Influence of self-care using complementary and integrative therapies during the COVID-19 pandemic in children and adolescents aged 4 to 13 years with bruxism and temporomandibular disorders
10.15343/0104-7809.202246074084
Keywords:
Bruxism. COVID-19. Children. Temporomandibular dysfunction.Abstract
Bruxism is a behavior of the mandibular muscles, characterized by clenching and/or dental grinding, both in wakefulness and in sleep, which can lead to Temporomandibular Disorders (TMD). Highly prevalent in children and possessing a multifactorial etiology, psychosocial aspects stand out, especially stress and anxiety. The need for social distancing during the COVID-19 pandemic has had consequences for children and has given rise to new formats of actions in Dentistry. This study evaluated the influence of self-care on the manifestations of Bruxism/TMD in children who were undergoing treatment, before the pandemic, Care Center for children with Bruxism and TMD, whose acronyms in Portuguese is SABDI, located in Ribeirão Preto School of Dentistry (FORP-USP), through assisted interventions, implemented remotely, of Complementary and Integrative Therapies (CIT). Prior to the interventions (T0), the parents answered the questionnaire (Q1) about the child (in Google Forms, sent by WhatsApp and e-mail). The proposed practices were explained in virtual meetings (Google Meet) and performed for 21 days and recorded in a “Control Diary”. A new questionnaire (Q2) was completed for comparative analysis after the interventions (T1). Of the 37 children who were undergoing treatment, the final sample of 18 who completed all the proposed steps showed a quantitative difference in the items: “pain in the mouth/face when chewing”; “pain or difficulty opening and closing the mouth”; “waking up with pain in the face or headache” and “headache during the day or night”; “grinding teeth while awake”; “frequency grinding teeth while awake”; “grinding teeth while sleeping”; “frequency grinding teeth while sleeping”; “restless sleep”; “nightmare”; and “insomnia”. Evidence of statistical difference was observed with a P value <0.05, in the item “clenches teeth while awake” (p=0.0057). It is concluded that the proposed interventions influenced the manifestations of Bruxism, favoring its control.
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References
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21. Serra-Negra JM, Ribeiro MB, Prado IM, Paiva SM, Pordeus IA. Association between possible sleep bruxism and sleep characteristics in children. Cranio. 2017;35:315-320. DOI: 10.1080/08869634.2016.1239894.
22. Drumond CL, Paiva SM, Vieira-Andrade RG, Ramos-Jorge J, Ramos-Jorge ML, Provini F, Serra-Negra JMC. Do family functioning and mothers' and children's stress increase the odds of probable sleep bruxism among schoolchildren? A case control study. Clin Oral Investig. 2020;24(2):1025-1033. DOI: 10.1007/s00784-019-02997-8.
23. Lamenha Lins RM, Cavalcanti Campêlo MC, Mello Figueiredo L, Vilela Heimer M, Dos Santos-Junior VE. Probable Sleep Bruxism in Children and its Relationship with Harmful Oral Habits, Type of Crossbite and Oral Breathing. J Clin Pediatr Dent. 2020;44(1):66-69. DOI: 10.17796/1053-4625-44.1.12
24. Chisini LA, San Martin AS, Cademartori MG, Boscato N, Correa MB, Goettems ML. Interventions to reduce bruxism in children and adolescents: a systematic scoping review and critical reflection. Eur J Pediatr. 2020;179(2):177-189. DOI:10.1007/ s00431-019-03549-8.
25. Ierardo G, Mazur M, Luzzi V, Calcagnile F, Ottolenghi L, Polimeni A. Treatments of sleep bruxism in children: A systematic review and meta-analysis. Cranio. 2021;39(1):58-64. DOI: 10.1080/08869634.2019.1581470.
26. Slemon A, Jenkins EK, Bailey E. Enhancing conceptual clarity of self-care for nursing students: A scoping review. Nurse Educ Pract. 2021;55:103178. DOI: 10.1016/j.nepr.2021.103178.
27. Cleo G, Beller E, Glasziou P, Isenring E, Thomas R. Efficacy of habit-based weight loss interventions: a systematic review and meta-analysis. J Behav Med. 2020;43(4):519-532. DOI: 10.1007/s10865-019-00100-w.
28. Rippe JM. Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. Am J Lifestyle Med. 2018;12(6):499- 512. DOI: 10.1177/1559827618785554.
29. Beleigoli AM, Andrade AQ, Cançado AG, Paulo MN, Diniz MFH, Ribeiro AL. Web-Based Digital Health Interventions for Weight Loss and Lifestyle Habit Changes in Overweight and Obese Adults: Systematic Review and Meta-Analysis. J Med Internet Res. 2019;8;21(1):e298.
30. Resende MM, Costa FE, Gardona RG, Araújo RG, Mundim FG, Costa MJ. Preventive use of Bach flower Rescue Remedy in the control of risk factors for cardiovascular disease in rats. Complement Ther Med. 2014;22(4):719-23. DOI: 10.1016/j. ctim.2014.06.008.
31. Alves WCP, Sousa M do S, Costa DA. A Terapia Floral frente à ansiedade em Tratamento Odontológico. Psicol Saúde Debate. 2020;6(2):162–183. DOI: 10.22289/2446-922X.V6N2A12.
32. Dixit UB, Jasani RR. Comparison of the effectiveness of Bach flower therapy and music therapy on dental anxiety in pediatric patients: A randomized controlled study. J Indian Soc Pedod Prev Dent. 2020;38(1):71-78.
33. Carissimo TDN, de Oliveira LC. Estudo da eficácia da terapia floral em alunos submetidos a estresse. Cadern Escola Saúde 2012;2(8):1-10.
34. Waits A, Tang YR, Cheng HM, Tai CJ, Chien LY. Acupressure effect on sleep quality: A systematic review and meta-analysis. Sleep Med Rev. 2018;37:24-34. DOI: rg/10.1016/j.smrv.2016.12.004.
35. Yeung WF, Ho FY, Chung KF, Zhang ZJ, Yu BY, Suen LK, Chan LY, Chen HY, Ho LM, Lao LX. Self-administered acupressure for insomnia disorder: a pilot randomized controlled trial. J Sleep Res. 2018;27(2):220-231. DOI: /10.1111/jsr.12597.
36. Santos LFS, Pereira MCA. A efetividade da terapia manual no tratamento de disfunções temporomandibulares (DTM): uma revisão da literatura. Rev Atenção Saúde. 2016(49):3596. DOI: 10.13037/ras.vol14n49.3596>.
37. Avisa P, Kamatham R, Vanjari K, Nuvvula S. Effectiveness of Acupressure on Dental Anxiety in Children. Pediatr Dent. 2018;40(3):177-183.
38. James J, Retnakumari N, Vadakkepurayil K, e t a l. Effectiveness of Aromatherapy and Music Distraction in Managing Pediatric Dental Anxiety: A Comparative Study. Int J Clin Pediatr Dent 2021;14(2):249-253. DOI: 10.5005/jp-journals-10005-1911.
39. Rafii F, Ameri F, Haghani H, Ghobadi A. The effect of aromatherapy massage with lavender and chamomile oil on anxiety and sleep quality of patients with burns. Burns. 2020;46(1):164-171. DOI: 10.1016/j.burns.2019.02.017.
40. Zamanifar S, Bagheri-Saveh MI, Nezakati A, Mohammadi R, Seidi J. The Effect of Music Therapy and Aromatherapy with Chamomile-Lavender Essential Oil on the Anxiety of Clinical Nurses: A Randomized and Double-Blind Clinical Trial. J Med Life. 2020;13(1):87-93. DOI: 10.25122/jml-2019-0105.
41. Hsiu-Chin Hsu, Mei-Hsiang Lin, Hsiu-Fang Lee, Chiu-Yen Wu, Chih-Ting Chou, Shu-Fen Lin, Effects of aromatherapy with essential oil massage on the sleep quality of critical care nurses: A randomized controlled trial, Complem Ther Clinical Pract. 2021;43:1744-3881. DOI: 10.1016/j.ctcp.2021.101358.
42. Perry-Parrish C, Copeland-Linder N, Webb L, Sibinga EM. Mindfulness-Based Approaches for Children and Youth. Curr Probl Pediatr Adolesc Health Care. 2016;46(6):172-8. DOI: 10.1016/j.cppeds.2015.12.006.
43. Kabat-Zinn J. Mindfulness-Based Interventions in Context: Past, Present, and Future. Clin Psychol: Sci Pract. 2003;10(2):144– 56. DOI: 10.1093/clipsy.bpg016.
44. Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: A meta-analysis. J Psychosom Res. 2015;78(6):519-28. DOI: 10.1016/j.jpsychores.2015.03.009.
45. Schonert-Reichl KA, Oberle E, Lawlor MS, Abbott D, Thomson K, Oberlander TF, Diamond A. Enhancing cognitive and social-emotional development through a simple-to-administer mindfulness-based school program for elementary school children: a randomized controlled trial. Rev Psychol. 2015;51:52-66. DOI: 10.1037/a0038454.
2. Melo G, Duarte J, Pauletto P, Porporatti AL, Stuginski-Barbosa J, Winocur E, Flores-Mir C, De Luca Canto G. Bruxism: An umbrella review of systematic reviews. J Oral Rehabil. 2019 Jul;46(7):666-690. DOI: 10.1111/joor.12801.
3. Díaz-Serrano KV, Dias T de Melo, Vasconcelos P, Sousa LG, Siéssere S, Regalo S, Palinkas M. Impact of temporomandibular disorders on the stomatognathic system in children. Med Oral Patol Oral Cir Bucal. 2017;1;22:e723-9. DOI: 10.4317/ medoral.22000.
4. Almeida-Leite CM, Stuginski-Barbosa J, Conti PCR. How psychosocial and economic impacts of COVID-19 pandemic can interfere on bruxism and temporomandibular disorders? J Appl Oral Sci. 2020;28:e20200263. DOI: 10.1590/1678-7757-2020- 0263.
5. Yuksel D, McKee GB, Perrin PB, Alzueta E, Caffarra S, Ramos-Usuga D, Arango-Lasprilla JC, Baker FC. Sleeping when the world locks down: Correlates of sleep health during the COVID-19 pandemic across 59 countries. Sleep Health. 2021:S2352- 7218(20)30328-4. DOI: 10.1016/j.sleh.2020.12.008.
6. Organização Mundial da Saúde. Coronavirus disease (COVID-19) pandemic. Disponível em: Acesso em: 10 de set. de 2021.
7. Salari N, Hosseinian-Far A, Jalali R, Vaisi-Raygani A, Rasoulpoor S, Mohammadi M, Rasoulpoor S, Khaledi-Paveh B. Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. Global Health. 2020;16(1):57. DOI: ) 16:5710.1186/s12992-020-00589-w.
8. Shigemura J, Ursano RJ, Morganstein JC, Kurosawa M, Benedek DM. Public responses to the novel 2019 coronavirus (2019-nCoV) in Japan: mental health consequences and target populations. Psychiatry Clin Neurosci. 2020;74:281-82. DOI: 10.1111/pcn.12988.
9. Wu T, Jia X, Shi H, Niu J, Yin X, Xie J, Wang X. Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis. J Affect Disord. 2021;281:91-98. DOI: 10.1016/j.jad.2020.11.117.
10. Znidarsic J, Kirksey KN, Dombrowski SM, Tang A, Lopez R, Blonsky H, Todorov I, Schneeberger D, Doyle J, Libertini L, Jamie S, Segall T, Bang A, Barringer K, Judi B, Ehrman JP, Roizen MF, Golubić M. Living Well with Chronic Pain: Integrative Pain Management via Shared Medical Appointments. Pain Med. 2021;22(1):181-190. DOI: 10.1093/pm/pnaa418.
11. Tuñas ITC, Silva ET, Santiago SBS, Maia KD, Silva-Júnior GO. Doença pelo Coronavírus 2019 (COVID-19): Uma abordagem preventiva para Odontologia. Rev Bras Odontol. 2020;77:e1766.
12. Tulenko K, Dominique V. Cracks in the system: The effects of the Coronavirus pandemic on public health systems. Am Review Public Adm. 2020;6: 455-466. DOI: 10.1177/0275074020941667.
13. Deshpande S, Patil D, Dhokar A, Bhanushali P, Katge F. Teledentistry: A Boon Amidst COVID-19 Lockdown-A Narrative Review. Int J Telemed Appl. 2021;16:8859746. DOI: 10.1155/2021/8859746.
14. Lotto M, Strieder AP, Ayala Aguirre PE, Oliveira TM, Andrade Moreira Machado MA, Rios D, Cruvinel T. Parental-oriented educational mobile messages to aid in the control of early childhood caries in low socioeconomic children: A randomized controlled trial. J Dent. 2020;101:103456. DOI: 10.1016/j.jdent.2020.103456.
15. Pereira AAC, Destro JR, Picinin Bernuci M, Garcia LF, Rodrigues Lucena TF. Effects of a WhatsApp-Delivered Education Intervention to Enhance Breast Cancer Knowledge in Women: Mixed-Methods Study. JMIR Mhealth Uhealth. 2020;8(7):e17430. DOI: 10.2196/17430.
16. Agência Brasil, 2020. Whatsapp-foi-o-app-mais-baixado-no-brasil-e-no-mundo-em-2019. https://agenciabrasil.ebc.com.br/ geral/noticia/2020-01.
17. Díaz-Serrano KV, da Silva CB, de Albuquerque S, Pereira Saraiva Mda C, Nelson Filho P. Is there an association between bruxism and intestinal parasitic infestation in children? J Dent Child (Chic) 2008;75:276-79.
18. Ribeiro-Lages MB, Jural LA, Magno MB, Vicente-Gomila J, Ferreira DM, Fonseca-Gonçalves A, Maia LC. A world panorama of bruxism in children and adolescents with emphasis on associated sleep features: A bibliometric analysis. J Oral Rehabil. 2021;48(11):1271-1282. DOI: 10.1111/joor.13249.
19. Scariot R, Brunet L, Olsson B, Palinkas M, Regalo SCH, Rebellato NLB, Brancher JA, Torres CP, Diaz-Serrano KV, Küchler EC, Zielak JC. Single nucleotide polymorphisms in dopamine receptor D2 are associated with bruxism and its circadian phenotypes in children. Cranio 2019;23:1-8. DOI: 10.1080/08869634.2019.1705629.
20. Calvano Küchler E, Arid J, Palinkas M, Ayumi Omori M, de Lara RM, Napolitano Gonçalves LM, Hallak Regalo SC, Paes Torres Mantovani C, Rezende Vieira A, Diaz-Serrano K. Genetic Polymorphisms in ACTN3 Contribute to the Etiology of Bruxism in Children. J Clin Pediatr Dent. 2020;44(3):180-184. DOI: 10.17796/1053-4625-44.3.8
21. Serra-Negra JM, Ribeiro MB, Prado IM, Paiva SM, Pordeus IA. Association between possible sleep bruxism and sleep characteristics in children. Cranio. 2017;35:315-320. DOI: 10.1080/08869634.2016.1239894.
22. Drumond CL, Paiva SM, Vieira-Andrade RG, Ramos-Jorge J, Ramos-Jorge ML, Provini F, Serra-Negra JMC. Do family functioning and mothers' and children's stress increase the odds of probable sleep bruxism among schoolchildren? A case control study. Clin Oral Investig. 2020;24(2):1025-1033. DOI: 10.1007/s00784-019-02997-8.
23. Lamenha Lins RM, Cavalcanti Campêlo MC, Mello Figueiredo L, Vilela Heimer M, Dos Santos-Junior VE. Probable Sleep Bruxism in Children and its Relationship with Harmful Oral Habits, Type of Crossbite and Oral Breathing. J Clin Pediatr Dent. 2020;44(1):66-69. DOI: 10.17796/1053-4625-44.1.12
24. Chisini LA, San Martin AS, Cademartori MG, Boscato N, Correa MB, Goettems ML. Interventions to reduce bruxism in children and adolescents: a systematic scoping review and critical reflection. Eur J Pediatr. 2020;179(2):177-189. DOI:10.1007/ s00431-019-03549-8.
25. Ierardo G, Mazur M, Luzzi V, Calcagnile F, Ottolenghi L, Polimeni A. Treatments of sleep bruxism in children: A systematic review and meta-analysis. Cranio. 2021;39(1):58-64. DOI: 10.1080/08869634.2019.1581470.
26. Slemon A, Jenkins EK, Bailey E. Enhancing conceptual clarity of self-care for nursing students: A scoping review. Nurse Educ Pract. 2021;55:103178. DOI: 10.1016/j.nepr.2021.103178.
27. Cleo G, Beller E, Glasziou P, Isenring E, Thomas R. Efficacy of habit-based weight loss interventions: a systematic review and meta-analysis. J Behav Med. 2020;43(4):519-532. DOI: 10.1007/s10865-019-00100-w.
28. Rippe JM. Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. Am J Lifestyle Med. 2018;12(6):499- 512. DOI: 10.1177/1559827618785554.
29. Beleigoli AM, Andrade AQ, Cançado AG, Paulo MN, Diniz MFH, Ribeiro AL. Web-Based Digital Health Interventions for Weight Loss and Lifestyle Habit Changes in Overweight and Obese Adults: Systematic Review and Meta-Analysis. J Med Internet Res. 2019;8;21(1):e298.
30. Resende MM, Costa FE, Gardona RG, Araújo RG, Mundim FG, Costa MJ. Preventive use of Bach flower Rescue Remedy in the control of risk factors for cardiovascular disease in rats. Complement Ther Med. 2014;22(4):719-23. DOI: 10.1016/j. ctim.2014.06.008.
31. Alves WCP, Sousa M do S, Costa DA. A Terapia Floral frente à ansiedade em Tratamento Odontológico. Psicol Saúde Debate. 2020;6(2):162–183. DOI: 10.22289/2446-922X.V6N2A12.
32. Dixit UB, Jasani RR. Comparison of the effectiveness of Bach flower therapy and music therapy on dental anxiety in pediatric patients: A randomized controlled study. J Indian Soc Pedod Prev Dent. 2020;38(1):71-78.
33. Carissimo TDN, de Oliveira LC. Estudo da eficácia da terapia floral em alunos submetidos a estresse. Cadern Escola Saúde 2012;2(8):1-10.
34. Waits A, Tang YR, Cheng HM, Tai CJ, Chien LY. Acupressure effect on sleep quality: A systematic review and meta-analysis. Sleep Med Rev. 2018;37:24-34. DOI: rg/10.1016/j.smrv.2016.12.004.
35. Yeung WF, Ho FY, Chung KF, Zhang ZJ, Yu BY, Suen LK, Chan LY, Chen HY, Ho LM, Lao LX. Self-administered acupressure for insomnia disorder: a pilot randomized controlled trial. J Sleep Res. 2018;27(2):220-231. DOI: /10.1111/jsr.12597.
36. Santos LFS, Pereira MCA. A efetividade da terapia manual no tratamento de disfunções temporomandibulares (DTM): uma revisão da literatura. Rev Atenção Saúde. 2016(49):3596. DOI: 10.13037/ras.vol14n49.3596>.
37. Avisa P, Kamatham R, Vanjari K, Nuvvula S. Effectiveness of Acupressure on Dental Anxiety in Children. Pediatr Dent. 2018;40(3):177-183.
38. James J, Retnakumari N, Vadakkepurayil K, e t a l. Effectiveness of Aromatherapy and Music Distraction in Managing Pediatric Dental Anxiety: A Comparative Study. Int J Clin Pediatr Dent 2021;14(2):249-253. DOI: 10.5005/jp-journals-10005-1911.
39. Rafii F, Ameri F, Haghani H, Ghobadi A. The effect of aromatherapy massage with lavender and chamomile oil on anxiety and sleep quality of patients with burns. Burns. 2020;46(1):164-171. DOI: 10.1016/j.burns.2019.02.017.
40. Zamanifar S, Bagheri-Saveh MI, Nezakati A, Mohammadi R, Seidi J. The Effect of Music Therapy and Aromatherapy with Chamomile-Lavender Essential Oil on the Anxiety of Clinical Nurses: A Randomized and Double-Blind Clinical Trial. J Med Life. 2020;13(1):87-93. DOI: 10.25122/jml-2019-0105.
41. Hsiu-Chin Hsu, Mei-Hsiang Lin, Hsiu-Fang Lee, Chiu-Yen Wu, Chih-Ting Chou, Shu-Fen Lin, Effects of aromatherapy with essential oil massage on the sleep quality of critical care nurses: A randomized controlled trial, Complem Ther Clinical Pract. 2021;43:1744-3881. DOI: 10.1016/j.ctcp.2021.101358.
42. Perry-Parrish C, Copeland-Linder N, Webb L, Sibinga EM. Mindfulness-Based Approaches for Children and Youth. Curr Probl Pediatr Adolesc Health Care. 2016;46(6):172-8. DOI: 10.1016/j.cppeds.2015.12.006.
43. Kabat-Zinn J. Mindfulness-Based Interventions in Context: Past, Present, and Future. Clin Psychol: Sci Pract. 2003;10(2):144– 56. DOI: 10.1093/clipsy.bpg016.
44. Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: A meta-analysis. J Psychosom Res. 2015;78(6):519-28. DOI: 10.1016/j.jpsychores.2015.03.009.
45. Schonert-Reichl KA, Oberle E, Lawlor MS, Abbott D, Thomson K, Oberlander TF, Diamond A. Enhancing cognitive and social-emotional development through a simple-to-administer mindfulness-based school program for elementary school children: a randomized controlled trial. Rev Psychol. 2015;51:52-66. DOI: 10.1037/a0038454.
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2022-05-20
How to Cite
Soares Caruso França Biagini, A. C., Paes Torres, C., da Silva Lizzi, E. A., Díaz-Serrano, K. V. ., & Borsatto, M. C. (2022). Influence of self-care using complementary and integrative therapies during the COVID-19 pandemic in children and adolescents aged 4 to 13 years with bruxism and temporomandibular disorders: 10.15343/0104-7809.202246074084. O Mundo Da Saúde, 46, 074–084. Retrieved from https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/1335
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