Awake Bruxism Identification: A Specialized Assessment Tool for Children and Adolescents
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The aim is to present the 'Awake Bruxism Identification Tool (ABIT)' for children and adolescents. This tool was created at the Postgraduate Program of the Faculdade de Odontologia de Piracicaba at the Universidade Estadual de Campinas (FOP/UNICAMP) as part of a preliminary study, which was tested on 10 families from June to August 2023 at the Dental Specialties Center (CEO-Piracicaba-SP). The analysis consisted of Report 1 (R1), Report 2 (R2), Self-report (AR), Clinical Assessment (CA), and Ecological Momentary Assessment (EMA). R1, R2, and SR include questions about the perception of AB on a 5-point Likert scale, along with the recording of perception through analogical and playful EMA. Meanwhile, CA identifies intraoral and extraoral characteristics. Combining these items helps determine whether the child falls within the 'AB spectrum'. The tool was evaluated for comprehensibility, applicability and reliability, showing satisfactory results, with a reported completion time of between 5 and 10 minutes. The frequency of AB was 4 children in the “Possible AB Spectrum” and 3 children in the “Possible AB Spectrum corroborated by EMA”, with “teeth clenching” being the most frequently observed event. Adjustments to the instrument were made based on participant feedback, and the reproducibility of the ABIT seems adequate for the planned expanded study, which aims to contribute to the clinical investigation.