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Bruxism

Última revisão: 6 Aug 2025
Última atualização: 25 Feb 2025

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • bruxism activities: teeth grinding/clenching, jaw bracing/thrusting
  • oral parafunctions
  • tooth wear
  • jaw muscle and/or temporomandibular joint (TMJ) pain
  • jaw muscle tenderness
  • stress and anxiety
  • caffeine, smoking, or alcohol use
  • history of sleep disorders
  • selective serotonin-reuptake inhibitor or dopamine antagonist use
  • ecstasy or cocaine use
  • jaw muscle hypertrophy
Detalhes completos

Outros fatores diagnósticos

  • headache
  • tooth soreness and/or hypersensitivity
  • history of temporomandibular disorder (TMD)
  • dental restorations and/or implant failure
  • periodontal problems
  • tooth chippings, cracks, and fractures
  • oral mucosal changes
Detalhes completos

Fatores de risco

  • smoking, caffeine, alcohol consumption
  • stress sensitivity and anxious personality traits
  • snoring, obstructive sleep apnea, and other sleep disorders
  • medication and illicit drug use
  • genetic predisposition
  • primary motor disorders
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • clinical diagnosis
  • polysomnographic (PSG) study
Detalhes completos

Investigações a serem consideradas

  • electromyography (EMG)
  • ecological momentary assessment (EMA)
Detalhes completos

Algoritmo de tratamento

AGUDA

awake bruxism

sleep bruxism

Colaboradores

Autores

Frank Lobbezoo, DDS, PhD

Professor, Chair, and Vice Dean

Department of Oral Health Sciences

Academic Centre for Dentistry Amsterdam (ACTA)

MOVE Research Institute Amsterdam

University of Amsterdam

VU University Amsterdam

Amsterdam

The Netherlands

Declarações

FL is an author of several references cited in this topic.

Daniele Manfredini, DDDS, PhD

Full Professor Oral Physiology and Gnathology

School of Dentistry

University of Siena

Siena

Italy

Declarações

DM is an author of several references cited in this topic.

Alessandro Bracci, DDS

Associate Professor

School of Dentistry

Department of Neuroscience

University of Padua

Padua

Italy

Declarações

AB is a shareholder for WMA Srl, whose products include BruxApp. AB is an author of several references cited in this topic.

Agradecimentos

Professor Daniele Manfredini, Professor Frank Lobbezoo, and Alessandro Bracci would like to gratefully acknowledge Professor Peter Svensson, a previous contributor to this topic.

Declarações

PS is chairman of the clinical advisory board and has received fees for consulting for Medotech, the manufacturer of GrindCare. PS is also an author of several references cited in this topic.

Revisores

Alan Glaros, PhD

Associate Dean and Professor

Kansas City University of Medicine and Biosciences

Kansas City

MO

Declarações

AG is a member of the clinical advisory board of Medotech and has received GrindCare devices for evaluation. AG is an author of a reference cited in this topic.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Lobbezoo F, Ahlberg J, Raphael KG, et al. International consensus on the assessment of bruxism: report of a work in progress. J Oral Rehabil. 2018 Nov;45(11):837-44.Texto completo  Resumo

Raphael KG, Santiago V, Lobbezoo F. Is bruxism a disorder or a behaviour? Rethinking the international consensus on defining and grading of bruxism. J Oral Rehabil. 2016;43:791-8. Resumo

Manfredini D, Ahlberg J, Winocur E, et al. Management of sleep bruxism in adults: a qualitative systematic literature review. J Oral Rehabil. 2015;42:862-74. Resumo

Lobbezoo F, van der Zaag J, van Selms MK, et al. Principles for the management of bruxism. J Oral Rehabil. 2008 Jul;35(7):509-23. Resumo

Artigos de referência

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