J Dent Rehabil Appl Sci.  2021 Jun;37(2):81-87. 10.14368/jdras.2021.37.2.81.

Clinical characteristics of sleep bruxism patients with idiopathic facial pain

• Myung Y
• Seo JI
• Kim BE
• Kim YG
• Kim ST

• KMID: 2525981
• DOI: http://doi.org/10.14368/jdras.2021.37.2.81

Abstract

Purpose
To profile various clinical characteristics of sleep bruxism (SB) patients with idiopathic facial pain (IFP) in the orofacial region.
Materials and Methods
We analyzed 28 SB patients among 210 patients with IFP complaints. The profiles were evaluated using patient charts including gender, age, pain duration, pain location, pain intensity and affected areas by pain.
Results
SB with IFP occurred more often in females (85.7%) than males (14.3%). The mean age at presentation was 48.9 years. The most common IFP sites of SB patients were the right maxilla (28.6%) and the right mandible (25.0%). The pain complaints occurred mostly in 2 teeth or areas (50.0%), followed by 1 area (28.6%) and then in ≥ 3 teeth or areas (21.4%). The mean pain intensity was 5.9 on a visual analogue scale from 0 to 10. The pain was spontaneous in 20 patients (71.4%), and the mean pain duration was 24.4 months.
Conclusion
Identification of clinical characteristics of SB patients with IFP could be useful in the diagnosis of various IFP patients and beneficial in decreasing unnecessary care to reduce IFP. Further studies with larger number of subjects and extended duration are required for more systemized diagnostic methods and development of future treatment guidelines.

Figure

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  Fig. 1 Diagnoses of idiopathic facial pain (IFP) patients who visited the orofacial pain clinic (n = 210).

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  Fig. 2 Distribution of intraoral pain locations of SB patients. 51.5% patients reported pain in the maxilla and 48.5% reported pain in the mandible. Thirteen patients (42.4%) had pain in both the maxilla and the mandible. Five patients had pain in > 1 area, one area of the jaw.

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  Fig. 3 Drugs administered for sleep bruxism (SB) patients with idiopathic facial pain (IFP) (Permission of repetition).

Reference

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