rigid occlusal splints contributed to pain control in masseter muscle; anxiety and depression were absent, QoL worsened, and AB frequency remained high.
Referências
Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, et al. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil. 2018;45(11):837–44.
Zani A, Lobbezoo F, Bracci A, Djukic G, Guarda-Nardini L, Favero R, et al. Smartphone-based evaluation of awake bruxism behaviours in a sample of healthy young adults: findings from two University centres. Journal of Oral Rehabilitation. 2021;00:1–7.
Lavigne, G. J., Khoury, S., Abe, S., Yamaguchi, T., & Raphael K. Bruxism physiology and pathology: an overview for clinicians.e. J Oral Rehabil [Internet]. 2008;35(7):476–94. Available from: https://doi.org/10.1111/j.1365-2842.2008.01881.x
Manfredini D. The triangle bruxism , pain , and psychosocial factors. Academic Centre for Dentistry Amsterdam (ACTA); University of Amsterdam; The Vrije Universiteit; Research Institute MOVE; 2011.
Goldstein G, DeSantis L, Goodacre C. Bruxism: Best Evidence Consensus Statement. Journal of Prosthodontics [Internet]. 2021 Apr 29;30(S1):91–101. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jopr.13308
Saito M, Yamaguchi T, Mikami S, Watanabe K, Gotouda A, Okada K, et al. Weak association between sleep bruxism and obstructive sleep apnea. A sleep laboratory study. Sleep and Breathing [Internet]. 2016;20(2):703–9. Available from: https://doi.org/10.1007/s11325-015-1284-x.
Mengatto CM, da Silveira Dalberto C, Scheeren B, de Barros SGS, Mengatto, C. M., da Silveira Dalberto, C., Scheeren, B., & de Barros SGS. Association between sleep bruxism and gastroesophageal reflux disease. J Prosthet Dent [Internet]. 2013;110(5):349–55. Available from: https://doi.org/10.1016/j.prosdent.2013.05.002. Epub 2013 Sep 5
Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F. Epidemiology of Bruxism in Adults: A Systematic Review of the Literature. Journal of Orofacial Pain. 2013;27(2):99–110.
de Baat C, Verhoeff M, Ahlberg J, Manfredini D, Winocur E, Zweers P, et al. Medications and addictive substances potentially inducing or attenuating sleep bruxism and/or awake bruxism. J Oral Rehabil [Internet]. 2021 Mar;48(3):343–54. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32716523
Grobet P, Gilon Y, Bruwier A, Nizet JL. [Sleep bruxism : state of the art and management]. Revue medicale de Liege. 2017 Sep;72(9):410–5.
João Vicente Rosar, Maria Carolina Salomé Marquezin, Aianne Souto Pizzolato, Fernanda Yukie Kobayashi, Sandra Kalil Bussadori, Luciano José Pereira PMC, Rosar JV, Marquezin MCS, Pizzolato AS, Kobayashi FY, Bussadori SK, et al. Identifying predictive factors for sleep bruxism severity using clinical and polysomnographic parameters: a principal component analysis. Journal of Clinical Sleep Medicine [Internet]. 2021;17(5):949–56. Available from: https://doi.org/10.5664/jcsm.9078
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International Journal of Environmental Research and Public Health. 2020;17(5):1729.
Colonna A, Guarda-Nardini L, Ferrari M, Manfredini D. COVID-19 pandemic and the psyche, bruxism, temporomandibular disorders triangle. Cranio - Journal of Craniomandibular Practice. 2021;Oct 15:1–6.
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet. 2020 Feb 15;395(10223):497–506.
Sari A, Bilmez ZY. Effects of Coronavirus (COVID-19) Fear on Oral Health Status. Oral health & preventive dentistry. 2021 Jan 7;19(1):411–23.
Epifanio MS, Andrei F, Mancini G, Agostini F, Piombo MA, Spicuzza V, et al. The Impact of COVID-19 Pandemic and Lockdown Measures on Quality of Life among Italian General Population. Journal of Clinical Medicine. 2021 Jan 14;10(2):289.
Leong Bin Abdullah MFI, Mansor NS, Mohamad MA, Teoh SH. Quality of life and associated factors among university students during the COVID-19 pandemic: A cross-sectional study. BMJ Open. 2021;11(10):48446.
Emodi-Perlman A, Eli I, Smardz J, Uziel N, Wieckiewicz G, Gilon E, et al. Temporomandibular Disorders and Bruxism Outbreak as a Possible Factor of Orofacial Pain Worsening during the COVID-19 Pandemic—Concomitant Research in Two Countries. Journal of Clinical Medicine. 2020;9(10):3250.
Almeida-Leite CM, Stuginski-Barbosa J, Conti PCR. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? Vol. 28, Journal of Applied Oral Science. 2020.
Winocur-Arias O, Winocur E, Shalev-Antsel T, Reiter S, Levratovsky S, Emodi-Perlman A, et al. Painful Temporomandibular Disorders, Bruxism and Oral Parafunctions before and during the COVID-19 Pandemic Era: A Sex Comparison among Dental Patients. Journal of Clinical Medicine. 2022 Jan 25;11(3):589.
Malta M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP da. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Revista de Saúde Pública. 2010 Jun;44(3):559–65.
Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research. 2002 Feb 1;52(2):69–77.
Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychological medicine. 1998 May;28(3):551–8.
Andre Fidelis de Paula GOMES C, El-HAGE Y, Paula AMARAL A, Marciela HERPICH C, POLITTI F, Kalil-BUSSADORI S, et al. Effects of Massage Therapy and Occlusal Splint Usage on Quality of Life and Pain in Individuals with Sleep Bruxism: A Randomized Controlled Trial. Journal of the Japanese Physical Therapy Association. 2015;18(1):1–6.
Grillo CM, Canales GD la T, Wada RS, Alves MC, Barbosa CMR, Berzin F, et al. Could Acupuncture Be Useful in the Treatment of Temporomandibular Dysfunction? JAMS Journal of Acupuncture and Meridian Studies. 2015 Aug 1;8(4):192–9.
Venugopalan, Suresh; Sam, Pravinya; Murthykumar Karthikeyan. The Effect Of Occlusal Splint Therapy On Masticatory Muscle Activity-A Systematic Review. International Journal of Dentistry and Oral Science. 2021 Apr 14;8(4):2325–30.
HARADA T, ICHIKI R, TSUKIYAMA Y, KOYANO K. The effect of oral splint devices on sleep bruxism: a 6-week observation with an ambulatory electromyographic recording device. Journal of Oral Rehabilitation. 2006 Jul;33(7):482–8.
Raphael KG, Marbach JJ, Klausner JJ, Teaford MF, Fischoff DK. Is bruxism severity a predictor of oral splint efficacy in patients with myofascial face pain? Journal of Oral Rehabilitation. 2003 Jan;30(1):17–29.
Asquini G, Bianchi AE, Borromeo G, Locatelli M, Falla D. The impact of Covid-19-related distress on general health, oral behaviour, psychosocial features, disability and pain intensity in a cohort of Italian patients with temporomandibular disorders. Michiels S, editor. PLOS ONE. 2021 Feb 2;16(2):e0245999.
Ferreira CLP, Silva MAMR da, Felício CM de. Sinais e sintomas de desordem temporomandibular em mulheres e homens. CoDAS. 2016 Feb;28(1):17–21.
Hanns L, Radziszewska A, Suffield L, Josephs F, Chaplin H, Peckham H, et al. Association of Anxiety With Pain and Disability but Not With Increased Measures of Inflammation in Adolescent Patients With Juvenile Idiopathic Arthritis. Arthritis Care and Research. 2020;72(9):1266–74.
Pereira NC, Oltramari PVP, Conti PCR, Bonjardim LR, de Almeida-Pedrin RR, Fernandes TMF, et al. Frequency of awake bruxism behaviour in orthodontic patients: Randomised clinical trial: Awake bruxism behaviour in orthodontic patients. Journal of Oral Rehabilitation. 2021;48(4):422–9.
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet. 2020 Mar;395(10227):912–20.
Moore DCBC, Nehab MF, Camacho KG, Reis AT, Junqueira-Marinho M de F, Abramov DM, et al. Low COVID-19 vaccine hesitancy in Brazil. Vaccine. 2021 Oct;39(42):6262–8.
Babicki M, Malchrzak W, Hans-Wytrychowska A, Mastalerz-Migas A. Impact of vaccination on the sense of security, the anxiety of COVID-19 and quality of life among Polish. A nationwide online survey in Poland. Vaccines. 2021;9(12).
Nguyen HC, Nguyen MH, Do BN, Tran CQ, Nguyen TTP, Pham KM, et al. People with suspected covid-19 symptoms were more likely depressed and had lower health-related quality of life: The potential benefit of health literacy. Journal of Clinical Medicine. 2020;9(4):965.
Tay K, Ujin Y, Allen P. Impact of Sleep Bruxism on Oral Health–Related Quality of Life. The International Journal of Prosthodontics. 2020 May;33(3):285–91.
Duarte J, Pauletto P, Massignan C, Bolan M, Domingos FL, Hallal ALC, et al. Association Between Sleep Bruxism and Quality of Life: A Systematic Review. Journal of oral & facial pain and headache. 2020;34(4):341–52.
Aksoy A, Abiç A, Değirmenci F, Vefikuluçay Yılmaz D. The relationship between quality of life and fear of Turkish individuals during the COVID-19 pandemic: A cross-sectional study. Archives of Psychiatric Nursing. 2021 Oct;35(5):472–8.
Bracci A, Djukic G, Favero L, Salmaso L, Guarda-Nardini L, Manfredini D. Frequency of awake bruxism behaviours in the natural environment. A 7-day, multiple-point observation of real-time report in healthy young adults. Journal of Oral Rehabilitation. 2018;45(6):423–9.
POLUHA RL, CANALES GD la T, BONJARDIM LR, CONTI PCR. Oral behaviors, bruxism, malocclusion and painful temporomandibular joint clicking: is there an association? Brazilian Oral Research. 2021;6 Aug(35):1–9.
Ahlberg J, Piirtola M, Lobbezoo F, Manfredini D, Korhonen T, Aarab G, et al. Correlates and genetics of self-reported sleep and awake bruxism in a nationwide twin cohort. Journal of Oral Rehabilitation. 2020 Sep 1;47(9):1110–9.
Wieckiewicz M, Zietek M, Smardz J, Zenczak-Wieckiewicz D, Grychowska N. Mental Status as a Common Factor for Masticatory Muscle Pain: A Systematic Review. Frontiers in Psychology. 2017 May 9;8.
Hajek A, Sabat I, Neumann-Böhme S, Schreyögg J, Barros PP, Stargardt T, et al. Prevalence and determinants of probable depression and anxiety during the COVID-19 pandemic in seven countries: Longitudinal evidence from the European COvid Survey (ECOS). Journal of affective disorders. 2022;299:517–24.
Mirhashemi A, Khami MR, Kharazifard M, Bahrami R. The Evaluation of the Relationship Between Oral Habits Prevalence and COVID-19 Pandemic in Adults and Adolescents: A Systematic Review. Frontiers in public health. 2022;10:860185.
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Copyright (c) 2023 Patricia Kern Di Scala Andreis , Roberto Ramos Garanhani, Layza Rossatto Oppitz , Priscila Brenner Hilgenberg Sydney, Orlando Motohiro Tanaka , Odilon Guariza-Filho , Sérgio Aparecido Ignácio , Elisa Souza Camargo