Biofeedback treatment for sleep bruxism: a systematic review

Wang, Lu-Fei; Long, Hu; Deng, Meng; Xu, Hui; Fang, Jie; Fan, Yi; Bai, Ding; Han, Xianglong

doi:10.1007/s11325-013-0871-y

Cited by 32 publications

(56 citation statements)

References 29 publications

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“…The device detects clenching through the sensor pads by sensing electromyographic signals of the temporalis muscle and produces a beeping sound. This device also detects the number of masticatory muscle activity events when clenching is prolonged for longer than 2 s during sleep support the use of a biofeedback method as a treatment for SB [21]. Therefore, the aim of the present study was to elucidate the inhibitory effects of biofeedback therapy on bruxism using SleepGuard TM and to investigate its effects on sleep quality and stress.…”

Section: Figmentioning

confidence: 97%

The effects of nocturnal electromyographic biofeedback on sleep quality and psychological stress

Goto

Masaki

Mukaibo

et al. 2015

J. Stomat. Occ. Med.

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Background Sleep bruxism (SB) causes many dental problems and complications with fixed partial dentures on implants. Although it is an important issue in clinical dentistry, no reliable treatment is available for SB. In the present study, we employed the electromyographic biofeedback device SleepGuard TM , which is attached to the forehead, detects SB, and alerts subjects with a gentle beeping sound to stop SB. The aim of the present study was to clarify the effects of biofeedback treatment on the incidence of masticatory muscle activity, sleep quality, and psychological stress levels.Materials and methods Ten subjects (five male and five female subjects) participated in the study, and a crossover design was used. Sleep measurements were taken on three consecutive nights to obtain data without SleepGuard TM (baseline group), with SleepGuard TM with the beeping sound (on group), and with SleepGuard TM without the beeping sound (off group). Data obtained on the final day were evaluated. STAI-JYZ scores were assessed and salivary chromogranin A (CgA) levels and cortisol concentrations were measured to compare psychological and physical stress after sleep. Friedman's and Dunn's tests were used to compare each parameter among the three groups.Results A marked decrease was observed in the incidence of SB events per hour in seven subjects in the on group. The beeping of SleepGuard TM did not affect the percentage of sleep stages, salivary CgA levels, cortisol concentrations, or STAI-JYZ scores. ConclusionOur results suggest that biofeedback therapy with a beeping sound inhibited SB without negatively impacting sleep quality or psychological stress.

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Section: Figmentioning

confidence: 97%

The effects of nocturnal electromyographic biofeedback on sleep quality and psychological stress

Goto

Masaki

Mukaibo

et al. 2015

J. Stomat. Occ. Med.

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“…These treatments, especially occlusal splints, still have no proven effectiveness for bruxism management based on RCTs and should be considered as a more limited treatment modality once the splints’ effect seem not to address the cause of bruxism and serves mainly for the management of patients’ signs and symptoms. [10, 11] Alternative therapies such as relaxation and biofeedback were proposed (and proved efficacious) for bruxism, especially in cases of awaking bruxism, which are more related to stress and anxiety [12–14]. …”

Section: Introductionmentioning

confidence: 99%

“…As it was shown, an effective long-term therapy to treat bruxists still lacks and several remaining questions still need to be answered, as “what should be done to support patients that are confirmed bruxists” or “what should be done after an oral rehabilitation is conducted and the patient is still clenching.” Some reviews, systematic reviews, and meta-analysis still show no definitive answers for all these questions [11, 12, 29], and this may be due to the comparison of only two interventions at a time, not summarizing a more comprehensive set of comparisons addressing the multiple interventions available. Remarkably, few studies compare different treatment effects of diverse current available therapies [7].…”

Section: Introductionmentioning

confidence: 99%

Therapies for bruxism: a systematic review and network meta-analysis (protocol)

et al. 2017

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BackgroundBruxism is a sleep disorder characterized by grinding and clenching of the teeth that may be related to irreversible tooth injuries. It is a prevalent condition occurring in up to 31% of adults. However, there is no definitive answer as to which of the many currently available treatments (including drug therapy, intramuscular injections, physiotherapy, biofeedback, kinesiotherapy, use of intraoral devices, or psychological therapy) is the best for the clinical management of the different manifestations of bruxism. The aim of this systematic review and network meta-analysis is to answer the following question: what is the best treatment for adult bruxists?Methods/designComprehensive searches of the Cochrane Library, MEDLINE (via PubMed), Scopus, and LILACS will be completed using the following keywords: bruxism and therapies and related entry terms. Studies will be included, according to the eligibility criteria (Controlled Clinical Trials and Randomized Clinical Trials, considering specific outcome measures for bruxism). The reference lists of included studies will be hand searched. Relevant data will be extracted from included studies using a specially designed data extraction sheet. Risk of bias of the included studies will be assessed, and the overall strength of the evidence will be summarized (i.e., GRADE). A random effects model will be used for all pairwise meta-analyses (with a 95% confidence interval). A Bayesian network meta-analysis will explore the relative benefits between the various treatments. The review will be reported using the Preferred Reporting Items for Systematic Reviews incorporating Network Meta-Analyses (PRISMA-NMA) statement.DiscussionThis systematic review aims at identifying and evaluating therapies to treat bruxism. This systematic review may lead to several recommendations, for both patients and researchers, as which is the best therapy for a specific patient case and how future studies need to be designed, considering what is available now and what is the reality of the patient.Systematic review registrationPROSPERO CRD42015023308 Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-016-0397-z) contains supplementary material, which is available to authorized users.

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“…Outros tipos de auxílios como terapia de massa e equilíbrio da oclusão e Estimulação Elétrica Nervosa Transcutânea (TENS) também são utilizados na tentativa de se reduzir a dor e a tensão muscular 3,4 . Como meios de acompanhamento do tratamento podem ser citados exames clínicos, onde os profissionais usam questionários com a finalidade de avaliarem a melhora da sintomatologia apresentada pelo paciente; e a eletromiografia, que consiste em um método apropriado para obter medidas fiéis de freqüência, intensidade e duração da contração muscular 2,5 . Assim, o propósito deste estudo foi realizar uma avaliação do tratamento do bruxismo com placa miorrelaxante e aplicação de TENS por meio da análise da atividade muscular por eletromiografia.…”

Section: Introductionunclassified

Avaliação da eficácia do tratamento de bruxismo com placa miorrelaxante e aplicação de tens por meio de análise eletromiográfica

Bezerra¹,

Silva²,

Haddad³

2017

Arch Health Invest

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ResumoIntrodução: Bruxismo é uma desordem funcional multifatorial que acomete diversas faixas etárias, apresentando maior incidência em jovens, caracterizada pelo apertamento e ranger de dentes. Seu tratamento requer múltiplas intervenções para a adequada reabilitação do estado de normalidade funcional do paciente, sendo que a mais comum é a instalação de placas miorrelaxantes; e uma segunda intervenção, menos corriqueiramente utilizada, é a Estimulação Elétrica Nervosa Transcutânea (TENS). Objetivos: Analisar, por meio de eletromiografia, a eficiência do uso de placas miorrelaxantes no período noturno e a aplicação de TENS semanalmente, na melhora das condições de desconforto advindas do bruxismo. Material e Método: Foram selecionados 20 indivíduos portadores de bruxismo. Inicialmente, estes pacientes passaram por análise eletromiográfica. Em seguida, todos receberam placas miorrelaxantes e foram orientados a dormir com as mesmas durante 30 dias. Foram submetidos também à aplicação de TENS uma vez por semana durante este mesmo período. Passados 30 dias de tratamento, foi realizada nova análise eletromiográfica para observação da evolução do tratamento. Resultados: Os resultados encontrados no presente estudo revelaram redução significativa da atividade muscular para o músculo temporal durante o repouso muscular. De modo geral, observou-se redução da atividade eletromiográfica durante a contração para o masseter e aumento para o temporal, porém sem diferença estatística. Conclusão: O tratamento do bruxismo com placa miorrelaxante rígida e TENS promoveu redução da atividade eletromiográfica para o músculo temporal durante o repouso muscular, sugerindo que o tratamento proposto proporciona melhora da sintomatologia do bruxismo.Descritores: Bruxismo; Estimulação Elétrica Nervosa Transcutânea; Eletromiografia. AbstractIntroduction: Bruxism is a multifactorial functional disorder that affects different age groups, with higher incidence in youths and young adults, characterized by clenching and grinding of teeth. The treatment requires multiple interventions for proper rehabilitation of the patient's functional normality status. The most common treatment is the use of myorelaxing plaques and as a second intervention, which may be cited but is less routinely used, is the use of TENS (Transcutaneous Electrical Nerve Stimulation). Objectives: Analyse the efficiency of the use of myorelaxing plaques at night and the use of TENS weekly in order to detect, after 30 days of treatment, an improvement of the discomfort conditions caused by bruxism. Matherial and Method: Twenty individuals with bruxism were selected. Initially, the electromyographic analysis was done. Then, all of them received myorelaxing plaques and were told to sleep with them for 30 days. They were also submitted to TENS therapy once a week during this same period. After 30 days of treatment, a new electromyographic analysis was performed to observe the evolution of the treatment. Results: There was a significant reduction of muscle activity to the temporal...

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Biofeedback treatment for sleep bruxism: a systematic review

Cited by 32 publications

References 29 publications

The effects of nocturnal electromyographic biofeedback on sleep quality and psychological stress

The effects of nocturnal electromyographic biofeedback on sleep quality and psychological stress

Therapies for bruxism: a systematic review and network meta-analysis (protocol)

Avaliação da eficácia do tratamento de bruxismo com placa miorrelaxante e aplicação de tens por meio de análise eletromiográfica

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