Child Bruxism and anxiety associated with technology: Clinical pilot study based on an integrative review
Keywords:Bruxism; Child; Anxiety; Technology; Pediatric Dentistry ; Alpha-amylases.
The relationship between Child Bruxism and anxiety associated with the use of technological devices was verified through a clinical study based on an integrative review. The revision scope was carried out in the bibliographic bases VHL, MEDLINE, BBO and LILACS, the keywords "bruxism", "children", "anxiety" and "alpha-amylases" were used, eligibility criteria were established and followed for the selection of articles. In the clinical stage, the participants were entertained with a digital game, a sample of saliva was collected, before and after using the device. Subsequently, intraoral examination, measurement of salivary alpha-amylase (AAS) and questionnaires were performed. The average age of the participants was 8.4 years (n = 10). Among the patients with bruxism, it was observed that (57.2%) they wake up at night, talk (60%), snore (80%), report nightmares (80%) and dental clenching (75%). The most used device was a cell phone / tablet (90%), with an average weekly time of (27h) (SD ± 6.05), there was no statistically significant difference between the mean AAS levels before and after exposure to the digital game (T-Student test, p-value 0.653). It was concluded that anxiety is a factor that may be related to the involvement of Childhood Bruxism. Most witches users of technological devices had a habit of grinding their teeth and poor sleep quality than those who did not have bruxism. AAS levels are high before and after exposure to digital gaming.
Alencar, N.A., Leão, C.S., Leão, A.T.T., Luiz, R.R. Fonseca-Gonçalves, A. & Maia, L.C. (2017) Sleep Bruxism and Anxiety Impacts in Quality of Life Related to Oral Health of Brazilian Children and their Families. J Clin Pediatr Dent, 41(3):179-185.
AlMaummar, M., AlThabit, H.O. & Pani S. (2019) The impact of dental treatment and age on salivary cortisol and alpha-amylase levels of patients with varying degrees of dental anxiety. BMC Oral Health, 19(1): 1-8.
Assed S. (2005). Odontopediatria: bases científicas para a prática clínica. Artes Médicas, São Paulo. Cap. 26.
Brasil. Ministério da Saúde. Conselho Nacional de Saúde. Resolução n. 466, de 12 de dezembro de 2012. Aprova diretrizes e normas regulamentadoras de pesquisas envolvendo seres humanos. Brasília, Diário Oficial da União [Internet], 12 dez. 2012.
Brasil. Pesquisa sobre o uso da internet por crianças e adolescentes no Brasil [livro eletrônico]: TIC Kids online Brasil 2015.[acessado em 2020 Ago 04] Disponível em: http://www.lse.ac.uk/media@lse/research/EUKidsOnline/ParticipatingCountries/PDFs/BZTIC-Kids-2015.pdf#page=119
Capranica, L., Condello, G., Tornello, F., Iona, T., Chiodo, S., Valenzano, A., De Rosas, M., Messina, G., Tessitore, A., & Cibelli, G. (2017). Salivary alpha-amylase, salivary cortisol, and anxiety during a youth taekwondo championship: An observational study. Medicine, 96(28):1-6.
Carvalho, G. A. O., Sousa, G. P. de, Pierote, J. J. A., Caetano, V. da silva, Lima, D. E. O. de, Costa, I. V. S., Silva, F. A. de J. C. & Lima, L. F. C. (2020). Ansiedade como fator etiológico do bruxismo - revisão de literatura. Research, Society and Development, 9(7), e95973925. https://doi.org/10.33448/rsd-v9i7.3925
Ehrenthal, J.C., Levy, K.N., Scott, L.N. & Granger, D.A. (2018) Attachment-Related Regulatory Processes Moderate the Impact of Adverse Childhood Experiences on Stress Reaction in Borderline Personality Disorder. J Pers Disord, 32(Suppl): 93-114.
Goettems, M.L., Poletto-Neto, V., Shqair, A.Q., Pinheiro, R.T. & Demarco, F.F. (2017) Influence of maternal psychological traits on sleep bruxism in children. Int J Paediatr Dent, 27(6):469-475.
Gomes, M.K.M., Cunha, G.Q.M., Hayashida, T.M.D., Amâncio, R. Resende, N.M. & Neto, A.M.M. (2016) Biomarcadores salivares na avaliação de estresse metabólico de praticantes recreativos da corrida de orientação. RBPFEX, 10(60):478-485.
Granger, D.A., Kivlighan, K.T., Blair, C., El-Sheikh, M., Mize, J., Lisonbee, J.A., Buckhalt, J.A., Stround, L.R., Handwerger, K. & Schawartz, E.B.(2006) Integrating the measurement of salivary a-amylase into studies of child health, development, and social relationships. JSPR, 23(2):267-290.
Guo, H., Wang, T., Li, X.., Ma, Q., Niu, X. & Qiu, J. (2017) What sleep behaviors are associated with bruxism in children? A systematic review and meta-analysis. Sleep Breath, 21(4):1013-1023.
Jasielska, A., Ziarko, M., Pobudek-Radzikowska, M., Maciejewska-Szaniec, Z., Prylińska-Czyżewska, A., Wierzbik-Strońska, M., Gorajska, M. & Czajka-Jakubowska, A. (2019). Psychosocial predictors of bruxism. Biomed Res Int, 2019(1):1-8.
Kapsdorfer, D., Hlavacova, N., Vondrova, D., Argalasova, L., Sevcikova, L. & Jezova, D. (2018). Neuroendocrine Response to School Load in Prepubertal Children: Focus on Trait Anxiety. Cell Mol Neurobiol, 38(1):155-162.
Kobayashi, F.Y., Gavião, M.B.D., Marquezin, M.C.S., Fonseca, F.L..A., Montes, A.B.M., Barbosa, T.S. & Castelo, P.M. (2017). Salivary stress biomarkers and anxiety symptoms in children with and without temporomandibular disorders. Braz Oral Res, 31(78): 1-9.
Lobbezoo, F., Ahlberg, J., Raphael, K.G., Wetselaar, P., Glaros, A.G., Kato, T., Santiago, V., Winocur, E., De Laat, A., De Leeuw, R., Koyano, K., Lavign, G.J., Svensson, P. & Manfredini D. (2018). International consensus on the assessment of bruxism: Report of a work in progress. J oral rehabil, 45(11): 837–844.
Murali, R., Rangarajan, P. & Mounissamy, A. (2015). Bruxism: conceptual discussion and review. J Pharm Bioallied Sci, 7(5):265–270.
Oliveira, D.F. & Aguirre, H.A. (2016). Tecnologia da informação entre crianças e adolescentes. Anais II Cong Int., 2016(1):679-683.
Oliveira, M.T., Bittencourt, S.T., Marcon, K., Destro, S. & Pereira, JR. (2015). Sleep bruxism and anxiety level in children. Braz. Oral. Res, 29 (1): 1-5.
Paiva, N.M.N. & Costa, J.S. A influência da tecnologia na infância: desenvolvimento ou ameaça? O Portal dos Psic. [Internet] 2015 [acessado em 2020 ago 04]. Disponível: http://www.psicologia.pt/artigos/textos/ A0839.pd
Pereira, A.C. (2007). Atividade da amilase e ácido úrico saliva rem pacientes submetidos à nutrição enteral exclusiva. [Tese de Mestrado]. Universidade Federal do triângulo Mineiro, Uberaba-MG.
Pereira A.S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Disponível em: https://repositorio.ufsm.br/bitstream/handle/1/15824/Lic_Computacao_Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Reis, A.C., Sanchotene, M.C., Pereira, K.R., Dalpian, D.M., Dotto, P.P., Carpes, A.D. & Santos, B.Z. (2016). Levels of Anxiety and Salivary Alpha-Amylase in Children During Restorative Dental Treatment. Pesqui. bras. odontopediatria clín. Integr, 16(1): 499-509.
Restrepo, C., Lobbezoo, F., Castrillon, E., Svensson, P., Santamaria, A., Alvarez, C., Manrique, R. & Manfredini, D. (2018). Agreement between jaw-muscle activity measurement with portable single-channel electromyography and polysomnography in children. Int J Paediatr Dent, 28(1):33-42.
Salas, H., Rosmeri, J., Barbosa, T.S., Freitas, C.N., Sousa, K.G., Gavião, M.B.D., Leal, S.C., Mialhe, F.L. & Castelo, P.M. (2019). Assessment of anxiety and stress markers in children submitted to educational strategies and ART-restoration: A randomized clinical trial.Arch Oral Biol, 2019(97): 191-197.
Sarmet, M.M. & Pilati, R. (2016). Efeito dos jogos digitais no comportamento: análise do General Learning Model. Temas psicol, 24(1): 17-31.
Serra-Negra, J.M., Paiva, S.M., Auad, S.M., Ramos-Jorge, M.L. & Pordeus, I.A. (2012). Signs, symptoms, parafunctions and associated factors of parent-reported sleep bruxism in children: a case-control study. Braz. Dent. J. 2012; 23(6): 746-752.
Souza, M.T., Silva, M.D. & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. Einstein., 8(1): 102-106.
Tzira, D., Prezerakou, A., Papadatos, I., Vintila, A., Bartzeliotou, A., Apostolakou, F., Papassotiriou, I. & Papaevangelou, V. (2018). Salivary biomarkers may measure stress responses in critically ill children. SAGE Open Med, 6(1): 1-10.
Yamuna, P.K. & Muthu, PK. (2017). Methods of collection of saliva - A Review. IJODH, 3(3):149-153.
Yfanti, K., Kitraki, E., Emmanouil, D., Pandis, N. & Papagiannoulis, L. (2014). Psychometric and biohormonal indices of dental anxiety in children. A prospective cohort study. Stress, 17(4):296-304.
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