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Updated: May 18, 2026

Assessing Pupil-linked Changes in Locus Coeruleus-mediated Arousal Elicited by Trigeminal Stimulation
Published on: November 26, 2019
Sleep bruxism, an autonomic self-regulating response by triggering the trigeminal cardiac reflex
Scott E Schames1, Joseph Schames, Mayer Schames
1Craniofacial Pain/TMJ Clinic, White Memorial Medical Center, Los Angeles, USA.
Abstract:
Sleep bruxism, an intensified manifestation of rhythmic masticatory muscle activity, characterized by tooth grinding or clenching during sleep, lacks a definitive physiological purpose. This paper posits that physiologically, sleep bruxism is an autonomic self-regulatory response to nighttime occurrences of tachycardia stemming from the brain experiencing microarousals during sleep. Sleep bruxism by triggering the trigeminal cardiac reflex leads to bradycardia. Rhythmic masticatory muscle activity-sleep bruxism, thereby, serves to slow the heart rate when brain microarousals cause tachycardia.
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