Evaluation of various treatment modalities in sleep bruxism

Singh, Priti; Alvi, Habib Ahmed; Singh, Balendra Pratap; Singh, Raghuwar Dayal; Kant, Surya; Jurel, Sunit Kumar; Singh, Kamleshwar; Arya, Deeksha; Dubey, Abhishek

doi:10.1016/j.prosdent.2015.02.025

Cited by 37 publications

(46 citation statements)

References 32 publications

(37 reference statements)

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“…Thus, the search process returned 16 relevant publications, which were included in the systematic review. Of them, seven were RCTs , seven were uncontrolled before–after studies , and two were crossover trials .…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies report on the effectiveness of OA (Tables and ). Four studies investigated the effect of OS alone; three studies concerned the effect of mandibular advancement appliance (MAA); two studies compared OS with different configurations of the MAA; one study investigated the effect of intermittent versus continuous use of OS; remaining studies included comparison groups treated with nociceptive trigeminal inhibition (NTI) splint , with biofeedback and cognitive behavioural (CBT) therapy , with massage , with gabapentin and with different design appliances . All types of appliances are described in Table .…”

Section: Resultsmentioning

confidence: 99%

“…Observation period varies across studies, ranging from 1 night to up to 3 months. Observation points are multiple, viz., more than only the baseline and end of treatment assessments, in five studies only .…”

Section: Resultsmentioning

confidence: 99%

“…The included investigations compared different OA designs and treatment regimens. Studies, which were based on an objective SB evaluation, demonstrated that an intermittent use of OS was superior to continuous wearing ; OS does not significantly inhibit masseter muscle motor activity during sleep, yet it may increase slow wave sleep ; most SB variables significantly decreased after treatment with the OS, as well as in the gabapentin control group ; restriction of mandibular movements with OA does not have any major influence on jaw muscle activity during sleep ; MAA provides greater reduction in SB episodes compared to OS (whereas 75% advancement position is superior to 25% position ); the use of MAA (50%–75%) produces a significant improvement in both SB and sleep quality , however, it may cause pain in muscles and TMJ .…”

Section: Resultsmentioning

confidence: 99%

“…However, it was a pilot study which measured SB using an intra‐oral device based on bite force. In contrast, two of the included PSG studies compared OS with gabapentin and MAA and reported a significant reduction in SB episodes after a 2‐month, and a 3‐month treatment period with OS, respectively. However, due to the small sample sizes, findings must be interpreted with caution.…”

Section: Discussionmentioning

confidence: 96%

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Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017

Jokubauskas

Baltrušaitytė

Pileičikienė

2017

J of Oral Rehabilitation

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SUMMARY The review focuses on the last decade of research regarding the use of various oral appliances (OAs) in the management of sleep bruxism (SB) in adults. Sixteen (n = 16) papers of 641 identified citations involving 398 participants were included in the review. Of them, seven were randomised controlled trials (RCTs), seven were uncontrolled before-after studies and two were crossover trials. Analysis of the included articles revealed a high variability of study designs and findings. Generally, the risk of bias was lowto-unclear for RCTs and high for crossover studies, whilst the before-after studies exhibited several structural limitations. Nine studies used polysomnography/polygraphy/electromyography for SB diagnosis, whilst others were based on history taking and clinical examination. Most of them featured small samples and were short term. Of the studies using objective SB evaluations, eight showed positive results for almost every type of OA in reducing SB activity, with a higher decrease for devices that are designed to provide a certain extent of mandibular advancement. Among the studies using a subjective SB evaluation, one demonstrated a significant reduction in SB activity, and additional two showed a myorelaxant effect of OA in SB patients. Although many positive studies support the efficiency of OA treatment for SB, accepted evidence is insufficient to support its role in the long-term reduction of SB activity. Further studies with larger samples and sufficient treatment periods are needed to obtain more acknowledgements for clinical application.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 96%

See 3 more Smart Citations

Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017

Jokubauskas

Baltrušaitytė

Pileičikienė

2017

J of Oral Rehabilitation

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Association between bruxism severity and serum concentrations of 25‐hydroxyvitamin D levels

Allaf

Abdul-Hak

2022

Clinical & Exp Dental Res

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Objectives: The aim of this study was to investigate the possible relationship between bruxism and blood levels of 25-hydroxyvitamin D.Material and Methods: One hundred male and female patients from Damascus joined the study. Their ages were in the range of 18-40 years. Two groups were considered in this study, the first group included patients who were already suffering from bruxism (76 patients) and the second group consisted of patients who were not suffering from any bruxism (24 patients). The analysis of the blood samples for 25-hydroxyvitamin D levels of the two groups was carried out. Results:The recorded results showed that there is a relationship between the levels of bruxism and 25-hydroxyvitamin D concentration in the blood (p < .05), enhancing that the bruxism activity has been shown the associated deficiency in 25-hydroxyvitamin D levels, which can be divided into five different categories.Conclusions: Within the limitations of this study in spite of the number of patients (one hundred), according to the reported study, it appears that there is a significant relationship between bruxism and the level of 25-hydroxyvitamin D in the blood.

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Orthodontic Evaluation and Diagnostic Workflow for OSA Patients

Kim

2019

Orthodontics in Obstructive Sleep Apnea Patients

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Evaluation of various treatment modalities in sleep bruxism

Cited by 37 publications

References 32 publications

Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017

Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017

Association between bruxism severity and serum concentrations of 25‐hydroxyvitamin D levels

Orthodontic Evaluation and Diagnostic Workflow for OSA Patients

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