Non-Cochrane · aetiology · PM41044999

Is Insomnia Linked to Sleep Bruxism in Adults? A Systematic Review and Meta-Analysis.

Machado Eduardo, Knorst Jessica Klöckner, Zanatta Fabrício Batistin, et al. · Journal of oral rehabilitation · 2026 · PubMed · doi:10.1111/joor.70068

Findings

Population Adults (18 years or older) of both sexes

4 findings

Insomnia (validated index or reported symptoms)No insomniaSleep bruxism, self-reported
random-effects model (Hartung-Knapp)
OR 1.17 [0.79, 1.72]
Very low
Downgraded: risk of bias, imprecision, inconsistency
4 studies · 5500 participants
Insomnia (validated index or reported symptoms)No insomniaSleep bruxism, polysomnography-based (RMMA)
common-effect model
OR 1.03 [0.98, 1.08]
GRADE not reported
3 studies · 1400 participants
Insomnia (validated index or reported symptoms)No insomniaSleep bruxism, self-reported
common-effect model
OR 1.02 [1.00, 1.04]
GRADE not reported
4 studies · 5500 participants
Insomnia (validated index or reported symptoms)No insomniaSleep bruxism, polysomnography-based (RMMA)
random-effects model (Hartung-Knapp)
OR 0.91 [0.43, 1.95]
Low
Downgraded: risk of bias, imprecision
3 studies · 1400 participants

Included primary studies 8

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Ahlberg 2004
Reported bruxism and biopsychosocial symptoms: a longitudinal study.
PMID:15239782
2004this review onlySleep bruxism, self-reportednot extracted yet
Chattrattrai 2022
A network analysis of self-reported sleep bruxism in the Netherlands sleep registry: its associations with insomnia and several…
PMID:35429746
2022this review onlySleep bruxism, self-reportednot extracted yet
Chattrattrai 2024
Network analysis of sleep bruxism in the EPISONO adult general population.
PMID:37246335
2024this review onlySleep bruxism, self-reported; Sleep bruxism, polysomnography-based (RMMA); PM41044999-P1-O3not extracted yet
Fehlberg 2023
Health behaviors and multimorbidity associated with bruxism: Population-based study.
PMID:34056810
2023this review onlySleep bruxism, self-reportednot extracted yet
Kuang 2023
Associations between signs of sleep bruxism and insomnia: A polysomnographic study.
PMID:36703561
2023this review onlySleep bruxism, polysomnography-based (RMMA); PM41044999-P1-O3not extracted yet
Li 2024
Prevalence and risk factors of sleep bruxism in adults with primary snoring: a large-scale polysomnographic study.
PMID:38607243
2024this review onlySleep bruxism, polysomnography-based (RMMA); PM41044999-P1-O3not extracted yet
Maluly 2013
Polysomnographic study of the prevalence of sleep bruxism in a population sample.
PMID:23690359
2013this review onlynot statednot extracted yet
Maluly 2020
Sleep bruxism and its associations with insomnia and OSA in the general population of Sao Paulo.
PMID:32858352
2020this review onlynot statednot extracted yet

Review question

ElementPlanned (methods)Found (results)
PopulationAdults (18 years or older) of both sexesAdults; about 6990 unique participants (8 studies; 6 in meta-analysis)
InterventionInsomnia diagnosed by validated index or reported insomnia symptomsInsomnia (ISI, DSM-IV/V, ICSD-3, or self-reported yes/no)
ComparisonSubjects without insomniaNo insomnia
OutcomesPossible, probable or definitive sleep bruxism (self-report, clinical examination or device-based)Self-reported SB (4 studies in meta-analysis); PSG-based SB (RMMA, 3 studies in meta-analysis)
Study designsCross-sectional studies with comparison group, case-control, cohort; any language, any date7 cross-sectional studies and 1 cohort (n=8)
TimingNot specifiedNot specified