Ecological Momentary Assessment of Masseter Muscle Activity in Patients with Bruxism. 2022

Diana Elena Vlăduțu, and Mihaela Ionescu, and Răzvan Mercuț, and Lorenzo Noveri, and Grigore Lăzărescu, and Sanda Mihaela Popescu, and Monica Scrieciu, and Horia Octavian Manolea, and Monica Mihaela Iacov Crăițoiu, and Alin Gabriel Ionescu, and Veronica Mercuț
Department of Prosthetic Dentistry, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

According to the International Bruxism Consensus, bruxism refers to the activity of the masticatory muscles reflecting contraction disorders, regardless of whether it is during sleep (SB) or an awake (AB) state. The objective of the present study was to evaluate the activity of the masseter muscle by surface electromyographic (sEMG) recordings. This study was performed on 20 participants with self-reported “possible bruxism” (study group) and 20 participants with no self-reported bruxism (control group); all participants underwent an evaluation of the masseter muscle activity using the dia-BRUXO device, which provides numerical parameters regarding sEMG (the total duration and the type of bruxism specific events, the effort made by the masticatory muscles during the recording period, and the personal bruxism index of each participant). Participants from the study group presented more clenching events during AB, three times more frequent than the control group (p = 0.002, Mann−Whitney U test); for SB, the frequency of clenching and grinding events was comparable within the study group, being more frequent than for the control group; the mean value of the effort index was higher for AB (1.177%) than SB (0.470%) and the same for the duration index, with a mean value of 2.788% for AB and 1.054% for SB. All participants from the control group presented reduced values for all acquired parameters. Overall, the personal bruxism index in AB was approximately four times higher for the study group (2.251%) compared to the control group (0.585%) (p < 0.005, Mann−Whitney U test). Similar values were obtained for SB. All participants with “possible bruxism” from the study group presented a higher activity of the masseter muscle, which is specific for bruxism, thus being defined as “definite bruxism”.

UI MeSH Term Description Entries
D008406 Masseter Muscle A masticatory muscle whose action is closing the jaws. Masseter Muscles,Muscle, Masseter,Muscles, Masseter
D008410 Masticatory Muscles Muscles arising in the zygomatic arch that close the jaw. Their nerve supply is masseteric from the mandibular division of the trigeminal nerve. (From Stedman, 25th ed) Masticatory Muscle,Muscle, Masticatory,Muscles, Masticatory
D002012 Bruxism A disorder characterized by grinding and clenching of the teeth. Bruxomania,Teeth Grinding Disorder,Disorder, Teeth Grinding,Grinding Disorder, Teeth,Teeth Grinding Disorders
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000072860 Ecological Momentary Assessment Repeated reports by a research participant of symptoms, affect, behavior, and cognition close in time to experience and in the participant's natural environment. Experience Sampling,Assessments, Ecological Momentary,Ecological Momentary Assessments,Experience Samplings,Momentary Assessment, Ecological,Momentary Assessments, Ecological,Sampling, Experience,Samplings, Experience

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