Bruxism: Causes And Complications Among The Saudi Population, A Cross-Sectional Study
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Rania Adel Mitwally, Rakan Saud Aloqaili, Elham Abdulrab Alqahtani, Abrar Rafa Alanzi, Ahmad Hulayyil Alomiry, Turki Saoud Alhaiti, Khulud Ali Zabbani
Lujain Atiyah Imam, Reem Atean Alsafari, Shatha Mansour Alotaibi, Khaled suliman alghamdi, Ahmed Saeed Shar and Abeer Mohammed Alhawiti
Abstract
Background: Bruxism is a parafunctional activity characterized by involuntary clenching or grinding of teeth during wakefulness or sleep. It is frequently underdiagnosed despite its significant dental and psychosocial consequences.
Objectives: To assess the prevalence of bruxism among Saudi adults and identify associated risk factors and complications.
Methods: A cross-sectional study was conducted among 430 Saudi adults using a structured questionnaire incorporating demographic variables, lifestyle factors, Perceived Stress Scale (PSS), Pittsburgh Sleep Quality Index (PSQI), bruxism symptoms, and complications.
Results: Bruxism prevalence was 27.4%. Female gender, high stress levels, poor sleep quality, caffeine consumption, and smoking were significantly associated with bruxism. Tooth wear (61.9%) and headache (48.3%) were the most common complications.
Conclusion: Bruxism is prevalent among Saudi adults and closely linked to psychosocial and lifestyle factors, highlighting the importance of early screening and multidisciplinary care.
Keywords :
Bruxism, Saudi Arabia, Stress, Sleep Disorders, Tooth Wear.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty