Knowledge (XXG)

Bruxism

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1533:) was suggested by Marie Pietkiewics in 1907. In 1931, Frohman first coined the term bruxism. Occasionally recent medical publications will use the word bruxomania with bruxism, to denote specifically bruxism that occurs while awake; however, this term can be considered historical and the modern equivalent would be awake bruxism or diurnal bruxism. It has been shown that the type of research into bruxism has changed over time. Overall between 1966 and 2007, most of the research published was focused on occlusal adjustments and oral splints. Behavioral approaches in research declined from over 60% of publications in the period 1966–86 to about 10% in the period 1997–2007. In the 1960s, a periodontist named Sigurd Peder Ramfjord championed the theory that occlusal factors were responsible for bruxism. Generations of dentists were educated by this ideology in the prominent textbook on occlusion of the time, however therapy centered around removal of occlusal interference remained unsatisfactory. The belief among dentists that occlusion and bruxism are strongly related is still widespread, however the majority of researchers now disfavor malocclusion as the main etiologic factor in favor of a more multifactorial, 500:
respond differently to depression, hostility and stress compared to people without bruxism. Stress has a stronger relationship to awake bruxism, but the role of stress in sleep bruxism is less clear, with some stating that there is no evidence for a relationship with sleep bruxism. However, children with sleep bruxism have been shown to have greater levels of anxiety than other children. People aged 50 with bruxism are more likely to be single and have a high level of education. Work-related stress and irregular work shifts may also be involved. Personality traits are also commonly discussed in publications concerning the causes of bruxism, e.g. aggressive, competitive or hyperactive personality types. Some suggest that suppressed anger or frustration can contribute to bruxism. Stressful periods such as examinations, family bereavement, marriage, divorce, or relocation have been suggested to intensify bruxism. Awake bruxism often occurs during periods of concentration such as while working at a computer, driving or reading. Animal studies have also suggested a link between bruxism and psychosocial factors. Rosales et al. electrically shocked
1377:) are commonly prescribed, mainly by dentists and dental specialists, as a treatment for bruxism. Proponents of their use claim many benefits, however when the evidence is critically examined in systematic reviews of the topic, it is reported that there is insufficient evidence to show that occlusal splints are effective for sleep bruxism as well as bruxism overall. Furthermore, occlusal splints are probably ineffective for awake bruxism, since they tend to be worn only during sleep. However, occlusal splints may be of some benefit in reducing the tooth wear that may accompany bruxism, but by mechanically protecting the teeth rather than reducing the bruxing activity itself. In a minority of cases, sleep bruxism may be made worse by an occlusal splint. Some patients will periodically return with splints with holes worn through them, either because the bruxism is aggravated, or unaffected by the presence of the splint. When tooth-to-tooth contact is possible through the holes in a splint, it is offering no protection against tooth wear and needs to be replaced. 244:
jaw (masseter) or in the temple (temporalis), and may be described as a headache or an aching jaw. Most (but not all) bruxism includes clenching force provided by masseter and temporalis muscle groups; but some bruxers clench and grind front teeth only, which involves minimal action of the masseter and temporalis muscles. The temporomandibular joints themselves may also become painful, which is usually felt just in front of the ear, or inside the ear itself. Clicking of the jaw joint may also develop. The forces exerted on the teeth are more than the periodontal ligament is biologically designed to handle, and so inflammation may result. A tooth may become sore to bite on, and further, tooth wear may reduce the insulating width of enamel and dentin that protects the pulp of the tooth and result in hypersensitivity, e.g. to cold stimuli.
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such as talking and eating. This treatment typically involves five or six injections into the masseter and temporalis muscles, and less often into the lateral pterygoids (given the possible risk of decreasing the ability to swallow) taking a few minutes per side. The effects may be noticeable by the next day, and they may last for about three months. Occasionally, adverse effects may occur, such as bruising, but this is quite rare. The dose of toxin used depends upon the person, and a higher dose may be needed in people with stronger muscles of mastication. With the temporary and partial muscle paralysis, atrophy of disuse may occur, meaning that the future required dose may be smaller or the length of time the effects last may be increased.
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people who drink a lot of acidic liquids such as concentrated fruit juice, or in people who frequently vomit or regurgitate stomach acid, which itself can occur for various reasons. People also demonstrate a normal level of tooth wear, associated with normal function. The presence of tooth wear only indicates that it had occurred at some point in the past, and does not necessarily indicate that the loss of tooth substance is ongoing. People who clench and perform minimal grinding will also not show much tooth wear. Occlusal splints are usually employed as a treatment for bruxism, but they can also be of diagnostic use, e.g. to observe the presence or absence of wear on the splint after a certain period of wearing it at night.
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condition on the teeth may be the same. The treatment is also often dependent upon whether the bruxism happens during sleep or while awake, e.g., an occlusal splint worn during sleep in a person who only bruxes when awake will probably have no benefit. Some have even suggested that sleep bruxism is an entirely different disorder and is not associated with awake bruxism. Awake bruxism is sometimes abbreviated to AB, and is also termed "diurnal bruxism", DB, or "daytime bruxing". Sleep bruxism is sometimes abbreviated to SB, and is also termed "sleep-related bruxism", "nocturnal bruxism", or "nocturnal tooth grinding". According to the
251:(TMD, or temporomandibular pain dysfunction syndrome) is debated. Many suggest that sleep bruxism can be a causative or contributory factor to pain symptoms in TMD. Indeed, the symptoms of TMD overlap with those of bruxism. Others suggest that there is no strong association between TMD and bruxism. A systematic review investigating the possible relationship concluded that when self-reported bruxism is used to diagnose bruxism, there is a positive association with TMD pain, and when stricter diagnostic criteria for bruxism are used, the association with TMD symptoms is much lower. In severe, chronic cases, bruxism can lead to 1461:
bruxism in small control groups. Electromyographic monitoring devices of the associated muscle groups tied with automatic alerting during periods of clenching and grinding have been prescribed for awake bruxism. Dental appliances with capsules that break and release a taste stimulus when enough force is applied have also been described in sleep bruxism, which would wake the person from sleep in an attempt to prevent bruxism episodes. "Large scale, double-blind, experiment confirming the effectiveness of this approach have yet to be carried out."
1384:) and can be hard or soft. A lower appliance can be worn alone, or in combination with an upper appliance. Usually lower splints are better tolerated in people with a sensitive gag reflex. Another problem with wearing a splint can be stimulation of salivary flow, and for this reason some advise to start wearing the splint about 30 mins before going to bed so this does not lead to difficulty falling asleep. As an added measure for hypersensitive teeth in bruxism, desensitizing toothpastes (e.g. containing 406:(chewing) is a complex neuromuscular activity that can be controlled either by subconscious processes or by conscious processes. In individuals without bruxism or other parafunctional activities, during wakefulness the jaw is generally at rest and the teeth are not in contact, except while speaking, swallowing or chewing. It is estimated that the teeth are in contact for less than 20 minutes per day, mostly during chewing and swallowing. Normally during sleep, the voluntary muscles are inactive due to 1399:; stabilizing the occlusion by minimizing gradual changes to the positions of the teeth, preventing tooth damage and revealing the extent and patterns of bruxism through examination of the markings on the splint's surface. A dental guard is typically worn during every night's sleep on a long-term basis. However, a meta-analysis of occlusal splints (dental guards) used for this purpose concluded "There is not enough evidence to state that the occlusal splint is effective for treating sleep bruxism." 457:
sleep arousal. One study reported that sleep arousals which were experimentally induced with sensory stimulation in sleeping bruxists triggered episodes of sleep bruxism. Sleep arousals are a sudden change in the depth of the sleep stage, and may also be accompanied by increased heart rate, respiratory changes and muscular activity, such as leg movements. Initial reports have suggested that episodes of sleep bruxism may be accompanied by gastroesophageal reflux, decreased esophageal
1775: 1411:(NTI-TSS) dental guard. This splint snaps onto the front teeth only. It is theorized to prevent tissue damages primarily by reducing the bite force from attempts to close the jaw normally into a forward twisting of the lower front teeth. The intent is for the brain to interpret the nerve sensations as undesirable, automatically and subconsciously reducing clenching force. However, there may be potential for the NTI-TSS device to act as a 375: 482:
extremely common and usually do not cause any problems. It is unclear whether people with bruxism tend to notice problems with the bite because of their clenching and grinding habit, or whether these act as a causative factor in the development of the condition. In sleep bruxism especially, there is no evidence that removal of occlusal interferences has any impact on the condition. People with no teeth at all who wear
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examination to detect bruxism, suggested that there may be more of a relationship between occlusal factors and bruxism in children. However, the role of occlusal factors in bruxism cannot be completely discounted due to insufficient evidence and problems with the design of studies. A minority of researchers continue to claim that various adjustments to the mechanics of the bite are capable of curing bruxism (see
34: 1350: 1361: 1610:, Selma the witch tells Beowulf that the troll's name Grendel means "grinder of teeth", stating that "he has bad dreams", a possible allusion to Grendel traumatically witnessing the death of his father as a child, at the hands of King Hrothgar. The Geats (the warriors who hunt the troll) alternatively translate the name as "grinder of men's bones" to demonize their prey. In 99:
prevalence of sleep bruxism was observed in North America at 31%, followed by South America at 23%, Europe at 21%, and Asia at 19%. The prevalence of awake bruxism was highest in South America at 30%, followed by Asia at 25% and Europe at 18%. The review also concluded that overall, bruxism affects males and females equally, and affects elderly people less commonly.
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some sort is so common that the concept of an "ideal occlusion" is called into question, and it can be considered "normal to be abnormal". An occlusal interference may refer to a problem which interferes with the normal path of the bite, and is usually used to describe a localized problem with the position or shape of a single tooth or group of teeth. A
663:. In this example, when the jaws are brought together, the lower back teeth contact the prominent upper wisdom tooth before the other teeth, and the lower jaw has to move forward to allow the rest of the teeth to meet. The difference between a premature contact and a deflective interference is that the latter implies a dynamic abnormality in the bite. 1415:, holding the posterior teeth out of occlusion and leading to their over-eruption, deranging the occlusion (i.e. it may cause the teeth to move position). This is far more likely if the appliance is worn for excessive periods of time, which is why NTI type appliances are designed for night time use only, and ongoing follow-ups are recommended. 366: 358: 1437:(BoNT) is used as a treatment for bruxism. A 2020 overview of systematic reviews found that botulinum toxin type A (BTX-A) showed a significant pain and sleep bruxism frequency reduction when compared to placebo or conventional treatment (behavioral therapy, occlusal splints, and drugs), after 6 and 12 months. 504:, and then observed high levels of bruxism-like muscular activity in rats that were allowed to watch this treatment compared to rats that did not see it. They proposed that the rats who witnessed the electrical shocking of other rats were under emotional stress which may have caused the bruxism-like behavior. 1202:
life-threatening, and there is little evidence of the efficacy of any treatment, it has been recommended that only conservative treatment which is reversible and that carries low risk of morbidity should be used. The main treatments that have been described in awake and sleep bruxism are described below.
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over 50% of normal infants. Often sleep bruxism develops during adolescence, and the prevalence in 18- to 29-year-olds is about 13%. The overall prevalence in adults is reported to be 8%, and people over the age of 60 are less likely to be affected, with the prevalence dropping to about 3% in this group.
976:"Bruxism is a repetitive jaw-muscle activity characterized by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible. Bruxism has two distinct circadian manifestations: it can occur during sleep (indicated as sleep bruxism) or during wakefulness (indicated as awake bruxism)." 837:
For tooth grinders who live in a household with other people, diagnosis of grinding is straightforward: Housemates or family members would advise a bruxer of recurrent grinding. Grinders who live alone can likewise resort to a sound-activated tape recorder. To confirm the condition of clenching, on
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Some research suggests that there may be a degree of inherited susceptibility to develop sleep bruxism. 21–50% of people with sleep bruxism have a direct family member who had sleep bruxism during childhood, suggesting that there are genetic factors involved, although no genetic markers have yet been
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Awake bruxism is thought to be usually semivoluntary, and often associated with stress caused by family responsibilities or work pressures. Some suggest that in children, bruxism may occasionally represent a response to earache or teething. Awake bruxism usually involves clenching (sometimes the term
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Most people with bruxism will experience no pain. The presence or degree of pain does not necessarily correlate with the severity of grinding or clenching. The pain in the muscles of mastication caused by bruxism can be likened to muscle pain after exercise. The pain may be felt over the angle of the
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Children are reported to brux as commonly as adults. It is possible for sleep bruxism to occur as early as the first year of life, after the first teeth (deciduous incisors) erupt into the mouth, and the overall prevalence in children is about 14–20%. The ICSD-R states that sleep bruxism may occur in
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is designed to change the patient's occlusion, or bite. The efficacy of such devices is debated. Some writers propose that irreversible complications can result from the long-term use of mouthguards and repositioning splints. Random controlled trials with these type devices generally show no benefit
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The ICSD-R described three different severities of sleep bruxism, defining mild as occurring less than nightly, with no damage to teeth or psychosocial impairment; moderate as occurring nightly, with mild impairment of psychosocial functioning; and severe as occurring nightly, and with damage to the
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Bruxism can be subdivided into two types based upon when the parafunctional activity occurs – during sleep ("sleep bruxism"), or while awake ("awake bruxism"). This is the most widely used classification since sleep bruxism generally has different causes to awake bruxism, although the effects on the
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Several devices have been developed that aim to objectively measure bruxism activity, either in terms of muscular activity or bite forces. They have been criticized for introducing a possible change in the bruxing habit, whether increasing or decreasing it, and are therefore poorly representative to
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The most usual trigger in sleep bruxism that leads a person to seek medical or dental advice is being informed by a sleeping partner of unpleasant grinding noises during sleep. The diagnosis of sleep bruxism is usually straightforward, and involves the exclusion of dental diseases, temporomandibular
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Disturbance of the dopaminergic system in the central nervous system has also been suggested to be involved in the etiology of bruxism. Evidence for this comes from observations of the modifying effect of medications which alter dopamine release on bruxing activity, such as levodopa, amphetamines or
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is another type of tooth wear that is postulated to occur with bruxism, although some still argue whether this type of tooth wear is a reality. Abfraction cavities are said to occur usually on the facial aspect of teeth, in the cervical region as V-shaped defects caused by flexing of the tooth under
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According to a meta-analysis conducted in 2024, the global prevalence of bruxism (both sleep and awake) is 22.22%. The global prevalence of sleep bruxism is 21%, while the prevalence of awake bruxism is 23%. The occurrence of sleep bruxism, based on polysomnography, was estimated at 43%. The highest
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The ICSD-R states that 85–90% of the general population grind their teeth to a degree at some point during their life, although only 5% will develop a clinical condition. Some studies have reported that awake bruxism affects females more commonly than males, while in sleep bruxism, males and females
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The causes of bruxism are not completely understood, but probably involve multiple factors. Awake bruxism is more common in women, whereas men and women are affected in equal proportions by sleep bruxism. Awake bruxism is thought to have different causes from sleep bruxism. Several treatments are in
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Clenching the teeth is generally displayed by humans and other animals as a display of anger, hostility or frustration. It is thought that in humans, clenching the teeth may be an evolutionary instinct to display teeth as weapons, thereby threatening a rival or a predator. The phrase "to grit one's
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is a process or device that allows an individual to become aware of, and alter physiological activity with the aim of improving health. Although the evidence of biofeedback has not been tested for awake bruxism, there is recent evidence for the efficacy of biofeedback in the management of nocturnal
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View from above of an anterior (front) tooth showing severe tooth wear which has exposed the dentin layer (normally covered by enamel). The pulp chamber is visible through the overlying dentin. Tertiary dentin will have been laid down by the pulp in response to the loss of tooth substance. Multiple
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release at neuromuscular junctions. BoNT injections are used in bruxism on the theory that a dilute solution of the toxin will partially paralyze the muscles and lessen their ability to forcefully clench and grind the jaw, while aiming to retain enough muscular function to enable normal activities
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Sleep hygiene education should be provided by the clinician, as well as a clear and short explanation of bruxism (definition, causes and treatment options). Relaxation and tension-reduction have not been found to reduce bruxism symptoms, but have given patients a sense of well-being. One study has
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revised edition (ICSD-R), the term "sleep bruxism" is the most appropriate since this type occurs during sleep specifically rather than being associated with a particular time of day, i.e., if a person with sleep bruxism were to sleep during the day and stay awake at night then the condition would
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Some bruxism activity is rhythmic with bite force pulses of tenths of a second (like chewing), and some have longer bite force pulses of 1 to 30 seconds (clenching). Some individuals clench without significant lateral movements. Bruxism can also be regarded as a disorder of repetitive, unconscious
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in bruxists. In the case of crowns, the strength of the restoration becomes more important, sometimes at the cost of aesthetic considerations. E.g. a full coverage gold crown, which has a degree of flexibility and also involves less removal (and therefore less weakening) of the underlying natural
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Bruxism can cause significant tooth wear if it is severe, and sometimes dental restorations (crowns, fillings etc.) are damaged or lost, sometimes repeatedly. Most dentists therefore prefer to keep dental treatment in people with bruxism very simple and only carry it out when essential, since any
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is a medical term referring to less than ideal positioning of the upper teeth relative to the lower teeth, which can occur both when the upper jaw is ideally proportioned to the lower jaw, or where there is a discrepancy between the size of the upper jaw relative to the lower jaw. Malocclusion of
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Most people who brux are unaware of the problem, either because there are no symptoms, or because the symptoms are not understood to be associated with a clenching and grinding problem. The symptoms of sleep bruxism are usually most intense immediately after waking, and then slowly abate, and the
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There is a wide variation in reported epidemiologic data for bruxism, and this is largely due to differences in the definition, diagnosis and research methodologies of these studies. E.g. several studies use self-reported bruxism as a measure of bruxism, and since many people with bruxism are not
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There are two main types of bruxism: one occurs during sleep (nocturnal bruxism) and one during wakefulness (awake bruxism). Dental damage may be similar in both types, but the symptoms of sleep bruxism tend to be worse on waking and improve during the course of the day, and the symptoms of awake
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As an alternative to simply reactively repairing the damage to teeth and conforming to the existing occlusal scheme, occasionally some dentists will attempt to reorganize the occlusion in the belief that this may redistribute the forces and reduce the amount of damage inflicted on the dentition.
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The Individual (personal) Tooth-Wear Index was developed to objectively quantify the degree of tooth wear in an individual, without being affected by the number of missing teeth. Bruxism is not the only cause of tooth wear. Another possible cause of tooth wear is acid erosion, which may occur in
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can still have bruxism, although dentures also often change the original bite. Most modern sources state that there is no relationship, or at most a minimal relationship, between bruxism and occlusal factors. The findings of one study, which used self-reported tooth grinding rather than clinical
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which is disrupting peaceful sleep. Sleep bruxism is mainly characterized by "rhythmic masticatory muscle activity" (RMMA) at a frequency of about once per second, and also with occasional tooth grinding. It has been shown that the majority (86%) of sleep bruxism episodes occur during periods of
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Tooth wear may be brought to the person's attention during routine dental examination. With awake bruxism, most people will often initially deny clenching and grinding because they are unaware of the habit. Often, the person may re-attend soon after the first visit and report that they have now
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Many studies have reported significant psychosocial risk factors for bruxism, particularly a stressful lifestyle, and this evidence is growing, but still not conclusive. Some consider emotional stress and anxiety to be the main triggering factors. It has been reported that persons with bruxism
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Historically, many believed that problems with the bite were the sole cause for bruxism. It was often claimed that a person would grind at the interfering area in a subconscious, instinctive attempt to wear this down and "self equiliberate" their occlusion. However, occlusal interferences are
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is not widely accepted. It is thought that the periodontal ligament may respond to increased occlusal (biting) forces by resorbing some of the bone of the alveolar crest, which may result in increased tooth mobility, however these changes are reversible if the occlusal force is reduced. Tooth
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All forms of bruxism entail forceful contact between the biting surfaces of the upper and lower teeth. In grinding and tapping this contact involves movement of the mandible and unpleasant sounds which can often awaken sleeping partners and even people asleep in adjacent rooms. Clenching (or
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Given the strong association between awake bruxism and psychosocial factors (the relationship between sleep bruxism and psychosocial factors being unclear), the role of psychosocial interventions could be argued to be central to the management. The most simple form of treatment is therefore
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is one part of the bite meeting sooner than other parts, meaning that the rest of the teeth meet later or are held open, e.g., a new dental restoration on a tooth (e.g., a crown) which has a slightly different shape or position to the original tooth may contact too soon in the bite. A
66:; i.e., it is unrelated to normal function such as eating or talking. Bruxism is a common behavior; the global prevalence of bruxism (both sleep and awake) is 22.22%. Several symptoms are commonly associated with bruxism, including aching jaw muscles, headaches, hypersensitive teeth, 1201:
Treatment for bruxism revolves around repairing the damage to teeth that has already occurred, and also often, via one or more of several available methods, attempting to prevent further damage and manage symptoms, but there is no widely accepted, best treatment. Since bruxism is not
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Bruxism is usually detected because of the effects of the process (most commonly tooth wear and pain), rather than the process itself. The large forces that can be generated during bruxism can have detrimental effects on the components of masticatory system, namely the teeth, the
6547: 1388:) can be applied initially inside the splint so the material is in contact with the teeth all night. This can be continued until there is only a normal level of sensitivity from the teeth, although it should be remembered that sensitivity to thermal stimuli is also a symptom of 1192:
The ICSD-R also described three different types of sleep bruxism according to the duration the condition is present, namely acute, which lasts for less than one week; subacute, which lasts for more than a week and less than one month; and chronic which lasts for over a month.
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control rather than elaborate occlusal adjustments. It is also generally accepted that periodontal disease is a far more common cause of tooth mobility and pathological tooth migration than any influence of bruxism, although bruxism may much less commonly be involved in both.
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is often reported to cause bruxism. Among people who have taken ecstasy, while dancing it is common to use pacifiers, lollipops or chewing gum in an attempt to reduce the damage to the teeth and to prevent jaw pain. Bruxism is thought to be one of the contributing factors in
630:(MDMA, ecstasy) has been reported to be associated with bruxism, which occurs immediately after taking the drug and for several days afterwards. Tooth wear in people who take ecstasy is also frequently much more severe than in people with bruxism not associated with ecstasy. 866:
the native bruxing activity. These are mostly of relevance to research, and are rarely used in the routine clinical diagnosis of bruxism. Examples include the "Bruxcore Bruxism-Monitoring Device" (BBMD, "Bruxcore Plate"), the "intra-splint force detector" (ISFD), and
1302:, with some showing no effect and others appear to have promising initial results; however, it has been suggested that further safety testing is required before any evidence-based clinical recommendations can be made. When bruxism is related to the use of selective 1470:
Sometimes termed "occlusal rehabilitation" or "occlusal equilibration", this can be a complex procedure, and there is much disagreement between proponents of these techniques on most of the aspects involved, including the indications and the goals. It may involve
858:, air flow monitoring and audio–video recording. It may be useful to help exclude other sleep disorders; however, due to the expense of the use of a sleep lab, polysomnography is mostly of relevance to research rather than routine clinical diagnosis of bruxism. 417:
contraction of muscles. This typically involves the masseter muscle and the anterior portion of the temporalis (the large outer muscles that clench), and the lateral pterygoids, relatively small bilateral muscles that act together to perform sideways grinding.
6470: 6454: 1001:"Parafunctional grinding of teeth or an oral habit consisting of involuntary rhythmic or spasmodic non-functional gnashing, grinding or clenching of teeth in other than chewing movements of the mandible which may lead to occlusal trauma." 521:
Certain stimulant drugs, including both prescribed and recreational drugs, are thought by some to cause the development of bruxism. However, others argue that there is insufficient evidence to draw such a conclusion. Examples may include
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has been recommended by some for treatment of bruxism. In many cases awake bruxism can be reduced by using reminder techniques. Combined with a protocol sheet this can also help to evaluate in which situations bruxism is most prevalent.
830:(e.g. reports of grinding noises) and the presence of typical signs and symptoms, including tooth mobility, tooth wear, masseteric hypertrophy, indentations on the tongue, hypersensitive teeth (which may be misdiagnosed as reversible 271:. This is the most usual type of tooth wear that occurs in bruxism, and affects the occlusal surface (the biting surface) of the teeth. The exact location and pattern of attrition depends on how the bruxism occurs, e.g., when the 70:, and damage to dental restorations (e.g. crowns and fillings). Symptoms may be minimal, without patient awareness of the condition. If nothing is done, after a while many teeth start wearing down until the whole tooth is gone. 1158:
causes, such as the side effect of prescribed medications. Another source divides the causes of bruxism into three groups, namely central or pathophysiological factors, psychosocial factors and peripheral factors. The
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Kanji Onodera, Toshimi Kawagoe, Kenichi Sasaguri, Cynthia Protacio-Quismundo, Sadao Sato (2006). "The use of a bruxChecker in the evaluation of different grinding patterns during sleep bruxism. (Clinical report)".
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A Chinese proverb has linked bruxism with psychosocial factors. "If a boy clenches, he hates his family for not being prosperous; if a girl clenches, she hates her mother for not being dead."(男孩咬牙,恨家不起;女孩咬牙,恨妈不死。)
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edges of the teeth. To grind the front teeth, most people need to posture their mandible forwards, unless there is an existing edge to edge, class III incisal relationship. People with bruxism may also grind their
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A grinding or tapping noise during sleep, sometimes detected by a partner or a parent. This noise can be surprisingly loud and unpleasant, and can wake a sleeping partner. Noises are rarely associated with awake
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has been reported to resolve the side effect. Tricyclic antidepressants have also been suggested to be preferable to selective serotonin reuptake inhibitors in people with bruxism, and may help with the pain.
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occlusal forces. It is argued that similar lesions can be caused by long-term forceful toothbrushing. However, the fact that the cavities are V-shaped does not suggest that the damage is caused by toothbrush
315:, and that some abfraction cavities occur below the level of the gumline, i.e., in an area shielded from toothbrush abrasion, supports the validity of this mechanism of tooth wear. In addition to attrition, 369:
The left medial pterygoid muscle, and the left lateral pterygoid muscle above it, shown on the medial surface of the mandbilar ramus, which has been partially removed along with a section of the zygomatic
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not occur during the night but during the day. The ICDS-R defined sleep bruxism as "a stereotyped movement disorder characterized by grinding or clenching of the teeth during sleep", classifying it as a
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reuptake inhibitors, decreasing the dose resolved the side effect. Other sources state that reports of selective serotonin reuptake inhibitors causing bruxism are rare, or only occur with long-term use.
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identified. Offspring of people who have sleep bruxism are more likely to also have sleep bruxism than children of people who do not have bruxism, or people with awake bruxism rather than sleep bruxism.
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Macedo CR, Macedo EC, Torloni MR, Silva AB, Prado GF. Pharmacotherapy for sleep bruxism. Cochrane Database of Systematic Reviews 2014, Issue 10. Art. No.: CD005578. DOI: 10.1002/14651858.CD005578.pub2.
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The cause of bruxism is largely unknown, but it is generally accepted to have multiple possible causes. Bruxism is a parafunctional activity, but it is debated whether this represents a subconscious
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Many publications list tooth wear as a consequence of bruxism, but some report a lack of a positive relationship between tooth wear and bruxism. Tooth wear caused by tooth-to-tooth contact is termed
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Splints may also reduce muscle strain by allowing the upper and lower jaw to move easily with respect to each other. Treatment goals include: constraining the bruxing pattern to avoid damage to the
1408: 834:), pain in the muscles of mastication, and clicking or locking of the temporomandibular joints. Questionnaires can be used to screen for bruxism in both the clinical and research settings. 108:
symptoms of a grinding habit which occurs mainly while awake tend to worsen through the day, and may not be present on waking. Bruxism may cause a variety of signs and symptoms, including:
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Several associations between bruxism and other conditions, usually neurological or psychiatric disorders, have rarely been reported, with varying degrees of evidence (often in the form of
996:"Non-functional contact of the mandibular and maxillary teeth resulting in clenching or tooth grinding due to repetitive, unconscious contraction of the masseter and temporalis muscles." 5657: 235:
with the skull (the temporomandibular joints). The muscles of mastication that act to move the jaw can also be affected since they are being utilized over and above of normal function.
4224: 2722: 1482:. Some have criticized these occlusal reorganizations as having no evidence base, and irreversibly damaging the dentition on top of the damage already caused by bruxism. 1380:
Occlusal splints are divided into partial or full-coverage splints according to whether they fit over some or all of the teeth. They are typically made of plastic (e.g.
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Other interventions include relaxation techniques, stress management, behavioural modification, habit reversal and hypnosis (self hypnosis or with a hypnotherapist).
1126: 883: 433:"awake clenching" is used instead of awake bruxism), but also possibly grinding, and is often associated with other semivoluntary oral habits such as cheek biting, 1580:, Henry Spencer's partner ("Mary X") is shown tossing and turning in her sleep, and snapping her jaws together violently and noisily, depicting sleep bruxism. In 402:. Some of the muscles work to elevate the mandible (close the mouth), and others also are involved in lateral (side to side), protrusive or retractive movements. 304:. If enough of the tooth is worn away or decayed, the tooth will effectively be weakened, and may fracture under the increased forces that occur in bruxism. 4284: 2520:
Manfredini D, Lobbezoo F (June 2010). "Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008".
6129: 6085: 5188: 4799: 2405: 279:
of the opposing arches are moved against each other laterally, by the action of the medial pterygoid muscles, this can lead to the wearing down of the
846:
disorders, and the rhythmic jaw movements that occur with seizure disorders (e.g. epilepsy). This usually involves a dental examination, and possibly
5944: 5561: 5374: 5354: 1552:
teeth" is the grinding or clenching of the teeth in anger, or to accept a difficult or unpleasant situation and deal with it in a determined way.
655:
is an interference with the bite that changes the normal path of the bite. A common example of a deflective interference is an over-erupted upper
822:
Early diagnosis of bruxism is advantageous, but difficult. Early diagnosis can prevent damage that may be incurred and the detrimental effect on
1255:, and others. However, there is little, if any, evidence for their respective and comparative efficacies with each other and when compared to a 641:
is defined most simply as "contacts between teeth", and is the meeting of teeth during biting and chewing. The term does not imply any disease.
5680: 603: 535: 398:) are paired on either side and work together to move the mandible, which hinges and slides around its dual articulation with the skull at the 854:
shows increased masseter and temporalis muscular activity during sleep. Polysomnography may involve electroencephalography, electromyography,
211:, (e.g. dental pain when drinking a cold liquid) caused by wearing away of the thickness of insulating layers of dentin and enamel around the 3973: 3208: 3679: 3486: 4761: 2855:
Lobbezoo F, Van Der Zaag J, Naeije M (April 2006). "Bruxism: its multiple causes and its effects on dental implants - an updated review".
4261: 6141: 5289: 2638:
Kato T, Thie NM, Huynh N, Miyawaki S, Lavigne GJ (2003). "Topical review: sleep bruxism and the role of peripheral sensory influences".
248: 5391: 5366: 5201: 2477: 2443: 1867: 1809: 5895: 1555:
In the Bible there are several references to "gnashing of teeth" in both the Old Testament, and the New Testament, where the phrase "
1337:
tooth may be more appropriate than other types of crown which are primarily designed for esthetics rather than durability. Porcelain
6177: 5997: 3539: 2382: 2354: 2244: 1701: 1171:
disorders. To describe bruxism as a purely somatoform disorder does not reflect the mainstream, modern view of this condition (see
437:, chewing on a pen or pencil absent mindedly, or tongue thrusting (where the tongue is pushed against the front teeth forcefully). 473:
stimulates release of dopamine, which is postulated to explain why bruxism is twice as common in smokers compared to non-smokers.
6269: 5506: 5477: 5418: 4639: 4634: 4606: 550:(including those taken for medical reasons). In some reported cases where bruxism is thought to have been initiated by selective 4751: 1724:"Global Prevalence of Sleep Bruxism and Awake Bruxism in Pediatric and Adult Populations: A Systematic Review and Meta-Analysis" 5511: 5306: 5231: 4794: 4725: 4484: 4400: 5949: 5920: 5181: 2779:
Lavigne GJ, Huynh N, Kato T, et al. (April 2007). "Genesis of sleep bruxism: motor and autonomic-cardiac interactions".
5690: 4153:"Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint: a pilot study" 1267:. Macedo, et al.) found "insufficient evidence on the effectiveness of pharmacotherapy for the treatment of sleep bruxism." 1134:. The second edition (ICSD-2) however reclassified bruxism to a "sleep related movement disorder" rather than a parasomnia. 461:(acidity), swallowing, and decreased salivary flow. Another report suggested a link between episodes of sleep bruxism and a 5408: 5384: 5066: 4874: 4736: 2012:
Lobbezoo F, van der Zaag J, van Selms MK, Hamburger HL, Naeije M (July 2008). "Principles for the management of bruxism".
1556: 1546: 1419: 982:
clamping), on the other hand, involves inaudible, sustained, forceful tooth contact unaccompanied by mandibular movements.
627: 595: 429:
or is entirely involuntary. The relative importance of the various identified possible causative factors is also debated.
6353: 5890: 5423: 5268: 4746: 4674: 4519: 1219: 6411: 4283:
Behr M, Hahnel, Sebastian, Faltermeier, Andreas, Bürgers, Ralf, Kolbeck, Carola, Handel, Gerhard, Proff, Peter (2012).
3380: 3363: 1510:
documented the definition of bruxism (齘齒) as "the clenching of teeth during sleep" and explained that it was caused by
931:
D. No other medical or mental disorders (e.g., sleep-related epilepsy, which may cause abnormal movement during sleep).
340:. It is generally accepted that increased occlusal forces are able to increase the rate of progression of pre-existing 5598: 5396: 4879: 3349: 972:
and the verb itself is "to brux". There is no widely accepted definition of bruxism. Examples of definitions include:
739: 87:
aware of their habit, self-reported tooth grinding and clenching habits may be a poor measure of the true prevalence.
1211:
reassurance that the condition does not represent a serious disease, which may act to alleviate contributing stress.
2305:
Macedo CR, Machado MAC, Silva AB, Prado GF (21 January 2009). MacEdo CR (ed.). "Pharmacotherapy for sleep bruxism".
164:
Tenderness, pain or fatigue of the muscles of mastication, which may get worse during chewing or other jaw movement.
6348: 5263: 4741: 3375: 4689: 6358: 6327: 5705: 5588: 5174: 4957: 4766: 4714: 3862:
Hardy RS, Bonsor SJ (2021). "The efficacy of occlusal splints in the treatment of bruxism: A systematic review".
1341:
on the incisors are particularly vulnerable to damage, and sometimes a crown can be perforated by occlusal wear.
1160: 764: 607: 407: 5482: 4315: 6552: 6485: 6406: 6322: 6317: 6014: 5977: 5969: 5787: 5756: 5497: 4514: 2086: 1396: 838:
the other hand, bruxers may rely on such devices as the Bruxchecker, Bruxcore, or a beeswax-bearing biteplate.
531: 399: 395: 208: 6343: 5850: 5700: 5695: 5652: 5469: 5054: 4835: 4644: 4403:. Center for Substance Abuse Research (CESAR), at the University of Maryland at College Park. Archived from 1423: 769: 753: 705: 611: 391: 174: 3150:"An evidence-based review of botulinum toxin (Botox) applications in non-cosmetic head and neck conditions" 6221: 5860: 5751: 5710: 5685: 5593: 5150: 4699: 4534: 3998: 2990:
Winocur E, Gavish A, Voikovitch M, Emodi-Perlman A, Eli I (2003). "Drugs and bruxism: a critical review".
2555:
Pettengill CA (April 2011). "Interaction of dental erosion and bruxism: the amplification of tooth wear".
1616: 1516: 847: 781: 776: 563: 441: 154: 137: 3747:"Influence of cyclic loading on the fracture toughness and load bearing capacities of all-ceramic crowns" 1500:
documented the definition of Chinese character "齘" (bruxism) as "the clenching of teeth" (齒相切也). In 610,
125:
Other parafunctional activity which may occur together with bruxism: cheek biting (which may manifest as
6416: 6149: 6029: 5936: 5915: 4972: 4704: 1534: 1475: 638: 3989:
Dao TT, Lavigne GJ (1998). "Oral splints: the crutches for temporomandibular disorders and bruxism?".
6241: 6154: 5910: 5730: 5331: 5311: 5126: 3605:
Clarke JH, Reynolds PJ (April 1991). "Suggestive Hypnotherapy for Nocturnal Bruxism: A Pilot Study".
3272: 1600: 1479: 1434: 685: 575: 219: 63: 4003: 2892:"Review of temporomandibular joint pathology. Part I: classification, epidemiology and risk factors" 2603:
Davies SJ, Gray RJ, Linden GJ, James JA (December 2001). "Occlusal considerations in periodontics".
1184:
teeth, temporomandibular disorders and other physical injuries, and severe psychosocial impairment.
222:
of teeth, which may make them sore to bite on, and possibly also a degree of loosening of the teeth.
198:, which flattens the occlusal (biting) surface, but also possibly other types of tooth wear such as 6474: 6291: 6273: 6236: 6226: 6080: 5982: 5959: 5807: 5799: 5578: 5556: 5284: 5121: 5111: 4577: 4477: 3273:"A bibliographical survey of bruxism with special emphasis on non-traditional treatment modalities" 1611: 1590: 1502: 855: 527: 453: 341: 126: 3500: 1522: 886:
listed diagnostic criteria for sleep bruxism. The minimal criteria include both of the following:
6164: 5954: 5551: 5403: 5131: 4884: 4784: 4649: 3905: 3587: 3467: 3250: 2693: 2668:
Lobbezoo F, Naeije M (December 2001). "Bruxism is mainly regulated centrally, not peripherally".
2580: 1385: 1338: 796: 622:, as in coffee, tea or chocolate. Bruxism has also been reported to occur commonly comorbid with 426: 319:
is said to synergistically contribute to tooth wear in some bruxists, according to some sources.
268: 195: 130: 4094:"The Current Trend in Management of Bruxism and Chronic Pain: An Overview of Systematic Reviews" 2890:
Poveda Roda R, Bagan JV, Díaz Fernández JM, Hernández Bazán S, Jiménez Soriano Y (August 2007).
2346: 374: 6525: 6496: 6200: 5725: 5715: 5647: 5573: 5457: 5141: 4443: 4307: 4182: 4133: 4115: 4074: 4043: 4016: 3969: 3946: 3897: 3889: 3844: 3826: 3784: 3766: 3661: 3630: 3622: 3579: 3571: 3535: 3459: 3421: 3294: 3242: 3204: 3198: 3179: 3127: 3109: 3070: 3035: 2999: 2963: 2945: 2906: 2872: 2796: 2758: 2685: 2647: 2620: 2572: 2537: 2502: 2473: 2439: 2401: 2378: 2350: 2240: 2202: 2158: 2029: 1989: 1863: 1805: 1763: 1745: 1697: 1621: 1585: 1560: 1260: 805: 383: 312: 177:, which may manifest as preauricular pain (in front of the ear), or pain referred to the ear ( 46: 3554:
Pierce C, Gale E (March 1988). "A Comparison of Different Treatments for Nocturnal Bruxism".
1154:, where the disorder is associated with other medical conditions. Secondary bruxism includes 6070: 6024: 5992: 5840: 5818: 5783: 5546: 5428: 5379: 5326: 5301: 5296: 5253: 5241: 5136: 5076: 4435: 4299: 4172: 4164: 4123: 4105: 4008: 3936: 3879: 3871: 3834: 3818: 3774: 3758: 3725: 3614: 3563: 3527: 3451: 3411: 3284: 3234: 3169: 3161: 3117: 3101: 3062: 2953: 2937: 2891: 2864: 2788: 2749:
Manfredini D, Lobbezoo F (2009). "Role of psychosocial factors in the etiology of bruxism".
2677: 2612: 2564: 2529: 2310: 2192: 2148: 2140: 2021: 1979: 1971: 1753: 1735: 1381: 1333: 867: 800: 523: 449: 289: 188: 6246: 6204: 6075: 6062: 6009: 6004: 5987: 5867: 5662: 5634: 5435: 5258: 5197: 5007: 4934: 4912: 4859: 4619: 4524: 3385: 1779: 1774: 1641: 1325: 1252: 913: 851: 827: 823: 660: 599: 462: 387: 252: 158: 144: 41:
Attrition (tooth wear caused by tooth-to-tooth contact) can be a manifestation of bruxism.
6296: 2239:(2nd ed.). Edinburgh: Churchill Livingstone. pp. 291, 292, 343, 353, 359, 382. 826:. A diagnosis of bruxism is usually made clinically, and is mainly based on the person's 4362:
Gill PS, Chawla KK, Chawla S (March 2011). "Bruxism/bruxomania, causes and management".
4201: 2087:"International classification of sleep disorders, revised: Diagnostic and coding manual" 1778: This article incorporates text from this source, which is available under the 1758: 1723: 1392:, and may indicate the presence of tooth decay rather than merely hypersensitive teeth. 378:
The left masseter muscle (red highlight), shown partially covered by superficial muscles
78:
use, although there is little evidence of robust efficacy for any particular treatment.
6548:
Pathology of temporomandibular joints, muscles of mastication and associated structures
6231: 6172: 6096: 5905: 5872: 5855: 5845: 5081: 4952: 4894: 4597: 4497: 4470: 4177: 4152: 4128: 4093: 3839: 3806: 3779: 3746: 3531: 3321: 3174: 3149: 3122: 3089: 2958: 2925: 2153: 2128: 1984: 1959: 1632: 1412: 1321: 1248: 1236: 1232: 947: 701: 695: 623: 571: 539: 6479: 2792: 2339: 1598:) begins taking an amphetamine-based diet pill and develops bruxism. In the 2005 film 452:
abnormalities. Underlying these factors may be psychosocial factors including daytime
205:
Tooth fractures, and repeated failure of dental restorations (fillings, crowns, etc.).
6541: 6265: 6216: 5534: 5059: 4907: 4864: 4814: 4809: 4582: 4439: 4062: 3909: 3371: 2868: 2681: 2025: 1595: 1588:", the sister of central character Bobbi Anderson also had bruxism. In the 2000 film 1507: 1492: 1445: 1283: 1279: 791: 759: 748: 722: 345: 332: 327:
The view that occlusal trauma (as may occur during bruxism) is a causative factor in
5166: 3730: 3713: 3591: 3471: 3254: 3105: 2697: 2584: 2341:
Master Dentistry Vol I: Restorative dentistry, paediatric dentistry and orthodontics
1263:
to investigate the evidence for drug treatments in sleep bruxism published in 2014 (
6119: 5900: 5452: 5027: 4804: 4789: 4404: 3822: 3618: 2718: 2568: 2144: 1958:
Shetty S, Pitti V, Satish Babu CL, Surendra Kumar GP, Deepthi BC (September 2010).
1628: 1581: 1299: 1240: 991:
characterized by teeth-grinding and clenching during sleep as well as wakefulness."
809: 656: 642: 316: 293: 272: 228: 2533: 934:
E. The presence of other sleep disorders (e.g., obstructive sleep apnea syndrome).
33: 6490: 4340: 4012: 3966:
Temporomandibular disorders an evidence-based approach to diagnosis and treatment
3567: 3312: 3148:
Persaud R, Garas G, Silva S, Stamatoglou C, Chatrath P, Patel K (February 2013).
2375:
Oxford handbook of dental patient care, the essential guide to hospital dentistry
6520: 6104: 5835: 5566: 5316: 5086: 4962: 4902: 4854: 4849: 4840: 4679: 4629: 4624: 4506: 4303: 3875: 1571: 1471: 1457: 1426:) may reduce sleep bruxism, although its use may be associated with discomfort. 1295: 1150:
bruxism"), where the disorder is not related to any other medical condition, or
988: 672: 591: 583: 547: 434: 403: 212: 150: 6501: 3487:"Grinding your teeth? Expert reveals the long term damage you could be causing" 1349: 140:), possibly related to a coexistent "tongue thrusting" parafunctional activity. 6463: 6421: 6114: 6019: 5720: 5445: 5440: 5236: 5145: 5091: 5071: 4869: 4845: 4776: 4694: 4587: 4557: 4552: 4542: 4426:
Hamamoto DT, Rhodus NL (January 2009). "Methamphetamine abuse and dentistry".
4269: 4246: 4232: 4209: 4063:"Weighing the potential effectiveness of various treatments for sleep bruxism" 3455: 2941: 2314: 1975: 1637: 1576: 1374: 1329: 1271: 1168: 1167:
does not have an entry called bruxism, instead listing "tooth grinding" under
1155: 1147: 1131: 744: 727: 713: 587: 567: 445: 328: 307: 199: 67: 4119: 3893: 3830: 3770: 3626: 3575: 3165: 3113: 3023: 2949: 2472:(10th ed.). Hamilton, Ont.: BC Decker. pp. 87, 88, 90–93, 101–105. 2092:. Chicago, Illinois: American Academy of Sleep Medicine, 2001. Archived from 1862:(7th ed.). Edinburgh: Churchill Livingstone. pp. 6, 566, 364, 366. 1749: 6374: 6306: 6124: 5583: 5321: 5246: 5155: 5106: 5101: 4967: 4929: 4666: 4572: 4562: 4547: 4462: 4168: 3066: 2616: 2522:
Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
1624:
grinds his teeth regularly, so loudly it can be heard "half a castle away".
1360: 1307: 1303: 1291: 1287: 871: 680: 551: 440:
There is evidence that sleep bruxism is caused by mechanisms related to the
256: 51: 4447: 4311: 4186: 4137: 4078: 4047: 3950: 3941: 3924: 3901: 3848: 3788: 3665: 3463: 3425: 3344: 3298: 3246: 3183: 3131: 3074: 3039: 3003: 2967: 2910: 2876: 2800: 2762: 2689: 2651: 2624: 2576: 2541: 2206: 2162: 2033: 1993: 1767: 1006:"Periodic repetitive clenching or rhythmic forceful grinding of the teeth." 74:
bruxism may not be present at all on waking, and then worsen over the day.
4020: 3634: 3583: 3289: 2506: 2181:"Epidemiology of bruxism in adults: a systematic review of the literature" 157:(increase in the size of the muscles that move the jaw), particularly the 111: 6109: 5779: 5746: 5672: 5022: 4997: 4917: 4709: 4684: 3762: 3442:
Nissani M (2000). "A Taste-Based Approach to the Prevention of Bruxism".
3238: 2179:
Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F (2013).
1389: 1275: 1244: 1215:
reported less grinding and reduction of EMG activity after hypnotherapy.
923: 831: 785: 734: 717: 619: 615: 559: 470: 337: 232: 4110: 4092:
Bussadori SK, Motta LJ, Horliana AC, Santos EM, Martimbianco AL (2020).
1740: 5049: 5044: 5039: 5034: 5017: 4922: 4756: 4656: 4567: 3416: 3399: 2438:(2nd ed.). Philadelphia: W.B. Saunders. pp. 21, 58, 59, 173. 1606: 1497: 1441: 1256: 709: 579: 543: 501: 483: 276: 178: 167: 6446: 3884: 1231:
Many different medications have been used to treat bruxism, including
6458: 5827: 5642: 5116: 5002: 3649: 2237:
Oral and maxillofacial medicine: the basis of diagnosis and treatment
2197: 2180: 1164: 870:
devices to measure masseter or temporalis muscle activity (e.g. the "
690: 301: 297: 3964:
Hylander, William L., Laskin, Daniel M., Greene, Charles B. (2006).
2093: 1016:
Comparison of typical features of sleep bruxism and awake bruxism.
365: 357: 5605: 5012: 4830: 4493: 1526:
gave a similar explanation and three prescriptions for treatment.
373: 364: 356: 110: 3090:"Autism Disorder (AD): An Updated Review for Paediatric Dentists" 890:
A. symptom of tooth-grinding or tooth-clenching during sleep, and
336:
movement that occurs during occlusal loading is sometimes termed
202:, where notches form around the neck of the teeth at the gumline. 3652:[Role of the psychologist in the treatment of bruxism]. 2377:(2nd ed.). New York: Oxford University Press. p. 332. 292:
of the occlusal surface. Once tooth wear progresses through the
6395: 6263: 6198: 6050: 5777: 5622: 5532: 5352: 5213: 5170: 4466: 5096: 4992: 3807:"Occlusal splints for treating sleep bruxism (tooth grinding)" 3805:
Macedo CR, Silva AB, Machado MA, Saconato H, Prado GF (2007).
2129:"Occlusal splints for treating sleep bruxism (tooth grinding)" 2127:
Macedo CR, Silva AB, Machado MA, Saconato H, Prado GF (2007).
1804:(5th ed.). Oxford: Oxford University Press. p. 195. 1052:
Pain worsens throughout the day, may not be present on waking
659:, often because the lower wisdom tooth has been removed or is 618:. Bruxism can also be exacerbated by excessive consumption of 191:, caused by muscle pain associated with the temporalis muscle. 3714:"Sleep bruxism: Therapeutic possibilities based in evidences" 3364: 951: 2926:"Teeth Grinding: Is Emotional Stability related to Bruxism?" 1409:
nociceptive trigeminal inhibition tension suppression system
62:
is excessive teeth grinding or jaw clenching. It is an oral
4341:"Meaning of "to grit one's teeth" on thefreedictionary.com" 2122: 2120: 2118: 2116: 2114: 1511: 1270:
Specific drugs that have been studied in sleep bruxism are
964:
to gnash, grind the teeth". People with bruxism are called
458: 4061:
Huynh N, Manzini C, Rompré PH, Lavigne GJ (October 2007).
4034:
Widmalm SE (March 1999). "Use and abuse of bite splints".
3501:"International Classification of Diseases – 10th revision" 3053:
Davies S, Gray RM (September 2001). "What is occlusion?".
2345:(2nd ed.). Edinburgh: Churchill Livingstone. p.  3925:"The effectiveness of occlusal splints for sleep bruxism" 1085:
Stronger evidence for a relationship, but not conclusive
3650:"Behandeling van bruxisme. De psychologische benadering" 3522:
Lavigne G, Manzini C, Huynh NT (2011), "Sleep Bruxism",
3400:"Bruxism defined and graded: an international consensus" 1074:
Usually clenching, occasionally clenching and grinding
488: 3712:
Machado E, Machado P, Cunali PA, Dal Fabbro C (2011).
2924:
Sutin AR, Terracciano A, Ferrucci L, Costa PT (2010).
2713: 2711: 2709: 2707: 1860:
Cawsonś essentials of oral pathology and oral medicine
1165:
International Classification of Diseases 10th revision
908:
With the following criteria supporting the diagnosis:
3745:
Wang RR, Lu CL, Wang G, Zhang DS (13 December 2013).
3648:
van der Meulen MJ, Lobbezoo F, Naeije M (July 2000).
1640:", a condition potentially associated with long term 16:
Compulsion towards grinding or clenching of the teeth
6436: 3200:
Manual of Minor Oral Surgery for the General Dentist
1407:
over other therapies. Another partial splint is the
1038:
While asleep, mostly during periods of sleep arousal
6511: 6440: 6367: 6336: 6305: 6284: 6163: 6140: 6094: 6061: 5968: 5935: 5883: 5826: 5817: 5798: 5739: 5671: 5633: 5493: 5468: 5365: 5277: 5224: 4985: 4945: 4893: 4823: 4775: 4723: 4665: 4605: 4596: 4533: 4504: 45: 26: 3800: 3798: 2744: 2742: 2740: 2723:Mayo Foundation for Medical Education and Research 2434:Neville BW, Damm DD, Allen CA, Bouquot JE (2002). 2338: 413:Angyloglossia is suspected as a cause of bruxism. 344:(gum disease), however the main stay treatment is 4223: 2850: 2848: 2846: 2844: 2842: 2840: 2838: 2836: 2834: 2832: 2830: 2368: 2366: 2174: 2172: 1722:Zieliński G, Pająk A, Wójcicki M (22 July 2024). 3227:Cranio: The Journal of Craniomandibular Practice 3017: 3015: 3013: 2828: 2826: 2824: 2822: 2820: 2818: 2816: 2814: 2812: 2810: 2663: 2661: 2470:Burket's oral medicine diagnosis & treatment 1795: 1793: 1791: 1789: 1320:dental work is likely to fail in the long term. 300:layer is softer and more vulnerable to wear and 4036:Compendium of Continuing Education in Dentistry 3143: 3141: 2985: 2983: 2981: 2979: 2977: 2774: 2772: 2429: 2427: 2425: 2423: 2396: 2394: 2332: 2330: 2328: 2326: 2324: 2300: 2298: 2296: 2294: 2292: 2290: 2288: 2286: 2284: 2282: 2280: 2278: 2276: 2007: 2005: 2003: 1687: 1685: 1683: 1681: 1679: 1677: 1127:International Classification of Sleep Disorders 1004: 999: 994: 985: 979: 974: 3968:. Chicago: Quintessence Pub. pp. 377–90. 3707: 3705: 3703: 3701: 3100:(2). JCDR Research and Publications: 275–279. 2598: 2596: 2594: 2274: 2272: 2270: 2268: 2266: 2264: 2262: 2260: 2258: 2256: 2230: 2228: 2226: 2224: 2222: 2220: 2218: 2216: 1953: 1951: 1949: 1947: 1945: 1943: 1941: 1939: 1937: 1935: 1933: 1931: 1929: 1927: 1925: 1923: 1921: 1919: 1917: 1915: 1913: 1911: 1909: 1907: 1905: 1903: 1901: 1899: 1853: 1851: 1849: 1847: 1845: 1843: 1841: 1675: 1673: 1671: 1669: 1667: 1665: 1663: 1661: 1659: 1657: 1529:"La bruxomanie" (a French term, translates to 5182: 4478: 4260: 3991:Critical Reviews in Oral Biology and Medicine 2899:Medicina Oral, Patología Oral y Cirugía Bucal 2463: 2461: 2459: 2457: 2455: 1897: 1895: 1893: 1891: 1889: 1887: 1885: 1883: 1881: 1879: 1839: 1837: 1835: 1833: 1831: 1829: 1827: 1825: 1823: 1821: 1604:, a modern reworking of the Anglo-Saxon poem 1049:Pain worst on waking, then slowly gets better 8: 2557:Journal of the California Dental Association 1692:Wassell R, Naru A, Steele J, Nohl F (2008). 3094:Journal of Clinical and Diagnostic Research 2133:The Cochrane Database of Systematic Reviews 1142:Alternatively, bruxism can be divided into 6437: 6392: 6281: 6260: 6195: 6086:Other specified feeding or eating disorder 6058: 6047: 5823: 5795: 5774: 5630: 5619: 5529: 5362: 5349: 5221: 5210: 5189: 5175: 5167: 4800:Rapid eye movement sleep behavior disorder 4602: 4485: 4471: 4463: 4067:Journal of the Canadian Dental Association 2406:United States National Library of Medicine 1306:reuptake inhibitors in depression, adding 1082:Unclear, little evidence of a relationship 784:, (possibly due to long-term therapy with 143:Indentations of the teeth in the tongue (" 32: 23: 4292:Annals of Anatomy - Anatomischer Anzeiger 4285:"The two main theories on dental bruxism" 4176: 4127: 4109: 4002: 3940: 3883: 3838: 3778: 3729: 3654:Nederlands Tijdschrift voor Tandheelkunde 3524:Principles and Practice of Sleep Medicine 3415: 3288: 3173: 3121: 2957: 2196: 2152: 2081: 2079: 2077: 2075: 2073: 2071: 2069: 2067: 2065: 2063: 1983: 1800:Tyldesley WR, Field A, Longman L (2003). 1757: 1739: 288:teeth (back teeth), which wears down the 184:Clicking of the temporomandibular joints. 6349:Disorganized (hebephrenic) schizophrenia 5945:Depersonalization-derealization disorder 3444:Applied Psychophysiology and Biofeedback 2061: 2059: 2057: 2055: 2053: 2051: 2049: 2047: 2045: 2043: 1696:. London: Quintessence. pp. 26–30. 1440:Botulinum toxin causes muscle paralysis/ 1014: 136:A burning sensation on the tongue (see: 3811:Cochrane Database of Systematic Reviews 2307:Cochrane Database of Systematic Reviews 1964:Journal of Indian Prosthodontic Society 1653: 536:selective serotonin reuptake inhibitors 3203:. John Wiley & Sons. p. 300. 3197:Mehra P, D'Innocenzo R (18 May 2015). 2493:De Meyer MD, De Boever JA (1997). "". 1858:Cawson RA, Odell EW, Porter S (2002). 1717: 1715: 1713: 604:attention deficit hyperactive disorder 3751:International Journal of Oral Science 3607:American Journal of Clinical Hypnosis 3437: 3435: 3266: 3264: 1514:deficiency and blood stasis. In 978, 7: 4200: 3718:Dental Press Journal of Orthodontics 919:Activity of jaw muscles during sleep 850:if a seizure disorder is suspected. 187:Headaches, particularly pain in the 6052:Physiological and physical behavior 4042:(3): 249–54, 256, 258–9, quiz 260. 3024:"Temporomandibular joint disorders" 700:Disturbed sleep patterns and other 562:(when used in the long term, as in 249:temporomandibular joint dysfunction 194:Excessive tooth wear, particularly 5998:Psychogenic non-epileptic seizures 5392:Emotional and behavioral disorders 3532:10.1016/b978-1-4160-6645-3.00099-2 2930:Journal of Research in Personality 2436:Oral & maxillofacial pathology 1594:, the character of Sara Goldfarb ( 1559:" appears no less than 7 times in 1465:Occlusal adjustment/reorganization 1011:Classification by temporal pattern 489:Occlusal adjustment/reorganization 14: 6178:Hypoactive sexual desire disorder 4364:Indian Journal of Dental Sciences 4104:. Informa UK Limited: 2413–2421. 2793:10.1016/j.archoralbio.2006.11.017 1265:Pharmacotherapy for Sleep Bruxism 893:B. One or more of the following: 788:causing dopaminergic dysfunction) 259:of the temporomandibular joints. 247:The relationship of bruxism with 5478:X-linked intellectual disability 4640:Obesity hypoventilation syndrome 4635:Central hypoventilation syndrome 4440:10.1111/j.1601-0825.2008.01459.x 3526:, Elsevier, pp. 1128–1139, 2869:10.1111/j.1365-2842.2006.01609.x 2682:10.1046/j.1365-2842.2001.00839.x 2495:Revue Belge de Médecine Dentaire 2026:10.1111/j.1365-2842.2008.01853.x 1773: 1422:(normally used for treatment of 1359: 1348: 1328:such as Emax crowns and complex 382:The muscles of mastication (the 116:fracture lines are also visible. 5307:Intermittent explosive disorder 5232:Ego-dystonic sexual orientation 4795:Periodic limb movement disorder 4762:Non-24-hour sleep–wake disorder 3731:10.1590/S2176-94512011000200008 1090:Prevalence (general population) 653:deflective contact/interference 410:, and the jaw is usually open. 5950:Dissociative identity disorder 5215:Adult personality and behavior 3823:10.1002/14651858.CD005514.pub2 3685:(in German). 22 November 2015. 3619:10.1080/00029157.1991.10402942 3485:Lerche O (23 September 2016). 3404:Journal of Oral Rehabilitation 2857:Journal of Oral Rehabilitation 2670:Journal of Oral Rehabilitation 2569:10.1080/19424396.2011.12221893 2468:Greenberg MS, Glick M (2003). 2373:Kalantzis A, Scully C (2005). 2145:10.1002/14651858.CD005514.pub2 2014:Journal of Oral Rehabilitation 1960:"Bruxism: a literature review" 1373:Occlusal splints (also termed 862:become aware of such a habit. 1: 5067:Biphasic and polyphasic sleep 4875:Nocturnal clitoral tumescence 4737:Advanced sleep phase disorder 3022:Buescher JJ (November 2007). 2534:10.1016/j.tripleo.2010.02.013 1557:weeping and gnashing of teeth 1547:Weeping and gnashing of teeth 1420:mandibular advancement device 902:Discomfort of the jaw muscles 628:Methylenedioxymethamphetamine 6354:Pseudoneurotic schizophrenia 5891:Generalized anxiety disorder 5624:Neurological and symptomatic 5269:Sexual relationship disorder 4747:Delayed sleep phase disorder 4675:Excessive daytime sleepiness 4013:10.1177/10454411980090030701 3568:10.1177/00220345880670031501 1728:Journal of Clinical Medicine 1220:Cognitive behavioral therapy 987:"A movement disorder of the 614:-inducing analogues such as 231:and the articulation of the 6130:REM sleep behavior disorder 5599:Seasonal affective disorder 5397:Separation anxiety disorder 4880:Nocturnal penile tumescence 4752:Irregular sleep–wake rhythm 4304:10.1016/j.aanat.2011.09.002 3876:10.1016/j.jdent.2021.103621 3503:. World Health Organization 3350:Online Etymology Dictionary 3106:10.7860/jcdr/2014/7938.4080 1332:for example are relatively 1315:Prevention of dental damage 1172: 1046:Time–intensity relationship 740:Eustachian tube dysfunction 408:physiologic motor paralysis 170:(restricted mouth opening). 6569: 6397:Symptoms and uncategorized 5498:developmental disabilities 5264:Sexual maturation disorder 4742:Cyclic alternating pattern 3556:Journal of Dental Research 3365: 1544: 1206:Psychosocial interventions 1188:Classification by duration 1179:Classification by severity 952: 878:ICSD-R diagnostic criteria 756:, particularly in children 558:Specific examples include 361:The left temporalis muscle 173:Pain or tenderness of the 6402: 6391: 6359:Simple-type schizophrenia 6328:Schizophreniform disorder 6280: 6259: 6212: 6194: 6057: 6046: 5794: 5773: 5706:Mild cognitive impairment 5691:Creutzfeldt–Jakob disease 5629: 5618: 5589:Major depressive disorder 5542: 5528: 5494:Psychological development 5361: 5348: 5220: 5209: 4958:Behavioral sleep medicine 4767:Shift work sleep disorder 4715:Sleep state misperception 4268:(in Chinese) – via 4231:(in Chinese) – via 4208:(in Chinese) – via 3028:American Family Physician 2992:Journal of Orofacial Pain 2942:10.1016/j.jrp.2010.03.006 2751:Journal of Orofacial Pain 2640:Journal of Orofacial Pain 2315:10.1002/14651858.CD005578 2185:Journal of Orofacial Pain 1976:10.1007/s13191-011-0041-5 1802:Tyldesley's Oral medicine 1161:World Health Organization 1104:Equal gender distribution 874:", and the "Grindcare"). 765:Meningococcal septicaemia 608:gamma-hydroxybutyric acid 596:methylenedioxyamphetamine 532:tricyclic antidepressants 147:" or "scalloped tongue"). 40: 31: 6407:Impulse-control disorder 6323:Schizoaffective disorder 6318:Brief reactive psychosis 6015:Mass psychogenic illness 5978:Body dysmorphic disorder 5757:Post-concussion syndrome 5367:Emotional and behavioral 4515:Rapid eye movement (REM) 4098:Journal of Pain Research 3929:Evidence-Based Dentistry 3166:10.1177/2042533312472115 2781:Archives of Oral Biology 2719:"Bruxism/Teeth grinding" 1490:Two thousand years ago, 1397:temporomandibular joints 1366:Example occlusal splints 1079:Relationship with stress 463:supine sleeping position 400:temporomandibular joints 396:lateral pterygoid muscle 175:temporomandibular joints 6344:Childhood schizophrenia 5696:Frontotemporal dementia 5653:High-functioning autism 5470:Intellectual disability 4836:Exploding head syndrome 4645:Obstructive sleep apnea 4169:10.7555/JBR.28.20130145 3870:. Elsevier BV: 103621. 3456:10.1023/A:1009585422533 3381:A Greek–English Lexicon 3277:Journal of Oral Science 3067:10.1038/sj.bdj.4801151a 2617:10.1038/sj.bdj.4801245a 2337:Heasman P, ed. (2008). 1424:obstructive sleep apnea 1138:Classification by cause 770:Multiple system atrophy 754:Intellectual disability 706:obstructive sleep apnea 612:gamma-aminobutyric acid 392:medial pterygoid muscle 64:parafunctional activity 5861:Specific social phobia 5752:Organic brain syndrome 5594:Melancholic depression 5355:Childhood and learning 5151:Sleeping while on duty 4700:Idiopathic hypersomnia 4381:张耀翔 (1933) . "国人之迷信". 3942:10.1038/sj.ebd.6400569 3055:British Dental Journal 2605:British Dental Journal 1631:, recreational use of 1617:A Song of Ice and Fire 1071:Clenching and grinding 1008: 1003: 998: 993: 984: 978: 848:electroencephalography 777:Oromandibular dystonia 442:central nervous system 379: 371: 362: 155:muscles of mastication 117: 91:are affected equally. 6417:Psychomotor agitation 6207:and substance-related 6150:Postpartum depression 6030:Somatization disorder 5916:Acute stress reaction 5681:AIDS dementia complex 4973:Neuroscience of sleep 4705:Night eating syndrome 4690:Kleine–Levin syndrome 3372:Liddell, Henry George 3290:10.2334/josnusd.43.73 3088:Jaganathan U (2014). 1601:Beowulf & Grendel 1535:biopsychosocial model 1476:restorative dentistry 675:). Examples include: 667:Possible associations 377: 368: 360: 114: 6412:Klüver–Bucy syndrome 6242:Substance dependence 6155:Postpartum psychosis 5701:Huntington's disease 5483:Lujan–Fryns syndrome 5332:Personality disorder 5127:Sleep and creativity 3864:Journal of Dentistry 3763:10.1038/ijos.2013.94 3239:10.1179/crn.2006.045 1517:Taiping Shenghuifang 1480:orthognathic surgery 1435:Botulinum neurotoxin 1404:repositioning splint 946:is derived from the 782:Parkinson's diseases 686:Atypical facial pain 528:dopamine antagonists 495:Psychosocial factors 220:periodontal ligament 218:Inflammation of the 209:Hypersensitive teeth 6292:Delusional disorder 6237:Stimulant psychosis 6227:Physical dependence 6081:Rumination syndrome 5983:Conversion disorder 5960:Psychogenic amnesia 5810:with depressed mood 5808:Adjustment disorder 5711:Parkinson's disease 5686:Alzheimer's disease 5579:Atypical depression 5415:Social functioning 5290:Munchausen syndrome 5285:Factitious disorder 5122:Sleep and breathing 4578:Sensorimotor rhythm 4111:10.2147/jpr.s268114 3680:"Selbstbeobachtung" 3398:Lobbezzo F (2013). 3061:(5): 235–8, 241–5. 1741:10.3390/jcm13144259 1612:George R. R. Martin 1591:Requiem for a Dream 1541:Society and culture 1503:Zhubing yuanhou lun 1101:Gender distribution 1060:Commonly associated 1017: 939:Definition examples 896:Abnormal tooth wear 856:electrocardiography 712:, moderate daytime 564:Parkinson's disease 342:periodontal disease 296:layer, the exposed 127:morsicatio buccarum 6512:External resources 6466:("tooth grinding") 6311:schizophrenia-like 5955:Dissociative fugue 5404:Movement disorders 5132:Sleep and learning 4885:Nocturnal emission 4785:Nightmare disorder 4650:Periodic breathing 4401:"Ecstasy on CESAR" 3417:10.1111/joor.12011 3271:Nissani M (2001). 3154:JRSM Short Reports 1386:strontium chloride 1063:Rarely associated 1015: 989:masticatory system 797:Torus mandibularis 610:(GHB) and similar 380: 372: 363: 118: 103:Signs and symptoms 6535: 6534: 6434: 6433: 6430: 6429: 6387: 6386: 6383: 6382: 6255: 6254: 6190: 6189: 6186: 6185: 6042: 6041: 6038: 6037: 5931: 5930: 5769: 5768: 5765: 5764: 5726:Vascular dementia 5648:Asperger syndrome 5614: 5613: 5524: 5523: 5520: 5519: 5458:Tourette syndrome 5344: 5343: 5340: 5339: 5164: 5163: 5142:Sleep deprivation 4981: 4980: 3975:978-0-86715-447-4 3923:Jagger R (2008). 3210:978-1-118-93843-0 2235:Scully C (2008). 1694:Applied occlusion 1622:Stannis Baratheon 1586:The Tommyknockers 1444:by inhibition of 1261:systematic review 1152:secondary bruxism 1122: 1121: 868:electromyographic 648:premature contact 524:dopamine agonists 465:(lying face up). 384:temporalis muscle 133:), or lip biting. 57: 56: 21:Medical condition 6560: 6438: 6393: 6282: 6261: 6196: 6071:Anorexia nervosa 6059: 6048: 6025:Psychogenic pain 5993:Globus pharyngis 5841:Childhood phobia 5824: 5796: 5775: 5631: 5620: 5530: 5429:Selective mutism 5380:Conduct disorder 5363: 5350: 5327:Trichotillomania 5302:Gender dysphoria 5297:Fear of intimacy 5254:Sexual anhedonia 5222: 5211: 5198:Mental disorders 5191: 5184: 5177: 5168: 5137:Sleep and memory 5077:Circadian rhythm 4824:Benign phenomena 4726:Circadian rhythm 4603: 4487: 4480: 4473: 4464: 4452: 4451: 4423: 4417: 4416: 4414: 4412: 4397: 4391: 4390: 4378: 4372: 4371: 4359: 4353: 4352: 4350: 4348: 4337: 4331: 4330: 4328: 4326: 4320: 4314:. Archived from 4289: 4280: 4274: 4273: 4267: 4257: 4251: 4250: 4243: 4237: 4236: 4230: 4220: 4214: 4213: 4207: 4197: 4191: 4190: 4180: 4148: 4142: 4141: 4131: 4113: 4089: 4083: 4082: 4058: 4052: 4051: 4031: 4025: 4024: 4006: 3986: 3980: 3979: 3961: 3955: 3954: 3944: 3920: 3914: 3913: 3887: 3859: 3853: 3852: 3842: 3802: 3793: 3792: 3782: 3742: 3736: 3735: 3733: 3709: 3696: 3693: 3687: 3686: 3684: 3676: 3670: 3669: 3645: 3639: 3638: 3602: 3596: 3595: 3551: 3545: 3544: 3519: 3513: 3512: 3510: 3508: 3497: 3491: 3490: 3482: 3476: 3475: 3439: 3430: 3429: 3419: 3395: 3389: 3368: 3367: 3361: 3355: 3354: 3340: 3334: 3333: 3331: 3329: 3309: 3303: 3302: 3292: 3268: 3259: 3258: 3221: 3215: 3214: 3194: 3188: 3187: 3177: 3145: 3136: 3135: 3125: 3085: 3079: 3078: 3050: 3044: 3043: 3019: 3008: 3007: 2987: 2972: 2971: 2961: 2921: 2915: 2914: 2896: 2887: 2881: 2880: 2852: 2805: 2804: 2776: 2767: 2766: 2746: 2735: 2734: 2732: 2730: 2715: 2702: 2701: 2665: 2656: 2655: 2635: 2629: 2628: 2600: 2589: 2588: 2552: 2546: 2545: 2517: 2511: 2510: 2490: 2484: 2483: 2465: 2450: 2449: 2431: 2418: 2417: 2415: 2413: 2398: 2389: 2388: 2370: 2361: 2360: 2344: 2334: 2319: 2318: 2302: 2251: 2250: 2232: 2211: 2210: 2200: 2198:10.11607/jop.921 2176: 2167: 2166: 2156: 2124: 2109: 2108: 2106: 2104: 2098: 2091: 2083: 2038: 2037: 2009: 1998: 1997: 1987: 1955: 1874: 1873: 1855: 1816: 1815: 1797: 1784: 1777: 1771: 1761: 1743: 1719: 1708: 1707: 1689: 1363: 1352: 1253:muscle relaxants 1018: 955: 954: 801:buccal exostosis 634:Occlusal factors 477:Historical focus 450:neurotransmitter 36: 24: 6568: 6567: 6563: 6562: 6561: 6559: 6558: 6557: 6553:Sleep disorders 6538: 6537: 6536: 6531: 6530: 6507: 6506: 6449: 6435: 6426: 6398: 6379: 6363: 6332: 6310: 6301: 6276: 6251: 6208: 6205:substance abuse 6182: 6159: 6136: 6090: 6076:Bulimia nervosa 6053: 6034: 6010:Hypochondriasis 6005:False pregnancy 5988:Ganser syndrome 5970:Somatic symptom 5964: 5927: 5879: 5868:Specific phobia 5813: 5790: 5761: 5735: 5667: 5663:Savant syndrome 5635:Autism spectrum 5625: 5610: 5538: 5516: 5495: 5489: 5464: 5357: 5336: 5312:Dermatillomania 5273: 5259:Sexual anorexia 5216: 5205: 5195: 5165: 5160: 5055:Procrastination 5008:Four-poster bed 4977: 4941: 4935:Polysomnography 4913:Sleep induction 4889: 4860:Sleep paralysis 4819: 4771: 4730: 4727: 4719: 4661: 4620:Mouth breathing 4598:Sleep disorders 4592: 4529: 4520:Quiescent sleep 4500: 4498:sleep disorders 4491: 4461: 4456: 4455: 4425: 4424: 4420: 4410: 4408: 4399: 4398: 4394: 4380: 4379: 4375: 4361: 4360: 4356: 4346: 4344: 4339: 4338: 4334: 4324: 4322: 4318: 4287: 4282: 4281: 4277: 4259: 4258: 4254: 4245: 4244: 4240: 4222: 4221: 4217: 4199: 4198: 4194: 4150: 4149: 4145: 4091: 4090: 4086: 4060: 4059: 4055: 4033: 4032: 4028: 4004:10.1.1.548.8929 3988: 3987: 3983: 3976: 3963: 3962: 3958: 3922: 3921: 3917: 3861: 3860: 3856: 3817:(4): CD005514. 3804: 3803: 3796: 3744: 3743: 3739: 3711: 3710: 3699: 3694: 3690: 3682: 3678: 3677: 3673: 3647: 3646: 3642: 3604: 3603: 3599: 3553: 3552: 3548: 3542: 3521: 3520: 3516: 3506: 3504: 3499: 3498: 3494: 3484: 3483: 3479: 3441: 3440: 3433: 3397: 3396: 3392: 3386:Perseus Project 3362: 3358: 3342: 3341: 3337: 3327: 3325: 3311: 3310: 3306: 3270: 3269: 3262: 3223: 3222: 3218: 3211: 3196: 3195: 3191: 3147: 3146: 3139: 3087: 3086: 3082: 3052: 3051: 3047: 3034:(10): 1477–82. 3021: 3020: 3011: 2989: 2988: 2975: 2923: 2922: 2918: 2894: 2889: 2888: 2884: 2854: 2853: 2808: 2778: 2777: 2770: 2748: 2747: 2738: 2728: 2726: 2717: 2716: 2705: 2676:(12): 1085–91. 2667: 2666: 2659: 2637: 2636: 2632: 2611:(11): 597–604. 2602: 2601: 2592: 2554: 2553: 2549: 2519: 2518: 2514: 2492: 2491: 2487: 2480: 2467: 2466: 2453: 2446: 2433: 2432: 2421: 2411: 2409: 2408:. 28 April 2008 2400: 2399: 2392: 2385: 2372: 2371: 2364: 2357: 2336: 2335: 2322: 2304: 2303: 2254: 2247: 2234: 2233: 2214: 2178: 2177: 2170: 2139:(4): CD005514. 2126: 2125: 2112: 2102: 2100: 2099:on 26 July 2011 2096: 2089: 2085: 2084: 2041: 2011: 2010: 2001: 1957: 1956: 1877: 1870: 1857: 1856: 1819: 1812: 1799: 1798: 1787: 1721: 1720: 1711: 1704: 1691: 1690: 1655: 1650: 1642:methamphetamine 1584:'s 1988 novel " 1549: 1543: 1488: 1467: 1455: 1432: 1430:Botulinum toxin 1371: 1370: 1369: 1368: 1367: 1364: 1355: 1354: 1353: 1334:contraindicated 1326:dental ceramics 1322:Dental implants 1317: 1259:. A multiyear 1249:antidepressants 1237:anticonvulsants 1233:benzodiazepines 1229: 1208: 1199: 1190: 1181: 1144:primary bruxism 1140: 1107:Mostly females 1013: 941: 914:polysomnography 899:Grinding sounds 880: 852:Polysomnography 824:quality of life 820: 815: 702:sleep disorders 669: 636: 600:methylphenidate 519: 510: 508:Genetic factors 497: 479: 423: 421:Multiple causes 388:masseter muscle 355: 325: 265: 253:myofascial pain 241: 159:masseter muscle 145:crenated tongue 105: 84: 22: 17: 12: 11: 5: 6566: 6564: 6556: 6555: 6550: 6540: 6539: 6533: 6532: 6529: 6528: 6516: 6515: 6513: 6509: 6508: 6505: 6504: 6493: 6482: 6467: 6450: 6445: 6444: 6442: 6441:Classification 6432: 6431: 6428: 6427: 6425: 6424: 6419: 6414: 6409: 6403: 6400: 6399: 6396: 6389: 6388: 6385: 6384: 6381: 6380: 6378: 6377: 6371: 6369: 6365: 6364: 6362: 6361: 6356: 6351: 6346: 6340: 6338: 6334: 6333: 6331: 6330: 6325: 6320: 6314: 6312: 6303: 6302: 6300: 6299: 6294: 6288: 6286: 6278: 6277: 6264: 6257: 6256: 6253: 6252: 6250: 6249: 6244: 6239: 6234: 6232:Rebound effect 6229: 6224: 6219: 6213: 6210: 6209: 6199: 6192: 6191: 6188: 6187: 6184: 6183: 6181: 6180: 6175: 6173:Hypersexuality 6169: 6167: 6161: 6160: 6158: 6157: 6152: 6146: 6144: 6138: 6137: 6135: 6134: 6133: 6132: 6127: 6122: 6112: 6107: 6101: 6099: 6092: 6091: 6089: 6088: 6083: 6078: 6073: 6067: 6065: 6055: 6054: 6051: 6044: 6043: 6040: 6039: 6036: 6035: 6033: 6032: 6027: 6022: 6017: 6012: 6007: 6002: 6001: 6000: 5995: 5990: 5980: 5974: 5972: 5966: 5965: 5963: 5962: 5957: 5952: 5947: 5941: 5939: 5933: 5932: 5929: 5928: 5926: 5925: 5924: 5923: 5918: 5908: 5906:Panic disorder 5903: 5898: 5893: 5887: 5885: 5881: 5880: 5878: 5877: 5876: 5875: 5873:Claustrophobia 5865: 5864: 5863: 5858: 5856:Anthropophobia 5848: 5846:Social anxiety 5843: 5838: 5832: 5830: 5821: 5815: 5814: 5812: 5811: 5804: 5802: 5792: 5791: 5778: 5771: 5770: 5767: 5766: 5763: 5762: 5760: 5759: 5754: 5749: 5743: 5741: 5737: 5736: 5734: 5733: 5728: 5723: 5718: 5716:Pick's disease 5713: 5708: 5703: 5698: 5693: 5688: 5683: 5677: 5675: 5669: 5668: 5666: 5665: 5660: 5655: 5650: 5645: 5639: 5637: 5627: 5626: 5623: 5616: 5615: 5612: 5611: 5609: 5608: 5603: 5602: 5601: 5596: 5591: 5586: 5581: 5571: 5570: 5569: 5564: 5559: 5554: 5543: 5540: 5539: 5533: 5526: 5525: 5522: 5521: 5518: 5517: 5515: 5514: 5509: 5503: 5501: 5491: 5490: 5488: 5487: 5486: 5485: 5474: 5472: 5466: 5465: 5463: 5462: 5461: 5460: 5450: 5449: 5448: 5443: 5433: 5432: 5431: 5426: 5421: 5413: 5412: 5411: 5401: 5400: 5399: 5389: 5388: 5387: 5377: 5371: 5369: 5359: 5358: 5353: 5346: 5345: 5342: 5341: 5338: 5337: 5335: 5334: 5329: 5324: 5319: 5314: 5309: 5304: 5299: 5294: 5293: 5292: 5281: 5279: 5275: 5274: 5272: 5271: 5266: 5261: 5256: 5251: 5250: 5249: 5244: 5234: 5228: 5226: 5218: 5217: 5214: 5207: 5206: 5202:Classification 5196: 5194: 5193: 5186: 5179: 5171: 5162: 5161: 5159: 5158: 5153: 5148: 5139: 5134: 5129: 5124: 5119: 5114: 5109: 5104: 5099: 5094: 5089: 5084: 5082:Comfort object 5079: 5074: 5069: 5064: 5063: 5062: 5057: 5047: 5042: 5037: 5032: 5031: 5030: 5025: 5020: 5015: 5010: 5005: 5000: 4989: 4987: 4983: 4982: 4979: 4978: 4976: 4975: 4970: 4965: 4960: 4955: 4953:Sleep medicine 4949: 4947: 4943: 4942: 4940: 4939: 4938: 4937: 4927: 4926: 4925: 4920: 4910: 4905: 4899: 4897: 4891: 4890: 4888: 4887: 4882: 4877: 4872: 4867: 4862: 4857: 4852: 4843: 4838: 4833: 4827: 4825: 4821: 4820: 4818: 4817: 4812: 4807: 4802: 4797: 4792: 4787: 4781: 4779: 4773: 4772: 4770: 4769: 4764: 4759: 4754: 4749: 4744: 4739: 4733: 4731: 4724: 4721: 4720: 4718: 4717: 4712: 4707: 4702: 4697: 4692: 4687: 4682: 4677: 4671: 4669: 4663: 4662: 4660: 4659: 4654: 4653: 4652: 4647: 4642: 4637: 4632: 4622: 4617: 4611: 4609: 4600: 4594: 4593: 4591: 4590: 4585: 4580: 4575: 4570: 4565: 4560: 4555: 4550: 4545: 4539: 4537: 4531: 4530: 4528: 4527: 4522: 4517: 4511: 4509: 4502: 4501: 4492: 4490: 4489: 4482: 4475: 4467: 4460: 4459:External links 4457: 4454: 4453: 4418: 4392: 4373: 4354: 4332: 4321:on 29 May 2014 4298:(2): 216–219. 4275: 4252: 4238: 4215: 4192: 4143: 4084: 4053: 4026: 3981: 3974: 3956: 3915: 3854: 3794: 3737: 3697: 3688: 3671: 3660:(7): 297–300. 3640: 3613:(4): 248–253. 3597: 3562:(3): 597–601. 3546: 3540: 3514: 3492: 3477: 3431: 3390: 3356: 3335: 3322:dictionary.com 3304: 3260: 3233:(4): 292–299. 3216: 3209: 3189: 3137: 3080: 3045: 3009: 2973: 2936:(3): 402–405. 2916: 2882: 2863:(4): 293–300. 2806: 2768: 2736: 2703: 2657: 2646:(3): 191–213. 2630: 2590: 2547: 2512: 2485: 2479:978-1550091861 2478: 2451: 2445:978-0721690032 2444: 2419: 2390: 2383: 2362: 2355: 2320: 2252: 2245: 2212: 2168: 2110: 2039: 1999: 1875: 1869:978-0443071065 1868: 1817: 1811:978-0192631473 1810: 1785: 1709: 1702: 1652: 1651: 1649: 1646: 1542: 1539: 1487: 1484: 1466: 1463: 1454: 1451: 1431: 1428: 1413:Dahl appliance 1365: 1358: 1357: 1356: 1347: 1346: 1345: 1344: 1343: 1316: 1313: 1228: 1225: 1207: 1204: 1198: 1195: 1189: 1186: 1180: 1177: 1146:(also termed " 1139: 1136: 1120: 1119: 1116: 1113: 1109: 1108: 1105: 1102: 1098: 1097: 1094: 1091: 1087: 1086: 1083: 1080: 1076: 1075: 1072: 1069: 1065: 1064: 1061: 1058: 1054: 1053: 1050: 1047: 1043: 1042: 1039: 1036: 1032: 1031: 1026: 1021: 1012: 1009: 940: 937: 936: 935: 932: 929: 928: 927: 922:No associated 920: 906: 905: 904: 903: 900: 897: 891: 879: 876: 819: 816: 814: 813: 803: 794: 789: 779: 774: 772: 767: 762: 757: 751: 742: 737: 732: 730: 725: 720: 698: 696:Cerebral palsy 693: 688: 683: 677: 668: 665: 635: 632: 624:drug addiction 572:metoclopramide 518: 515: 509: 506: 496: 493: 478: 475: 422: 419: 354: 351: 324: 323:Tooth mobility 321: 264: 261: 240: 237: 224: 223: 216: 206: 203: 192: 185: 182: 171: 165: 162: 148: 141: 134: 123: 104: 101: 83: 80: 55: 54: 49: 43: 42: 38: 37: 29: 28: 20: 15: 13: 10: 9: 6: 4: 3: 2: 6565: 6554: 6551: 6549: 6546: 6545: 6543: 6527: 6523: 6522: 6518: 6517: 6514: 6510: 6503: 6499: 6498: 6494: 6492: 6488: 6487: 6483: 6481: 6477: 6476: 6472: 6468: 6465: 6461: 6460: 6456: 6452: 6451: 6448: 6443: 6439: 6423: 6420: 6418: 6415: 6413: 6410: 6408: 6405: 6404: 6401: 6394: 6390: 6376: 6373: 6372: 6370: 6366: 6360: 6357: 6355: 6352: 6350: 6347: 6345: 6342: 6341: 6339: 6337:Schizophrenia 6335: 6329: 6326: 6324: 6321: 6319: 6316: 6315: 6313: 6308: 6304: 6298: 6295: 6293: 6290: 6289: 6287: 6283: 6279: 6275: 6271: 6267: 6266:Schizophrenia 6262: 6258: 6248: 6245: 6243: 6240: 6238: 6235: 6233: 6230: 6228: 6225: 6223: 6220: 6218: 6217:Drug overdose 6215: 6214: 6211: 6206: 6202: 6197: 6193: 6179: 6176: 6174: 6171: 6170: 6168: 6166: 6165:Sexual desire 6162: 6156: 6153: 6151: 6148: 6147: 6145: 6143: 6139: 6131: 6128: 6126: 6123: 6121: 6118: 6117: 6116: 6113: 6111: 6108: 6106: 6103: 6102: 6100: 6098: 6093: 6087: 6084: 6082: 6079: 6077: 6074: 6072: 6069: 6068: 6066: 6064: 6060: 6056: 6049: 6045: 6031: 6028: 6026: 6023: 6021: 6018: 6016: 6013: 6011: 6008: 6006: 6003: 5999: 5996: 5994: 5991: 5989: 5986: 5985: 5984: 5981: 5979: 5976: 5975: 5973: 5971: 5967: 5961: 5958: 5956: 5953: 5951: 5948: 5946: 5943: 5942: 5940: 5938: 5934: 5922: 5919: 5917: 5914: 5913: 5912: 5909: 5907: 5904: 5902: 5899: 5897: 5894: 5892: 5889: 5888: 5886: 5882: 5874: 5871: 5870: 5869: 5866: 5862: 5859: 5857: 5854: 5853: 5852: 5851:Social phobia 5849: 5847: 5844: 5842: 5839: 5837: 5834: 5833: 5831: 5829: 5825: 5822: 5820: 5816: 5809: 5806: 5805: 5803: 5801: 5797: 5793: 5789: 5786:-related and 5785: 5781: 5776: 5772: 5758: 5755: 5753: 5750: 5748: 5745: 5744: 5742: 5738: 5732: 5729: 5727: 5724: 5722: 5719: 5717: 5714: 5712: 5709: 5707: 5704: 5702: 5699: 5697: 5694: 5692: 5689: 5687: 5684: 5682: 5679: 5678: 5676: 5674: 5670: 5664: 5661: 5659: 5656: 5654: 5651: 5649: 5646: 5644: 5641: 5640: 5638: 5636: 5632: 5628: 5621: 5617: 5607: 5604: 5600: 5597: 5595: 5592: 5590: 5587: 5585: 5582: 5580: 5577: 5576: 5575: 5572: 5568: 5565: 5563: 5560: 5558: 5555: 5553: 5550: 5549: 5548: 5545: 5544: 5541: 5536: 5531: 5527: 5513: 5510: 5508: 5505: 5504: 5502: 5499: 5492: 5484: 5481: 5480: 5479: 5476: 5475: 5473: 5471: 5467: 5459: 5456: 5455: 5454: 5451: 5447: 5444: 5442: 5439: 5438: 5437: 5434: 5430: 5427: 5425: 5422: 5420: 5417: 5416: 5414: 5410: 5407: 5406: 5405: 5402: 5398: 5395: 5394: 5393: 5390: 5386: 5383: 5382: 5381: 5378: 5376: 5373: 5372: 5370: 5368: 5364: 5360: 5356: 5351: 5347: 5333: 5330: 5328: 5325: 5323: 5320: 5318: 5315: 5313: 5310: 5308: 5305: 5303: 5300: 5298: 5295: 5291: 5288: 5287: 5286: 5283: 5282: 5280: 5276: 5270: 5267: 5265: 5262: 5260: 5257: 5255: 5252: 5248: 5245: 5243: 5240: 5239: 5238: 5235: 5233: 5230: 5229: 5227: 5223: 5219: 5212: 5208: 5203: 5199: 5192: 5187: 5185: 5180: 5178: 5173: 5172: 5169: 5157: 5154: 5152: 5149: 5147: 5143: 5140: 5138: 5135: 5133: 5130: 5128: 5125: 5123: 5120: 5118: 5115: 5113: 5110: 5108: 5105: 5103: 5100: 5098: 5095: 5093: 5090: 5088: 5085: 5083: 5080: 5078: 5075: 5073: 5070: 5068: 5065: 5061: 5058: 5056: 5053: 5052: 5051: 5048: 5046: 5043: 5041: 5038: 5036: 5033: 5029: 5026: 5024: 5021: 5019: 5016: 5014: 5011: 5009: 5006: 5004: 5001: 4999: 4996: 4995: 4994: 4991: 4990: 4988: 4984: 4974: 4971: 4969: 4966: 4964: 4961: 4959: 4956: 4954: 4951: 4950: 4948: 4944: 4936: 4933: 4932: 4931: 4928: 4924: 4921: 4919: 4916: 4915: 4914: 4911: 4909: 4908:Sleep hygiene 4906: 4904: 4901: 4900: 4898: 4896: 4892: 4886: 4883: 4881: 4878: 4876: 4873: 4871: 4868: 4866: 4865:Sleep inertia 4863: 4861: 4858: 4856: 4853: 4851: 4847: 4844: 4842: 4839: 4837: 4834: 4832: 4829: 4828: 4826: 4822: 4816: 4815:Sleep-talking 4813: 4811: 4810:Sleep driving 4808: 4806: 4803: 4801: 4798: 4796: 4793: 4791: 4788: 4786: 4783: 4782: 4780: 4778: 4774: 4768: 4765: 4763: 4760: 4758: 4755: 4753: 4750: 4748: 4745: 4743: 4740: 4738: 4735: 4734: 4732: 4729: 4722: 4716: 4713: 4711: 4708: 4706: 4703: 4701: 4698: 4696: 4693: 4691: 4688: 4686: 4683: 4681: 4678: 4676: 4673: 4672: 4670: 4668: 4664: 4658: 4655: 4651: 4648: 4646: 4643: 4641: 4638: 4636: 4633: 4631: 4628: 4627: 4626: 4623: 4621: 4618: 4616: 4613: 4612: 4610: 4608: 4604: 4601: 4599: 4595: 4589: 4586: 4584: 4583:Sleep spindle 4581: 4579: 4576: 4574: 4571: 4569: 4566: 4564: 4561: 4559: 4556: 4554: 4551: 4549: 4546: 4544: 4541: 4540: 4538: 4536: 4532: 4526: 4523: 4521: 4518: 4516: 4513: 4512: 4510: 4508: 4503: 4499: 4495: 4488: 4483: 4481: 4476: 4474: 4469: 4468: 4465: 4458: 4449: 4445: 4441: 4437: 4433: 4429: 4428:Oral Diseases 4422: 4419: 4407:on 7 May 2013 4406: 4402: 4396: 4393: 4388: 4384: 4377: 4374: 4369: 4365: 4358: 4355: 4343:. Farlex, Inc 4342: 4336: 4333: 4317: 4313: 4309: 4305: 4301: 4297: 4293: 4286: 4279: 4276: 4271: 4266: 4264: 4256: 4253: 4248: 4242: 4239: 4234: 4229: 4227: 4226:巢氏諸病源候總論 卷二十九 4219: 4216: 4211: 4206: 4204: 4196: 4193: 4188: 4184: 4179: 4174: 4170: 4166: 4162: 4158: 4154: 4151:Wu G (2015). 4147: 4144: 4139: 4135: 4130: 4125: 4121: 4117: 4112: 4107: 4103: 4099: 4095: 4088: 4085: 4080: 4076: 4073:(8): 727–30. 4072: 4068: 4064: 4057: 4054: 4049: 4045: 4041: 4037: 4030: 4027: 4022: 4018: 4014: 4010: 4005: 4000: 3997:(3): 345–61. 3996: 3992: 3985: 3982: 3977: 3971: 3967: 3960: 3957: 3952: 3948: 3943: 3938: 3934: 3930: 3926: 3919: 3916: 3911: 3907: 3903: 3899: 3895: 3891: 3886: 3881: 3877: 3873: 3869: 3865: 3858: 3855: 3850: 3846: 3841: 3836: 3832: 3828: 3824: 3820: 3816: 3812: 3808: 3801: 3799: 3795: 3790: 3786: 3781: 3776: 3772: 3768: 3764: 3760: 3757:(2): 99–104. 3756: 3752: 3748: 3741: 3738: 3732: 3727: 3723: 3719: 3715: 3708: 3706: 3704: 3702: 3698: 3692: 3689: 3681: 3675: 3672: 3667: 3663: 3659: 3655: 3651: 3644: 3641: 3636: 3632: 3628: 3624: 3620: 3616: 3612: 3608: 3601: 3598: 3593: 3589: 3585: 3581: 3577: 3573: 3569: 3565: 3561: 3557: 3550: 3547: 3543: 3541:9781416066453 3537: 3533: 3529: 3525: 3518: 3515: 3502: 3496: 3493: 3488: 3481: 3478: 3473: 3469: 3465: 3461: 3457: 3453: 3449: 3445: 3438: 3436: 3432: 3427: 3423: 3418: 3413: 3409: 3405: 3401: 3394: 3391: 3387: 3383: 3382: 3377: 3376:Scott, Robert 3373: 3369: 3360: 3357: 3352: 3351: 3346: 3339: 3336: 3324: 3323: 3318: 3316: 3308: 3305: 3300: 3296: 3291: 3286: 3282: 3278: 3274: 3267: 3265: 3261: 3256: 3252: 3248: 3244: 3240: 3236: 3232: 3228: 3220: 3217: 3212: 3206: 3202: 3201: 3193: 3190: 3185: 3181: 3176: 3171: 3167: 3163: 3159: 3155: 3151: 3144: 3142: 3138: 3133: 3129: 3124: 3119: 3115: 3111: 3107: 3103: 3099: 3095: 3091: 3084: 3081: 3076: 3072: 3068: 3064: 3060: 3056: 3049: 3046: 3041: 3037: 3033: 3029: 3025: 3018: 3016: 3014: 3010: 3005: 3001: 2998:(2): 99–111. 2997: 2993: 2986: 2984: 2982: 2980: 2978: 2974: 2969: 2965: 2960: 2955: 2951: 2947: 2943: 2939: 2935: 2931: 2927: 2920: 2917: 2912: 2908: 2905:(4): E292–8. 2904: 2900: 2893: 2886: 2883: 2878: 2874: 2870: 2866: 2862: 2858: 2851: 2849: 2847: 2845: 2843: 2841: 2839: 2837: 2835: 2833: 2831: 2829: 2827: 2825: 2823: 2821: 2819: 2817: 2815: 2813: 2811: 2807: 2802: 2798: 2794: 2790: 2786: 2782: 2775: 2773: 2769: 2764: 2760: 2757:(2): 153–66. 2756: 2752: 2745: 2743: 2741: 2737: 2725:. 19 May 2009 2724: 2720: 2714: 2712: 2710: 2708: 2704: 2699: 2695: 2691: 2687: 2683: 2679: 2675: 2671: 2664: 2662: 2658: 2653: 2649: 2645: 2641: 2634: 2631: 2626: 2622: 2618: 2614: 2610: 2606: 2599: 2597: 2595: 2591: 2586: 2582: 2578: 2574: 2570: 2566: 2562: 2558: 2551: 2548: 2543: 2539: 2535: 2531: 2528:(6): e26–50. 2527: 2523: 2516: 2513: 2508: 2504: 2501:(4): 124–38. 2500: 2497:(in French). 2496: 2489: 2486: 2481: 2475: 2471: 2464: 2462: 2460: 2458: 2456: 2452: 2447: 2441: 2437: 2430: 2428: 2426: 2424: 2420: 2407: 2403: 2397: 2395: 2391: 2386: 2384:9780198566236 2380: 2376: 2369: 2367: 2363: 2358: 2356:9780443068959 2352: 2348: 2343: 2342: 2333: 2331: 2329: 2327: 2325: 2321: 2316: 2312: 2308: 2301: 2299: 2297: 2295: 2293: 2291: 2289: 2287: 2285: 2283: 2281: 2279: 2277: 2275: 2273: 2271: 2269: 2267: 2265: 2263: 2261: 2259: 2257: 2253: 2248: 2246:9780443068188 2242: 2238: 2231: 2229: 2227: 2225: 2223: 2221: 2219: 2217: 2213: 2208: 2204: 2199: 2194: 2191:(2): 99–110. 2190: 2186: 2182: 2175: 2173: 2169: 2164: 2160: 2155: 2150: 2146: 2142: 2138: 2134: 2130: 2123: 2121: 2119: 2117: 2115: 2111: 2095: 2088: 2082: 2080: 2078: 2076: 2074: 2072: 2070: 2068: 2066: 2064: 2062: 2060: 2058: 2056: 2054: 2052: 2050: 2048: 2046: 2044: 2040: 2035: 2031: 2027: 2023: 2020:(7): 509–23. 2019: 2015: 2008: 2006: 2004: 2000: 1995: 1991: 1986: 1981: 1977: 1973: 1969: 1965: 1961: 1954: 1952: 1950: 1948: 1946: 1944: 1942: 1940: 1938: 1936: 1934: 1932: 1930: 1928: 1926: 1924: 1922: 1920: 1918: 1916: 1914: 1912: 1910: 1908: 1906: 1904: 1902: 1900: 1898: 1896: 1894: 1892: 1890: 1888: 1886: 1884: 1882: 1880: 1876: 1871: 1865: 1861: 1854: 1852: 1850: 1848: 1846: 1844: 1842: 1840: 1838: 1836: 1834: 1832: 1830: 1828: 1826: 1824: 1822: 1818: 1813: 1807: 1803: 1796: 1794: 1792: 1790: 1786: 1783: 1781: 1776: 1769: 1765: 1760: 1755: 1751: 1747: 1742: 1737: 1733: 1729: 1725: 1718: 1716: 1714: 1710: 1705: 1703:9781850970989 1699: 1695: 1688: 1686: 1684: 1682: 1680: 1678: 1676: 1674: 1672: 1670: 1668: 1666: 1664: 1662: 1660: 1658: 1654: 1647: 1645: 1643: 1639: 1634: 1630: 1625: 1623: 1620:series, King 1619: 1618: 1613: 1609: 1608: 1603: 1602: 1597: 1596:Ellen Burstyn 1593: 1592: 1587: 1583: 1579: 1578: 1574:'s 1977 film 1573: 1568: 1564: 1562: 1558: 1553: 1548: 1540: 1538: 1536: 1532: 1527: 1525: 1524: 1519: 1518: 1513: 1509: 1508:Chao Yuanfang 1505: 1504: 1499: 1495: 1494: 1493:Shuowen Jiezi 1485: 1483: 1481: 1477: 1473: 1464: 1462: 1459: 1452: 1450: 1447: 1446:acetylcholine 1443: 1438: 1436: 1429: 1427: 1425: 1421: 1416: 1414: 1410: 1405: 1400: 1398: 1393: 1391: 1387: 1383: 1378: 1376: 1375:dental guards 1362: 1351: 1342: 1340: 1335: 1331: 1327: 1323: 1314: 1312: 1309: 1305: 1301: 1297: 1293: 1289: 1285: 1284:bromocriptine 1281: 1280:amitriptyline 1277: 1273: 1268: 1266: 1262: 1258: 1254: 1250: 1246: 1242: 1241:beta blockers 1238: 1234: 1226: 1224: 1221: 1216: 1212: 1205: 1203: 1196: 1194: 1187: 1185: 1178: 1176: 1174: 1170: 1166: 1162: 1157: 1153: 1149: 1145: 1137: 1135: 1133: 1128: 1117: 1115:Some evidence 1114: 1111: 1110: 1106: 1103: 1100: 1099: 1095: 1092: 1089: 1088: 1084: 1081: 1078: 1077: 1073: 1070: 1067: 1066: 1062: 1059: 1056: 1055: 1051: 1048: 1045: 1044: 1040: 1037: 1034: 1033: 1030: 1029:Awake bruxism 1027: 1025: 1024:Sleep bruxism 1022: 1020: 1019: 1010: 1007: 1002: 997: 992: 990: 983: 977: 973: 971: 967: 963: 959: 949: 945: 938: 933: 930: 925: 921: 918: 917: 915: 911: 910: 909: 901: 898: 895: 894: 892: 889: 888: 887: 885: 877: 875: 873: 869: 863: 859: 857: 853: 849: 843: 839: 835: 833: 829: 825: 817: 811: 807: 804: 802: 798: 795: 793: 792:Rett syndrome 790: 787: 783: 780: 778: 775: 773: 771: 768: 766: 763: 761: 760:Leigh disease 758: 755: 752: 750: 749:basal ganglia 746: 743: 741: 738: 736: 733: 731: 729: 726: 724: 723:Down syndrome 721: 719: 715: 711: 707: 703: 699: 697: 694: 692: 689: 687: 684: 682: 679: 678: 676: 674: 666: 664: 662: 658: 654: 649: 644: 640: 633: 631: 629: 625: 621: 617: 613: 609: 605: 601: 597: 593: 589: 585: 581: 577: 573: 569: 565: 561: 556: 553: 549: 545: 541: 537: 533: 529: 525: 516: 514: 507: 505: 503: 494: 492: 490: 485: 476: 474: 472: 466: 464: 460: 455: 451: 447: 446:sleep arousal 443: 438: 436: 430: 428: 420: 418: 414: 411: 409: 405: 401: 397: 393: 389: 385: 376: 367: 359: 352: 350: 347: 343: 339: 334: 333:periodontitis 330: 322: 320: 318: 314: 309: 305: 303: 299: 295: 291: 287: 282: 278: 274: 270: 262: 260: 258: 254: 250: 245: 238: 236: 234: 230: 221: 217: 214: 210: 207: 204: 201: 197: 193: 190: 186: 183: 180: 176: 172: 169: 166: 163: 160: 156: 152: 149: 146: 142: 139: 135: 132: 128: 124: 120: 119: 113: 109: 102: 100: 96: 92: 88: 81: 79: 75: 71: 69: 65: 61: 53: 50: 48: 44: 39: 35: 30: 25: 19: 6519: 6495: 6484: 6469: 6453: 6297:Folie à deux 6222:Intoxication 6203:substances, 6201:Psychoactive 6120:Night terror 5937:Dissociative 5901:Panic attack 5453:Tic disorder 5028:Sleeping bag 4805:Sleepwalking 4790:Night terror 4614: 4507:sleep cycles 4434:(1): 27–37. 4431: 4427: 4421: 4409:. 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Index


Specialty
Dentistry
parafunctional activity
tooth wear

morsicatio buccarum
linea alba
glossodynia
crenated tongue
Hypertrophy
muscles of mastication
masseter muscle
Trismus
temporomandibular joints
otalgia
temples
attrition
abfraction
Hypersensitive teeth
dental pulp
periodontal ligament
periodontium
mandible
temporomandibular joint dysfunction
myofascial pain
arthritis
attrition
canines
incisors

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