Abstract
Objective
Seasonality of bruxism and its symptoms has not been tested and reflects a major niche in our understanding and the epidemiology of bruxism. Our aim is to use the Google Trends data to examine whether there was a seasonal pattern in the Google search volumes of bruxism and its symptoms on a population basis.
Methods
In the observational, ecological research, we interrogated Google Trends for the following query terms: [bruxism] and [teeth grinding + teeth clenching] to obtain the internet search query volume. These queries were searched within the USA, the UK, Canada, and Australia from January 2004 to December 2017.
Results
The cosinor analysis showed statistically significant seasonal patterns in [bruxism] in the USA (amplitude {A} = 1.91, p = 0.003), Canada (A = 1.91, p < 0.001), and Australia (A = 2.25, p < 0.001), and a trend towards a seasonal variation in the UK (A = 1.11, p = 0.032), with a peak in the winter months and trough in the summer months. Similarly, a statistically significant seasonal variation was found in [teeth grinding + teeth clenching] in the USA (A = 5.54, p < 0.001), the UK (A = 4.36, p < 0.001), and Australia (A = 3.11, p < 0.001), and a trend towards a seasonal variation in Canada (A = 1.53, p = 0.034). The peaks in winter and troughs in summer were reversed by 6 months in countries of northern hemisphere compared to Australia. Time series plots emphasized the consistency of seasonal trend that was ascertained in the cosinor analysis, by repeating in nearly all years.
Conclusion
The preliminary evidence showed a seasonal variation in bruxism and its symptoms, with a peak in the winter months. This novel finding in bruxism epidemiology requires to be verified with clinical studies, and further researches are necessary to elucidate the potential mechanism behind seasonal variation in bruxism.
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References
Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, de Leeuw R, Manfredini D, Svensson P, Winocur E (2013) Bruxism defined and graded: an international consensus. J Oral Rehabil 40:2–4
Castrillon EE, Ou KL, Wang K, Zhang J, Zhou X, Svensson P (2016) Sleep bruxism: an updated review of an old problem. Acta Odontol Scand 74:328–334
Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F (2013) Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain 27:99–110
Liao F, Singh GD (2015) Resolution of sleep bruxism using biomimetic oral appliance therapy: a case report. J Sleep Disord Ther 4:204
Williams DE, Lynch JE, Doshi V, Singh GD, Hargens AR (2011) Bruxism and temporal bone hypermobility in patients with multiple sclerosis. Cranio 29:178–186
Lobbezoo F, Van Der Zaag J, Naeije M (2006) Bruxism: its multiple causes and its effects on dental implants - an updated review. J Oral Rehabil 33:293–300
Ohayon MM, Li KK, Guilleminault C (2001) Risk factors for sleep bruxism in the general population. Chest 119:53–61
Guo H, Wang T, Li X, Ma Q, Niu X, Qiu J (2017) What sleep behaviors are associated with bruxism in children? A systematic review and meta-analysis. Sleep Breath 21:1013–1023
Guo H, Wang T, Niu X, Wang H, Yang W, Qiu J, Yang L (2018) The risk factors related to bruxism in children: a systematic review and meta-analysis. Arch Oral Biol 86:18–34
Cervellin G, Comelli I, Lippi G (2017) Is Google Trends a reliable tool for digital epidemiology? Insights from different clinical settings. J Epidemiol Glob Health 7:185–189
Brownstein JS, Freifeld CC, Madoff LC (2009) Digital disease detection--harnessing the Web for public health surveillance. N Engl J Med 360:2153–5,2157
Fox S (2005) Health information online. Pew Internet & American Life Project, Washington, DC
Nuti SV, Wayda B, Ranasinghe I, Wang S, Dreyer RP, Chen SI, Murugiah K (2014) The use of Google Trends in health care research: a systematic review. PLoS One 9:e109583
Google Trends. https://trends.google.com/trends/. Accessed 26 May 2018
Google Trends help center. https://support.google.com/trends/. Accessed 26 May 2018
Yang AC, Huang NE, Peng CK, Tsai SJ (2010) Do seasons have an influence on the incidence of depression? The use of an internet search engine query data as a proxy of human affect. PLoS One 5:e13728
Ayers JW, Althouse BM, Allem JP, Rosenquist JN, Ford DE (2013) Seasonality in seeking mental health information on Google. Am J Prev Med 44:520–525
Ingram DG, Plante DT (2013) Seasonal trends in restless legs symptomatology: evidence from Internet search query data. Sleep Med 14:1364–1368
O’Keeffe ST (2017) Summertime blues? A re-examination of the seasonality of web searches for restless legs and leg cramps. Sleep Med 37:119–123
Ingram DG, Matthews CK, Plante DT (2015) Seasonal trends in sleep-disordered breathing: evidence from Internet search engine query data. Sleep Breath 19:79–84
Moccia M, Palladino R, Falco A, Saccà F, Lanzillo R, Brescia Morra V (2016) Google Trends: new evidence for seasonality of multiple sclerosis. J Neurol Neurosurg Psychiatry 87:1028–1029
Garrison SR, Dormuth CR, Morrow RL, Carney GA, Khan KM (2015) Seasonal effects on the occurrence of nocturnal leg cramps: a prospective cohort study. CMAJ 187:248–253
Ku JC, Alotaibi NM, Wang J, Ibrahim GM, Schweizer TA, Macdonald RL (2017) Internet search volumes in brain aneurysms and subarachnoid hemorrhage: is there evidence of seasonality? Clin Neurol Neurosurg 158:1–4
Plante DT, Ingram DG (2015) Seasonal trends in tinnitus symptomatology: evidence from Internet search engine query data. Eur Arch Otorhinolaryngol 272:2807–2813
Telfer S, Woodburn J (2015) Let me Google that for you: a time series analysis of seasonality in internet search trends for terms related to foot and ankle pain. J Foot Ankle Res 8:27
Liu F, Allan GM, Korownyk C, Kolber M, Flook N, Sternberg H, Garrison S (2016) Seasonality of ankle swelling: population symptom reporting using Google Trends. Ann Fam Med 14:356–358
Moon RJ, Curtis EM, Davies JH, Cooper C, Harvey NC (2017) Seasonal variation in Internet searches for vitamin D. Arch Osteoporos 12:28
Radin M, Sciascia S (2017) Infodemiology of systemic lupus erythematous using Google Trends. Lupus 26:886–889
Kardeş S (2018) Seasonal variation in the internet searches for gout: an ecological study. Clin Rheumatol. https://doi.org/10.1007/s10067-018-4345-2.
Bousquet J, Agache I, Anto JM, Bergmann KC, Bachert C, Annesi-Maesano I, Bousquet PJ, D’Amato G, Demoly P, de Vries G, Eller E, Fokkens WJ, Fonseca J, Haahtela T, Hellings PW, Just J, Keil T, Klimek L, Kuna P, Lodrup Carlsen KC, Mösges R, Murray R, Nekam K, Onorato G, Papadopoulos NG, Samolinski B, Schmid-Grendelmeier P, Thibaudon M, Tomazic P, Triggiani M, Valiulis A, Valovirta E, van Eerd M, Wickman M, Zuberbier T, Sheikh A (2017) Google Trends terms reporting rhinitis and related topics differ in European countries. Allergy 72:1261–1266
Toosi B, Seasonal KS (2016) Geographic patterns in tanning using real-time data from Google Trends. JAMA Dermatol 152:215–217
Zhang X, Dang S, Ji F, Shi J, Li Y, Li M, Jia X, Wan Y, Bao X, Wang W (2018) Seasonality of cellulitis: evidence from Google Trends. Infect Drug Resist 11:689–693
Google Privacy & Terms. https://policies.google.com/. Accessed 26 May 2018
Barnett AG, Baker P, Dobson AJ (2012) Analysing seasonal data. R J 4:5–10. https://doi.org/10.32614/RJ-2012-001.
Barnett AG, Baker P. season: seasonal analysis of health data, 2014. R package version 0.3–5. https://cran.r-project.org/package=season/. Accessed 31 May 2018
R Core Team (2018) R: a language and environment for statistical computing. R Foundation for Statistical Computing, Vienna https://www.R-project.org/
Lavigne GJ, Khoury S, Abe S et al (2008) Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil 35:476–494
Lobbezoo F, Naeije M (2001) Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil 28:1085–1091
Gómez FM, Ortega JE, Horrillo I, Meana JJ (2010) Relationship between non-functional masticatory activity and central dopamine in stressed rats. J Oral Rehabil 37:827–833
Chen WH, Lu YC, Lui CC, Liu JS (2005) A proposed mechanism for diurnal/nocturnal bruxism: hypersensitivity of presynaptic dopamine receptors in the frontal lobe. J Clin Neurosci 12:161–163
Eisenberg DP, Kohn PD, Baller EB, Bronstein JA, Masdeu JC, Berman KF (2010) Seasonal effects on human striatal presynaptic dopamine synthesis. J Neurosci 30:14691–14694
Karson CN, Berman KF, Kleinman J, Karoum F (1984) Seasonal variation in human central dopamine activity. Psychiatry Res 11:111–117
Kohsaka M, Fukuda N, Honma K, Honma S, Morita N (1992) Seasonality in human sleep. Experientia 48:231–233
Greenfeld M, Sivan Y, Tauman R (2013) The effect of seasonality on sleep-disordered breathing severity in children. Sleep Med 14:991–994
Phillips K, Bentley MC (2001) Seasonal assessment of environmental tobacco smoke and respirable suspended particle exposures for nonsmokers in Bremen using personal monitoring. Environ Int 27:69–85
Winthorst WH, Roest AM, Bos EH, Meesters Y, Penninx BWJH, Nolen WA, de Jonge P (2014) Self-attributed seasonality of mood and behavior: a report from the Netherlands study of depression and anxiety. Depress Anxiety 31:517–523
Oyane NM, Bjelland I, Pallesen S et al (2008) Seasonality is associated with anxiety and depression: the Hordaland health study. J Affect Disord 105:147–155
Internet Live Stats. Google Search Statistics. http://www.internetlivestats.com/google-search-statistics/. Accessed 31 May 2018
Acknowledgments
The authors thank Kadriye Gümüş, medical writer, for English editing of the manuscript. The authors also thank Prof. G. Dave Singh, DDSc, Ph.D., DMD, for his help with this manuscript.
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Supplementary file 1
The Google Trends graphs for the search queries of [teeth grinding], [teeth clenching], [teeth grinding + teeth clenching], and [bruxism] for the United States, the United Kingdom, Canada, and Australia from January 01, 2004 to December 31, 2017 (Graphs source: Google Trends, www.google.com/trends, accessed on May 26, 2018). (PDF 284 kb)
Supplementary file 2
The Google Trends data for our study’s primary search query (teeth grinding + teeth clenching) for New Zealand, and Ireland from January 01, 2004 to December 31, 2017 (Source: Google Trends, www.google.com/trends, accessed on May 26, 2018). (PDF 73 kb)
Supplementary file 3
The CSV file that was downloaded from Google Trends for the United States. (CSV 3 kb)
Supplementary file 4
The CSV file that was downloaded from Google Trends for the United Kingdom. (CSV 3 kb)
Supplementary file 5
The CSV file that was downloaded from Google Trends for Canada. (CSV 3 kb)
Supplementary file 6
The CSV file that was downloaded from Google Trends for Australia. (CSV 3 kb)
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Kardeş, S., Kardeş, E. Seasonality of bruxism: evidence from Google Trends. Sleep Breath 23, 695–701 (2019). https://doi.org/10.1007/s11325-019-01787-6
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DOI: https://doi.org/10.1007/s11325-019-01787-6