OBJECTIVE: The aim of this study was to compare the global DNA methylation levels in patients under bruxism treatment and a control group. METHODS: Subjects undergoing bruxism treatment were classified in awake bruxism (42 patients), sleep bruxism (32 patients) and both conditions (42 patients). The control group included 42 individuals. A colorimetric assay (MethylFlash Methylated DNA 5-mC Quantification Kit, Epigenetic Group Inc., NY, USA) was used to determine the global DNA methylation levels. RESULTS: Statistically significant differences were found in amounts of methylated DNA in all circadian manifestations of bruxism compared with a control group (sleep bruxism = 0.95% +/- 2.02%; awake bruxism = 0.87% +/- 2.1%; sleep and awake bruxism = 0.17% +/- 0.25%; Control = 1.69% +/- 1.6%; Kruskal-Wallis test [p = .0001] followed by Dunn's test [p < .05]). CONCLUSION: Patients undergoing bruxism treatment exhibited hypomethylated DNA levels when compared to control group. Our results suggest that DNA hypomethylation might be a novel aetiologic factor in bruxism aetiology. Further researches must be performed exploring the role of epigenetics modifications in circadian manifestations of bruxism.
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