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Insufficient Sleep and Sleep Deprivation01:13

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Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
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Quantitative Measurement of the Immune Response and Sleep in Drosophila
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Sleep bruxism: an overview for clinicians.

H Beddis1, M Pemberton2, Stephen Davies3

  • 1University of Leeds, Department of Restorative Dentistry, Leeds Dental Institute, Leeds, LS2 9LU.

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|September 22, 2018
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Summary

Sleep bruxism, characterized by teeth grinding, is now understood as a centrally controlled condition with systemic risk factors. Management focuses on addressing problems arising from bruxism, not the condition itself.

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Area of Science:

  • Dentistry
  • Neurology
  • Sleep Medicine

Background:

  • Bruxism involves involuntary teeth clenching/grinding, potentially causing dental damage and pain.
  • Sleep bruxism is now recognized as a centrally controlled condition, not merely a dysfunction.
  • Potential protective roles of sleep bruxism, such as airway maintenance, are being explored.

Purpose of the Study:

  • To review the current understanding of sleep bruxism's etiology, pathophysiology, and management.
  • To highlight the shift in perspective from a pathological condition to a centrally controlled one.
  • To inform dental professionals about sleep bruxism diagnosis and treatment.

Main Methods:

  • Review of existing literature on sleep bruxism.
  • Analysis of diagnostic methods including patient reports, clinical examination, and muscle activity recording.
  • Evaluation of various management strategies like oral appliances, behavioral therapies, and botulinum toxin injections.

Main Results:

  • Bruxism can lead to significant dental issues like tooth wear, fractures, and periodontal problems.
  • Effective management strategies include oral appliances, behavioral interventions, and, with caution, botulinum toxin.
  • Irreversible occlusal adjustments are not evidence-based for bruxism management.

Conclusions:

  • Sleep bruxism is a complex, centrally regulated condition with diverse risk factors.
  • Treatment is indicated only when bruxism causes adverse effects.
  • Dental practitioners require awareness of bruxism's multifaceted nature for optimal patient care.