BRUXISM PROJECT

AIMS AND OBJECTIVES
Bruxismis a very common masticatory muscle activity with multiple implications related with its multifaceted etiology, clinical manifestation, possible consequences, and interplay with comorbid conditions. The definition of bruxism has evolved over the past few years, progressively going beyond the old belief that bruxism is synonymous of grinding the teeth while asleep (Lobbezoo et al., 2013; Lobbezoo et al., 2018). With the increase in knowledge concerning the sleep correlates and the muscle activities that may equally be present also during wakefulness(Manfredini et al., 2019; Manfredini et al., 2021), the bruxism construct has shifted from a pathology or disorder to a motor activity that may be a sign of underlying conditions and may even have possible physiological or protective relevance (Raphael et al., 2016; Manfredini et al., 2016).
Based on that, the 2018 consensus paper provides the two following definitions (Lobbezoo et al., 2018):
Sleep bruxism (SB) is defined as a masticatory muscle activity (MMA) during sleep that is characterized as rhythmic (phasic) or non-rhythmic (tonic) and is not a movement disorder or a sleep disorder in otherwise healthy individuals.
Awake bruxism (AB) is defined as a masticatory muscle activity during wakefulness that is characterized by repetitive or sustained tooth contact and/or by bracing or trusting of the mandible and is not a movement disorder in otherwise healthy individuals (Lobbezoo et al., 2018).
Within these premises, while preparing the Standardized Tool for the Assessment of Bruxism (STAB), the need emerged to identify the best strategy to assess the bruxism status, comorbidities, etiology, and consequences. As masticatory muscle activities, both sleep and awake bruxism require a thorough assessment that could be based on a combination of subject-based, clinically based, and instrumentally based information.The rationale for creating the tool and the road map that led to the selection of items included in the STAB have been discussed in some recent papers (Manfredini et al., 2020; Manfredini et al., 2022).
This website presents the STAB domains, axes, instruments, and scopes (Manfredini et al. 2023), as well as the Bruxism Screener (BruxScreen) that may represent an entry point to bruxism evaluation (Lobbezoo et al., 2023a). For both instruments, guidelines for translation and cultural adaptation are presented as a template for all professionals willing to take part in clinical and research activities related to bruxism (Lobbezoo et al., 2023b).
OUR TEAM
DANIELE MANFREDINI
Stab Projects coordinator
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Daniele Manfredini received his DDS from the University of Pisa, Italy in 1999, a MSc in Occlusion and Craniomandibular Disorders in 2001 from the same University, a PhD in Dentistry from the ACTA Amsterdam, The Netherlands, in 2011, and a Post-Graduation Specialty in Orthodontics from the University of Ferrara, Italy, in 2017. He achieved the Diplomate Status from the American Board of Orofacial Pain in 2021. He is an active Member of the European Academy of Orofacial Pain and Dysfunction (former EACD) and Fellow of the American Academy of Orofacial Pain (AAOP). He is Founder Member of the Italian Society of Prosthodontics and Oral Rehabilitation (SIPRO), and President of the Italian Study Group on Orofacial Pain (GSID).
He was a clinical fellow at the Section of Prosthetic Dentistry, Department of Neuroscience, University of Pisa, Italy until 2005. From 2006 to 2016, Daniele Manfredini has been Assistant Professor at the School of Dentistry and coordinator of the research projects at the TMD Clinic, Department of Maxillofacial Surgery, University of Padova, Italy
On January 2017, the Italian Ministry of University and Research (MIUR) appointed him as a Full Professor by scientific merit at the age of 41.
Since 2017, Daniele Manfredini has served as Professor at the School of Dentistry, Department of Medical Biotechnologies, University of Siena, Italy, where he holds teachings in Oral Physiology and in Clinical Gnathology. He is currently the Director of the Orofacial Pain Unit.
Daniele Manfredini authored more than 260 papers in the field of bruxism and temporomandibular disorders in journals indexed in the Medline database (Scopus H-index=54). He also edited, among the others, the book “Current concepts on temporomandibular disorders” (Quintessence Publishing, 2010), including contributions from 45 world-renowned experts, and co-authored several textbooks on the same topics.
Since 2018, Daniele Manfredini is Member and Coordinator of the Bruxism Consensus Panel within the International Association for Dental Research, which works on the updated definition and classification strategies for bruxism and for which he currently serves in the INfORM Board of Directors.
Since January 1st, 2024, Daniele Manfredini acts as the Editor-in-Chief of the Journal of Craniomandibular and Sleep Practice.
FRANK LOBBEZOO
Bruxscreen Projects coordinator
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Professor Frank Lobbezoo graduated cum laude as dentist in 1988 from the University of Utrecht (UU), The Netherlands. In 1992, he obtained his PhD degree from the UU, after which he worked for three years as a postdoctoral fellow at the University of Montreal in Quebec, Canada. As of September 1996, he works at the Academic Centre for Dentistry Amsterdam (ACTA), The Netherlands, where he was appointed as a full professor in 2005. In 2014, he was appointed as Vice-Dean of ACTA. As of March 2023, he serves as Chair of the Department of Orofacial Pain and Dysfunction. Frank Lobbezoo is specialized in TMD/Orofacial Pain, Past President of the Dutch Dental Society (NTG), Past President of the European Academy of Craniomandibular Disorders (EACD), and Past President of the International RDC/TMD Consortium, a Network of the International Association of Dental Research (IADR). He served as Visiting Professor at the University of Adelaide in South-Australia, Australia (2006) and at the College of Dentistry of the New York University in New York, USA (2014-2015). In 2016, Frank Lobbezoo received an Honorary Professorship at the School & Hospital of Stomatology, Shandong University in Jinan, Shandong, China. In 2019, he was appointed as Honorary Skou Professor of Orofacial Pain and Jaw Function at the Department of Dentistry and Oral Health, Faculty of Health, Aarhus University (AU), Denmark. Since 2023, he is a member of the Royal Netherlands Academy of Arts and Sciences (KNAW).
JARI AHLBERG
Translation Projects coordinator
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I received my DDS degree in 1988 and PhD in 1997 at the University of Helsinki, Finland. In 2004, I became an Adjunct Professor at the University of Oulu, Faculty of Medicine, and two years later at the University of Helsinki. I was Chief Dental Officer at the Finnish Broadcasting Company for ten years in 1998-2008, as part of the company’s occupational health care program. During that time, I also acted as a resident doctor at the Helsinki University Central Hospital, Department of Oral and Maxillofacial Diseases, from 2000 to 2003, and received a specialist degree in Prosthetic Dentistry and Oral Physiology. After a three-year period as a Senior Lecturer at the former Institute of Dentistry in Helsinki, I worked ten years as a Specialist Dentist and supervisor for dentists in specialist training at the Unit of Specialized Oral Care at Helsinki. For a short period in 2017, I was an invited professor at the University of Eastern Finland. At present, since 2021, I am Chief Dentist and Head at the Helsinki University Hospital, Head and Neck Center, Department of Oral and Maxillofacial Diseases, responsible for undergraduate clinical dental teaching. I have lead several research projects regarding occupational stress, orofacial pain, biopsychosocial symptoms, health effects of irregular shift work, sleep disorders, and especially, their complex relationships with bruxism. I have supervised 7 doctoral theses regarding the issues, four on-going. My groups’ recent research focuses on genetic and environmental effects on bruxism phenotypes, sleep disorders and sleep disordered breathing, and TMD. I have developed international collaboration with world’s leading centers among these fields of investigations.
ALESSANDRO BRACCI
Website Project coordinator
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Graduated cum laude as dentist in 1985 from the University of Genova, Italy
Adjunct Professor, School of Dentistry, Department of Neuroscience, University of Padua, Italy
Member of the International Bruxism Consensus Panel within the International Association for Dental Research, (IADR) and the International Network for Orofacial Pain and Related Disorders Methodology (INFORM), which works on the updated definition and classification strategies for bruxism. From the IADR 2018 General Session in London, he took actively part in the works leading to the publication of the STAB in 2023.
Chair of the 2024 IADR Congress Symposium: Standardized Tool for the Assessment of Bruxism (STAB) and BruxScreen.
Guest-Editor of the international multicenter research project “ BRUXISM: CURRENT CHALLENGES AND INNOVATIVE TREATMENT” for the Journal of Clinical Medicine.
Co-founder and Vice-president of the Italian Study Group on Orocialpain and Temporomandibular Disorders (GSID)
Co-author of the 2017/18/19/20/21/22/23 guidelines of the British Medical Journal in the monograph “Best Practice/Point of Care-bruxism”.
Since January 1st, 2024, Alessandro Bracci acts as Associate Editor for the Journal of Craniomandibular and Sleep Practice.
Author of several peer-reviewed international publications and lecturer at national and international events and courses always in the field of bruxism.
NEWS AREA
OROFACIAL PAIN AND DYSFUNCTION-
Bruxism News 01
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Bruxism News 02
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Bruxism News 03
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