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Prevalence of bruxism and associated correlates in children as reported by parents
Andrew T Cheifetz1, Stavroula K Osganian, Elizabeth N Allred
1Children 's Hospital Boston, MA, USA. cheifetz@alumni.brown.edu
Insights
Parental reports indicate that 38% of children experience bruxism, often linked to family history, open bedroom doors, drooling, sleep talking, and psychological disorders.
Area of Science:
- Pediatric Dentistry
- Sleep Medicine
- Child Psychology
Background:
- Childhood bruxism is a common condition with various potential contributing factors.
- Understanding the prevalence and correlates of childhood bruxism is crucial for effective diagnosis and management.
Purpose of the Study:
- To determine the prevalence of childhood bruxism.
- To identify factors associated with childhood bruxism as reported by parents.
Main Methods:
- A cross-sectional survey was administered to parents of children under 17 at pediatric dental offices.
- Data were collected using a self-administered questionnaire.
- Statistical analyses included chi-square tests and multivariate logistic regression to assess associations.
Main Results:
- The prevalence of reported childhood bruxism was 38% among 854 surveyed children.
- Significant correlates included a family history of bruxism (OR=1.8), open bedroom doors (OR=1.7), nocturnal drooling (OR=1.7), sleep talking (OR=1.6), and psychological disorders (OR=3.6).
- No association was found between reported bruxism and subjective temporomandibular disorder (TMD) symptoms.
Conclusions:
- Parental reporting reveals a 38% prevalence of childhood bruxism.
- Familial history, environmental factors (open doors), sleep disturbances (drooling, sleep talking), and psychological disorders are associated with childhood bruxism.
- Childhood bruxism symptoms were not associated with reported TMD symptoms in this cohort.
Purpose:
The purpose of this study was to determine the prevalence of childhood bruxism and associated correlates, as reported by parents.
Methods:
A cross-sectional survey of parents was conducted at 4 private pediatric dental offices and the Children's Hospital Boston Dental Clinic. Data were gathered via a self-administered questionnaire offered to the parents of children under age 17. Factors were evaluated for association with bruxism using chi-square tests and multivariate logistic regression.
Results:
Based on 854 surveys analyzed, the children's mean age was 8.1 years and 52% were female. Caucasians represented 87% of the population, and 90% of the parents had attained a high school diploma. The overall prevalence of reported bruxism was 38%. Five percent of the parents reported that their children had subjective symptoms of temporomandibular disorder (TMD); however, these were not associated with reported bruxism. A child with a psychological disorder had a 3.6 times greater likelihood of bruxism. If either parent had a history of bruxism, their child was 1.8 times more likely to brux. If bedroom doors were open, parents reported bruxism 1.7 times more often. Children who drooled at night were 1.7 times more likely to brux, while sleeptalking children were 1.6 times more likely to brux.
Conclusions:
(1) Of the 38% of parents reporting that their children brux, familial history, open bedroom doors, drooling, sleeptalking, and psychological disorders were significantly associated with the reported bruxism. (2) While 5% of parents reported that their children had at least one TMD symptom, no TMD symptoms were associated with reported bruxism.
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