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Published on: July 29, 2020
Prevalence of sleep bruxism and associated factors in preschool children
Raquel G Vieira-Andrade1, Clarissa L Drumond2, Paulo A Martins-Júnior3
1Doctoral student, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
Insights
Sleep bruxism affects about 14% of preschoolers. Key factors include dental crowding, object biting, and prolonged bottle or breast-feeding habits.
Area of Science:
- Pediatric Dentistry
- Sleep Medicine
- Epidemiology
Background:
- Sleep bruxism, characterized by teeth grinding or clenching during sleep, is a common condition in children.
- Understanding its prevalence and associated factors in early childhood is crucial for timely intervention.
Purpose of the Study:
- To determine the prevalence of sleep bruxism in preschool children aged three to five years.
- To identify factors associated with sleep bruxism in this age group.
Main Methods:
- A cross-sectional study involving 749 preschool children was conducted.
- Data were collected through oral clinical examinations, anthropometric measurements, and interviews.
- Statistical analysis included chi-square tests and Poisson regression.
Main Results:
- The prevalence of sleep bruxism was found to be approximately 14%.
- Significant associations were observed between sleep bruxism and lower dental crowding (PR=3.38), habit of biting objects (PR=2.49), prolonged breastfeeding (>12 months, PR=1.98), and prolonged bottle-feeding (>24 months, PR=1.93).
Conclusions:
- Lower arch crowding, object biting habits, and extended durations of breast and bottle-feeding are associated with sleep bruxism in preschoolers.
- These findings highlight potential risk factors that may inform preventive strategies.
Purpose:
The purpose of this study was to evaluate the prevalence of sleep bruxism and associated factors in three- to five-year-olds.
Methods:
A representative cross-sectional study was conducted with a sample of 749 preschool children during immunization campaigns. Data acquisition involved an oral clinical exam, anthropometric measures, and a questionnaire administered in interview form. All data were analyzed using the chi-square test and Poisson regression with robust variance with the aid of SPSS software.
Results:
The prevalence of sleep bruxism among preschool children was approximately 14 percent. Statistically significant associations were found: between sleep bruxism and lower dental crowding (prevalence ratio=3.38; 95% confidence interval=1.9-5.7); for the habit of biting on objects (PR=2.49; 95% CI=1.4-4.4); for duration of breast-feeding for a period longer than 12 months (PR=1.98; 95% CI=1.2-3.2); and for bottle-feeding for more than 24 months (PR=1.93; 95% CI=1.2-3.1).
Conclusions:
Lower arch crowding, the habit of biting on objects, and prolonged breast-feeding and bottle-feeding were associated with sleep bruxism in the preschool children analyzed in the present study.
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