PAIN PROFILE OF THE MASTICATORY MUSCLES AND TEMPOROMANDIBULAR JOINT IN PATIENTS WITH BRUXISM
Abstract
Abstract Aims: To determine the pain profile of masticatory muscles and temporomandibular joint (TMJ) in bruxers in relation to the location and the type of the pain. Materials and Methode: This research was a retrospective study using secondary data from the medical records of 30 bruxism patients treated at the Prosthodontics Clinic Dental and Oral Hospital of Universitas Padjadjaran between 2023 and 2025. Inclusion criteria included patients with a complete diagnosis of bruxism. Exclusion criteria included medical records without the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) examination. Data were analyzed using quantitative descriptive analysis to identify the location and characteristics of muscle pain. Results: Data obtained from 30 medical records that met the inclusion and exclusion criteria showed that masticatory muscle pain frequently occurred in the masseter (70%), temporalis (56,67%), pterygoid lateral (46,67%), pterygoid medial (3,33%), and other muscles (13,33%). Pain in the temporomandibular joint (TMJ) was also found (63.33%). The types of muscle pain consisted of local myalgia (63.33%), myofascial muscle pain (20%), and no pain (16,67%). Conclusion: The common site of masticatory muscle pain in bruxers was pain in the masseter muscles and also found in TMJ, with the most common type of muscle pain was local myalgiaReferences
REFERENCES
Att W, Freilich MA, Ferro KJ, Kelly JA, Muller F,
Nguyen CT, et al. The glossary of prosthodontic
terms 2023: 10th Edition. J Prosthet Dent.
;130(4):1–126.
Bulanda S, Ilczuk-Rypuła D, Nitecka-Buchta A,
Nowak Z, Baron S, Postek-Stefańska L. Sleep
bruxism in children: Etiology, diagnosis and
treatment—a literature review. Int J Environ Res
Public Health. 2021;18(18):1–9.
Zieliński G, Pająk A, Wójcicki M. Global
prevalence of sleep bruxism and awake bruxism in
pediatric and adult populations: a systematic
review and meta-analysis. J Clin Med.
;13(14):4259–89.
Kholid IT, Elih E, Sasmita IS, Hasyimi AA.
Prevalensi kebiasaan buruk bruksisme pada anak
dengan gangguan spektrum autisme: studi cross
sectional. Padjadjaran J Dent Res Stud.
;7(2):119–22.
Gizler M, Pietrzak N, Saczuk K, LukomskaSzymanska M, Lapinska B. Students’ awareness of
the bruxism causes, effects and therapies. Heliyon.
;10(1):1–14.
Okeson JP. Management of Temporomandibular
Disorders and Occlusion. Vol. 7. Elsevier; 2019.
–5 p.
Schiffman E, Ohrbach R, Truelove E, Look J,
Anderson G, Goulet JP, et al. Diagnostic criteria
for temporomandibular disorders (DC/TMD) for
clinical and research applications:
recommendations of the International RDC/TMD
consortium network and orofacial pain special
interest group†. J Oral Facial Pain Headache.
;28(1):6–27.
Barjandi G, Svedenlöf J, Jasim H, Collin M,
Hedenberg-Magnusson B, Christidis N, et al.
Clinical aspects of mastication myalgia—An
overview. Front Pain Res. 2024;4:1–12.
Friedman Rubin P, Erez A, Peretz B, BirenboimWilensky R, Winocur E. Prevalence of bruxism
and temporomandibular disorders among orphans
in southeast Uganda: A gender and age
comparison. J Craniomandib Sleep Pract.
;36(4):243–9.
Rahmad Y, Edrizal E, Berhana ATO. The
relationship between stress and
temporomandibular disorder in students of the
Faculty of Dentistry, Baiturrahmah University
Class of 2020. Odonto Dent J. 2024;11(1):105–14.
American Psychological Association. Stress in
America: The state of our nation. Stress Am Surv.
;1–9.
Lee YH, Chun YH, Bae H, Lee JW, Kim HJ.
Comparison of ultrasonography-based masticatory
muscle thickness between temporomandibular
disorders bruxers and temporomandibular
disorders non-bruxers. Sci Rep. 2024;14(1):6923.
Koruyucu AN, Aşantoğrol F. Determination of
masseter and temporal muscle thickness by
ultrasound and muscle hardness by shear wave
elastography in healthy adults as reference values.
Dentomaxillofacial Radiol. 2023;53(2):137–52.
Garip H, Tufekcioglu S, Kaya E. Changes in the
temporomandibular joint disc and temporal and
masseter muscles secondary to bruxism in Turkish
patients. Saudi Med J. 2018;39(1):81–5.
Packiasabapathy S, Sadhasivam S. Gender,
genetics, and analgesia: understanding the
differences in response to pain relief. J Pain Res.
;11:2729–39.
Uchima Koecklin KH, Aliaga-Del Castillo A, Li P.
The neural substrates of bruxism: current
knowledge and clinical implications. Front Neurol.
;15:1–11.
Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P,
Glaros AG, Kato T, et al. International consensus
on the assessment of bruxism: Report of a work in
progress. J Oral Rehabil. 2018;45(11):837–44.
Scheibel J, Schwahn C, Mksoud M, Mundt T,
Bernhardt O, Kiliaridis S, et al. Influence of gender
and bruxism on the masseter muscle: A populationbased magnetic resonance imaging study. Am J
Orthod Dentofacial Orthop. 2025;167(1):80–8.
Meidarlina I, Rikmasari R. Stabilization splint and
its role in overcoming temporomandibular joint
disorders. MakassarDental Journal.
;12(3):323–7.
Ginting R, Napitupulu FMN. Gejala klinis dan
faktor penyebab kelainan temporomandibular joint
pada kelas I oklusi angle. J Kedokt Gigi Univ
Padjadjaran [Internet]. 2019 Aug 31 [cited 2025
Jul 18];31(2). Available from:
http://jurnal.unpad.ac.id/jkg/article/view/21440
Noguchi T, Kashiwagi K, Fukuda K. The
effectiveness of stabilization appliance therapy
among patients with myalgia. Clin Exp Dent Res.
;6(2):244–53.
Winocur-Arias O, Friedman-Rubin P, Abu Ras K,
Lockerman L, Emodi-Perlman A, Greenbaum T, et
al. Local myalgia compared to myofascial pain
with referral according to the DC/TMD: Axis I and
II results. BMC Oral Health. 2022;22(1):27.
Dawson PE. Functional Occlusion: From TMJ to
Smile Design. St. Louis (MO): Mosby Elsevier;
Poluha RL, Canales GT, Bonjardim LR, Conti
PCR. Oral behaviors, bruxism, malocclusion and
painful temporomandibular joint clicking: is there
an association? Braz Oral Res. 2021;35:e090.
doi:10.1590/1807-3107bor-2021.vol35.0090.
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