Non-Cochrane · aetiology · PM42746191

Association between attention deficit hyperactivity disorder and bruxism: a systematic review.

Thimoteo Anna Carolina Pereira, Coelho Manuella S, Meller Dias De Oliveira Júlia, et al. · Frontiers in psychiatry · 2026 · PubMed · doi:10.3389/fpsyt.2026.1762324

Findings

7 findings

Population
Children, adolescents and adults with versus without ADHDADHD diagnosed by any DSM edition (exposure)Individuals without ADHDPresence of bruxism (sleep or awake; self-report, clinical or device-based assessment)
Age group: adults
OR 1.99 [1.60, 2.48]
GRADE not reported
1 study · 11699 participants
Children, adolescents and adults with versus without ADHDADHD diagnosed by any DSM edition (exposure)Individuals without ADHDPresence of bruxism (sleep or awake; self-report, clinical or device-based assessment)
Sensitivity: excluding studies at high risk of bias
OR 2.32 [1.79, 3.00]
GRADE not reported
14 studies
Children, adolescents and adultsADHDNo ADHDPresence of bruxismOR 2.16 [1.72, 2.71]
GRADE not reported
16 studies · 16348 participants
Children, adolescents and adultsADHDNo ADHDPresence of bruxism
Sensitivity: excluding studies with fewer than 100 participants
OR 1.98 [1.60, 2.46]
GRADE not reported
Studies not reported
ChildrenADHDNo ADHDPresence of bruxism
Children
OR 2.11 [1.27, 3.50]
GRADE not reported
3 studies · 1255 participants
Children and adolescentsADHDNo ADHDPresence of bruxism
Children and adolescents
OR 2.24 [1.60, 3.13]
GRADE not reported
12 studies · 3394 participants
Children and adolescentsADHDNo ADHDPresence of bruxism
Sensitivity: excluding studies with fewer than 100 participants
OR 1.89 [1.32, 2.71]
GRADE not reported
Studies not reported

Included primary studies 17

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Alessandri-Bonetti 2024
Malocclusions, Sleep Bruxism, and Obstructive Sleep Apnea Risk in Pediatric ADHD Patients: A Prospective Study.
PMID:38327066
2024this review onlyPresence of bruxismnot extracted yet
Atmetlla 2006
Behavior and orofacial characteristics of children with attention-deficit hyperactivity disorder during a dental visit.
PMID:16683663
2006this review onlyPresence of bruxismnot extracted yet
Brancher 2019
Oral Health of Children and Adolescents with Attention Deficit Hyperactivity Disorder.
PMID:32440072
2019this review onlyPresence of bruxismnot extracted yet
Chau 2017
Oral health of children with attention deficit hyperactivity disorder.
PMID:28035689
2017this review onlyPresence of bruxismnot extracted yet
Chiang 2010
Association between symptoms and subtypes of attention-deficit hyperactivity disorder and sleep problems/disorders.
PMID:20408926
2010this review onlyPresence of bruxismnot extracted yet
Ehlers 2019
Oral health of children and adolescents with or without attention deficit hyperactivity disorder (ADHD) living in residential care in…
PMID:31766996
2019this review onlyPresence of bruxismnot extracted yet
Ertuğrul 2018
The effects of psychostimulants on oral health and saliva in children with attention deficit hyperactivity disorder: A case-control study.
PMID:30156210
2018this review onlyPresence of bruxismnot extracted yet
Gau 2009
Sleep problems and disorders among adolescents with persistent and subthreshold attention-deficit/hyperactivity disorders.
PMID:19480234
2009this review onlyPresence of bruxismnot extracted yet
Malacarne 2024
Attention-deficit hyperactivity disorder and psychostimulant use in patients seeking dental care-Associations with common orofacial pain…
PMID:38379383
2024this review onlyPresence of bruxismnot extracted yet
Malki 2005
Prevalence of bruxism in children receiving treatment for attention deficit hyperactivity disorder: a pilot study.
PMID:15554406
2004this review onlyPresence of bruxismnot extracted yet
Mota-Veloso 2017
Effects of attention deficit hyperactivity disorder signs and socio-economic status on sleep bruxism and tooth wear among schoolchildren:…
PMID:28155241
2017this review onlyPresence of bruxismnot extracted yet
Roy 2020
Dental malocclusion among children with attention deficit hyperactivity disorder.
PMID:33008711
2020this review onlyPresence of bruxismnot extracted yet
Sabuncuoglu 2014
Breastfeeding and parafunctional oral habits in children with and without attention-deficit/hyperactivity disorder.
PMID:24841034
2014this review onlyPresence of bruxismnot extracted yet
Suligowska 2021
Parafunctions, Signs and Symptoms of Temporomandibular Disorders (TMD), in Children with Attention-Deficit Hyperactivity Disorder (ADHD):…
PMID:34994743
2021this review onlyPresence of bruxismnot extracted yet
Tsai 2012
Sleep problems in children with autism, attention-deficit hyperactivity disorder, and epilepsy
DOI:10.1016/j.rasd.2011.07.002
2012this review onlyPresence of bruxismnot extracted yet
Tsai 2012
Live virus neutralizing antibodies against pre and post Omicron strains in food and retail workers in Québec, Canada.
PMID:38826717
2024this review onlynot statednot extracted yet
Velez-Galarraga 2016
Prevalence of sleep disorders and their relationship with core symptoms of inattention and hyperactivity in children with…
PMID:27461837
2016this review onlyPresence of bruxismnot extracted yet

Review question

ElementPlanned (methods)Found (results)
PopulationChildren (up to 12 years), adolescents (13 to 18 years) and adults (over 18 years), any sex, ethnicity or socioeconomic background; hospitals, clinics, sleep laboratories or community16,348 participants (1,832 with ADHD, 14,516 without); children only (n=3), children and adolescents (n=12), adults (n=1)
InterventionExposure: ADHD diagnosed by any DSM editionADHD diagnosed mainly by DSM-IV or DSM-5 (n=16)
ComparisonIndividuals without ADHDNon-ADHD controls (n=16)
OutcomesOccurrence of bruxism (sleep or awake) per International Consensus, by self-report, clinical examination or device-based toolsPresence of bruxism, mostly parent-reported and/or clinical examination (n=16)
Study designsObservational studiesCross-sectional studies (n=16; one labeled case-control in Table 1)
TimingNot specifiedNot applicable (cross-sectional)