Evidence map›Paper›PMID 40454666›Full record

ArticleJournal of oral rehabilitation2025

Bruxism and Stress: Ultrasonographic Masseter Muscle Assessment and Salivary Melatonin-Cortisol Dynamics.

Sema Kaya, Alaettin Koç, Zübeyir Huyut

Abstract read
In one paragraph

Article in Journal of oral rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sema KayaDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Van Yuzuncu Yil University, Van, Turkey.ORCID https://orcid.org/0000-0002-6306-3901
Alaettin KoçDepartment of Oral and Maxillofacial Radiology, Faculty of Dentistry, Van Yuzuncu Yil University, Van, Turkey.ORCID https://orcid.org/0000-0001-9984-6900
Zübeyir HuyutDepartment of Biochemistry, Faculty of Medicine, Van Yuzuncu Yil University, Van, Turkey.ORCID https://orcid.org/0000-0002-7623-1492

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBruxism is a parafunctional activity characterised by teeth grinding or clenching, often associated with stress and neurophysiological factors. Its aetiology is multifactorial, with recent studies emphasising neurotransmitters and hormonal imbalances, particularly melatonin and cortisol. This study assesses masseter muscle thickness using ultrasonography and examines the relationship between salivary melatonin and cortisol levels in bruxism.

objectiveThis study aimed to evaluate the ultrasonographic characteristics of the masseter muscle in individuals with bruxism and investigate the association between salivary melatonin and cortisol levels.

methodsThis cross-sectional study included 80 participants (38 bruxists, 42 controls), aged 20-25 years. Bruxism was diagnosed through clinical examination and self-reported questionnaires. Masseter muscle thickness was measured via ultrasonography in relaxed and contracted states. Salivary melatonin and cortisol levels were analysed using enzyme-linked immunosorbent assay (ELISA). Group comparisons were conducted using independent t-tests and ANOVA, with correlation analyses using Pearson's tests.

resultsSalivary melatonin levels showed no significant difference between groups (p = 0.067), while salivary cortisol levels were significantly higher in the bruxism group (p = 0.001). No significant differences in masseter muscle thickness were observed in either state (p > 0.05). A weak but significant positive correlation existed between melatonin and cortisol levels (p < 0.05).

conclusionAlthough not statistically significant, melatonin levels tended to be higher in bruxist patients, possibly due to a negative feedback mechanism to prevent the side effects of cortisol such as oxidative stress or a balancing process of these hormones by cytokines involved such as IL-1β.

Indexed as

BruxismHydrocortisoneMasseter MuscleMelatoninSalivaStress, PsychologicalAdultCase-Control StudiesCross-Sectional StudiesEnzyme-Linked Immunosorbent AssayFemaleHumansMaleUltrasonographyYoung AdultHydrocortisoneMelatoninbruxismmasseter musclesalivary cortisolsalivary melatoninstress biomarkersultrasonography

Identifiers

PMID40454666
PMCPMC12408974

What Socratic holds

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Registered trials

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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.