Association between sleep and awake bruxism in patients with migraine

Authors

DOI:

https://doi.org/10.48208/HeadacheMed.2021.7

Keywords:

Sleep bruxism, Awake bruxism, Migraine Disorders, Impact profile of the disease, Depression, Comorbidity

Abstract

Introduction
When migraine undergoes transformation from episodic to chronic form it becomes more disabling due to the refractoriness in treatment and the emergence of comorbidities, with the establishment of a bidirectional relationship between sleep bruxism and chronic migraine. This study aimed to assess whether sleep and awake bruxism are more prevalent in chronic migraine when compared to episodic migraine and also to establish possible clinical correlations with the process of chronification.
Methods
210 patients were allocated to the study, 97 with episodic migraine and 113 with chronic migraine, who underwent face-to-face interviews with the completion of the scales: specific questionnaire for the diagnosis of sleep and awake bruxism, PHQ-9 (depression), GAD-7 (anxiety), Epworth Scale (daytime sleepiness), MIDAS (migraine incapacity) and HIT-6 (impact of headache). Results
The prevalence of sleep and awake bruxism was similar in patients with episodic versus chronic migraine (p = 0.300 and p = 0.238). The correlation of patients with concomitant awake and sleep bruxism and with high scores on the migraine incapacity (MIDAS) and headache impact (HIT-6) scales was higher among patients with chronic migraine than in patients with episodic migraine. (p <0.001 and p <0.001).
Conclusion
Sleep and awake bruxism alone are not more prevalent in chronic migraine when compared to episodic migraine, although bruxism causes greater impact and disability on individuals with chronic migraine.

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Author Biographies

Keryn Sporh Godk, Federal University of Paraná

Federal University of Paraná, Health Sciences Sector, Curitiba PR, Brazil

Maria Luiza dos Santos, Federal University of Paraná

Federal University of Paraná, Health Sciences Sector, Curitiba PR, Brazil

Marco Antonio Takashi Utiumi, Federal University of Paraná

Federal University of Paraná General Hospital, Department of Internal Medicine, Curitiba PR, Brazil.
São José Neurology Clinic, São José dos Pinhais PR, Brazil.
Marcelino Champagnat Hospital, Neurology Service, Curitiba PR, Brazil.

João Guilherme Bochnia Küster, Federal University of Paraná

Federal University of Paraná, Health Sciences Sector, Curitiba PR, Brazil

Luiz Carlos Canalli Filho, Federal University of Paraná

Federal University of Paraná, Health Sciences Sector, Curitiba PR, Brazil

Nikolai José Eustátios Kotsifas, Federal University of Paraná

Federal University of Paraná, Health Sciences Sector, Curitiba PR, Brazil

Bin Cheng Tan, Federal University of Paraná

Federal University of Paraná, Health Sciences Sector, Curitiba PR, Brazil

Eldislei Mioto, Federal University of Paraná

Federal University of Paraná, Health Sciences Sector, Curitiba PR, Brazil

Gabriel Eduardo Faria Colombani, Federal University of Paraná

Federal University of Paraná, Health Sciences Sector, Curitiba PR, Brazil

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Published

27/08/2021

How to Cite

1.
Godk KS, Santos ML dos, Utiumi MAT, Küster JGB, Canalli Filho LC, Kotsifas NJE, Tan BC, Mioto E, Colombani GEF, Piovesan EJ. Association between sleep and awake bruxism in patients with migraine. HM [Internet]. 2021 Aug. 27 [cited 2021 Sep. 26];:35-43. Available from: https://headachemedicine.com.br/index.php/hm/article/view/426

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