Abstract
Bruxism is the repetitive muscle-mandibular behavior characterized by clenching and/or grinding of the teeth, which reflects the presence of one or more underlying conditions or factors. The objective of this descriptive study was to determine the association between bruxism and stress self-perceived during the pandemic, as well as their frequency by gender and academic area. An interrogation and self-perceived stress scale PSS-14 were applied to students from the different areas of the Institute of Health Sciences (ICSa) to determine the presence or absence of stress and bruxism symptom, a Chi-square was used for the comparison between variables, considering a value of p<0.005 as significant, a two-way ANOVA was performed to evaluate the difference between the symptoms before and during the isolation of the pandemic. The total number of participants was 825, a final sample of 420 students was obtained, made up of 297 (70.72%) women and 123 (29.28%) men, with an average age of 20±1.75 years. We found an association between the frequency of bruxism and severe stress generated during the social isolation of the COVID-19 pandemic, with a high perception of stress in the medicine area and a high frequency of bruxism in the area of nutrition p>0.005. ICSa students between 18 and 24 age perceive symptoms of bruxism and high levels of stress caused during the pandemic.
References
Castellón R.L., Busto J.E.B., Pérez L.C.V. Afectación del sistema nervioso por la COVID-19. An la Acad Ciencias Cuba. 2020; 10 (2) especial COVID-19.
Guiñez C.M. Impacto del COVID-19 (SARS-CoV-2) a Nivel Mundial, Implicancias y Medidas Preventivas en la Práctica Dental y sus Consecuencias Psicológicas en los Pacientes. Int J Odontostomatol. 2020; 14 (3): 271-8.
Aúcar L.J.D.H. Bruxism and academic stress in students of the medical sciences. Rev Hum Med 2020; 20 (2): 401-20.
Lobbezoo F., Ahlberg J., Raphael K.G., Wetselaar P., Glaros A.G., Kato T., et al. International consensus on the assessment of bruxism: Report of awork in progress. J Oral Rehabil. 2018; 45 (11): 837-844.
Manfredini F.L. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain. 2009; 23 (2): 153-66.
Winocur E., Uziel N., Lisha T., Goldsmith C.E.I. Self-reported bruxism associations with perceived stress, motivation for control, dental anxiety and gagging. J Oral Rehabil. 2011; 38 (1): 3-11.
Pierce C.J., Chrisman K., Bennett M.E., Close J.M. Stress, anticipatory stress, and psychologic measures related to sleep bruxism. J Orofac Pain. 1995; 9 (1): 51-6.
Manfredini D., Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jun; 109 (6): 26-50.
Hermesh H., Schapir L., Marom S., Skopski R., Barnea E., Weizman A., et al. Bruxism and oral parafunctional hyperactivity in social phobia outpatients. J Oral Rehabil. 2015; 42 (2): 90-7.
Miettinen T., Myllymaa K., Muraja-Murro A., Westeren-Punnonen S., Hukkanen T., Töyräs J., et al. Polysomnographic scoring of sleep bruxism events is accurate even in the absence of video recording but unreliable with EMG-only setups. Sleep Breath. 2020; 24 (3): 893-904.
Manfredini D., Colonna A., Bracci A., Lobbezoo F. Bruxism: a summary of current knowledge on aetiology, assessment and management. Oral Surg. 2020; 13 (4): 358-70.
Díaz M.Y. Estrés académico y afrontamiento en estudiantes de Medicina. Rev. Hum Med. 2010; 10 (1): 0-0.
Hernández R.B., Hernández R.B., Lazo N.R., Díaz G.S.M., Hidalgo H.S., Rodríguez R.S., et al. Bruxismo y manifestaciones clínicas en el sistema estomatognático. Arch Médico Camagüey. 2019; 23 (3): 309-18.
Bäck K., Hakeberg M., Wide U., Hange D., Dahlström L. Orofacial pain and its relationship with oral health-related quality of life and psychological distress in middle-aged women. 2019; 78 (1): 74-80.
Peixoto K.O., De Resende C.M.B.M., De Almeida E.O., Almeida L.C.M., Conti P.C.R., Barbosa G.A.S., et al. Association of sleep quality and psychological aspects with reports of bruxism and tmd in brazilian dentists during the covid-19 pandemic. J Appl Oral Sci. 2021; 29: 1-10.
Gaş S., Ekşi Özsoy H., Cesur Aydın K.. The association between sleep quality, depression, anxiety and stress levels, and temporomandibular joint disorders among Turkish dental students during the COVID-19 pandemic. Cranio. 2021; 5: 1-6.
Herrera L.B.I., Luis Y., Concepción N. Bruxismo del sueño. Medimay. 2018; 25 (2): 166-75.
Stanton R., To Q.G., Khalesi S., Williams S.L., Alley S.J., Thwaite T.L., et al. Depression, Anxiety and Stress during COVID-19: Associations with Changes in Physical Activity, Sleep, Tobacco and Alcohol Use in Australian Adults. Int J Environ Res Public Health. 2020; 17 (11): 1-13.
Estrada M.N.A., Evaristo C.T.A. Estados psicoemocionales y presencia de bruxismo en estudiantes de odontología peruanos. Odovtos Int J Dent Sci. 2019; 21 (3): 111-7.
Barbosa Hernández J.Z. Prevalencia de bruxismo en alumnos del décimo semestre de la Facultad de Medicina Campus Poza Rica-Tuxpan. [DDS. thesis] Poza Rica Veracruz: Veracruzana University, 2012.
Ordóñez P.M.P., Villavicencio C.É., Alvarado J.O.R., Vanegas A.M.E. Prevalencia de bruxismo de vigilia evaluado por auto-reporte en relación con estrés, ansiedad y depresión. Rev Estomatológica Hered. 2016; 26 (3): 147-50.
Hernández A.M. Estudio sobre el bruxismo y una nueva prueba de esfuerzo. [PhD. thesis] Murcía University 2011.
Wu Y., Xiong X., Fang X., Sun W., Yi Y., Liu J., et al. Psychological status of TMD patients, orthodontic patients and the general population during the COVID-19 pandemic. Psychol Heal Med. 2021; 26 (1): 62-74.
Wang C., Pan R., Wan X., et al. A longitudinal study on the mental health of general population during the COVID-19 epidemic in China. Brain Behav Immun. 2020; 87: 40-48.
Zhang M., Zhang J., Zhang F., Zhang L., Feng D. Prevalence of psychological distress and the effects of resilience and perceived social support among Chinese college students: Does gender make a difference? Psychiatry Res. 2018; 267: 409-413.
Özdinç S., Ata H., Selçuk H., Can H.B., Sermenli N., Turan F.N. Temporomandibular joint disorder determined by Fonseca anamnestic index and associated factors in 18- to 27-year-old university students. Cranio. 2020; 38 (5): 327-332.
Xia W.D., Fu K.Y., Lu W.X., Zhao C.M., Yang H.Y., Ye Z.X. The prevalence of temporomandibular disorder symptoms in 898 university students and its relationship with psychological distress and sleep quality. 2016; 51 (9): 521-5.
Kardeş E., Kardeş S. Google searches for bruxism, teeth grinding, and teeth clenching during the COVID-19 pandemic. J Orofac Orthop. 2021; 1-6.
Emodi P.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. J Clin Med. 2020; 9 (10): 1-15.
Saccomanno S., Bernabei M., Scoppa F., Pirino A., Mastrapasqua R., Visco M.A. Coronavirus Lockdown as a Major Life Stressor: Does It Affect TMD Symptoms? Int J Environ Res Public Health. 2020; 17 (23): 1-13.
Medeiros R.A., Vieira D.L., Da Silva E.V.F.D., Rezende L.V.M.L., Santos R.W.D, Tabata L.F. Prevalence of symptoms of temporomandibular disorders, oral behaviors, anxiety, and depression in Dentistry students during the period of social isolation due to COVID-19. J Appl Oral Sci. 2020; 28: e20200445.
Lobbezoo F., Ahlberg J., Manfredini D., Winocur E. Are bruxism and the bite causally related? J Oral Rehabil. 2012; 39 (7): 489-501.
Lobbezoo F., Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil. 2001; 28 (12): 1085-91.
Almeida L.C.M., Stuginski B.J., Conti P.C.R. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? J Appl Oral Sci. 2020; 28: e20200263.
Manfredini D., Winocur E., Guarda-Nardini L., Paesani D., Lobbezoo F. Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain. 2013; 27 (2): 99-110.
Fernandes G., Franco A.L., Siqueira J.T.T., Gonçalves D.A.G., Camparis C.M. Sleep bruxism increases the risk for painful temporomandibular disorder, depression and non-specific physical symptoms. J Oral Rehabil. 2012 Jul; 39 (7): 538-44.
Lange T., Dimitrov S., Born J. Effects of sleep and circadian rhythm on the human immune system. Ann N Y Acad Sci. 2010; 1193 (1): 48-59.
Bryant P.A., Trinder J., Curtis N. Sick and tired: Does sleep have a vital role in the immune system? Nat Rev Immunol. 2004; 4 (6): 457-67.
Majde J.A., Krueger J.M. Links between the innate immune system and sleep. J Allergy Clin Immunol. 2005; 116 (6): 1188-98.
Manfredini D., Lobbezoo F. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109 (6): e26-50.
Abe S., Yamaguchi T., Rompré P.H., De Grandmont P., Chen Y.J., Lavigne G.J. Tooth wear in young subjects: a discriminator between sleep bruxers and controls?. Int J Prosthodont. 2009; 22 (4): 342-350.
Manfredini D., Fabbri A., Peretta R., Guarda-Nardini L., Lobbezoo F. Influence of psychological symptoms on home-recorded sleep-time masticatory muscle activity in healthy subjects. J Oral Rehabil. 2011; 38 (12): 902-11.
Hassan K.A., Khier S.E. Awake Bruxism Intensified During COVID-19 Pandemic by Cumulative Stress – An Overview. J Clin Res Dent. 2020; 3 (1): 1-3.
Çiğdem B., Medin C., Korkmaz M., Şahbaz T. The Effect of Anxiety and Depression on Bruxism Among Healthcare Workers During The Covid-19 Pandemic. Ahi Evran Med J. 2021; 5 (2): 78-84.
Frias E., López SHD., Ayala H.J.L. Dental Students’ Self-Perception: Health and Academics During COVID-19 Quarantine. Odovtos - Int J Dent Sci. 2021; 3 (23): 436-46.
Machado E., Dal-Fabbro C., Cunali P.A., Kaizer O.B. Prevalence of sleep bruxism in children: A systematicreview. Dental Press J Orthod. 2014; 19 (6): 54-61.
Hummig W., Cruz M.M.E. Bruxism as a clinical indicator of mental ilness: Lessons from the covid-19 to the future! Rev Psiquiatr Clin. 2021; 48 (2): 127-127.
Murali R.V., Rangarajan P., Mounissamy A. Bruxism: Conceptual discussion and review. J Pharm Bioallied Sci. 2015; 7 (Suppl 1): S265-70.