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Bruxism defined and graded: an international consensus

2012/11/04 by Frank Lobbezoo, Jari Ahlberg, Alan G. Glaros +7 · 1,299 citations
Dentistry · Engineering · Health Professions · Medicine · Psychology · #Dentistry #Electromyography #Engineering #Grading (engineering) #Insomnia #Medicine #Oropharyngeal Anatomy and Pathologies #Orthodontics #Orthodontics and Dentofacial Orthopedics #Physical medicine and rehabilitation #Psychiatry #Psychology #Sleep Bruxism #Sleep disorder #Sleep medicine #Temporomandibular Joint Disorders

paper · pdf · doi:10.1111/joor.12011

published in Journal of Oral Rehabilitation 40(1), 2-4 (Wiley)

openalex publication_date 2012/11/04 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04

Abstract

To date, there is no consensus about the definition and diagnostic grading of bruxism. A written consensus discussion was held among an international group of bruxism experts as to formulate a definition of bruxism and to suggest a grading system for its operationalisation. The expert group defined bruxism as a repetitive jaw-muscle activity characterised by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible. Bruxism has two distinct circadian manifestations: it can occur during sleep (indicated as sleep bruxism) or during wakefulness (indicated as awake bruxism). For the operationalisation of this definition, the expert group proposes a diagnostic grading system of 'possible', 'probable' and 'definite' sleep or awake bruxism. The proposed definition and grading system are suggested for clinical and research purposes in all relevant dental and medical domains.

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