Effects of an occlusal splint compared with cognitive‐behavioral treatment on sleep bruxism activity

Ommerborn, Michelle A; Schneider, Christine; Giraki, Maria; Schäfer, Ralf B.; Handschel, Jörg; Franz, Matthias; Raab, W.

doi:10.1111/j.1600-0722.2007.00417.x

Cited by 77 publications

(92 citation statements)

References 40 publications

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“…1 This oral motor disorder concerns many disciplines, including dentistry, neurology and psychiatry. 2,3 Occlusal splints are commonly used as a treatment choice for patients with bruxism in clinical practice. Because the pathophysiology of the disorder is not yet clearly understood, there is no accurate treatment to date.…”

Section: Introductionmentioning

confidence: 99%

To see bruxism: a functional MRI study

Yılmaz

2015

Dentomaxillofacial Radiology

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Objective: Since the pathophysiology of bruxism is not clearly understood, there exists no possible treatment. The aim of this study is to investigate the cerebral activation differences between healthy subjects and patients with bruxism on behalf of possible aetiological factors. Methods: 12 healthy subjects and 12 patients with bruxism, a total of 24 right-handed female subjects (aged 20-27 years) were examined using functional MRI during tooth-clenching and resting tasks. Imaging was performed with 3.0-T MRI scanner with a 32-channel head coil. Differences in regional brain activity between patients with bruxism and healthy subjects (control group) were observed with BrainVoyager QX 2.8 (Brain Innovation, Maastricht, Netherlands) statistical data analysis program. Activation maps were created using the general linear model: single study and multistudy multisubject for statistical group analysis. This protocol was approved by the ethics committee of medical faculty of Kirikkale University, Turkey (02/04), based on the guidelines set forth in the Declaration of Helsinki. Results: The group analysis revealed a statistically significant increase in blood oxygenation level-dependent signal of three clusters in the control group (p , 0.005), which may indicate brain regions related with somatognosis, repetitive passive motion, proprioception and tactile perception. These areas coincide with Brodmann areas 7, 31, 39 and 40. It is conceivable that there are differences between healthy subjects and patients with bruxism. Conclusions: Our findings indicate that there was a decrease of cortical activation pattern in patients with bruxism in clenching tasks. This indicates decreased blood flow and activation in regional neuronal activity. Bruxism, as an oral motor disorder concerns dentistry, neurology and psychiatry. These results might improve the understanding and physiological handling of sleep bruxism.

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Section: Introductionmentioning

confidence: 99%

To see bruxism: a functional MRI study

Yılmaz

2015

Dentomaxillofacial Radiology

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“…Psychological therapies oriented toward controlling the psycho-emotional factors that may underlie SB (anxiety, emotional distress), such as behavioural cognitive therapy, EMG biofeedback, relaxation techniques, psychoanalysis, hypnosis and meditation (32)(33)(34), offer some favourable results, although their efficacy is still pending validation through studies of a high enough scientific caliber.…”

Section: Treatmentmentioning

confidence: 99%

Sleep bruxism. Conceptual review and update

Hoz-Aizpurua¹,

Díaz-Alonso²,

LaTouche-Arbizu³

et al. 2011

Med Oral

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Sleep bruxism (SB) is a parafunctional oromotor habit that can sometimes pose a threat to the integrity of the structures of the masticatory system if the magnitude and direction of the forces exerted exceed the system's adaptive capacity. Over the years science has tried to provide a consistent explanation of the etiopathogenesis and physiopathology of SB, although the pathophysiological mechanisms are even now not yet fully understood. There is at present no specific, effective treatment to eliminate the habit of bruxism permanently. There are only palliative therapeutic alternatives steered at preventing the pathological effects of SB on the stomatognathic system and alleviating the negative clinical consequences of the habit. The objective of this article is to review and update the fundamental scientific concepts of SB and to furnish an approach to the main types of therapy used, based on the scientific literature.

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“…Measures such as problem solving, muscle relaxation, nocturnal biofeedback, sleep hygiene and recreation, in other words, alternatives that reduce anxiety and stress, become tools for optimal results in situations of SB. 15,16 CONCLUSIONS » The occlusal splint seems to be an acceptable and safe treatment alternative in the short and medium terms, while the clonazepam, among pharmacological treatments, stood out as a therapeutic option in the short term, because in the long term it can cause dependence. » The results of this systematic literature review seems to indicate that the mandibular advancement device and clonidine are the most promising experimental treatments for the SB, however both are associated with secondary adverse effects.…”

Section: Discussionmentioning

confidence: 99%

“…Ommerborn et al 15 conducted a RCT comparing the occlusal splint (n = 29) to a cognitivebehavioral therapy (CBT) (n = 28) in the management of the SB. The CBT consisted of measures such as problem solving, progressive muscle relaxation, nocturnal biofeedback and recreation training.…”

Section: Cognitive-behavioral Treatmentsmentioning

confidence: 99%

Bruxismo do sono: possibilidades terapêuticas baseadas em evidências

Machado¹,

Machado²,

Cunali

et al. 2011

Dental Press J. Orthod.

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Introduction: Sleep bruxism (SB) is defined as a stereotyped and periodic movement disorder, characterized by tooth grinding and/or clenching occurring during sleep, associated with rhythmic masticatory muscle activity. This condition isn't a disease, but when exacerbated may cause an unbalance and changing of orofacial structures. Thus, it is necessary to obtain effective and safe treatments for the control and management of the bruxist patient. The treatment alternatives range from oral devices, pharmacological therapies to cognitive-behavioral techniques. Objective: This study, a systematic literature review having as research bases MEDLINE, Cochrane, EMBASE, Pubmed, Lilacs and BBO, between the years of 1990 and 2008, with focus in randomized and quasi-randomized clinical trials, systematic reviews and meta-analysis, had as objective to analyze and discuss possibilities of treatment for sleep bruxism. Results: According to the literature analysis there is a lot of treatment options for the SB, but many of the therapies have no scientific support. Thus, the choice therapy should be based on scientific evidences and in clinical common sense, for an improvement in quality of life of the bruxist patient. Abstract

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Effects of an occlusal splint compared with cognitive‐behavioral treatment on sleep bruxism activity

Cited by 77 publications

References 40 publications

To see bruxism: a functional MRI study

To see bruxism: a functional MRI study

Sleep bruxism. Conceptual review and update

Bruxismo do sono: possibilidades terapêuticas baseadas em evidências

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