Bruxism — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 91 of 2016

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting bruxism or death from bruxism with the circumstances of a person's relevant service:

1. (1)
   experiencing a moderate to severe traumatic brain injury within the 30 days before the clinical onset of bruxism;
2. (2)
   having a clinically significant neurological condition as specified at the time of the clinical onset of bruxism;

   Note: clinically significant neurological condition as specified is defined in the Schedule 1 - Dictionary.

3. (3)
   having a clinically significant disorder of mental health as specified at the time of the clinical onset of bruxism;

   Note: clinically significant disorder of mental health as specified is defined in the Schedule 1 - Dictionary.

4. (4)
   experiencing a category 2 stressor at the time of the clinical onset of bruxism;

   Note: category 2 stressor is defined in the Schedule 1 - Dictionary.

5. (5)
   taking a drug or a drug from a class of drugs from the specified list of drugs, at the time of the clinical onset of bruxism;

   Note: specified list of drugs is defined in the Schedule 1 - Dictionary.

6. (6)
   smoking at least one-half pack-year of cigarettes, or the equivalent thereof in other tobacco products, before the clinical onset of bruxism, and where smoking has ceased, the clinical onset of bruxism has occurred within one year of cessation;

   Note: pack-year of cigarettes, or the equivalent thereof in other tobacco products is defined in the Schedule 1 - Dictionary.

7. (7)
   consuming an average of at least 30 grams of alcohol per day in the six months before the clinical onset of bruxism;

   Note: alcohol is defined in the Schedule 1 - Dictionary.

8. (8)
   consuming an average of at least six cups of caffeinated coffee per day in the six months before the clinical onset of bruxism;
9. (9)
   having gastro-oesophageal reflux disease at the time of the clinical onset of bruxism;
10. (10)
    experiencing a moderate to severe traumatic brain injury within the 30 days before the clinical worsening of bruxism;
11. (11)
    having a clinically significant neurological condition as specified at the time of the clinical worsening of bruxism;

    Note: clinically significant neurological condition as specified is defined in the Schedule 1 - Dictionary.

12. (12)
    having a clinically significant disorder of mental health as specified at the time of the clinical worsening of bruxism;

    Note: clinically significant disorder of mental health as specified is defined in the Schedule 1 - Dictionary.

13. (13)
    experiencing a category 2 stressor at the time of the clinical worsening of bruxism;

    Note: category 2 stressor is defined in the Schedule 1 - Dictionary.

14. (14)
    taking a drug or a drug from a class of drugs from the specified list of drugs, at the time of the clinical worsening of bruxism;

    Note: specified list of drugs is defined in the Schedule 1 - Dictionary.

15. (15)
    smoking at least one-half pack-year of cigarettes, or the equivalent thereof in other tobacco products, before the clinical worsening of bruxism, and where smoking has ceased, the clinical worsening of bruxism has occurred within one year of cessation;

    Note: pack-year of cigarettes, or the equivalent thereof in other tobacco products is defined in the Schedule 1 - Dictionary.

16. (16)
    consuming an average of at least 30 grams of alcohol per day in the six months before the clinical worsening of bruxism;

    Note: alcohol is defined in the Schedule 1 - Dictionary.

17. (17)
    consuming an average of at least six cups of caffeinated coffee per day in the six months before the clinical worsening of bruxism;
18. (18)
    having gastro-oesophageal reflux disease at the time of the clinical worsening of bruxism;
19. (19)
    inability to obtain appropriate clinical management for bruxism;

Aggravation-only factors: the factors in subsections 8(10) to 8(19) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.