{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:12:21Z","timestamp":1789035141505,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T00:00:00Z","timestamp":1783641600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To estimate the prevalence of bruxism in children with autism spectrum disorder (ASD) and to examine its associations with sleep disturbances, anxiety symptoms, and oral health\u2010related quality of life (OHRQoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional study included 140 children aged 3\u201312 years, comprising 70 children with ASD and 70 neurotypical peers, matched by age, sex, and socioeconomic status. Bruxism diagnosis was based on parental reports and clinical examination. Validated instruments were used to assess sleep disturbances (Sleep Disturbance Scale for Children), anxiety symptoms (SCAS\/Preschool SCAS), and OHRQoL (B\u2010ECOHIS and COHIP\u2010SF 19). Statistical analyses included non\u2010parametric tests and estimation of prevalence ratio (PR) with 95% confidence interval (CI) using Poisson regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Bruxism prevalence was higher in children with ASD (44.3%) compared to neurotypical children (15.7%) (PR = 2.8; 95% CI: 1.54\u20135.6;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.003) and was associated with poorer sleep quality across both groups. However, neurotypical children with bruxism, particularly among aged 6\u201312 years, exhibited worse socio\u2010emotional well\u2010being compared to children with ASD and bruxism (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.011), children with ASD without bruxism (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.039), and neurotypical children without bruxism (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.011).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bruxism is more prevalent in children with ASD and is associated with poorer sleep quality. However, the psychosocial impact of bruxism on OHRQoL appears to be greater among neurotypical children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Bruxism is highly prevalent in children with ASD and is associated with poorer sleep quality. Early dental screening and tailored interventions are crucial for minimizing functional and psychosocial impairments in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/scd.70216","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T08:48:46Z","timestamp":1783673326000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence of Bruxism and Its Association With Sleep Disturbances, Anxiety, and Oral Health\u2010Related Quality of Life in Children With Autism Spectrum Disorder"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4030-7074","authenticated-orcid":false,"given":"Milena Andrade Ara\u00fajo","family":"Costa","sequence":"first","affiliation":[{"name":"Health Sciences Graduate Program Federal University of Sergipe  Aracaju Sergipe Brazil"},{"name":"Investigative Pathology Laboratory Federal University of Sergipe  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