Controlling bruxism through automated aversive conditioning

Heller, Robert F.; Strang, Harold R.

doi:10.1016/0005-7967(73)90011-9

Cited by 31 publications

(6 citation statements)

References 5 publications

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“…On the basis of a single case, the author claimed long-term success. In most of the case reports, a sound blast was applied as the aversive stimulus (82)(83)(84)(85)(86)(87), although in one case study, this technique failed to be effective (88). The sound stimulus is supposed to actually wake up the patient, who is then supposed to switch off the sound and resume his ⁄ her sleep.…”

Section: Biofeedbackmentioning

confidence: 99%

Principles for the management of bruxism*

Lobbezoo

Zaag

Selms

et al. 2008

J of Oral Rehabilitation

244

202

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Summary The management of bruxism has been the subject of a large number of studies. A PubMed search, using relevant MeSH terms, yielded a total of 177 papers that were published over the past 40 years. Of these papers, 135 were used for the present review. Apparently, research into bruxism management is sensitive to fashion. Interest in studying the role of occlusal interventions and oral splints in the treatment of bruxism remained more or less constant over the years: between 1966 and 2007, approximately 40–60% of the papers dealt with this subject. The percentage of papers that dealt with behavioural approaches, on the other hand, declined from >60% in the first 2 decades (1966–1986) to only slightly >10% in the most recent decade (1997–2007). In the latter period, >40% of the papers studied the role of various medicines in the treatment of bruxism, while in the preceding decade (1987–1996), only approximately 5% of the studies dealt with the pharmacological management of bruxism. Unfortunately, a vast majority of the 135 papers have a too low level of evidence. Only 13% of the studies used a randomized clinical trial design, and even these trials do not yet provide clinicians with strong, evidence‐based recommendations for the treatment of bruxism. Hence, there is a vast need for well‐designed studies. Clinicians should be aware of this striking paucity of evidence regarding management of bruxism.

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Section: Biofeedbackmentioning

confidence: 99%

Principles for the management of bruxism*

Lobbezoo

Zaag

Selms

et al. 2008

J of Oral Rehabilitation

244

202

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“…A more promising approach to the psychological treatment of bruxism has conceptual-ized bruxism in terms of learning theory (Ayer & Hirschman, 1972). Heller and Strang (1973), drawing upon the highly successful techniques used by Mowrer and Mowrer (1938) in the treatment of enuresis, have devised a similar technique for the treatment of nocturnal bruxism.…”

Section: Psychological/'behavioral Treatmentmentioning

confidence: 99%

Bruxism: A critical review.

Glaros

Rao²

1977

Psychological Bulletin

115

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Bruxism, the nonfunctional gnashing and grinding of the teeth, has been primarily viewed as a dental phenomenon. The literature reviewed in this paper, however, demonstrates that bruxism may be profitably viewed as a psychophysiological disorder. A brief discussion of the relevant literature on the incidence and effects of bruxism indicates that the behavior may have significant symptomatic effects for a substantial proportion of the population. The contribution of dental, psychological/behavioral, and systemic/neurophysiological factors to the development and maintenance of the disorder are extensively reviewed. Treatments derived from these models are also evaluated. Finally, methodological problems intrinsic to the study of this behavior are presented, and suggestions for future research are made.

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“…Bahavioral techniques, like aversion ther apy [99] and massed negative practice therapy [100-102], have been utilized with success. Regarding massed practice therapy, however, other studies have provided negative or con tradictory results [94,103], In the last two decades, nocturnal EMG biofeedback has been widely used for the treatment of brux ism, with good results: the most important studies are summarized in table 5.…”

Section: Bruxismmentioning

confidence: 99%

Temporomandibular Joint Pain-Dysfunction Syndrome and Bruxism: Etiopathogenesis and Treatment from a Psychosomatic Integrative Viewpoint

Biondi¹,

Picardi²

1993

Psychother Psychosom

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It is common opinion that temporomandibular joint pain-dysfunction (TMJPD) syndrome and bruxism have a major psychosomatic component. In this paper, we try to review these entities in an integrated manner, taking into account both medical and psychological aspects. Two etiological models have been developed: the structural model emphasizes the role played by malocclusion or alterations of the maxillomandibular relationship, while the functional model underscores the role of stress, emotional tension, and personality characteristics. In TMJPD and bruxist patients a careful physical and psychological examination has to be performed. The classical dental treatment is based on equilibration procedures, prostheses and drugs. Treatment strategy can also be based on psychotherapeutic and relaxation treatments; in this respect, the use of EMG biofeedback training has been subjected to intense study.

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Controlling bruxism through automated aversive conditioning

Cited by 31 publications

References 5 publications

Principles for the management of bruxism*

Principles for the management of bruxism*

Bruxism: A critical review.

Temporomandibular Joint Pain-Dysfunction Syndrome and Bruxism: Etiopathogenesis and Treatment from a Psychosomatic Integrative Viewpoint

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