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Journals / Uluslararası Diş Hekimliği Bilimleri Dergisi / 2025 / Cilt: 11 Sayı: 3

Bruxism in Children: Etiology, Diagnosis, and Current Treatment Approaches

Çocuklarda Bruksizm: Etiyoloji, Tanı ve Güncel Tedavi Yaklaşımları

Dilek Demiray(AYDIN ADNAN MENDERES ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, PEDODONTİ ANABİLİM DALI)0009-0008-9565-3739
Işıl Şaroğlu Sönmez(AYDIN ADNAN MENDERES ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, PEDODONTİ ANABİLİM DALI)0000-0002-3530-0244
Pages
120–130
Publication Date
2025-12-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, further controlled studies are needed to standardize treatment protocols.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective Bruxism is a complex parafunctional habit characterized by involuntary masticatory muscle activity, observed in both childhood and adulthood.
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Key Findings & Data:It is classified into two subtypes: sleep bruxism and awake bruxism, and manifests through teeth clenching, grinding, or thrusting movements of the mandible.
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Conclusion & Impact:However, further controlled studies are needed to standardize treatment protocols.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:bruksizm · çocuk diş hekimliği · uyku bozuklukları

Abstract

Objective Bruxism is a complex parafunctional habit characterized by involuntary masticatory muscle activity, observed in both childhood and adulthood. It is classified into two subtypes: sleep bruxism and awake bruxism, and manifests through teeth clenching, grinding, or thrusting movements of the mandible. Numerous factors such as psychosocial stress, genetic predisposition, neurological disorders, systemic diseases, and medication use play roles in its etiology. The diagnostic process is supported by clinical observation, questionnaires, electromyography (EMG), and polysomnography (PSG). Treatment of bruxism involves individualized approaches, including occlusal splints, relaxation exercises, laser applications, behavioral therapies, and physical modalities. This review aims to address pediatric bruxism from a multidisciplinary perspective, focusing on its etiology, diagnosis, and current treatment approaches. Conclusion Bruxism is a disorder with a multifactorial etiology that requires a multidisciplinary approach for diagnosis and treatment. In children, psychosocial status, systemic conditions, and sleep patterns should be carefully assessed. Diagnosis should be based on clinical findings and parental observation, while treatment should be individualized and focus on symptom management. Therapeutic approaches such as splints, relaxation exercises, laser applications, and behavioral therapies may be effective. However, further controlled studies are needed to standardize treatment protocols.

Özet

Giriş Bruksizm, çocukluk ve yetişkinlik dönemlerinde görülebilen, istemsiz çiğneme kası aktiviteleriyle karakterize kompleks bir parafonksiyonel alışkanlıktır. Uyku ve uyanıklık bruksizmi olarak iki alt gruba ayrılan bu durum; diş sıkma, gıcırdatma ve mandibulanın itici hareketleriyle kendini gösterir. Psikososyal stres, genetik yatkınlık, nörolojik bozukluklar, sistemik hastalıklar ve ilaç kullanımı gibi çok sayıda faktör etiyolojide rol oynamaktadır. Tanı süreci klinik gözlem, anketler, elektromiyografi (EMG) ve polisomnografi (PSG) gibi çeşitli yöntemlerle desteklenmektedir. Bruksizmin tedavisinde ise hastaya özgü planlanan; oklüzal splintler, gevşeme egzersizleri, lazer uygulamaları, davranışsal terapiler ve fiziksel yaklaşımlar gibi farklı yöntemler kullanılmaktadır. Bu derlemede, çocukluk çağı bruksizmine multidisipliner bir bakış açısıyla yaklaşarak etiyoloji, tanı ve güncel tedavi yaklaşımları ele alınmıştır. Sonuç Bruksizm, çok faktörlü etiyolojisi nedeniyle tanı ve tedavide multidisipliner yaklaşım gerektiren bir bozukluktur. Özellikle çocuklarda psikososyal durum, sistemik hastalıklar ve uyku düzeni dikkatle değerlendirilmelidir. Tanı, klinik bulgular ve ebeveyn gözlemi ile yapılmalı; tedavi ise bireyselleştirilmiş, semptom azaltmaya yönelik yaklaşımları içermelidir. Splintler, gevşeme egzersizleri, lazer ve davranışsal terapiler gibi tedavi yöntemleri etkili olabilir. Ancak tedavi protokollerinin standardizasyonu için ileriye dönük kontrollü çalışmalara ihtiyaç vardır.

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Cite This Article

Demiray, D., Sönmez, I. Ş. (2025). Bruxism in Children: Etiology, Diagnosis, and Current Treatment Approaches. Uluslararası Diş Hekimliği Bilimleri Dergisi, Cilt: 11 Sayı: 3, 120–130. https://doi.org/10.21306/dishekimligi.1708755

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References (86)

  1. Sateia MJ. International classification of sleep disorders-third edition highlights and modifications. Chest. 2014;46:1387–1394.
  2. Alves CL, Fagundes DM, Soares PBF, Ferreira MC. Knowledge of parents/caregivers about bruxism in children treated at the pediatric dentistry clinic. Sleep Sci. 2019;12:185–189.
  3. Manfredini D, Ahlberg J, Winocur E, Lobbezoo F. Management of sleep bruxism in adults: A qualitative systematic literature review. J Oral Rehabil. 2015;42:862–874.
  4. Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, Santiago V, Winocur E, De Laat A, De Leeuw R, Koyano K, Lavigne GJ, Svensson P, Manfredini D. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil. 2018;45:837-844.
  5. Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil. 2001;28:1085–1091.
  6. Zieliński G, Pająk A, Wójcicki M. Global Prevalence of Sleep Bruxism and Awake Bruxism in Pediatric and Adult Populations: A Systematic Review and Meta-Analysis. J Clin Med. 2024;13(14):4000.
  7. Ramfjord SP. Bruxism, a clinical and electromyographic study. J Am Dent Assoc. 1961;62:21–44.
  8. Clark GT, Tsukiyama Y, Baba K, Watanabe T. Sixty-eight years of experimental occlusal interference studies: what have we learned? J Prosthet Dent. 1999;82:704–713.
  9. Rugh JD, Barghi N, Drago CJ. Experimental occlusal discrepancies and nocturnal bruxism. J Prosthet Dent. 1984;51:548–553.
  10. McNamara JA. Control mechanisms in craniofacial growth. 1st ed. Michigan: Michigan University Press; 1975:120–141.
  11. Enlow DH. Handbook of facial growth. 2nd ed. Philadelphia (PA): WB Saunders; 1982:34–48.
  12. Sassouni V. Orthodontics in dental practice. 1st ed. St. Louis (MO): CV Mosby Co.; 1971:81–90.
  13. Huynh N, Kato T, Rompré PH, Okura K, Saber M, Lanfranchi PA, Montplaisir JY, Lavigne GJ. Sleep bruxism is associated to micro-arousals and an increase in cardiac sympathetic activity. J Sleep Res. 2006;15:339 346.
  14. Macaluso GM, Guerra P, Di Giovanni G, Boselli M, Parrino L, Terzano MG. Sleep bruxism is a disorder related to periodic arousals during sleep. J Dent Res. 1998;77:565–573.
  15. Lobbezoo F, Lavigne GJ, Tanguay R, Montplaisir JY. The effect of the catecholamine precursor L-dopa on sleep bruxism: A controlled clinical trial. Mov Disord. 1997;12:73–78.
  16. Lobbezoo F, Soucy JP, Montplaisir JY, Lavigne GJ. Striatal D2 receptor binding in sleep bruxism: A controlled study with iodine-123-iodobenzamide and single-photon-emission computed tomography. J Dent Res. 1996;75:1804–1810.
  17. Gau SS, Chiang HL. Sleep problems and disorders among adolescents with persistent and subthreshold attention-deficit/hyperactivity disorders. Sleep. 2009;32:671-679.
  18. Malki GA, Zawawi KH, Melis M, Hughes CV. Prevalence of bruxism in children receiving treatment for attention deficit hyperactivity disorder: A pilot study. J Clin Pediatr Dent. 2004;29:63–67.
  19. Lobbezoo F, Van Denderen RJA, Verheij JGC, Naeije M. Reports of SSRI-associated bruxism in the family physician’s office. J Orofac Pain. 2001;15:340–346.
  20. Garrett AR, Hawley JS. SSRI-associated bruxism: A systematic review of published case reports. Neurol Clin Pract. 2018;8:135–141.
  21. Abe Y, Suganuma T, Ishii M, Yamamoto G, Gunji T, Clark GT, Tachikawa T, Kiuchi Y, Igarashi Y, Baba K. Association of genetic, psychological and behavioral factors with sleep bruxism in a Japanese population. J Sleep Res. 2012;21:289-296.
  22. Wieckiewicz M, Bogunia-Kubik K, Mazur G, Danel D, Smardz J, Wojakowska A, Poreba R, Dratwa M, Chaszczewska-Markowska M, Winocur E, Emodi Perlman A, Martynowicz H. Genetic basis of sleep bruxism and sleep apnea-response to a medical puzzle. Sci Rep. 2020;10:7497.
  23. Hublin C, Kaprio J, Partinen M, Koskenvuo M. Sleep bruxism based on self-report in a nationwide twin cohort. J Sleep Res. 1998;7:61–67.
  24. Rugh JD, Solberg WK. Electromyographic studies of bruxist behavior before and during treatment. J Calif Dent Assoc. 1975;3:56–59.
  25. Chemelo VDS, Né YGS, Frazão DR, de Souza Rodrigues RD, Fagundes NCF, Magno MB, da Silva CMT, Maia LC, Lima RR. Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis. Front Neurol. 2020;11:590779.
  26. Solis AC de O, Corchs F, Duran ÉP, Silva C, Del Real N, Araújo ÁC, Wang YP, Lotufo-Neto F. Self reported bruxism in patients with post-traumatic stress disorder. Clin Oral Investig. 2024;28:152.
  27. Vlăduțu D, Popescu SM, Mercuț R, Ionescu M, Scrieciu M, Glodeanu AD, Stănuși A, Rîcă AM, Mercuț V. Associations between Bruxism, Stress, and Manifestations of Temporomandibular Disorder in Young Students. Int J Environ Res Public Health. 2022;19:5415.
  28. AlSahman L, AlBagieh H, AlSahman R. Is there a relationship between salivary cortisol and temporomandibular disorder: A systematic review. Diagnostics (Basel). 2024;14:1435.
  29. Vanderas AP, Menenakou M, Kouimtzis T, Papagiannoulis L. Urinary catecholamine levels and bruxism in children. J Oral Rehabil. 1999;26:103 110.
  30. Bach SL, Moreira FP, Goettems ML, Brancher LC, Oses JP, da Silva RA, Jansen K. Salivary cortisol levels and biological rhythm in schoolchildren with sleep bruxism. Sleep Med. 2019;54:48-52.
  31. Fritzen VM, Colonetti T, Cruz MVB, Ferraz SD, Ceretta L, Tuon L, DA Rosa MI, Ceretta RA. Levels of salivary cortisol in adults and children with bruxism diagnosis: a systematic review and meta analysis. J Evid Based Dent Pract. 2022;22:101634.
  32. Goettems ML, Poletto-Neto V, Shqair AQ, Pinheiro RT, Demarco FF. Influence of maternal psychological traits on sleep bruxism in children. Int J Paediatr Dent. 2017;27:469–475.
  33. Korkmaz C, Bellaz İB, Kılıçarslan MA, Dikicier S, Karabulut B. Influence of psychiatric symptom profiles of parents on sleep bruxism intensity of their children. Acta Odontol Scand. 2024;82:33–39.
  34. Şermet Elbay Ü, Demirturk Kocasarac H, Elbay M, Kaya C, Uğurluel C, Baydemir C. Temporomandibular disorders and oral parafunction in children living with their parents and children living in institutional protective care: A comparative study. Int Dent J. 2017;67:20–28.
  35. Marks MB. Bruxism in allergic children. Am J Orthod.1980;77:48–59.
  36. Menezes AL, Lima VMP, Freitas MTS, Rocha MO, Silva EF, Dolabella SS. Prevalence of intestinal parasites in children from public daycare centers in the city of Belo Horizonte, Minas Gerais, Brazil. Rev Inst Med Trop Sao Paulo. 2008;50:57–59.
  37. Tehrani MHN, Pestechian N, Yousefi H, Sekhavati H, Attarzadeh H. The correlation between intestinal parasitic infections and bruxism among 3–6 year-old children in Isfahan. Dent Res J (Isfahan). 2010;7:51–55.
  38. Şentürk Ö, Ulu Güzel KG, Tokgöz Y. Evaluation of relationship between Enterobius vermicularis infection and bruxism in children. Contemp Pediatr Dent. 2022;3:61–72.
  39. Jokubauskas L, Baltrušaitytė A. Relationship between obstructive sleep apnoea syndrome and sleep bruxism: A systematic review. J Oral Rehabil. 2017;44:144–153.
  40. Eftekharian A, Raad N, Gholami-Ghasri N. Bruxism and adenotonsillectomy. Int J Pediatr Otorhinolaryngol. 2008;72:509–511.
  41. Grechi TH, Trawitzki LVV, de Felício CM, Valera FCP, Anselmo-Lima WT. Bruxism in children with nasal obstruction. Int J Pediatr Otorhinolaryngol. 2008;72:391 396.
  42. Amato JN, Tuon RA, Castelo PM, Gavião MB, Barbosa Tde S. Assessment of sleep bruxism, orthodontic treatment need, orofacial dysfunctions and salivary biomarkers in asthmatic children. Arch Oral Biol. 2015;60:698-705.
  43. Gisoure EF, Emamzadeh AZ, Nekouei A. Prevalence of sleep bruxism and respiratory disorders in schoolchildren aged 8–11 years in Kerman, Iran: Pre COVID pandemic phase. Iran J Pediatr. 2023;33:125527.
  44. Ella B, Ghorayeb I, Burbaud P, Guehl D. Bruxism in movement disorders: A comprehensive review. J Prosthodont. 2017;26:599–605.
  45. Luconi E, Togni L, Mascitti M, Tesei A, Nori A, Barlattani A, Procaccini M, Santarelli A. Bruxism in children and adolescents with Down syndrome: A comprehensive review. Medicina (Kaunas). 2021;57:224.
  46. Alam MK, Alsharari AHL, Shayeb MAL, Elfadil S, Cervino G, Minervini G. Prevalence of bruxism in down syndrome patients: A systematic review and meta-analysis. J Oral Rehabil. 2023;50:1498-1507.
  47. Ruy Carneiro NC, de Castro Souza I, Duda Deps Almeida T, Serra-Negra JMC, Almeida Pordeus I, Borges-Oliveira AC. Risk factors associated with reported bruxism among children and adolescents with Down Syndrome. Cranio. 2020;38:365-369.
  48. Tuncer A, Uzun A, Tuncer AH, Guzel HC, Atılgan ED. Bruxism, parafunctional oral habits and oral motor problems in children with spastic cerebral palsy: A cross-sectional study. J Oral Rehabil. 2023;50:1393-1400.
  49. da Silva T, Silva AM, Alvarenga E, Nogueira BR, Prado RR, Mendes RF. Risk Factors Associated with Probable Sleep Bruxism of Children and Teenagers with Cerebral Palsy. J Clin Pediatr Dent. 2020;44:228-233.
  50. Kanhouche N, Pizzi GG, Bim NA, de Souza RC, Calvo AFB, Floriano I, Gimenez T, Imparato JCP, Tedesco TK. Prevalence of Bruxism in Children and Adolescents with Cerebral Palsy: Systematic Review and Meta-analysis. Curr Pediatr Rev. 2025;21:166 173.
  51. de la Hoz-Aizpurua JL, Díaz-Alonso E, LaTouche-Arbizu R, Mesa-Jiménez J. Sleep bruxism. Conceptual review and update. Med Oral Patol Oral Cir Bucal. 2011;16:e231-238.
  52. Lobbezoo F, Ahlberg J, Manfredini D, Winocur E. Are bruxism and the bite causally related? J Oral Rehabil. 2012;39:489–501.
  53. Zhou SY, Mahmood H, Cao CF, Jin LJ. Teeth under high occlusal force may reflect occlusal trauma associated periodontal conditions in subjects with untreated chronic periodontitis. Chin J Dent Res. 2017;20:19–26.
  54. Yapıcı Yavuz G, Bayazıt Ş. Bruksizm hastalarında klinik bulgularının araştırılması. Adıyaman Üniversitesi Sağlık Bilim Dergisi. 2019;5:1796–1806.
  55. Shetty S, Pitti V, Babu CLS, Kumar GPS, Deepthi BC. Bruxism: A literature review. J Indian Prosthodont Soc. 2010;10:141–148.
  56. Hosgor H, Altindis S. Efficacy of botulinum toxin in the management of temporomandibular myofascial pain and sleep bruxism. J Korean Assoc Oral Maxillofac Surg. 2020;46:335-340.
  57. Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. 2008;35:476-494.
  58. Alamoudi N. Correlation between oral parafunction and temporomandibular disorders and emotional status among Saudi children. J Clin Pediatr Dent. 2001;26:71 80.
  59. Benbir Şenel G, Dede HÖ, Karadeniz D. In case sleep related bruxism is resistant to treatment. J Turk Sleep Med. 2015;2:42–43.
  60. Cheifetz AT, Osganian SK, Allred EN, Needleman HL. Prevalence of bruxism and associated correlates in children as reported by parents. J Dent Child (Chic). 2000;72:67-73.
  61. Koyano K, Tsukiyama Y, Ichiki R, Kuwata T. Assessment of bruxism in the clinic. J Oral Rehabil. 2008;35:495–508.
  62. Abe S, Yamaguchi T, Rompré PH, De Grandmont P, Chen YJ, Lavigne GJ. Tooth wear in young subjects: a discriminator between sleep bruxers and controls? Int J Prosthodont. 2009;22:342-350.
  63. Saulue P, Carra MC, Laluque JF, d’Incau E. Understanding bruxism in children and adolescents. Int Orthod. 2015;13:489–506.
  64. Ikeda T, Nishigawa K, Kondo K, Takeuchi H, Clark GT. Criteria for the detection of sleep-associated bruxism in humans. J Orofac Pain. 1996;10:270–281.
  65. De Oliveira Trindade M, Rodriguez AG. Polysomnographic analysis of bruxism. Gen Dent. 2014;62:56–60.
  66. Duarte J, Souza JF de, Cavalcante-Leão B, Todero SRB, Ferreira FM, Fraiz FC. Association of possible sleep bruxism with daytime oral habits and sleep behavior in schoolchildren. Cranio. 2021;39:372–378.
  67. Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, et al. Bruxism defined and graded: An international consensus. J Oral Rehabil. 2013;40:2–4.
  68. Güleç M, Taşsöker M, Özcan Şener S. Bruksizmin tanı ve tedavisinde güncel yaklaşımlar. Selçuk Dent J. 2019;6:221–228.
  69. Nissani M. Can taste aversion prevent bruxism? Appl Psychophysiol Biofeedback. 2000;25:43–54.
  70. Gu W, Yang J, Zhang F, Yin X, Wei X, Wang C. Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint: a pilot study. J Biomed Res. 2015;29:160-168.
  71. Eren S, Arıkan HK, Tamam C, Kasapoğlu Ç. Bruxism and current treatment approaches. Arch Med Rev J. 2016;25:241.
  72. Lavigne GJ, Rompré PH, Montplaisir JY. Sleep bruxism: Validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res. 1996;75:546–572.
  73. Abrahamsen R, Baad-Hansen L, Svensson P. Hypnosis in the management of persistent idiopathic orofacial pain – Clinical and psychosocial findings. Pain. 2008;136:44–52.
  74. Stam HJ, McGrath PA, Brooke RI. The treatment of temporomandibular joint syndrome through control of anxiety. J Behav Ther Exp Psychiatry. 1984;15:41 45.
  75. Simon EP, Lewis DM. Medical hypnosis for temporomandibular disorders: Treatment efficacy and medical utilization outcome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:54–63.
  76. Amaral CC, Fernandez MDS, Chisini LA, Boscato N, Jansen K, Goettems ML. Sleep hygiene measures combined with mindfulness meditation in the management of sleep bruxism in children: A randomized controlled clinical trial. Int J Paediatr Dent. 2025;35:118–128.
  77. Imbriglio TV, Moayedi M, Freeman BV, Tenenbaum HC, Thaut M, Cioffi I. Music modulates awake bruxism in chronic painful temporomandibular disorders. Headache. 2020;60:2389–2405.
  78. Lobbezoo F, Van Der Zaag J, Van Selms MKA, Hamburger HL, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008;35:509–523.
  79. Restrepo CC, Medina I, Patiño I. Effect of occlusal splints on the temporomandibular disorders, dental wear and anxiety of bruxist children. Eur J Dent. 2011;5:441–450.
  80. Senff J, Bonotto DV, Hilgenberg-Sydney PB, Sebastiani A, Scariot R, Oda LY. Childhood and adolescents sleep bruxism treatment: A systematic review. Sleep Sci. 2023;16:344–353.
  81. Macedo CR, Silva AB, Machado MA, Saconato H, Prado GF. Occlusal splints for treating sleep bruxism (tooth grinding). Cochrane Database Syst Rev. 2007;2007:CD005514.
  82. Giannasi LC, Santos IR, Alfaya TA, Bussadori SK, Franco de Oliveira LV. Effect of an occlusal splint on sleep bruxism in children in a pilot study with a short-term follow-up. J Bodyw Mov Ther. 2013;17:418–422.
  83. Kolcakoglu K, Dogan S, Tulga Oz F, Aydınbelge M. A comparison of hard and soft occlusal splints for the treatment of nocturnal bruxism in children using the BiteSTRIP®. J Clin Pediatr Dent. 2022;46:219–224.
  84. Bulanda S, Ilczuk-Rypuła D, Nitecka-Buchta A, Nowak Z, Baron S, Postek-Stefańska L. Sleep bruxism in children: Etiology, diagnosis and treatment—a literature review. Int J Environ Res Public Health. 2021;18:9544.
  85. Salgueiro MDCC, Kobayashi FY, Motta LJ, Gonçalves MLL, Horliana ACRT, Mesquita-Ferrari RA, et al. Effect of photobiomodulation on salivary cortisol, masticatory muscle strength, and clinical signs in children with sleep bruxism: A randomized controlled trial. Photobiomodul Photomed Laser Surg. 2021;39:23–29.
  86. Minervini G, Franco R, Marrapodi MM, Crimi S, Fiorillo L, Cervino G, Bianchi A, Cicciù M. Sleep bruxism in children main methods of treatment: a systematic review with meta-analysis. J Clin Pediatr Dent. 2024;48:41-50.