JDSE
Journal of Dental Sciences and Education

The Journal of Dental Sciences and Education deals with General Dentistry, Pediatric Dentistry, Restorative Dentistry, Orthodontics, Oral diagnosis and DentomaxilloFacial Radiology, Endodontics, Prosthetic Dentistry, Periodontology, Oral and Maxillofacial Surgery, Oral Implantology, Dental Education and other dentistry fields and accepts articles on these topics. Journal of Dental Science and Education publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Review
Current approaches to the diagnosis and management of bruxism
Abstract
Bruxism is a repetitive motor activity characterized by involuntary movements of the masticatory muscles, such as clenching, grinding, or involuntary movements of the mandible, which may occur during sleep or wakefulness. Bruxism usually has a multifactorial etiology; dopaminergic system dysfunction, psychological stress, genetic predisposition, and environmental factors are at the forefront in this process. Self-report, clinical examination, and device-assisted methods are used in combination in the diagnostic process. In order to manage bruxism effectively, it is of great importance to first determine the underlying etiological factors; the treatment process should be customized according to individual needs and carefully planned with a multidisciplinary approach. Treatment includes occlusal splints, botulinum toxin applications, physical therapy, biofeedback, laser therapy, and cognitive-behavioral interventions; in addition, psychologically based approaches such as sleep hygiene and mindfulness meditation have shown promising results. This review provides a multidimensional evaluation of bruxism from its historical definition to current classifications, etiopathogenesis, clinical-radiological findings, diagnostic approaches, and treatment options

Keywords : Bruxism, diagnosis, treatment

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1. Frohman BS. The application of psychotherapy to dental problems. Dent Cosmos. 1931;73:1117-1122.
2. Nadler SC. Bruxism, a classification: critical review. J Am Dent Assoc. 1957;54(5):615-622. doi:10.14219/jada.archive.1957.0097
3. Pavone BW. Bruxism and its effect on the natural teeth. J Prosthet Dent. 1985;53(5):692-696. doi:10.1016/0022-3913(85)90026-5
4. Okeson JP. The effects of hard and soft occlusal splints on nocturnal bruxism. J Am Dent Assoc. 1987;114(6):788-791. doi:10.14219/jada.archive. 1987.0165
5. Lobbezoo F, Naeije M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil. 2001;28(12):1085-1091. doi:10.1111/j.1365-2842.2006.01609.x
6. Lobbezoo F, Ahlberg J, Glaros AG, et al. Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013;40(1):2-4. doi:10.1111/joor.12011
7. 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;45(11):837-844. doi:10.1111/joor.12663
8. Zielinski G, Pajak A, Wójcicki M. Global prevalence of sleep bruxism and awake bruxism in pediatric and adult populations: a systematic review and meta-analysis. J Clin Med. 2024;13(14):4259. doi:10.3390/jcm 13144259
9. Archer AB, Da-Cas CD, Valesan LF, et al. Prevalence of awake bruxism in the adult population: a systematic review and meta-analysis. Clin Oral Investig. 2023;27(12):7007-7018. doi:10.1007/s00784-023-05302-w
10. Manfredini D, Restrepo C, Diaz-Serrano K, Winocur E, Lobbezoo F. Prevalence of sleep bruxism in children: a systematic review of the literature. J Oral Rehabil. 2013;40(8):631-642. doi:10.1111/joor.12069
11. Nekora-Azak A, Yengin E, Evlioglu G, Ceyhan A, Ocak O, Issever H. Prevalence of bruxism awareness in Istanbul, Turkey. Cranio. 2010; 28(2):122-127. doi:10.1179/crn.2010.017
12. Pavlou IA, Spandidos DA, Zoumpourlis V, Papakosta VK. Neurobiology of bruxism: the impact of stress (review). Biomed Rep. 2024;20(4):59. doi:10.3892/br.2024.1747
13. Pecori A, Luppieri V, Santin A, et al. Clenching the strings of bruxism etiopathogenesis: association analyses on genetics and environmental risk factors in a deeply characterized Italian cohort. Biomedicines. 2024; 12(2):304. doi:10.3390/biomedicines12020304
14. Campello CP, Moraes SLD, Vasconcelos BCDE, et al. Polymorphisms of the serotonin receptors genes in patients with bruxism: a systematic review. J Appl Oral Sci. 2022;29:e20210262. doi:10.1590/1678-7757-2021-0262
15. Rintakoski K, Hublin C, Lobbezoo F, et al. Genetic factors account for half of the phenotypic variance in liability to sleep-related bruxism in young adults: a nationwide Finnish twin cohort study. Twin Res Hum Genet. 2012;15(6):714-719. doi:10.1017/ thg.2012.54
16. Flueraşu MI, Bocşan IC, ?ig IA, Iacob SM, Popa D, Buduru S. The epidemiology of bruxism in relation to psychological factors. Int J Environ Res Public Health. 2022;19(2):691. doi:10.3390/ijerph19020691
17. Kanathila H, Pangi A, Poojary B, Doddamani M. Diagnosis and treatment of bruxism: concepts from past to present. Int J Appl Dent Sci. 2018;4(1):290-295.
18. Popescu AM, Ionescu M, Popescu SM, et al. Oral clinical and radiological signs of excessive occlusal forces in bruxism. Diagnostics (Basel). 2025;15(6):702. doi:10.3390/diagnostics15060702
19. Dimova-Gabrovska MI, Maksimovskaya LN, Dimitrova DG. Changes in the oral mucosa in patients with bruxism. Stomatologiia. 2021;100(6. Vyp. 2):48-52. doi:10.17116/stomat202110006248
20. Ribeiro-Lages MB, Martins ML, Magno MB, et al. Is there association between dental malocclusion and bruxism? A systematic review and meta-analysis. J Oral Rehabil. 2020;47(10):1304-1318. doi:10.1111/joor. 12971
21. Machado NAG, Costa YM, Quevedo HM, et al. The association of self-reported awake bruxism with anxiety, depression, pain threshold at pressure, pain vigilance, and quality of life in patients undergoing orthodontic treatment. J Appl Oral Sci. 2020;28:e20190407. doi:10.1590/ 1678-2019-0407
22. Cigdem Karacay B, Sahbaz T. Investigation of the relationship between probable sleep bruxism, awake bruxism and temporomandibular disorders using the diagnostic criteria for temporomandibular disorders (DC/TMD). Dent Med Probl. 2023;60(4):601-608. doi:10.17219/dmp/ 158926
23. Manfredini D, Ahlberg J, Lobbezoo F. Bruxism definition: past, present, and future-what should a prosthodontist know? J Prosthet Dent. 2022; 128(5):905-912. doi:10.1016/j.prosdent.2021.01.026
24. 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;75(1):36-58. doi:10.1080/00016357.2016.1247465
25. Önsüren AS, Temur KT. Evaluation of fractal analysis and radiomorphometric measurements of mandibular bone structure in bruxism and non-bruxism paediatric patients. Oral Radiol. 2025;41(1): 60-68. doi:10.1007/s11282-024-00776-0
26. Botelho J, Machado V, Proença L, et al. Relationship between self-reported bruxism and periodontal status: findings from a cross-sectional study. J Periodontol. 2020;91(8):1049-1056. doi:10.1002/JPER.19-0364
27. Kolcakoglu K, Amuk M, Sirin SG. Evaluation of mandibular trabecular bone by fractal analysis on panoramic radiograph in paediatric patients with sleep bruxism. Int J Paediatr Dent. 2022;32(6):776-778. doi:10.1111/ipd.12956
28. Manfredini D, Ahlberg J, Aarab G, et al. Standardised tool for the assessment of bruxism. J Oral Rehabil. 2024;51(1):29-58. doi:10.1111/joor.13411
29. Bronkhorst H, Kalaykova S, Huysmans MC, Loomans B, Pereira-Cenci T. Tooth wear and bruxism: a scoping review. J Dent. 2024;145:104983. doi:10.1016/j.jdent.2024.104983
30. Reddy SV, Kumar MP, Sravanthi D, Mohsin AH, Anuhya V. Bruxism: a literature review. J Int Oral Health. 2014;6(6):105-109.
31. Soares-Silva L, de Amorim CS, Magno MB, Tavares-Silva C, Maia LC. Effects of different interventions on bruxism: an overview of systematic reviews. Sleep Breath. 2024;28(3):1465-1476. doi:10.1007/s11325-023-02961-7
32. Pabst A, Kämmerer PW, Heimes D, Zeller AN, Quarta M. Botulinum toxin for bruxism treatment: a nationwide study among oral and maxillofacial surgeons in Germany. Clin Oral Investig. 2024;28(9):501. doi:10.1007/s00784-024-05898-7
33. Cavalcante-Leao BL, Porporatti AL, Cíntia Felicio Adriano R, et al. Effects of respiratory exercises in sleep bruxism and associated obstructive sleep apnea: a double-blind, placebo-controlled randomized clinical trial. Acta Odontol Scand. 2024;83:120-125. doi:10.2340/aos.v83. 40252
34. Amaral CC, Fernandez MDS, Chisini LA, Boscato N, Jansen K, Goettems ML. Sleep hygiene measures combined with mindfulness meditation in the management of sleep bruxism in children: a randomized controlled clinical trial. Int J Paediatr Dent. 2025;35(1):118-128. doi:10.1111/ipd.13212
35. Nielsen M, Keefe FJ, Bennell K, Jull GA. Physical therapist-delivered cognitive-behavioral therapy: a qualitative study of physical therapists’ perceptions and experiences. Phys Ther. 2014;94(2):197-209. doi:10.2522/ptj.20130047
36. Soares-Silva L, de Amorim CS, Magno MB, Tavares-Silva C, Maia LC. Effects of different interventions on bruxism: an overview of systematic reviews. Sleep Breath. 2024;28(3):1465-1476. doi:10.1007/s11325-023-02961-7
37. Rashed MF, Mohamed MA, Mohamed NER, Mansy ME. Evaluation of laser acupuncture versus physical therapy intervention in management of bruxism in children: a randomized controlled trial. BMC Oral Health. 2025;25(1):341. doi:10.1186/s12903-025-05626-x
Article available in :
Volume 3, Issue 3, 2025
Page : 80-84
https://doi.org/10.51271/JDSE-0060
Article Information
Received : 08 Haz 2025
Accepted : 18 Ağu 2025
Published : 31 Ağu 2025
Corresponding Author :

Mehmet Akyüz: Department of Oral and Maxillofacial Radiology, Denizli Oral and Health Center, Denizli, Turkiye

[email protected]
Citation : Akyüz M. Current approaches to the diagnosis and management of bruxism. J Dent Sci Educ. 2025;3(3):80-84.

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