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Reissmann DR, John MT, Aigner A, et al. Interaction Between Awake and Sleep Bruxism Is Associated with Increased Presence of Painful Temporomandibular Disorder. J Oral Facial Pain Headache. 2017;31(4):299–305doi: 10.11607/ofph.1885.
Reissmann, D. R., John, M. T., Aigner, A., Schön, G., Sierwald, I., & Schiffman, E. L. (2017). Interaction Between Awake and Sleep Bruxism Is Associated with Increased Presence of Painful Temporomandibular Disorder. Journal of oral & facial pain and headache, 31(4), 299–305. https://doi.org/10.11607/ofph.1885
Reissmann, Daniel R, et al. "Interaction Between Awake and Sleep Bruxism Is Associated with Increased Presence of Painful Temporomandibular Disorder." Journal of oral & facial pain and headache vol. 31,4 (2017): 299–305. doi: https://doi.org/10.11607/ofph.1885
Reissmann DR, John MT, Aigner A, Schön G, Sierwald I, Schiffman EL. Interaction Between Awake and Sleep Bruxism Is Associated with Increased Presence of Painful Temporomandibular Disorder. J Oral Facial Pain Headache. 2017;31(4):299–305. doi: 10.11607/ofph.1885. Epub 2017 Oct 03. PMID: 28973051; PMCID: PMC6762034.
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J Oral Facial Pain Headache. 2017;31(4):299–305. doi: 10.11607/ofph.1885. Epub 2017 Oct 03.

Interaction Between Awake and Sleep Bruxism Is Associated with Increased Presence of Painful Temporomandibular Disorder.

Journal of oral & facial pain and headache

Daniel R Reissmann, Mike T John, Annette Aigner, Gerhard Schön, Ira Sierwald, Eric L Schiffman

PMID: 28973051 PMCID: PMC6762034 DOI: 10.11607/ofph.1885

Abstract

AIMS: To explore whether awake and sleep bruxism interact in their associations with painful temporomandibular disorders (TMD) and whether the interaction is multiplicative or additive.

METHODS: In this case-control study, all participants (n = 705) were part of the multicenter Validation Project and were recruited as a convenience sample of community cases and controls and clinic cases. Logistic regression analyses were applied to test for the association between self-reported bruxism (sleep and/or awake) and the presence of painful TMD, and odds ratios (ORs) with 95% confidence intervals (95% CIs) were computed. Regression models included an interaction term to test for multiplicative interaction, and additive interaction was calculated as the relative excess risk due to interaction (RERI).

RESULTS: Based on logistic regression analyses adjusted for age and gender, the main effects for both awake (OR = 6.7; 95% CI: 3.4 to 12.9) and sleep (OR = 5.1; 95% CI: 3.1 to 8.3) bruxism were significant. While the multiplicative interaction (OR = 0.57; 95% CI: 0.24 to 1.4) was not significant, the results indicated a significant positive additive interaction (RERI = 8.6; 95% CI: 1.0 to 19.7) on the OR scale.

CONCLUSION: This study has demonstrated that awake and sleep bruxism are associated with an increased presence of painful TMD, and that both types of bruxism are not independently associated, but interact additively. As such, the presence of each factor amplifies the effect of the other.

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