Journal ArticleDOI
Diagnostic accuracy of portable instrumental devices to measure sleep bruxism: a systematic literature review of polysomnographic studies
Daniele Manfredini,Jari Ahlberg,Tommaso Castroflorio,Carlo E. Poggio,Luca Guarda-Nardini,Frank Lobbezoo +5 more
TLDR
The available information on the validity of portable instrumental diagnostic approaches with respect to PSG recordings is still scarce and not solid enough to support any non-PSG technique's employ as a stand-alone diagnostic method in the research setting, with the possible exception of the Bruxoff device.Abstract:
This study systematically reviews the sleep bruxism (SB) literature published in the MEDLINE and Scopus databases to answer the following question: What is the validity of the different portable instrumental devices that have been proposed to measure SB if compared with polysomnographic (PSG) recordings assumed as the gold standard? Four clinical studies on humans, assessing the diagnostic accuracy of portable instrumental approaches (i.e. Bitestrip, electromyography (EMG)-telemetry recordings and Bruxoff) with respect to PSG, were included in the review. Methodological shortcomings were identified by QUADAS-2 quality assessment. Findings showed contrasting results and supported only in part the validity of the described diagnostic devices with respect to PSG. The positive predictive value (PPV) of the Bitestrip device was 59-100%, with a sensitivity of 71-84·2%, whilst EMG-telemetry recordings had an unacceptable rate of false-positive findings (76·9%), counterbalanced by an almost perfect sensitivity (98·8%). The Bruxoff device had the highest accuracy values, showing an excellent agreement with PSG for both manual (area under ROC = 0·98) and automatic scoring (0·96) options as well as for the simultaneous recording of events with respect to PSG (0·89-0·91). It can be concluded that the available information on the validity of portable instrumental diagnostic approaches with respect to PSG recordings is still scarce and not solid enough to support any non-PSG technique's employ as a stand-alone diagnostic method in the research setting, with the possible exception of the Bruxoff device that needs to be further confirmed with future investigations.read more
Citations
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Journal ArticleDOI
Management of sleep bruxism in adults: a qualitative systematic literature review.
TL;DR: There is not enough evidence to define a standard of reference approach for sleep bruxism treatment, except for the use of OA, and future studies on the indications for SB treatment are recommended.
Journal ArticleDOI
Is bruxism a disorder or a behaviour? Rethinking the international consensus on defining and grading of bruxism.
TL;DR: Evidence for validity of self-report or clinician report in placing SB behaviour on a continuum is lacking, raising concerns about their potential utility in any bruxism behavioural grading system, and handicapping future study of whether SB may be a useful risk factor for, or itself a disorder requiring treatment.
Journal ArticleDOI
Bruxism: An umbrella review of systematic reviews.
Gilberto Melo,Joyce Duarte,Patrícia Pauletto,André Luís Porporatti,Juliana Stuginski-Barbosa,Ephraim Winocur,Carlos Flores-Mir,Graziela De Luca Canto +7 more
TL;DR: Current knowledge from SR was mostly related to sleep-related bruxism, and higher prevalence rates were found in children and adolescents than in adults, while overall good accuracy regarding portable diagnostic devices was found.
Journal ArticleDOI
Sleep bruxism: Current knowledge and contemporary management
Adrian Ujin Yap,Ai Ping Chua +1 more
TL;DR: There is at present, no effective treatment that “cures” or “stops” SB permanently and management is usually directed toward tooth/restoration protection, reduction of bruxism activity, and pain relief.
Journal ArticleDOI
The bruxism construct: From cut-off points to a continuum spectrum.
Daniele Manfredini,Jari Ahlberg,Peter Wetselaar,Peter Svensson,Peter Svensson,Frank Lobbezoo +5 more
TL;DR: The need to move on from the adoption of cut-off points for the definition of the presence/absence of bruxism is discussed and the need to embrace an evaluation based on the continuum of jaw motor behaviours is justified.
References
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Journal ArticleDOI
QUADAS-2: A Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies
Penny Whiting,Anne W S Rutjes,Marie Westwood,Susan Mallett,Jonathan J Deeks,Johannes B. Reitsma,Mariska M.G. Leeflang,Jonathan A C Sterne,Patrick M.M. Bossuyt +8 more
TL;DR: The QUADAS-2 tool will allow for more transparent rating of bias and applicability of primary diagnostic accuracy studies.
Journal ArticleDOI
The International Classification of Sleep Disorders: Diagnostic and Coding Manual
TL;DR: This outstanding manual is more than an outline; it includes diagnostic criteria, clinical course, predisposing factors, prevalence, differential diagnosis, and a bibliography for each of the numerous disorders.
Journal ArticleDOI
The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews
TL;DR: In this article, an evidence-based quality assessment tool called QUADAS was proposed to assess the quality of primary studies of diagnostic accuracy, based on the results of three previously conducted reviews of the diagnostic literature.
Journal ArticleDOI
Bruxism defined and graded: an international consensus
Frank Lobbezoo,Jari Ahlberg,A. G. Glaros,Takafumi Kato,Kiyoshi Koyano,Gilles Lavigne,R. de Leeuw,Daniele Manfredini,Peter Svensson,Peter Svensson,E. Winocur +10 more
TL;DR: The expert group defined bruxism as a repetitive jaw-muscle activity characterised by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible and proposed a diagnostic grading system of 'possible', 'probable' and 'definite' sleep or awake bruXism.
Journal ArticleDOI
Sleep Bruxism: Validity of Clinical Research Diagnostic Criteria in a Controlled Polysomnographic Study
TL;DR: Polysomnographic recordings from 18 bruxers and 18 asymptomatic subjects were analyzed to discriminate sleep bruxism from other orofacial motor activities and to calculate sensitivity, specificity, and predictive values of research criteria.