Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (5): 685-689.doi: 10.3969/j.issn.2095-4344.2999

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Resting-state functional magnetic resonance imaging evaluation of the brain’s default mode network in patients with sleep bruxism

Jing Huimin1, Yu Wenjuan1, Wang Sijia2, Chen Cong2, Li Yifan2, Wang Yonglan3, Li Xin3, Zhang Juan1, Liang Meng2   

  1. 1Department of Prosthodontics, 3Department of Periodontics, Hospital of Stomatology, Tianjin Medical University, Tianjin 300070, China; 2School of Medical Imaging and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University, Tianjin 300203, China
  • Received:2020-03-11 Revised:2020-03-18 Accepted:2020-04-11 Online:2021-02-18 Published:2020-11-28
  • Contact: Zhang Juan, MD, Associate chief physician, Department of Prosthodontics, Hospital of Stomatology, Tianjin Medical University, Tianjin 300070, China Liang Meng, MD, Professor, School of Medical Imaging and Tianjin Key Laboratory of Functional Imaging, Tianjin Medical University, Tianjin 300203, China
  • About author:Jing Huimin, Master, Department of Prosthodontics, Hospital of Stomatology, Tianjin Medical University, Tianjin 300070, China
  • Supported by:
    the National Natural Science Foundation of China (General Project), No. 81971694

Abstract: BACKGROUND: Sleep bruxism is a common oral accessory function, but the etiology is not yet clear. A psychological questionnaire survey on patients with nocturnal molars reveals that sleep bruxism is related to psychological factors, but the specific relationship and mechanism between them are not clear.
OBJECTIVE: To analyze the changes of brain’s default mode network (DMN) in patients with sleep bruxism and to investigate the DMN status of patients with sleep bruxism. 
METHODS: From November 2018 to May 2019, 20 patients with sleep bruxism (sleep bruxism group) diagnosed by polysomnography and 20 age-, gender-, and education-matched asymptomatic adults (control group) were recruited in the study. Brain resting-state functional MRI data were collected on a 3.0T scanner during 20:00 to 23:00. The MRI data were analyzed using independent component analysis method to extract the component of DMN. The one-sample t-test was used to make a network component template, and then the two-sample t-test used to compare the DMN components between the two groups.
RESULTS AND CONCLUSION: Compared with asymptomatic controls, patients with sleep bruxism showed a significantly weaker functional connectivity of the precuneus within the DMN (t=-3.319, P < 0.05), indicating that patients with sleep bruxism show abnormal functional connectivity within the DMN at brain-resting state.

Key words: functional MRI, resting state, default mode network, precuneus, polysomnography, psychology, oral cavity, sleep bruxism

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