head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue1
Subject Area: Dental Medicine
DOI: 10.5272/jimab.2022281.4242
Published online: 18 February 2022

Original article
J of IMAB. 2022 Jan-Mar;28(1):4242-4246
Dimitar Kirov1ORCID logo Corresponding Autoremail, Lilia Doichinova2ORCID logo, Elitsa Deliverska3ORCID logo, Janet Kirilova4ORCID logo,
1) Department of Prosthetic Dental Medicine, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria.
2) Department of Pediatric Dental Medicine, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria.
3) Department of Oral and Maxillofacial Surgery Faculty of Dental Medicine, Medical University, Sofia, Bulgaria.
4) Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University, Sofia, Bulgaria.

Aim of the study: The study aims to assess the possible relationship between bruxism and TMJ sounds.
Material and methods: The relationship between temporomandibular joint (TMJ) sounds and bruxism was evaluated in a sample composed of 62 females and 39 males varied in age from 21 to 56 years with a mean age of 40.0±1.07. The participants were informed about the purpose of this study, and they gave their consent. The main methods we used in registering TMJ sound were palpation and auscultation. A self-administered Bruxism Assessment Questionnaire assessed bruxism.
Results: The prevalence of bruxism in study group was 60.39% (n = 61) – sleep bruxism (SB) and awake bruxism (AB) were 38.2% and 23.4%, respectively. A total of 53.47% (n = 54) of the sample exhibited some type of clicking joint sound. Chi-square test for independence (with Yates Continuity Correction) indicated significant association between bruxism and TMJ sounds, χ2 (1, = 101) = 4.183, p = .046, phi = .28.
Conclusions: Biomechanical factors seem to play a significant role in TMJ disk displacement development. Based on the research, it should be concluded that bruxism may be associated with joint pathologies, such as disc displacement and joint noises.

Keywords: bruxism, disc displacement, teeth grinding, temporomandibular disorders, TMJ sounds,

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Please cite this article as: Kirov D, Doichinova L, Deliverska E, Kirilova J. Assessment of the relationship between temporomandibular joint sounds and bruxism. J of IMAB. 2022 Jan-Mar;28(1):4242-4246. DOI: 10.5272/jimab.2022281.4242

Corresponding AutorCorrespondence to: Dimitar Kirov, Associate Professor, DDS, PhD, Department of Prosthetic Dentistry, Faculty of Dental Medicine, Medical University –Sofia; 1, St. Georgi Sofyiski Str., 1431 Sofia, Bulgaria; E-mail: dimiterkirov@gmail.com

1. deLeeuw R, Klasser GD. Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management (AAOP The American Academy of Orofacial Pain), 6th Edition. Quintessence Pub. Co. April 10, 2018. 336 p.
2. Kaymak D, Karakis D, Dogan A. Evolutionary Spectral Analysis of Temporomandibular Joint Sounds Before and After Anterior Repositioning Splint Therapy in Patients with Internal Derangement. Int J Prosthodont. 2019 Nov/Dec;32(6):475–481. [PubMed]
3. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6–27. [PubMed]
4. Ohrbach R, Dworkin SF. The Evolution of TMD Diagnosis: Past, Present, Future. J Dent Res. 2016 Sep;95(10):1093–101. [PubMed]
5. Xie C, Lin M, Yang H, Ren A. Prevalence of temporomandibular disorders and its clinical signs in Chinese students, 1979-2017: A systematic review and meta-analysis. Oral Dis. 2019 Oct;25(7):1697–1706. [PubMed]
6. Da Silva CG, Pachêco-Pereira C, Porporatti AL, Savi MG, Peres MA, Flores-Mir C, et al. prevalence of clinical signs of intra-articular temporomandibular disorders in children and adolescents: A systematic review and meta-analysis. J Am Dent Assoc. 2016;147:10–18. [PubMed]
7. Rauch A, Schierz O, Körner A, Kiess W, Hirsch C. Prevalence of anamnestic symptoms and clinical signs of temporomandibular disorders in adolescents—Results of the epidemiologic LIFE Child Study. J. Oral Rehabil. 2019;47:425–431. [PubMed]
8. Soares LG, Costa IR, BrumJúnior JDS, Cerqueira WSB, Oliveira ES, Douglas de Oliveira DW, et al. Prevalence of bruxism in undergraduate students. Cranio. 2017 Sep;35(5):298–303. [PubMed]
9. Iodice G, Cimino R, Vollaro S, Lobbezoo F, Michelotti A. Prevalence of temporomandibular disorder pain, jaw noises and oral behaviours in an adult Italian population sample. J Oral Rehabil. 2019 Aug;46(8):691-698. [PubMed]
10. Poluha RL, Canales GT, Costa YM, Grossmann E, Bonjardim LR, Conti PCR. Temporomandibular joint disc displacement with reduction: a review of mechanisms and clinical presentation. J Appl Oral Sci. 2019; 27:e20180433. [PubMed]
11. Talaat WM, Adel OI, Al Bayatti S. Prevalence of temporomandibular disorders discovered incidentally during routine dental examination using the Research Diagnostic Criteria for Temporomandibular Disorders. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;125(3):250–259. [PubMed]
12. Jussila P, Kiviahde H, Näpänkangas R, Päkkilä J, Pesonen P, Sipilä K, et al. prevalence of temporomandibular disorders in the Northern Finland Birth Cohort 1966. J Oral Facial Pain Headache. 2017; 31(2):159–164. [PubMed]
13. Jiménez-Silva A, Peña-Durán C, Tobar-Reyes J, Frugone-Zambra R. Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: A systematic review from 2003 to 2014. Acta Odontol Scand. 2017 Jan;75(1):36–58. [PubMed]
14. de Oliveira Reis L, Ribeiro RA, Martins CC, Devito KL. Association between bruxism and temporomandibular disorders in children: A systematic review and meta-analysis. Int J Paediatr Dent. 2019 Sep;29(5):585–595. [PubMed]
15. Atsü SS, Güner S, Palulu N, Bulut AC, Kürkçüoğlu I. Oral parafunctions, personality traits, anxiety and their association with signs and symptoms of temporomandibular disorders in the adolescents. Afr Health Sci. 2019 Mar;19(1):1801–1810. [PubMed]
16. International Classification of Sleep Disorders: Diagnostic and Coding Manual. 2nd ed. Westchester, IL. American Academy of Sleep Medicine. 2005. [Internet]
17. van der Meulen MJ, Lobbezoo F, Aartman IH, Naeije M. Self‐reported oral parafunctions and pain intensity in temporomandibular disorder patients. J Orofac Pain. 2006;20:31–35. [PubMed]
18. Kalaykova S, Lobbezoo F, Naeije M. Effect of chewing upon disc reduction in the temporomandibular joint. J. Orofac. Pain. 2011;25:49–55. [PubMed]
19. Marpaung C, van Selms MKA, Lobbezoo F. Temporomandibular joint anterior disc displacement with reduction in a young population: Prevalence and risk indicators. Int J Paediatr Dent. 2019 Jan;29(1):66–73. [PubMed]
20. Michelotti A, Cioffi I, Festa P, Scala G, Farella M. Oral parafunctions as risk factors for diagnostic TMD subgroups. J Oral Rehabil. 2010;37(3):157–62. [PubMed]
21. Commisso MS, Martínez-Reina J, Mayo J. A study of the temporomandibular joint during bruxism. Int J Oral Sci. 2014;6(2):116–123. [PubMed]
22. Kijak E, Margielewicz J, Pihut M. Identification of Biomechanical Properties of Temporomandibular Discs. Pain Res Manag. 2020 Oct 7;2020:6032832. [PubMed]
23. Barrientos E, Pelayo F, Tanaka E, Lamela-Rey MJ, Fernández-Canteli A, de Vicente JC. Effects of loading direction in prolonged clenching on stress distribution in the temporomandibular joint. J MechBehav Biomed Mater. 2020 Dec;112:104029. [PubMed]
24. Mori H, Horiuchi S, Nishimura S, Nikawa H, Murayama T, Ueda K, et al. Three-dimensional finite element analysis of cartilaginous tissues in human temporomandibular joint during prolonged clenching. Arch Oral Biol. 2010 Nov;55(11):879–86. [PubMed]
25. Berger M, Szalewski L, Szkutnik J, Ginszt M, Ginszt A. Different association between specific manifestations of bruxism and temporomandibular disorder pain. NeurolNeurochir Pol. 2017 Jan-Feb;51(1):7–11. [PubMed]
26. Garip H, Tufekcioglu S, Kaya E. Changes in the temporomandibular joint disc and temporal and masseter muscles secondary to bruxism in Turkish patients. Saudi Med J. 2018;39(1):81–85. [PubMed]

Received: 24 March 2021
Published online: 18 February 2022

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