Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis

This systematic review and meta-analysis aimed to investigate a possible association between stress and bruxism in humans. This study was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines under the code CRD42020188862, and the searches were...

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Main Authors: Victória dos Santos Chemelo, Yago Gecy de Sousa Né, Deborah Ribeiro Frazão, Renata Duarte de Souza-Rodrigues, Nathalia Carolina Fernandes Fagundes, Marcela Baraúna Magno, Cláudia Maria Tavares da Silva, Lucianne Cople Maia, Rafael Rodrigues Lima
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-12-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2020.590779/full
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author Victória dos Santos Chemelo
Yago Gecy de Sousa Né
Deborah Ribeiro Frazão
Renata Duarte de Souza-Rodrigues
Nathalia Carolina Fernandes Fagundes
Marcela Baraúna Magno
Cláudia Maria Tavares da Silva
Lucianne Cople Maia
Rafael Rodrigues Lima
author_facet Victória dos Santos Chemelo
Yago Gecy de Sousa Né
Deborah Ribeiro Frazão
Renata Duarte de Souza-Rodrigues
Nathalia Carolina Fernandes Fagundes
Marcela Baraúna Magno
Cláudia Maria Tavares da Silva
Lucianne Cople Maia
Rafael Rodrigues Lima
author_sort Victória dos Santos Chemelo
collection DOAJ
description This systematic review and meta-analysis aimed to investigate a possible association between stress and bruxism in humans. This study was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines under the code CRD42020188862, and the searches were performed on the following databases: PubMed, Scopus, Web of Science, Cochrane, LILACS, OpenGrey, and Google Scholar. This systematic review evaluated observational studies in adult humans with and without stress to verify the association between bruxism and the presence of stress. The risk of bias was evaluated through the Joanna Briggs Institute Critical Appraisal Tools for Analytical Cross-Sectional Studies. In quantitative analysis, the Odds Ratio (OR) and their 95% confidence interval (CI) were calculated through a fixed-effect model. Furthermore, a summary of the overall strength of evidence was presented using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). A total of 1,458 studies were identified, and six were included in this systematic review. Two studies included were classified with a low risk of bias, and the others were classified with a moderate risk of bias. In three articles, a meta-analysis was performed and showed an association between these two factors (OR 2.07 [1.51, 2.83], p < 0.00001, I2 = 45%). Besides that, a low certainty of the evidence was detected among this association. Stressed individuals show a higher chance of presenting bruxism when compared to healthy individuals. Despite the low heterogeneity found in the quantitative analysis among the articles reporting an association between stress and bruxism, further studies with similar methods are necessary to understand this relationship better.
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spelling doaj.art-578a5b767f034ff7810197c6cc27b13a2022-12-21T21:30:07ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-12-011110.3389/fneur.2020.590779590779Is There Association Between Stress and Bruxism? A Systematic Review and Meta-AnalysisVictória dos Santos Chemelo0Yago Gecy de Sousa Né1Deborah Ribeiro Frazão2Renata Duarte de Souza-Rodrigues3Nathalia Carolina Fernandes Fagundes4Marcela Baraúna Magno5Cláudia Maria Tavares da Silva6Lucianne Cople Maia7Rafael Rodrigues Lima8Laboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém-Pará, BrazilLaboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém-Pará, BrazilLaboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém-Pará, BrazilLaboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém-Pará, BrazilFaculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, CanadaDepartment of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilDepartment of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilDepartment of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, BrazilLaboratory of Functional and Structural Biology, Institute of Biological Sciences, Federal University of Pará, Belém-Pará, BrazilThis systematic review and meta-analysis aimed to investigate a possible association between stress and bruxism in humans. This study was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines under the code CRD42020188862, and the searches were performed on the following databases: PubMed, Scopus, Web of Science, Cochrane, LILACS, OpenGrey, and Google Scholar. This systematic review evaluated observational studies in adult humans with and without stress to verify the association between bruxism and the presence of stress. The risk of bias was evaluated through the Joanna Briggs Institute Critical Appraisal Tools for Analytical Cross-Sectional Studies. In quantitative analysis, the Odds Ratio (OR) and their 95% confidence interval (CI) were calculated through a fixed-effect model. Furthermore, a summary of the overall strength of evidence was presented using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). A total of 1,458 studies were identified, and six were included in this systematic review. Two studies included were classified with a low risk of bias, and the others were classified with a moderate risk of bias. In three articles, a meta-analysis was performed and showed an association between these two factors (OR 2.07 [1.51, 2.83], p < 0.00001, I2 = 45%). Besides that, a low certainty of the evidence was detected among this association. Stressed individuals show a higher chance of presenting bruxism when compared to healthy individuals. Despite the low heterogeneity found in the quantitative analysis among the articles reporting an association between stress and bruxism, further studies with similar methods are necessary to understand this relationship better.https://www.frontiersin.org/articles/10.3389/fneur.2020.590779/fullstressbruxismsystematic reviewmeta-analysisassociation
spellingShingle Victória dos Santos Chemelo
Yago Gecy de Sousa Né
Deborah Ribeiro Frazão
Renata Duarte de Souza-Rodrigues
Nathalia Carolina Fernandes Fagundes
Marcela Baraúna Magno
Cláudia Maria Tavares da Silva
Lucianne Cople Maia
Rafael Rodrigues Lima
Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis
Frontiers in Neurology
stress
bruxism
systematic review
meta-analysis
association
title Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis
title_full Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis
title_fullStr Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis
title_full_unstemmed Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis
title_short Is There Association Between Stress and Bruxism? A Systematic Review and Meta-Analysis
title_sort is there association between stress and bruxism a systematic review and meta analysis
topic stress
bruxism
systematic review
meta-analysis
association
url https://www.frontiersin.org/articles/10.3389/fneur.2020.590779/full
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