Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2022, vol. 59, nr 4, October-December, p. 517–522

doi: 10.17219/dmp/150615

Publication type: original article

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Topaloglu-Ak A, Kurtulmus H, Basa S, Sabuncuoglu O. Can sleeping habits be associated with sleep bruxism, temporomandibular disorders and dental caries among children? Dent Med Probl. 2022;59(4):517–522. doi:10.17219/dmp/150615

Can sleeping habits be associated with sleep bruxism, temporomandibular disorders and dental caries among children?

Asli Topaloglu-Ak1,A,B,C,D,E,F, Huseyin Kurtulmus2,A,B,F, Sila Basa3,B, Osman Sabuncuoglu4,A

1 Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul Aydin University, Turkey

2 Department of Prosthodontics, Faculty of Dentistry, Istanbul Aydin University, Turkey

3 Graduate student, Faculty of Dentistry, Istanbul Aydin University, Turkey

4 Department of Child and Adolescent Psychiatry, School of Medicine, Marmara University, Istanbul, Turkey


Background. Sleeping problems are common in the pediatric population. Their potential relationship with oral manifestations is in the scope of researchers’ interest.
Objectives. The aim of the present study was to evaluate the possible associations between sleeping habits and sleep bruxism, temporomandibular disorders (TMD) and dental caries among children by using Children’s Sleep Habits Questionnaire (CSHQ).
Material and methods. A cross-sectional study was carried out at the Faculty of Dentistry of Istanbul Aydin University, Turkey, with a representative sample of 100 children aged 6–13 years. The CSHQ was completed by their parents. In addition, an intraoral examination was carried out in a clinical setting and sleep bruxism was recorded. The temporomandibular joints (TMJ) were examined and TMD were rated according to the Helkimo anamnestic and clinical dysfunction index. Data was analyzed with Fisher’s exact test and the χ2 test.
Results. Among sleeping habits, bedtime resistance was found to be significantly associated with sleep bruxism and TMD symptoms in children. Sleep behavior problems were also found to be related to TMD. Untreated dental caries was significantly associated with sleep fragmentation.
Conclusions. Sleep bruxism, TMD and untreated dental caries might have a negative impact on children’s sleeping habits and characteristics. Pediatricians and pedodontists should collaborate to identify the causes and clinical features of sleeping habits and disorders in order to avoid adverse effects on the child’s stomatognathic system.

Key words

dental caries, temporomandibular disorders, sleep bruxism, sleeping habits, Children’s Sleep Habits Questionnaire (CSHQ)

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