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Clinical Autonomic Research
Published in: Clinical Autonomic Research 4/2006

01-08-2006 | SHORT COMMUNICATION

Enhanced sympathetic cardiac modulation in bruxism patients

Authors: Harald Marthol, MD, Sven Reich, Julia Jacke, Karl-Heinz Lechner, Manfred Wichmann, Max Josef Hilz

Published in: Clinical Autonomic Research | Issue 4/2006

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Abstract

Sleep bruxism, an oral parafunction including teeth clenching and grinding, might be related to increased stress. To evaluate sympathetic cardiac activity in bruxism patients, we monitored cardiac autonomic modulation using spectral analysis of heart rate variability and compared results to those of age-matched healthy volunteers. In bruxism patients, sympathetic cardiac activity was higher than in volunteers. The increased sympathetic tone suggests increased stress and might be related to occlusal disharmonies.
Literature
1.
Okeson JP (1996) Orofacial pain: guidelines for assessment, diagnosis, and management. The American Academy of Orafacial Pain. Quintessenz publishing Co, Inc., Chicago, Berlin, London, Tokyo, Sao Paulo, Moscow, Prague, and Warshaw
2.
Thorpy MJ (1997) International classification of sleep disorders: diagnostic and coding manual. American sleep disporders Association, Rochester, MN
3.
Pergamalian A, Rudy TE, Zaki HS, Greco CM (2003) The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent 90:194–200PubMedCrossRef
4.
Lavigne GJ, Rompre PH, Guitard F, Sessle BJ, Kato T, Montplaisir JY (2002) Lower number of K-complexes and K-alphas in sleep bruxism: a controlled quantitative study. Clin Neurophysiol 113:686–693PubMedCrossRef
5.
Kato T, Montplaisir JY, Guitard F, Sessle BJ, Lund JP, Lavigne GJ (2003) Evidence that experimentally induced sleep bruxism is a consequence of transient arousal. J Dent Res 82:284–288PubMed
6.
Gomez FM, Giralt MT, Sainz B, Arrue A, Prieto M, Garcia-Vallejo P (1999) A possible attenuation of stress-induced increases in striatal dopamine metabolism by the expression of non-functional masticatory activity in the rat. Eur J Oral Sci 107:461–467PubMedCrossRef
7.
McGee DL (2005) Body mass index and mortality: a meta-analysis based on person-level data from twenty-six observational studies. Ann Epidemiol 15:87–97PubMedCrossRef
8.
Druschky A, Hilz MJ, Hopp P, Platsch G, Radespiel-Troger M, Druschky K, Kuwert T, Stefan H, Neundorfer B (2001) Interictal cardiac autonomic dysfunction in temporal lobe epilepsy demonstrated by [(123)I]metaiodobenzylguanidine-SPECT. Brain 124:2372–2382PubMedCrossRef
9.
Hilz MJ (2002) Quantitative autonomic functional testing in clinical trials. In: Brown R, Bolton C, Aminoff M (eds) Neuromuscular function and disease. W.B. Saunders Company, Philadelphia, pp 1899–1929
10.
Task Force of the European Society of Cardiology, the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation 93:1043–1065
11.
Wieling W, Karemaker JM (1999) Measurement of heart rate and blood pressure to evaluate disturbances in neurocardiovascular control. In: Mathias CJ, Bannister R (eds) Autonomic failure: a textbook of clinical disorders of the autonomic nervous system. Oxford Medical Publications, Oxford, pp 196–210
12.
Ponikowski P, Rosano GM, Amadi AA, Collins P, Coats AJ, Poole-Wilson PA, Kaski JC (1996) Transient autonomic dysfunction precedes ST-segment depression in patients with syndrome X. Am J Cardiol 77:942–947PubMedCrossRef
13.
Sjoholm TT, Piha SJ, Lehtinen I (1995) Cardiovascular autonomic control is disturbed in nocturnal teethgrinders. Clin Physiol 15:349–354PubMed
14.
Areso MP, Giralt MT, Sainz B, Prieto M, Garcia-Vallejo P, Gomez FM (1999) Occlusal disharmonies modulate central catecholaminergic activity in the rat. J Dent Res 78:1204–1213PubMedCrossRef
15.
Satoh T, Harada Y (1973) Electrophysiological study on tooth-grinding during sleep. Electroencephalogr Clin Neurophysiol 35:267–275PubMedCrossRef
16.
Ahlberg J, Rantala M, Savolainen A, Suvinen T, Nissinen M, Sarna S, Lindholm H, Kononen M (2002) Reported bruxism and stress experience. Community Dent Oral Epidemiol 30:405–408PubMedCrossRef
17.
Rao SM, Glaros AG (1979) Electromyographic correlates of experimentally induced stress in diurnal bruxists and normals. J Dent Res 58:1872–1878PubMed
18.
Frohman BS (1931) The application of psychotherapy to dental problems. Dental Cosmos 68:1117–1122
19.
Casas JM, Beemsterboer P, Clark GT (1982) A comparison of stress-reduction behavioral counseling and contingent nocturnal EMG feedback for the treatment of bruxism. Behav Res Ther 20:9–15PubMedCrossRef
20.
Jankelson B (1955) Physiology of human dental occlusion. J Am Dent Assoc 50:664–680PubMed
21.
Ramfjord SP (1961) Bruxism, a clinical and electromyographic study. J Am Dent Assoc 62:21–44PubMed
22.
Solberg WK, Clark GT, Rugh JD (1975) Nocturnal electromyographic evaluation of bruxism patients undergoing short term splint therapy. J Oral Rehabil 2:215–223PubMed
23.
Sjoholm TT, Lehtinen I, Piha SJ (1996) The effect of propranolol on sleep bruxism: hypothetical considerations based on a case study. Clin Auton Res 6:37–40PubMedCrossRef
Metadata
Title
Enhanced sympathetic cardiac modulation in bruxism patients
Authors
Harald Marthol, MD
Sven Reich
Julia Jacke
Karl-Heinz Lechner
Manfred Wichmann
Max Josef Hilz
Publication date
01-08-2006
Publisher
Steinkopff-Verlag
Published in
Clinical Autonomic Research / Issue 4/2006
Print ISSN: 0959-9851
Electronic ISSN: 1619-1560
DOI
https://doi.org/10.1007/s10286-006-0355-2

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