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BIBTEX RIS

Validity of different tools to assess sleep bruxism: a meta‐analysis

2017; Wiley; Volume: 44; Issue: 9 Linguagem: Inglês

10.1111/joor.12520

1365-2842

E. Casett, Jéssica Conti Réus, Juliana Stuginski‐Barbosa, André Luís Porporatti, Maria Clotilde Carra, Marco Aurélio Peres, Graziela De Luca Canto, Daniele Manfredini,

Voice and Speech Disorders

Summary This systematic review and meta‐analysis ( MA ) aimed to evaluate the diagnostic validity of questionnaires, clinical assessment and portable diagnostic devices compared to the reference standard method polysomnography ( PSG ) in assessing sleep bruxism ( SB ). Two reviewers searched electronic databases for diagnostic test accuracy studies that compared questionnaires, clinical assessment or portable diagnostic devices for SB , with the reference standard method PSG , comprising previous studies from all languages and with no restrictions regarding age, gender or time of publication. Of the 351 articles, eight met the inclusion criteria for qualitative, and seven for quantitative analysis. The methodology of selected studies was evaluated using the Quality Assessment Tool for Diagnostic Accuracy Studies ( QUADAS ‐2). The studies were divided and analysed over three groups: three studies evaluating questionnaires, two regarding the clinical assessment of tooth wear and three covering portable diagnostic devices. The MA indicated that portable diagnostic devices showed the best validity of all evaluated methods, especially as far as a four‐channel EMG / ECG recording is concerned. Questionnaires and the clinical assessment can be used as screening methods to identify non‐ SB individuals, although it is not that good in identifying subjects with SB . The quality of evidence identified through GRADE pro, was from very low‐to‐moderate, due to statistical heterogeneity between studies.