Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia

Detalhes bibliográficos
Autor(a) principal: Flores, Dyanne Adenea Medina
Data de Publicação: 2020
Tipo de documento: Dissertação
Idioma: eng
Título da fonte: Biblioteca Digital de Teses e Dissertações da USP
Texto Completo: https://www.teses.usp.br/teses/disponiveis/25/25146/tde-25102021-161014/
Resumo: The aim of this study was to evaluate awake bruxism (AB) behaviors for one week in a sample of healthy young adults using an ecological momentary assessment (EMA) and the relationship of different AB behaviors with muscle tenderness and pain modulation (CPM) Methods: One hundred and twenty-two healthy postgraduate students were given a smartphone application that sends 10 alerts at random intervals every day, for one-week. Subjects had to report in real time what represented their current condition between these options: Relaxed jaw muscles, teeth contact, teeth clenching, teeth grinding and jaw bracing. Before the first day of alerts, the subjects also underwent recordings of the masticatory muscles pressure pain threshold (PPT) and the paradigm of conditioned pain modulation (CPM). The PPT recording was repeated in the last day of study. Results: Data were considered valid if compliance was of at least 60% of responses. The total compliance was of 75.9%. The average frequency of relaxed jaw muscles was 54.5%, 29.4% for teeth contact, 5.8% for jaw bracing, 9.7% for teeth clenching and 0.6% for teeth grinding. Teeth contact was found to be the most prevalent behaviour, 69% of participants showed at least one bruxism behaviour during the one-week evaluation period. Any significant gender difference was detected on the sample. The PPT values were within the normality parameters, for the anterior temporalis, 2.52 kg/cm2 and 2,26 kg/cm2 for right and left. The masseter muscle presented a pain threshold of 1.93 kg/cm2 and 1.84kg kg/cm2 for the right and left side, respectively. Statistically significant difference (p>0.000) were noted on CPM test with the difference between the PPT before (2.5 +- 1.07) and after (2.9 +- 0.96) the cold-water immersion, demonstrating a positive modulation on these young healthy patients. Conclusion: The most prevalent behavior was the teeth contact with an average frequency of 29.4%, where 69.6% of the participants presented at least once this behavior. AB is not an important factor of masticatory muscle tenderness on the orofacial pain area in young healthy adults. No association was found between AB behaviors with masticatory muscle tenderness and endogenous analgesia.
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spelling Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesiaAvaliação do comportamento do bruxismo de vigília com avaliação momentânea ecológica (AME) e a sua relação com fatores de mensuração da dorAvaliação momentânea ecológicaAwake bruxismBruxismo de vigíliaConditioned pain modulationEcological momentary assessmentModulação de dor condicionada.The aim of this study was to evaluate awake bruxism (AB) behaviors for one week in a sample of healthy young adults using an ecological momentary assessment (EMA) and the relationship of different AB behaviors with muscle tenderness and pain modulation (CPM) Methods: One hundred and twenty-two healthy postgraduate students were given a smartphone application that sends 10 alerts at random intervals every day, for one-week. Subjects had to report in real time what represented their current condition between these options: Relaxed jaw muscles, teeth contact, teeth clenching, teeth grinding and jaw bracing. Before the first day of alerts, the subjects also underwent recordings of the masticatory muscles pressure pain threshold (PPT) and the paradigm of conditioned pain modulation (CPM). The PPT recording was repeated in the last day of study. Results: Data were considered valid if compliance was of at least 60% of responses. The total compliance was of 75.9%. The average frequency of relaxed jaw muscles was 54.5%, 29.4% for teeth contact, 5.8% for jaw bracing, 9.7% for teeth clenching and 0.6% for teeth grinding. Teeth contact was found to be the most prevalent behaviour, 69% of participants showed at least one bruxism behaviour during the one-week evaluation period. Any significant gender difference was detected on the sample. The PPT values were within the normality parameters, for the anterior temporalis, 2.52 kg/cm2 and 2,26 kg/cm2 for right and left. The masseter muscle presented a pain threshold of 1.93 kg/cm2 and 1.84kg kg/cm2 for the right and left side, respectively. Statistically significant difference (p>0.000) were noted on CPM test with the difference between the PPT before (2.5 +- 1.07) and after (2.9 +- 0.96) the cold-water immersion, demonstrating a positive modulation on these young healthy patients. Conclusion: The most prevalent behavior was the teeth contact with an average frequency of 29.4%, where 69.6% of the participants presented at least once this behavior. AB is not an important factor of masticatory muscle tenderness on the orofacial pain area in young healthy adults. No association was found between AB behaviors with masticatory muscle tenderness and endogenous analgesia.adultos jovens, usando a avaliação momentânea ecológica (AME) e avaliar a associação dos diferentes comportamentos do AB com o LDP e CPM. Métodos: Cento e vinte e dois estudantes de pós-graduação saudáveis usaram um aplicativo no smarthphone, o qual enviava 10 alertas em intervalos aleatórios todos os dias, durante uma semana. Os sujeitos tiveram que relatar em tempo real sua condição atual entre as seguintes opções: Músculos da mandíbula relaxados, dentes levemente encostados, apertando os dentes, rangendo os dentes ou músculos da mandíbula contraídos sem contato dentário. Antes da semana de avaliação com o AME, os participantes foram submetidos a testes de limiar de dor à pressão (LDP) e de modulação de dor condicionada (CPM), no último dia da avaliação o LDP foi repetido. Resultados: A taxa de resposta foi de 75.9%. Os dados foram considerados válidos com um mínimo de 60% de respostas. A taxa de resposta da frequência de músculos relaxados da mandíbula foi de (54.5%), dentes levemente encostando (29,4%), apertando dentes (9.7%), rangendo dentes (0.6%) e músculos da mandíbula contraídos, mas sem contato dentário de (5.8%). O comportamento mais prevalente foi dos dentes levemente encostados; o 69% dos participantes pelo menos em algum momento teve algum comportamento de bruxismo durante a semana de avaliação. Não foi encontrada nenhuma diferença significativa de gênero na amostra. Os valores de LDP se encontraram dentro dos níveis normais, no temporal anterior com 2.53 kg/cm2 e 2.26 kg/cm2 para direita e esquerda correspondentemente. No músculo masseter se obteve 1,93 kg/cm2 e 1,4 kg/cm2, para o lado direito e esquerdo. Na amostra total foi encontrada diferença estatística significativa (p> 0,000) entre o PPT antes da imersão em água fria (2,5+- 1,07) e depois (2,9 +-0.96), demonstrando uma modulação positiva nos participantes durante o teste de CPM. Conclusão: O comportamento mais prevalente foi o contato dentário com (29.4%). O BV não é um fator importante de sensibilidade nos músculos estudados em jovens adultos saudáveis. Não foi encontrada nenhuma associação do BV com a sensibilidade da musculatura nem com a analgesia endógenaBiblioteca Digitais de Teses e Dissertações da USPConti, Paulo Cesar RodriguesFlores, Dyanne Adenea Medina2020-11-24info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttps://www.teses.usp.br/teses/disponiveis/25/25146/tde-25102021-161014/reponame:Biblioteca Digital de Teses e Dissertações da USPinstname:Universidade de São Paulo (USP)instacron:USPLiberar o conteúdo para acesso público.info:eu-repo/semantics/openAccesseng2023-10-25T13:00:33Zoai:teses.usp.br:tde-25102021-161014Biblioteca Digital de Teses e Dissertaçõeshttp://www.teses.usp.br/PUBhttp://www.teses.usp.br/cgi-bin/mtd2br.plvirginia@if.usp.br|| atendimento@aguia.usp.br||virginia@if.usp.bropendoar:27212023-10-25T13:00:33Biblioteca Digital de Teses e Dissertações da USP - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia
Avaliação do comportamento do bruxismo de vigília com avaliação momentânea ecológica (AME) e a sua relação com fatores de mensuração da dor
title Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia
spellingShingle Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia
Flores, Dyanne Adenea Medina
Avaliação momentânea ecológica
Awake bruxism
Bruxismo de vigília
Conditioned pain modulation
Ecological momentary assessment
Modulação de dor condicionada.
title_short Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia
title_full Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia
title_fullStr Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia
title_full_unstemmed Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia
title_sort Evaluation of awake bruxism behaviour with ecological momentary assessment (EMA) and its impact in muscle sensitivity tenderness and endogenous analgesia
author Flores, Dyanne Adenea Medina
author_facet Flores, Dyanne Adenea Medina
author_role author
dc.contributor.none.fl_str_mv Conti, Paulo Cesar Rodrigues
dc.contributor.author.fl_str_mv Flores, Dyanne Adenea Medina
dc.subject.por.fl_str_mv Avaliação momentânea ecológica
Awake bruxism
Bruxismo de vigília
Conditioned pain modulation
Ecological momentary assessment
Modulação de dor condicionada.
topic Avaliação momentânea ecológica
Awake bruxism
Bruxismo de vigília
Conditioned pain modulation
Ecological momentary assessment
Modulação de dor condicionada.
description The aim of this study was to evaluate awake bruxism (AB) behaviors for one week in a sample of healthy young adults using an ecological momentary assessment (EMA) and the relationship of different AB behaviors with muscle tenderness and pain modulation (CPM) Methods: One hundred and twenty-two healthy postgraduate students were given a smartphone application that sends 10 alerts at random intervals every day, for one-week. Subjects had to report in real time what represented their current condition between these options: Relaxed jaw muscles, teeth contact, teeth clenching, teeth grinding and jaw bracing. Before the first day of alerts, the subjects also underwent recordings of the masticatory muscles pressure pain threshold (PPT) and the paradigm of conditioned pain modulation (CPM). The PPT recording was repeated in the last day of study. Results: Data were considered valid if compliance was of at least 60% of responses. The total compliance was of 75.9%. The average frequency of relaxed jaw muscles was 54.5%, 29.4% for teeth contact, 5.8% for jaw bracing, 9.7% for teeth clenching and 0.6% for teeth grinding. Teeth contact was found to be the most prevalent behaviour, 69% of participants showed at least one bruxism behaviour during the one-week evaluation period. Any significant gender difference was detected on the sample. The PPT values were within the normality parameters, for the anterior temporalis, 2.52 kg/cm2 and 2,26 kg/cm2 for right and left. The masseter muscle presented a pain threshold of 1.93 kg/cm2 and 1.84kg kg/cm2 for the right and left side, respectively. Statistically significant difference (p>0.000) were noted on CPM test with the difference between the PPT before (2.5 +- 1.07) and after (2.9 +- 0.96) the cold-water immersion, demonstrating a positive modulation on these young healthy patients. Conclusion: The most prevalent behavior was the teeth contact with an average frequency of 29.4%, where 69.6% of the participants presented at least once this behavior. AB is not an important factor of masticatory muscle tenderness on the orofacial pain area in young healthy adults. No association was found between AB behaviors with masticatory muscle tenderness and endogenous analgesia.
publishDate 2020
dc.date.none.fl_str_mv 2020-11-24
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
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dc.identifier.uri.fl_str_mv https://www.teses.usp.br/teses/disponiveis/25/25146/tde-25102021-161014/
url https://www.teses.usp.br/teses/disponiveis/25/25146/tde-25102021-161014/
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv
dc.rights.driver.fl_str_mv Liberar o conteúdo para acesso público.
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Liberar o conteúdo para acesso público.
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
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dc.publisher.none.fl_str_mv Biblioteca Digitais de Teses e Dissertações da USP
publisher.none.fl_str_mv Biblioteca Digitais de Teses e Dissertações da USP
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reponame:Biblioteca Digital de Teses e Dissertações da USP
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
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institution USP
reponame_str Biblioteca Digital de Teses e Dissertações da USP
collection Biblioteca Digital de Teses e Dissertações da USP
repository.name.fl_str_mv Biblioteca Digital de Teses e Dissertações da USP - Universidade de São Paulo (USP)
repository.mail.fl_str_mv virginia@if.usp.br|| atendimento@aguia.usp.br||virginia@if.usp.br
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