Mandibular movement during sleep bruxism associated with current tooth attrition

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• 作者：Kazuo Okura ; DDS ; PhD^a ; Shuji Shigemoto ; DDS ; PhD^a ; Yoshitaka Suzuki ; DDS ; PhD^a ; ^b ; Naoto Noguchi ; DDS ; PhD^c ; Katsuhiro Omoto ; DDS^a ; Susumu Abe ; DDS ; PhD^c ; Yoshizo Matsuka ; DDS ; PhD^a ; ^{matsuka@tokushima-u.ac.jp}
• 关键词：Sleep bruxism ; Mandibular movement ; Tooth grinding ; Masseter muscle activity ; Canine attrition
• 刊名：Journal of Prosthodontic Research
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：61
• 期：1
• 页码：87-95
• 全文大小：1405 K
• 卷排序：61

文摘

Observation of attrition patterns suggests that mandibular movement in sleep bruxism (SB) may be associated with current tooth attrition. The aim of this study was to confirm this phenomenon by investigating mandibular movement and masseter muscle activity. The subject was a healthy 21-year-old Japanese male. We recorded biological signals including mandibular movement and masseter electromyograms (EMGs) with a polysomnograph. Based on the EMG using Okura's criteria, SB events were classified into clenching, grinding and mixed types according to mandibular movement criteria. The close-open mandibular movement cycles (CO-cycles) during grinding and mixed type events were selected based on mandibular movement trajectories.DiscussionFifty-eight CO-cycles were selected in seven grinding and three mixed types. We found that SB mandibular movements associated with current tooth attrition. Excessive lateral movements (ELM) beyond the canine edge-to-edge position were observed in the closing (10.3%) and opening (13.8%) phases of the CO-cycle. Total masseter muscle activity was significantly higher during voluntary grinding (VGR) than during CO-cycle including ELM (working side: P = 0.036, balancing side: P = 0.025). However, in the middle and late parts of the opening phase, working side masseter muscle activity was significantly higher during CO-cycle including ELM than during VGR (P = 0.012). In the early part of the closing phase, balancing side masseter muscle activity was significantly higher during CO-cycle including ELM than during VGR (P = 0.017).ConclusionThese findings suggest that excessive forceful grinding during ongoing SB events may have caused canine attrition in this patient.