Evidence map›Paper›PMID 41456541›Full record

ArticleInternational dental journal2026

Prevalence of Awake and Sleep Bruxism in Israel Under Conditions of Collective Stress and Influential Factors.

Shani Buller, Ilana Eli, Waseem Abboud, Tony Gutentag, Tamar Shalev-Antsel, Pessia Friedman-Rubin

Abstract read
In one paragraph

Article in International dental journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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. Article
  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.

Shani BullerDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Ilana EliThe Maurice and Gabriela Goldschleger School of Dental Medicine, Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Waseem AbboudDepartment of Oral and Maxillofacial Surgery, Goldschleger School of Dental Medicine, Gray Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel; Unit of Oral and Maxillofacial Surgery Bnei Zion Medical Centre, Affiliated to Technion Faculty of Medicine, Haifa, Israel; Department of Neurology, Sheba Tel-Hashomer Medical Centre, Affiliated to Faculty of Medicine, Institute of Movement Disorders, Tel-Aviv University, Haifa, Israel.
Tony GutentagDepartment of Medical Education, Grey Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Tamar Shalev-AntselDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Pessia Friedman-RubinDepartment of Oral Rehabilitation, The Maurice and Gabriela Goldschleger School of Dental Medicine, Gray Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel. Electronic address: pessi@tauex.tau.ac.il.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBruxism is a masticatory muscle activity that can occur during sleep or wakefulness. Awake bruxism is often associated with psychosocial stress and conscious behaviours, while sleep bruxism is considered with a dominant central origin. Each entity has different clinical features, aetiologies, and therapeutic implications. The 7 October events in Israel marked a period of intense national distress, affecting large portions of the population. The aim of this study was to assess the prevalence of awake bruxism (AB) and sleep bruxism (SB) among individuals exposed to varying degrees of effect.

methodsA total of 511 participants completed an online survey between December 2023 and April 2024. The survey included the following questionnaires: BruxScreen-Q (to assess AB and SB), Patient Health Questionnaire-4 (PHQ-4), and Brief Resilient Coping Scale. Participants were grouped according to displacement status, proximity to the conflict zone, and degree of personal impact. Statistical analyses, including chi-squared tests and logistic regression, were performed to identify associations between bruxism and psychological factors.

resultsThe prevalence of AB was significantly higher among females (74.3%, P < .001), displaced respondents (52.5%, P = .046), and individuals present in the Gaza-border communities during the attacks (59.6%, P = .006). Regression analyses confirmed that anxiety (P = .001) and depression (P < .001) were significant predictors of AB. SB prevalence was higher among nondisplaced individuals (43.8% P < .032).

conclusionPhycological variables (anxiety and depression), and moderating situational factors, have a significant role in predicting AB. The findings underscore the need for further research on long-term psychological and physiological effects. CLINICAL SIGNIFICANCE: This study reinforces the link between psychological stress and AB. Dental professionals should consider recent trauma and emotional distress as potential contributing factors when diagnosing and managing bruxism.

Indexed as

BruxismSleep BruxismStress, PsychologicalAdolescentAdultFemaleHumansIsraelMaleMiddle AgedPrevalenceSurveys and QuestionnairesWakefulnessYoung AdultAnxietyAwake bruxismBruxScreenDepressionPHQ-4Sleep bruxism

Identifiers

PMID41456541
PMCPMC12796932

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.