Introduction. Nocturnal enuresis (NE), a common condition among children, is defined as the involuntary loss of urine appearing during sleep, in a ³5 year-old child. Bruxism is frequently encountered in children with NE, its overall prevalence varying greatly from one study to another. Materials and methods. A group of 50 children aged 5-18 years were analyzed as to the following parameters: age, sex, time of NE occurrence, association of the symptoms of daytime incontinence, severity of the enuretic manifestations, favoring factors associated with daytime incontinence and enuresis, the mictional charts and bruxism questionnaire filled in by parents and the charts of the wet nights filled in by the child. Clinical dental examination were looking for pathological wear. Results and discussion. We noticed the predominance of primary NE and of the male sex, the implication of the deep sleep, normal urinary osmolarity and the presence of enuretic manifestations in the childhood of the parents of children with primary NE. In contrast, patients with secondary NE were associated with a lower urinary tract disfunction (LUTD) and behavioral or psychological disorders. Nocturnal squeaking sounds, episodes of bruxism for 3 to 5 nights over a 6-month period, the presence of dental wear, discomfort or fatigue of muscles upon awakening, headaches and sleep breathing disorder were seen in only 2 cases in the study group. Conclusions. Nocturnal alarm was effective in patients with primary NE with normal functional bladder capacity (FBC), who associated deep sleep, normal urinary density and enuretic manifestations in the childhood of the parents.
Keywords:- bruxism
- Child
- disfunction
- enuresis
- treatment