Evidence map›Paper›PMID 29926505›Full record

ArticleJournal of oral rehabilitation2018

International consensus on the assessment of bruxism: Report of a work in progress.

F Lobbezoo, J Ahlberg, K G Raphael, P Wetselaar, A G Glaros, T Kato, V Santiago, E Winocur, A De Laat, R De Leeuw and 4 more

8 registry-linked trialsOpen access · hybridAbstract readConsensus Statement
In one paragraph

Article in Journal of oral rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 547 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
547citing papers in PubMed, 9 pooled it
115.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03825237 completednot on this map

Sleep Architecture and Factors Associated With Definitive Diagnosis of Sleep Bruxism: a Case-control Study

TypeobservationalSponsorFederal University of PelotasRan2018 to 2018Enrolled116ConditionsSleep Bruxism, AdultArmsPolysomnography
NCT04775030 phase2 / phase3unknown statusnot on this mapstarted 2021, after this paper: background citation

Methodology for Developing an Occlusal Appliance With CBD Active Carrier

TypeinterventionalSponsorMedical University of SilesiaRan2021 to 2023Enrolled40ConditionsTemporomandibular Disorder, Myofascial Pain, Cannabis, ElectromyographyArmsCBD occlusal appliance, Acrylic resin occlusal appliance
NCT05310162 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Effect of the Intervention "Food, Fun and Family" on Sleep Bruxism in Children

TypeinterventionalSponsorCES UniversityRan2022 to 2023Enrolled80ConditionsSleep Bruxism, ChildhoodArmsFood, fun and family, Counseling
NCT05764694 unknown statusnot on this mapstarted 2023, after this paper: background citation

Correlation Between Occurrence of Bullying, Victimization and Deleterious Oral Habits Among School Children in Cairo Governorate, Egypt: Cross-Sectional Study

TypeobservationalSponsorCairo UniversityRan2023 to 2024Enrolled356ConditionsBruxism, Nail Biting, Bullying of Child, BullyingArmsbullied children
NCT06096753 unknown statusnot on this mapstarted 2023, after this paper: background citation

Comparative Evaluation of Gnathological Function With Bruxoff® in Edentulous Patients With Immediate Load Full-arch Restorations (Columbus Bridge ProtocolTM) vs Toothed Patients: a Pilot Study

TypeobservationalSponsorUniversity of Turin, ItalyRan2023 to 2025Enrolled20ConditionsGnathological FunctionArmsBruxoff gnathological function analysis
NCT07070947 not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Manual Therapy in Indirect Non-Invasive Neuromodulation of the Vagus Nerve in the Treatment of Bruxism in Young Adult Population up to 40 Years Old

Typeobservational_patient_registrySponsorEscoles Universitaries GimbernatRan2025 to 2028Enrolled54ConditionsBruxism, SleepArmssEMG
NCT07074964 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Manual Therapy in Indirect Non-Invasive Neuromodulation of the Vagus Nerve in the Treatment of Bruxism in Young Adult Population up to 40 Years Old

TypeinterventionalSponsorEscoles Universitaries GimbernatRan2025 to 2028Enrolled40ConditionsBruxism, SleepArmsAutonomic nervous system intervention, Slight finger pressure
NCT07433725 narecruitingnot on this mapstarted 2026, after this paper: background citation

Clinical Performance of Stabilization Splints Produced With a 3D Printer in the Treatment of Bruxism and Temporomandibular Disorders

TypeinterventionalSponsorBaskent UniversityRan2026 to 2026Enrolled44ConditionsBruxism, SleepArms3D-Printed Occlusal Splint (Voco V-Print), Conventional Acrylic Occlusal Splint
3 · Its place in the literature

Who cites it

547 citing papers in PubMed, 9 syntheses or guidelines pooled it, 1,264 citations in OpenAlex.

  1. Clear Aligners and Bruxism: A Systematic Review.Journal of oral rehabilitation · 2026
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487 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 10 countries.

F LobbezooDepartment of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0001-9877-7640
J AhlbergDepartment of Oral and Maxillofacial Diseases, University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0002-6052-0441
K G RaphaelDepartment of Oral & Maxillofacial Pathology, Radiology and Medicine, New York University College of Dentistry, New York, NY, USA.ORCID http://orcid.org/0000-0002-2804-8124
P WetselaarDepartment of Oral Kinesiology, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
A G GlarosSchool of Dentistry, University of Missouri-Kansas City, Kansas City, MO, USA.
T KatoDepartment of Oral Physiology, Osaka University Graduate School of Dentistry, Osaka, Japan.ORCID http://orcid.org/0000-0003-2452-7328
V SantiagoDepartment of Oral & Maxillofacial Pathology, Radiology and Medicine, New York University College of Dentistry, New York, NY, USA.ORCID http://orcid.org/0000-0002-9047-4837
E WinocurDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0003-0880-4081
A De LaatDepartment of Oral Health Sciences, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-3558-1418
R De LeeuwDepartment of Oral Health Science, Division of Orofacial Pain, University of Kentucky, Lexington, KY, USA.
K KoyanoDivision of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.
G J LavigneCentre d'étude du sommeil, Faculty of Dental Medicine, Université de Montréal and Hôpital du Sacré Coeur, Montréal, PQ, Canada.
P SvenssonSection of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark.
D ManfrediniSchool of Dentistry, University of Siena, Siena, Italy.ORCID http://orcid.org/0000-0002-4352-3085
Academic Center for Dentistry Amsterdam · NLNew York University · USAarhus University · DKHôpital du Sacré-Cœur de Montréal · CAKU Leuven · BEKyushu University · JPOsaka University Hospital · JPTel Aviv University · ILUniversity of Helsinki · FIUniversity of Kentucky · USUniversity of Missouri–Kansas City · USUniversity of Siena · IT

Funding

Preliminary Safety Study of Botulinum Toxin for Treatment of Myofascial TMJD PainR01DE024522 · NIDCR · NEW YORK UNIVERSITY · PI RAPHAEL, KAREN G. · 2014 to 2017
$3.5M
NIDCR NIH HHS R01 DE024522
6 · The paper itself

Abstract

In 2013, consensus was obtained on a definition of bruxism as repetitive masticatory muscle activity characterised by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible and specified as either sleep bruxism or awake bruxism. In addition, a grading system was proposed to determine the likelihood that a certain assessment of bruxism actually yields a valid outcome. This study discusses the need for an updated consensus and has the following aims: (i) to further clarify the 2013 definition and to develop separate definitions for sleep and awake bruxism; (ii) to determine whether bruxism is a disorder rather than a behaviour that can be a risk factor for certain clinical conditions; (iii) to re-examine the 2013 grading system; and (iv) to develop a research agenda. It was concluded that: (i) sleep and awake bruxism are masticatory muscle activities that occur during sleep (characterised as rhythmic or non-rhythmic) and wakefulness (characterised by repetitive or sustained tooth contact and/or by bracing or thrusting of the mandible), respectively; (ii) in otherwise healthy individuals, bruxism should not be considered as a disorder, but rather as a behaviour that can be a risk (and/or protective) factor for certain clinical consequences; (iii) both non-instrumental approaches (notably self-report) and instrumental approaches (notably electromyography) can be employed to assess bruxism; and (iv) standard cut-off points for establishing the presence or absence of bruxism should not be used in otherwise healthy individuals; rather, bruxism-related masticatory muscle activities should be assessed in the behaviour's continuum.

Indexed as

BruxismDiagnosis, DifferentialElectromyographyHumansMasticatory MusclesPolysomnographySleepWakefulnessassessmentawake bruxismbruxismclinical inspectioncut-off pointsdefinitionelectromyographypolysomnographyself-reportsleep bruxism

Identifiers

PMID29926505
PMCPMC6287494
OpenAlexW2809463215

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

and 2 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.