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Published in: BMC Oral Health 1/2021

01-12-2021 | Bruxism | Research article

Self-reported sleep bruxism is associated with vitamin D deficiency and low dietary calcium intake: a case-control study

Authors: Mohammad J. Alkhatatbeh, Zainab L. Hmoud, Khalid K. Abdul-Razzak, Esam M. Alem

Published in: BMC Oral Health | Issue 1/2021

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Abstract

Background

Sleep bruxism may result in deleterious effects including loss of tooth enamel, fracture of teeth or restorations, teeth hypersensitivity or pain, and headache. The aim was to study the link between sleep bruxism, low serum vitamin D, low consumption of dietary calcium, psychological symptoms, and frequent headache.

Methods

This case-controlled study included 50 individuals with sleep bruxism and 50 age and gender matched controls. 25-hydroxyvitamin D was measured in serum. Hospital Anxiety and Depression Scale was used to measure anxiety and depression. Data about dietary calcium and frequent headache were self-reported.

Results

Participants with sleep bruxism had lower 25-hydroxyvitamin D and higher scores of anxiety and depression compared to controls (p < 0.05). Vitamin D deficiency, abnormal scores of anxiety and depression, low calcium consumption (< 323 mg/day), and frequent headache were reported in higher % of individuals with sleep bruxism compared to controls (p < 0.05). Binary logistic regression showed that sleep bruxism was significantly associated with vitamin D deficiency (OR = 6.66, p = 0.02), low consumption of dietary calcium (OR = 5.94, p = 0.01), and frequent headache (OR = 9.24, p < 0.001). Multiple linear regression showed that anxiety was significantly associated with decreased 25-hydroxyvitamin D (p = 0.03), increased scores of depression (p < 0.001) and female sex (p = 0.01). Binary logistic regression also showed that frequent headache was significantly associated with sleep bruxism (OR = 5.51, p < 0.01).

Conclusions

Sleep bruxism was associated with vitamin D deficiency and low consumption of calcium and was also associated with increased scores of anxiety and depression. Further investigations should be performed to check if vitamin D and calcium supplementation could relieve sleep bruxism.
Literature
2.
go back to reference Ella B, Ghorayeb I, Burbaud P, et al. Bruxism in movement disorders: a comprehensive review. J Prosthodontics. 2017;26(7):599–605.CrossRef Ella B, Ghorayeb I, Burbaud P, et al. Bruxism in movement disorders: a comprehensive review. J Prosthodontics. 2017;26(7):599–605.CrossRef
3.
go back to reference Manfredini D, Winocur E, Guarda-Nardini L, et al. Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain. 2013;27(2):99–110.PubMedCrossRef Manfredini D, Winocur E, Guarda-Nardini L, et al. Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain. 2013;27(2):99–110.PubMedCrossRef
4.
go back to reference Lobbezoo F, Ahlberg J, Manfredini D, et al. Are bruxism and the bite causally related? J Oral Rehabil. 2012;39(7):489–501.PubMedCrossRef Lobbezoo F, Ahlberg J, Manfredini D, et al. Are bruxism and the bite causally related? J Oral Rehabil. 2012;39(7):489–501.PubMedCrossRef
5.
go back to reference Jensen R, Rasmussen BK, Pedersen B, et al. Prevalence of oromandibular dysfunction in a general population. J Orofac Pain. 1993;7(2):175–82.PubMed Jensen R, Rasmussen BK, Pedersen B, et al. Prevalence of oromandibular dysfunction in a general population. J Orofac Pain. 1993;7(2):175–82.PubMed
6.
go back to reference Santos-Silva R, Bittencourt LR, Pires ML, et al. Increasing trends of sleep complaints in the city of Sao Paulo, Brazil. Sleep Med. 2010;11(6):520–4.PubMedCrossRef Santos-Silva R, Bittencourt LR, Pires ML, et al. Increasing trends of sleep complaints in the city of Sao Paulo, Brazil. Sleep Med. 2010;11(6):520–4.PubMedCrossRef
7.
go back to reference Winocur E, Uziel N, Lisha T, et al. Self-reported bruxism - associations with perceived stress, motivation for control, dental anxiety and gagging. J Oral Rehabil. 2011;38(1):3–11.PubMedCrossRef Winocur E, Uziel N, Lisha T, et al. Self-reported bruxism - associations with perceived stress, motivation for control, dental anxiety and gagging. J Oral Rehabil. 2011;38(1):3–11.PubMedCrossRef
8.
go back to reference Bayar GR, Tutuncu R, Acikel C. Psychopathological profile of patients with different forms of bruxism. Clin Oral Investig. 2012;16(1):305–11.PubMedCrossRef Bayar GR, Tutuncu R, Acikel C. Psychopathological profile of patients with different forms of bruxism. Clin Oral Investig. 2012;16(1):305–11.PubMedCrossRef
9.
go back to reference Shetty S, Pitti V, Satish Babu CL, et al. Bruxism: a literature review. J Indian Prosthodont Soc. 2010;10(3):141–8.PubMedCrossRef Shetty S, Pitti V, Satish Babu CL, et al. Bruxism: a literature review. J Indian Prosthodont Soc. 2010;10(3):141–8.PubMedCrossRef
10.
go back to reference Camara-Souza MB, de Figueredo OMC, Rodrigues Garcia RCM. Association of sleep bruxism with oral health-related quality of life and sleep quality. Clin Oral Investig. 2019 Jan;23(1):245–51.PubMedCrossRef Camara-Souza MB, de Figueredo OMC, Rodrigues Garcia RCM. Association of sleep bruxism with oral health-related quality of life and sleep quality. Clin Oral Investig. 2019 Jan;23(1):245–51.PubMedCrossRef
11.
go back to reference Nissani M. A bibliographical survey of bruxism with special emphasis on non-traditional treatment modalities. J Oral Sci. 2001;43(2):73–83.PubMedCrossRef Nissani M. A bibliographical survey of bruxism with special emphasis on non-traditional treatment modalities. J Oral Sci. 2001;43(2):73–83.PubMedCrossRef
12.
go back to reference Martynowicz H, Smardz J, Michalek-Zrabkowska M, et al. Evaluation of Relationship Between Sleep Bruxism and Headache Impact Test-6 (HIT-6) Scores: A Polysomnographic Study. Front Neurol. 2019;10:487.PubMedPubMedCentralCrossRef Martynowicz H, Smardz J, Michalek-Zrabkowska M, et al. Evaluation of Relationship Between Sleep Bruxism and Headache Impact Test-6 (HIT-6) Scores: A Polysomnographic Study. Front Neurol. 2019;10:487.PubMedPubMedCentralCrossRef
13.
go back to reference Bader G, Lavigne G. Sleep bruxism; an overview of an oromandibular sleep movement disorder. REVIEW ARTICLE. Sleep Med Rev. 2000;4(1):27–43.PubMedCrossRef Bader G, Lavigne G. Sleep bruxism; an overview of an oromandibular sleep movement disorder. REVIEW ARTICLE. Sleep Med Rev. 2000;4(1):27–43.PubMedCrossRef
14.
go back to reference Montero J, Gomez-Polo C. Personality traits and dental anxiety in self-reported bruxism. A cross-sectional study. J Dent. 2017;65:45–50.PubMedCrossRef Montero J, Gomez-Polo C. Personality traits and dental anxiety in self-reported bruxism. A cross-sectional study. J Dent. 2017;65:45–50.PubMedCrossRef
15.
go back to reference Tehrani MHN, Pestechian N, Yousefi H, et al. The Correlation between Intestinal Parasitic Infections and Bruxism among 3–6 Year-Old Children in Isfahan. Dent Res J (Isfahan). 2010;7(2):51–5. Tehrani MHN, Pestechian N, Yousefi H, et al. The Correlation between Intestinal Parasitic Infections and Bruxism among 3–6 Year-Old Children in Isfahan. Dent Res J (Isfahan). 2010;7(2):51–5.
16.
go back to reference Lehvila P. Bruxism and magnesium. Literature review and case reports. Proc Finn Dent Soc. 1974;70(6):217–24.PubMed Lehvila P. Bruxism and magnesium. Literature review and case reports. Proc Finn Dent Soc. 1974;70(6):217–24.PubMed
17.
go back to reference Ploceniak C. Bruxism and magnesium, my clinical experiences since 1980. Re Stomatol Chir Maxillofac. 1990;91(Suppl 1):127. Ploceniak C. Bruxism and magnesium, my clinical experiences since 1980. Re Stomatol Chir Maxillofac. 1990;91(Suppl 1):127.
18.
go back to reference Gominak SC, Stumpf WE. The world epidemic of sleep disorders is linked to vitamin D deficiency. Med Hypotheses. 2012;79(2):132–5.PubMedCrossRef Gominak SC, Stumpf WE. The world epidemic of sleep disorders is linked to vitamin D deficiency. Med Hypotheses. 2012;79(2):132–5.PubMedCrossRef
20.
go back to reference Nakagawa K. Effect of vitamin D on the nervous system and the skeletal muscle. Clin Calcium. 2006;16(7):1182–7.PubMed Nakagawa K. Effect of vitamin D on the nervous system and the skeletal muscle. Clin Calcium. 2006;16(7):1182–7.PubMed
21.
go back to reference Abdul-Razzak KK, Almanasrah SO, Obeidat BA, et al. Vitamin D is a potential antidepressant in psychiatric outpatients. Int J Clin Pharmacol Ther. 2018;56(12):585–96.PubMedCrossRef Abdul-Razzak KK, Almanasrah SO, Obeidat BA, et al. Vitamin D is a potential antidepressant in psychiatric outpatients. Int J Clin Pharmacol Ther. 2018;56(12):585–96.PubMedCrossRef
22.
go back to reference Abdul-Razzak KK, Alshogran OY, Altawalbeh SM, et al. Overactive bladder and associated psychological symptoms: a possible link to vitamin D and calcium. Neurourol Urodyn. 2019;38(4):1160–7.PubMedCrossRef Abdul-Razzak KK, Alshogran OY, Altawalbeh SM, et al. Overactive bladder and associated psychological symptoms: a possible link to vitamin D and calcium. Neurourol Urodyn. 2019;38(4):1160–7.PubMedCrossRef
23.
go back to reference Abdul-Razzak KK, Mayyas FA, Al-Farras MI. Vitamin D as potential antidepressant in outpatients with musculoskeletal pain. Int J Clin Pharmacol Ther. 2018;56(9):400–10.PubMedCrossRef Abdul-Razzak KK, Mayyas FA, Al-Farras MI. Vitamin D as potential antidepressant in outpatients with musculoskeletal pain. Int J Clin Pharmacol Ther. 2018;56(9):400–10.PubMedCrossRef
24.
go back to reference Ahlberg J, Lobbezoo F, Ahlberg K, et al. Self-reported bruxism mirrors anxiety and stress in adults. Med Oral Patol Oral Cir Bucal. 2013;18(1):e7–e11.PubMedCrossRef Ahlberg J, Lobbezoo F, Ahlberg K, et al. Self-reported bruxism mirrors anxiety and stress in adults. Med Oral Patol Oral Cir Bucal. 2013;18(1):e7–e11.PubMedCrossRef
25.
go back to reference Alkhatatbeh MJ, Abdul-Razzak KK, Amara NA, et al. Non-cardiac chest pain and anxiety: a possible link to vitamin D and calcium. J Clin Psychol Med Settings. 2019;26(2):194–9.PubMedCrossRef Alkhatatbeh MJ, Abdul-Razzak KK, Amara NA, et al. Non-cardiac chest pain and anxiety: a possible link to vitamin D and calcium. J Clin Psychol Med Settings. 2019;26(2):194–9.PubMedCrossRef
27.
go back to reference Abbasi M, Hashemipour S, Hajmanuchehri F, et al. Is vitamin D deficiency associated with non specific musculoskeletal pain? Glob J Health Sci. 2012;5(1):107–11.PubMedPubMedCentralCrossRef Abbasi M, Hashemipour S, Hajmanuchehri F, et al. Is vitamin D deficiency associated with non specific musculoskeletal pain? Glob J Health Sci. 2012;5(1):107–11.PubMedPubMedCentralCrossRef
28.
go back to reference Huang W, Shah S, Long Q, et al. Improvement of pain, sleep, and quality of life in chronic pain patients with vitamin D supplementation. Clin J Pain. 2013;29(4):341–7.PubMedCrossRef Huang W, Shah S, Long Q, et al. Improvement of pain, sleep, and quality of life in chronic pain patients with vitamin D supplementation. Clin J Pain. 2013;29(4):341–7.PubMedCrossRef
29.
go back to reference Gholamrezaei A, Bonakdar ZS, Mirbagher L, et al. Sleep disorders in systemic lupus erythematosus. Does vitamin D play a role? Lupus. 2014;23(10):1054–8.PubMedCrossRef Gholamrezaei A, Bonakdar ZS, Mirbagher L, et al. Sleep disorders in systemic lupus erythematosus. Does vitamin D play a role? Lupus. 2014;23(10):1054–8.PubMedCrossRef
30.
go back to reference Palinkas M, De Luca Canto G, Rodrigues LAM, et al. Comparative capabilities of clinical assessment, diagnostic criteria, and Polysomnography in detecting sleep bruxism. J Clin Sleep Med. 2015;11(11):1319–25.PubMedPubMedCentralCrossRef Palinkas M, De Luca Canto G, Rodrigues LAM, et al. Comparative capabilities of clinical assessment, diagnostic criteria, and Polysomnography in detecting sleep bruxism. J Clin Sleep Med. 2015;11(11):1319–25.PubMedPubMedCentralCrossRef
31.
go back to reference Alkhatatbeh MJ, Abdul-Razzak KK, Khasawneh LQ, et al. Prevalence of musculoskeletal pain in association with serum 25-hydroxyvitamin D concentrations in patients with type 2 diabetes mellitus. Biomedical reports. 2018;8(6):571–7.PubMedPubMedCentral Alkhatatbeh MJ, Abdul-Razzak KK, Khasawneh LQ, et al. Prevalence of musculoskeletal pain in association with serum 25-hydroxyvitamin D concentrations in patients with type 2 diabetes mellitus. Biomedical reports. 2018;8(6):571–7.PubMedPubMedCentral
33.
go back to reference Terkawi AS, Tsang S, AlKahtani GJ, et al. Development and validation of Arabic version of the hospital anxiety and depression scale. Saudi J Anaesth. 2017;11(Suppl 1):S11–S8.PubMedPubMedCentralCrossRef Terkawi AS, Tsang S, AlKahtani GJ, et al. Development and validation of Arabic version of the hospital anxiety and depression scale. Saudi J Anaesth. 2017;11(Suppl 1):S11–S8.PubMedPubMedCentralCrossRef
34.
go back to reference Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.PubMedCrossRef Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361–70.PubMedCrossRef
36.
37.
go back to reference Prakash S, Rathore C, Makwana P, et al. Vitamin D deficiency in patients with chronic tension-type headache: a case-control study. Headache. 2017;57(7):1096–108.PubMedCrossRef Prakash S, Rathore C, Makwana P, et al. Vitamin D deficiency in patients with chronic tension-type headache: a case-control study. Headache. 2017;57(7):1096–108.PubMedCrossRef
38.
go back to reference Gungormus Z, Erciyas K. Evaluation of the relationship between anxiety and depression and bruxism. J Int Med Res. 2009;37(2):547–50.PubMedCrossRef Gungormus Z, Erciyas K. Evaluation of the relationship between anxiety and depression and bruxism. J Int Med Res. 2009;37(2):547–50.PubMedCrossRef
39.
go back to reference Pluess M, Conrad A, Wilhelm FH. Muscle tension in generalized anxiety disorder: a critical review of the literature. J Anxiety Disord. 2009;23(1):1–11.PubMedCrossRef Pluess M, Conrad A, Wilhelm FH. Muscle tension in generalized anxiety disorder: a critical review of the literature. J Anxiety Disord. 2009;23(1):1–11.PubMedCrossRef
40.
go back to reference Melkevik O, Clausen T, Pedersen J, et al. Comorbid symptoms of depression and musculoskeletal pain and risk of long term sickness absence. BMC Public Health. 2018;18(1):981.PubMedPubMedCentralCrossRef Melkevik O, Clausen T, Pedersen J, et al. Comorbid symptoms of depression and musculoskeletal pain and risk of long term sickness absence. BMC Public Health. 2018;18(1):981.PubMedPubMedCentralCrossRef
41.
go back to reference Wrzosek M, Lukaszkiewicz J, Wrzosek M, et al. Vitamin D and the central nervous system. Pharmacol Rep. 2013;65(2):271–8.PubMedCrossRef Wrzosek M, Lukaszkiewicz J, Wrzosek M, et al. Vitamin D and the central nervous system. Pharmacol Rep. 2013;65(2):271–8.PubMedCrossRef
42.
go back to reference Anjum I, Jaffery SS, Fayyaz M, et al. The Role of Vitamin D in Brain Health: A Mini Literature Review. Cureus. 2018;10(7):e2960.PubMedPubMedCentral Anjum I, Jaffery SS, Fayyaz M, et al. The Role of Vitamin D in Brain Health: A Mini Literature Review. Cureus. 2018;10(7):e2960.PubMedPubMedCentral
43.
44.
45.
go back to reference Das S, Gupta R, Dhyani M, et al. Headache secondary to sleep-related bruxism: a case with polysomnographic findings. J Neurosci Rural Pract. 2015;6(2):248–51.PubMedPubMedCentralCrossRef Das S, Gupta R, Dhyani M, et al. Headache secondary to sleep-related bruxism: a case with polysomnographic findings. J Neurosci Rural Pract. 2015;6(2):248–51.PubMedPubMedCentralCrossRef
46.
go back to reference Bortoletto CC, Salgueiro MCC, Valio R, et al. The relationship between bruxism, sleep quality, and headaches in schoolchildren. J Phys Ther Sci. 2017;29(11):1889–92.PubMedPubMedCentralCrossRef Bortoletto CC, Salgueiro MCC, Valio R, et al. The relationship between bruxism, sleep quality, and headaches in schoolchildren. J Phys Ther Sci. 2017;29(11):1889–92.PubMedPubMedCentralCrossRef
47.
go back to reference Pigozzi LB, Rehm DDS, Fagondes SC, et al. Current Methods of Bruxism Diagnosis: A Short Communication. Int J Prosthodont. 2019;32(3):263–4.PubMedCrossRef Pigozzi LB, Rehm DDS, Fagondes SC, et al. Current Methods of Bruxism Diagnosis: A Short Communication. Int J Prosthodont. 2019;32(3):263–4.PubMedCrossRef
Metadata
Title
Self-reported sleep bruxism is associated with vitamin D deficiency and low dietary calcium intake: a case-control study
Authors
Mohammad J. Alkhatatbeh
Zainab L. Hmoud
Khalid K. Abdul-Razzak
Esam M. Alem
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2021
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-020-01349-3

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