Bruxism, is a process of making involuntary jerky movements or grinding, or clenching of teeth sliding nonfunctional type, different masticatory jaw movements, habits which may lead to occlusal trauma, which may have local dental and neurogenic consequences, affecting nerve endings of the trigeminal pathway, with involvement of the cutaneous and visceral afferent fibers of a-beta type II (periodontal mechanorcceptors), affected by excessive contraction. There is also evidence suggesting that the cause of muscle contraction has a central etiology. The neurophysiological study of brain stem reflexes mediated by the trigeminal nerve can examine these circuits and discriminate a peripheral condition of a central commitment. In the present study were examined the masticatory rhythm and electromyographic activity in the act of swallowing and peripheral structures afferent of the reflex arch trigeminal in 21 healthy subjects and 30 bruxers were examined to evaluate the possible involvement of the central nervous system and/or peripheral in the etiology of bruxism. There were found statistically significant differences in the following aspects: 1) Bruxers had shorter duration of the second silent period contralateral masseter electric stimulation on the right side and bilateral mechanical stimulus (15.27 ± 11.32 msec, and 25.29 ± 16.68 msec.) compared to healthy subjects (22.37 ± 11.49 msec, [p <0.033] and 39.18 ± 24.07 msec, [p <0.02]), and 2) bruxers had saved electromyographic activity of the orbicularis oris muscle in masticatory movements, shorter than in healthy subjects (412.55 ± 124.54 msec, in patients vs 582.40 ± 294.06 msec, in healthy subjects; [p = 0.02]). The findings of this study suggest afferent or efferent defects in the trigeminal motor circuit involved in chewing program in patients with bruxism; in the absence of disturbances of peripheral nerves, the failure observed could be due to dysfunction in pontobulbares reflex circuits or the integration of afferent impulses in the motor at the level of the basal ganglia and neurophysiological studies program may be useful to screen patients when bruxism compared to healthy subjects. [ABSTRACT FROM AUTHOR]