Clinical features of the sleep bruxism and gastroesophageal reflux association deserve professional attention
Características clínicas da associação entre o bruxismo do sono e o refluxo gastroesofágico merecem atenção profissional
Fernandes, Giovana; Castanharo, Sabrina Maria; Franco, Ana Lúcia; Gonçalves, Daniela Aparecida de Godoi; Camparis, Cinara Maria
Rev. odontol. UNESP, vol.40, n6, p.344-348, 2011
Abstract
Introduction: Bruxism has been defined as an oral parafunctional activity that includes clenching and/or grinding the teeth while asleep or awake. In addition to sleep bruxism (SB), various other orofacial movements sporadically occur during sleep. Occasional regurgitation and heartburn due to gastroesophageal reflux (GER) are frequent in the general population. GER refers to the presence of symptoms that are secondary to the reflux of gastric content through the esophagus with or without signs of esophageal mucosal lesions. Dentists are often the first health care professionals to diagnose GER through observation of its oral manifestation. Objective: The aim of the present case reports was to discuss the diagnosis and clinical procedures followed in two patients with SB and GER, thereby contributing to the dissemination of knowledge about these two entities. We therefore recommend dentists to be alert to identifying the first signs of GER that appear in the oral cavity. Conclusion: At this point, we highlight the importance of treating the patient as a whole, in an endeavor to identify other sources of the problems that could contribute as factors aggravating these conditions.
Keywords
Sleep bruxism, rhythmic masticatory muscle activity, gastroesophageal reflux, tooth wear.
Resumo
Introdução: Bruxismo tem sido definido como uma atividade parafuncional oral que consiste em apertar e/ou ranger os dentes durante o sono ou na vigília. Além do bruxismo do sono (BS), outros movimentos orofaciais também podem, esporadicamente, ocorrer durante o sono. A regurgitação ocasional e a queimação no peito devido ao refluxo gastroesofágico (RGE) são freqüentes sintomas relatados pela população em geral. A RGE refere-se à presença de sinais e sintomas secundários, com ou sem sinais de lesões na mucosa do esôfago. Os dentistas são, muitas vezes, os profissionais da saúde que primeiro diagnosticam o RGE por meio da observação de suas manifestações orais. Objetivo: Assim, o objetivo do presente artigo foi discutir os procedimentos clínicos e diagnósticos em dois pacientes com BS e RGE, contribuindo assim para a difusão do conhecimento sobre a interação dessas duas entidades. Recomenda-se aos dentistas estarem atentos para identificar os primeiros sinais de RGE que se manifestam na cavidade oral. Conclusão: Neste ponto, destaca-se a importância de tratar o paciente como um todo, esforçando-se para identificar outras fontes de problema que poderiam atuar como fatores agravantes destas condições.
Palavras-chave
Bruxismo do sono, atividade rítmica dos músculos mastigatórios, refluxo gastroesofágico, desgaste dos dentes
Referências
1. Kato T, Dal-Fabbro C, Lavigne GJ. Current knowledge on awake and sleep bruxism: overview. Alpha Omegan.2003;96:24–32. PMid:12955779
2. Miyawaki S, Lavigne G J, Mayer P, Guitard F, Montplaisir J Y, Kato T. Association between sleep bruxism, swallowing – related laryngeal movement, and sleep positions. Sleep. 2003;26:461-5. PMid:12841373
3. Miyawaki S, Tanimoto Y, Araki Y, Akira K, Fujii A, Takano-Yamamoto T. Association between nocturnal bruxism and gastroesophageal reflux. Sleep. 2004;26:88 –92.
4. Miyawaki S, Tanimoto Y, Araki Y, Katayama A, Imai M, Takano-Yamamoto T. Relationship among nocturnal jaw muscle activities, decreased esophageal pH, and sleep positions. Am J Orthod Dentofacial Orthop. 2004;126:615-9. PMid:15520695. http://dx.doi. org/10.1016/j.ajodo.2004.02.007
5. Barron R P, Carmichael R P, Marcon M A, Sàndor G.KG. Dental erosion in gastroesophageal reflux disease. J Can Dent Assoc. 2003;69:84‑9. PMid:12559056
6. Ommerborn M A, Schneider C, Giraki M, Singh P, Franz M, Raab WHM. In vivo evaluation of noncarious cervical lesions in sleep bruxism subjects. J. Prosthet Dent. 2007;98:150-8. http://dx.doi.org/10.1016/S0022-3913(07)60048-1
7. Johansson A, Johansson A K, Omar R, Carlsson E. Rehabilitation of the worn dentition. J Oral Rehabil. 2008;35:548-66. PMid:18557919. http://dx.doi.org/10.1111/j.1365-2842.2008.01897.x
8. Lussia A, Jaeggi T. Erosion – diagnosis and risk factors. Clin Oral Investig. 2008;12:S1-S13. PMid:18228056
9. Dukić W, Dobrijević TT, Katunarić M, Milardović S, Segović S. Erosive lesions in patients with alcoholism. J Am Dent Assoc. 2010;141:1452-8. PMid:21119129
10. Litonjua L A, Andreana S, Bush P J Cohen R E. Tooth wear: Attrition, erosion, and abrasion. Quintessence Int. 2003;3:435–46.
11. De Leeuw R. Orofacial pain: guidelines for assessment, diagnoses and management. 4th ed. Hanover Park, IL: Quintessence Publishing; 2008.
12. Bartlett DW, Evans DF, Smith BG. The relationship between gastro-esophageal reflux disease and dental erosion. J Oral Rehabil. 1996;23:289-97. PMid:8736440. http://dx.doi.org/10.1111/j.1365-2842.1996.tb00855.x
13. Ohamure H, Oikawa K, Kanematsu K, Saito Y, Yamamoto T, Nagahama H, et al. Influence of experimental esophageal acidification on sleep bruxism: a randomized trial. J Dent Res. 2011;90:665-71. PMid:21248360. http://dx.doi.org/10.1177/0022034510393516
14. Lavigne GJ, Rompré PH, Poirier G, Huard H, Kato T, Montplaisir JY. Rhythmic masticatory muscle activity during sleep in humans. J Dent Res. 2001;80:443-8. PMid:11332529. http://dx.doi.org/10.1177/00220345010800020801
15. McNeill C. Management of temporomandibular disorders: concepts and controversies. J Prosthet Dent. 1997;77:510-22. http://dx.doi. org/10.1016/S0022-3913(97)70145-8
16. Ciancaglini R, Gherlone EF, Radaelli G. The relationship of bruxism with craniofacial pain and symptoms from the masticatory system in the adult population. J Oral Rehabil. 2001;28:842-8. PMid:11580822. http://dx.doi.org/10.1046/j.1365-2842.2001.00753.x
17. Rompré PH, Daigle-Landry D, Guitard F, Montplaisir JY, Lavigne GJ. Identification of a sleep bruxism subgroup with a higher risk of pain. J Dent Res. 2007;86:837-42. PMid:17720851. http://dx.doi.org/10.1177/154405910708600906
18. Gharaibeh TM, Jadallah K, Jadayel FA. Prevalence of temporomandibular disorders in patients with gastroesophageal reflux diasease: a case-controlled study. J Oral Maxillofac Surg. 2010;68:1560-64. PMid:19954879. http://dx.doi.org/10.1016/j.joms.2009.06.027
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email