Correlation between parafunctional habits and temporomandibular dysfunction: Systematic review / Correlção entre hábitos parafuncionais e disfunção temporomandibular: Revisão sistemática

João Gabriel de Souza Cavalcante, Hellen Tomaz Araujo, Nathalia Elen Barbosa dos Santos, Thiago Roberto Guerreiro Silva, Suely Cristina Aragão Veras dos Santos, Aline Kercia Adeodato Leitão, Paulo Roberto Barroso Picanço, Victor Pinheiro Feitosa


Introduction: Temporomandibular dysfunction (TMD) is a term belonging to the orofacial pain group that affects the masticatory muscles, temporomandibular joint and adjacent structures. TMD can be triggered by parafunctional habits, which are actions performed without specific natural function of the human being, becoming risk factors. Objectives: To evaluate through a literature review the correlation between parafunctional habits and temporomandibular dysfunctions. Methods: The articles were researched in the PubMed and Scielo databases, from 2009 to 2019. As inclusion criteria: articles published in English and Portuguese with the key words "Temporomandibular Joint", "Parafunctional Habits" and "Temporomandibular Dysfunction". Themes that were not related to the theme were excluded. Results: Eight articles were selected, in which six of them correlated the parafunctional habits with the signs and symptoms of TMD. Through these studies, it was seen that people develop a painful symptomatology, affecting even quality of life. In parallel, through other articles, there is a possible relationship between the intensity of physical activity with the degree of TMD found, and also the emergence of certain habits after certain surgeries. Conclusion: It is remarkable the correlation between the various parafunctional habits and TMD. Thus, the dentist should be paid, during diagnosis, to their presence and consider, as part of the treatment, guidelines for the reduction of these habits, obtaining success in controlling dysfunction.


Joint Temporomandibular, Parafunctional Habits e Temporomandibular Dysfunction.

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Motghare V; Kumar J; Kamate S; Kushwaha S; Anand R; Gupta N; Gupta B; Singh I. Association Between Harmful Oral Habits and Sign and Symptoms of Temporomandibular Joint Disorders Among Adolescents. J Clin Diagn Res. 2015 Aug;9(8):45-48

Bruguiere F; Sciote JJ; Roland-Billecart T; Raoul G; Machuron F; Ferri J; Nicot R. Pre-operative parafunctional or dysfunctional oral habits are associated with the temporomandibular disorders after orthognathic surgery: An observational cohort study. J Oral Rehabil. 2019 Apr;46(4):321-329.

Chatzopoulos G S; Sanchez M; Cisneros A; Wolff LF. Prevalence of temporomandibular symptoms and parafunctional habits in a university dental clinic and association with gender, age, and missing teeth. Cranio. 2019 May;37(3):159-167

Medeiros, S.P; Batista, A.U.D; Forte, F.D.S. Prevalence of temporomandibular dysfunction and oral parafunctional habits in university students. Rev. Gaúcha Odontologica. RGO - Rev Gaúcha Odontol., Porto Alegre, v.59, n.2, p.201-208, abr./jun., 2011.

Cortese F.G Fridman, D.E; Farah C.L; Bielsa F; Grinberg J; Biondi A.M. Frequency of oral habits, dysfunctions, and personality traits in bruxing and nonbruxing children: a comparative study. Journal of Craniomandibular & Sleep practice, 2013 Oct;31(4):283-90.

Augusto, V. G., Perina, K. C. B., Penha, D. S. G., Santos, D. C. A. dos, & Oliveira, V. A. S. (2016). Temporomandibular Dysfunction , Stress and Common Mental Disorder in University Students. Acta Ortop Bras, 24(6), 330–333.

Bortolleto, P.P.B; Moreira, A.P.S.M; MADUREIRA, P.R. Analyses parafunctional habits and association with Temporomandibular Disorder. Rev assoc paul cir dent 2013;67(3):216-21.

Motta L.J; Bussadori S.K; Godoy C.L.H; Biazotto-Gonzales D.A; Martins M.D; Silva R.S. Temporomandibular Disorder Acoording to the Level of Anxiety in Adolescents. Psicologia: Teoria e Pesquisa. 2018, vol.31; pp. 389-395.

Oliveira C.B., Lima, J.A.S., Silva P.L.P., Forte F.D.S., Bonan P.R.F., Batista A.U.D. Temporomandibular disorders and oral habits in high-school adolescents: a public health issue? Rev Gaúcha Odontológica. Porto Alegre, v.64, n.1, p. 08-16, jan./mar., 2016.

Miyake R, Ohkubo R, Takehara J, Morita M. Oral Parafunctions and association with symptoms of temporomandibular disorders in Japanese university studentes. J Oral Rehabil. 2004;31(6):518-23.

Winocur E, Gavish A, Finkelshetein T, Halachmi M, Gazit E. Oral habits among adolescent girls and their association with symptoms of temporomandibular disorders. J Oral Rehabil. 2001;28(7):624-9.

Bracci A, Djukic G, Favero L, Salmaso L, Guarda-Nardini L, Manfredini D. Frequency of awake bruxism behaviours in the natural environment. A 7-day, multiple-point observation of real-time report in healthy young adults. J Oral Rehabil; 45(6):423-429

Goldstein R. E, Auclair Clark W. The clinical management of awake bruxism. J Am Dent Assoc. 2017; 148(6):387-391

Carlsson GE, Egermark I, Magnusson T. Predictors of bruxism, other oral parafunctions, and tooth wear over a 20-year follow-up period. J Orofac Pain. 2003;17(1):50-57.

Melis M, Abou-Atme YS. Prevalence of bruxism awareness in a Sardinian population. J Craniomandibular Pract. 2003;21(2):1-8.

Lobbezoo F, van der Zaag J, van Selms MK, Hamburger HL, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008; 35(7):509-523.

Shetty S, Pitti V, Satish Babu CL, Surendra Kumar GP, Deepthi BC. Bruxism: a literature review. J Indian Prosthodont Soc. 2010;10(3):141-148.

Uca AU1, U?uz F, Kozak HH, Gümü? H, Aksoy F, Seyithano?lu A, Kurt HG. Antidepressant-Induced Sleep Bruxism: Prevalence, Incidence, and Related Factors. Clin Neuropharmacol. 2015 Nov-Dec;38(6):227-30.

Milanlioglu A. Paroxetine-induced severe sleep bruxism successfully treated with buspirone. Clinics (Sao Paulo) 2012;67:191–192.

Michelotti, A, Ohrbach, R. (2018). The Role of Stress in the Etiology of Oral Parafunction and Myofascial Pain. Oral and Maxillofacial Surgery Clinics of North America, 30(3), 369–379.

Navarro G; Baradel A.F; Baldini L.C; Navarro N; Franco-Micheloni A.L; Pizzol K.E.D.C; Parafunctional habits and its association with the level pf physical activity in adolescents. Br J Pain. 2018, jan-mar;1 (1):46-50

Ellie S, Mejersjö C. A method for preventive intervention regarding temporomandibular pain and dysfunction, Acta Odontologica Scandinavica. 2018. Oct;76(7):482-487.