Validity of self-reported sleep bruxism among myofascial temporomandibular disorder patients and controls. Academic Article uri icon

Overview

MeSH

  • Case-Control Studies
  • Female
  • Humans
  • Polysomnography
  • Reproducibility of Results
  • Self Report
  • Sensitivity and Specificity

MeSH Major

  • Sleep Bruxism
  • Temporomandibular Joint Dysfunction Syndrome

abstract

  • Sleep bruxism (SB), primarily involving rhythmic grinding of the teeth during sleep, has been advanced as a causal or maintenance factor for a variety of oro-facial problems, including temporomandibular disorders (TMD). As laboratory polysomnographic (PSG) assessment is extremely expensive and time-consuming, most research testing this belief has relied on patient self-report of SB. The current case-control study examined the accuracy of those self-reports relative to laboratory-based PSG assessment of SB in a large sample of women suffering from chronic myofascial TMD (n = 124) and a demographically matched control group without TMD (n = 46). A clinical research coordinator administered a structured questionnaire to assess self-reported SB. Participants then spent two consecutive nights in a sleep laboratory. Audiovisual and electromyographic data from the second night were scored to assess whether participants met criteria for the presence of 2 or more (2+) rhythmic masticatory muscle activity episodes accompanied by grinding sounds, moderate SB, or severe SB, using previously validated research scoring standards. Contingency tables were constructed to assess positive and negative predictive values, sensitivity and specificity, and 95% confidence intervals surrounding the point estimates. Results showed that self-report significantly predicted 2+ grinding sounds during sleep for TMD cases. However, self-reported SB failed to significantly predict the presence or absence of either moderate or severe SB as assessed by PSG, for both cases and controls. These data show that self-report of tooth grinding awareness is highly unlikely to be a valid indicator of true SB. Studies relying on self-report to assess SB must be viewed with extreme caution. © 2015 John Wiley & Sons Ltd.

publication date

  • October 2015

has subject area

  • Case-Control Studies
  • Female
  • Humans
  • Polysomnography
  • Reproducibility of Results
  • Self Report
  • Sensitivity and Specificity
  • Sleep Bruxism
  • Temporomandibular Joint Dysfunction Syndrome

Research

keywords

  • Journal Article

Identity

Language

  • eng

PubMed Central ID

  • PMC4573343

Digital Object Identifier (DOI)

  • 10.1111/joor.12310

PubMed ID

  • 26010126

Additional Document Info

start page

  • 751

end page

  • 758

volume

  • 42

number

  • 10