ArticleBMC oral health2025
Bruxism assessment combining fractal analysis, clinical evaluation, and self-reports: a case-control study.
Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed.
- Assessing patient awareness of bruxism before dental implant therapy.Scientific reports · 2026Observational
- Masseter Muscle Thickness and Mandibular Trabecular Complexity: A Cross-Sectional Study.Journal of clinical and experimental dentistry · 2026Review
- Evaluation of TMJ bone microarchitecture in malocclusion and tooth loss using fractal dimension analysis.BMC oral health · 2026Article
- Dimensional changes of alveolar bone after orthodontic expansion with Invisalign® aligners: study by Cone Beam Computed Tomography.Dental press journal of orthodontics · 2026Article
- Bruxism as a Biopsychosocial Disorder: An Interdisciplinary Cross-Sectional Study.Journal of clinical medicine · 2025Article
- Exploring the Role of Oral Microbiota in the Pathophysiology and Treatment of Bruxism.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study was to investigate the effects of bruxism using a combined method of fractal bone analysis, clinical testing, and patient-reported outcomes.
methodsThirty-five bruxism patients and 35 controls underwent: (I) Validated questionnaires assessing both sleep and awake bruxism, (II) Clinical examinations including: tooth wear, masticatory muscle pain on palpation (masseter, temporal, and lateral pterygoid muscles), soft tissue impressions (buccal/lingual), percussion and cold test sensitivity, and periodontal parameters (pocket depth, gingival and plaque indexes), (III) Radiographic analyses: panoramic radiographs for structural evaluation and fractal dimension analysis of mandibular first molars using ImageJ software, focusing on periapical mesial/distal regions, interdental areas, and alveolar crest on periapical radiographs. Statistical analyses included independent t-tests and Mann-Whitney U tests (α = 0.05).
resultsThe bruxism group showed significantly higher female prevalence (p < 0.05), lower education (p < 0.05), and more systemic diseases (p < 0.05). Patients reported greater awareness of grinding/clenching (p < 0.001), with 60% experiencing temporal pain, 65.7% morning headaches, and 77.1% morning fatigue. Clinical findings included higher tooth wear (p < 0.001), buccal/lingual impressions (p < 0.001), masseter hypertrophy (p < 0.001), percussion sensitivity (p < 0.001) and cold sensitivity (p < 0.001). Muscle palpation revealed pain in masseter (91.4%), temporal (54.3%), and lateral pterygoid (57.1%) muscles (all p < 0.001 vs. controls). Radiographically, bruxism patients exhibited more periodontal ligament widening, bone loss, and lamina dura changes (all p < 0.001). Periodontal analysis showed deeper pockets (p < 0.05) and higher gingival indices (p < 0.05), but lower plaque indices (p < 0.05). Fractal analysis demonstrated increased fractal dimension value in interdental areas (p < 0.05) but no differences in other regions (p > 0.05).
conclusionBruxism correlates with distinct trabecular bone changes detectable via fractal analysis, alongside characteristic clinical and self-reported markers.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.