Evidence map›Paper›PMID 41044999›Full record

SynthesisJournal of oral rehabilitation2026

Is Insomnia Linked to Sleep Bruxism in Adults? A Systematic Review and Meta-Analysis.

Eduardo Machado, Jessica Klöckner Knorst, Fabrício Batistin Zanatta, Thais Perez Iglesias, Cibele Dal Fabbro, Dalva Poyares

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of oral rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

6 authors.

Eduardo MachadoSleep Medicine and Biology Division, Department of Psychobiology, Universidade Federal de Sao Paulo, Sao Paulo, Brazil.ORCID https://orcid.org/0009-0009-0860-4208
Jessica Klöckner KnorstPostgraduate Program in Dental Sciences, Universidade Federal de Santa Maria, Santa Maria, Brazil.
Fabrício Batistin ZanattaPostgraduate Program in Dental Sciences, Universidade Federal de Santa Maria, Santa Maria, Brazil.
Thais Perez IglesiasSleep Medicine and Biology Division, Department of Psychobiology, Universidade Federal de Sao Paulo, Sao Paulo, Brazil.
Cibele Dal FabbroFaculté de Médecine Dentaire, Université de Montréal, Montreal, Quebec, Canada.
Dalva PoyaresSleep Medicine and Biology Division, Department of Psychobiology, Universidade Federal de Sao Paulo, Sao Paulo, Brazil.

Funding

Conselho Nacional de Desenvolvimento Científico e TecnológicoCoordenação de Aperfeiçoamento de Pessoal de Nível Superior
6 · The paper itself

Abstract

aimSystematically evaluate the previous literature on the association between insomnia and sleep bruxism (SB) in adults.

methodsAdvanced searches were performed in different databases (PubMed, Embase, LILACS, Scopus and Web of Science) and grey literature until March 2025. Two trained reviewers independently conducted all stages of the review to identify observational studies evaluating the association between insomnia and SB in adults. Methodological quality was assessed using the Newcastle-Ottawa Scale (NOS). A narrative synthesis summarised the main characteristics of the included studies. Meta-analyses were performed to obtain pooled estimates separately for self-reported and polysomnography (PSG)-based SB. Available data on insomnia and SB were converted into odds ratio (OR) with corresponding 95% confidence intervals (CIs).

resultsOf the 1135 records initially identified, 931 were screened by title and abstract, and 23 were assessed in full text. Eight studies met the inclusion criteria for the systematic review, and six were eligible for meta-analysis, comprising a total sample of approximately 6990 adults. The meta-analysis of four studies investigating the association between insomnia and self-reported SB found no statistically significant association under the random-effects model (OR 1.17; 95% CI 0.79-1.72). Likewise, the pooled analysis of studies assessing PSG-based SB also showed no significant association with insomnia (OR 0.91; 95% CI 0.43-1.95).

conclusionOur findings indicate a lack of consistent evidence for a significant association between insomnia and SB. This conclusion is further limited by the small number of included studies, the moderate risk of bias in some studies, and the observed heterogeneity.

Indexed as

Sleep BruxismSleep Initiation and Maintenance DisordersAdultHumansPolysomnographyadultsinsomniaoral healthsleep bruxismsystematic review

Identifiers

PMID41044999
PMCPMC12705292

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.