Effects of Massage Therapy and Occlusal Splint Usage on Quality of Life and Pain in Individuals with Sleep Bruxism: A Randomized Controlled Trial

Gomes, Cid André Fidelis de Paula; El-Hage, Yasmin; Amaral, Ana Paula; Herpich, Carolina Marciela; Politti, Fabiano; Bussadori, Sandra Kalil; Gonzalez, Tabajara de Oliveira; Biasotto‐Gonzalez, Daniela Aparecida

doi:10.1298/jjpta.vol18_001

Cited by 19 publications

(8 citation statements)

References 29 publications

(29 reference statements)

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“…Our results showed that both occlusal splint designs increased PPT during the second evaluation (excluding control points), and a similar effect on the change of PPT in both groups was achieved. Moreover, the effects of the occlusal splint therapy, measured in reduction of myofascial pain, were reported by Gomes et al [ 39 ] and Noguchi et al [ 40 ]. These may partially explain our results.…”

Section: Discussionmentioning

confidence: 89%

Pressure Algometry Evaluation of Two Occlusal Splint Designs in Bruxism Management-Randomized, Controlled Clinical Trial

Dalewski

Kamińska

Kiczmer

et al. 2021

JCM

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The aim of this pilot study was to evaluate the short-term effectiveness of two different occlusal devices and their impact on the pressure pain threshold (PPT) values among patients who reported to the Dental Prosthetics Outpatient Clinic of Pomeranian Medical University (Szczecin, Poland) and who were diagnosed with probable bruxism. Two groups were formed (A and B) to which patients were assigned randomly. Each group used a different occlusal splint for bruxism management. The occlusal appliance by Okeson, or the bimaxillary splint, was used overnight by each patient for 30 days of the study. The PPT was measured twice, at the first visit and after 30 days of using each occlusal device, with Wagner Paintest FPX 25 algometer. Bruxism was diagnosed based on data from the patient’s medical history and from the physical examination. Nocturnal Bruxism Criteria according to the International Classification of Sleep Disorders (Third Edition) was used for the patient’s evaluation. Results: similar pain factor (PF) reduction was observed in both the examined groups, regardless of the device used; canine guidance and no guidance were similarly effective in terms of increasing pain resilience.

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Section: Discussionmentioning

confidence: 89%

Pressure Algometry Evaluation of Two Occlusal Splint Designs in Bruxism Management-Randomized, Controlled Clinical Trial

Dalewski

Kamińska

Kiczmer

et al. 2021

JCM

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“…14 Massage therapy and heat pads were employed to lower muscle tension and increase local blood flow, therefore contributing to reduce pain. 15,16 LLLT was performed due to its analgesic and anti-inflammatory effects, which can lead to pain reduction and improvement in the mandibular function. 17 Only one reported case in the literature of TMD with LBs was not treated surgically.…”

Section: Discussionmentioning

confidence: 99%

Loose intra-articular body in the temporomandibular joint: case report of a successful conservative management

Rey¹,

Parize²,

Oliveira‐Santos³

et al. 2021

EADS

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Loose intra-articular bodies are a rare finding in the temporomandibular joint. Surgical removal of the loose bodies isoften described as the only treatment option; however, it presents possible postoperative complications. The aim of thispaper is to report the successful conservative management of a temporomandibular disorder associated with a singleloose intra-articular body. A 62-year-old woman presented with pain in the right temporomandibular joint andpre-auricular region, limited mouth opening and open-lock episodes. Panoramic radiography and cone-beam computedtomography exams revealed the presence of a single loose body located anterior to the right condyle. Magnetic resonanceimages showed bilateral anterior disc displacement without reduction. A non-invasive approach consisting of an occlusalsplint and low-level laser therapy associated with home-based physical therapy was performed for management ofclinical signs and symptoms. The patient was followed up for 2 years and presented significant pain reduction andimprovement in the range of mandibular movements. The combination of conservative therapies may be an alternativefor surgical intervention to control pain and improve mandibular function in patients with temporomandibulardysfunction associated with a loose body in the temporomandibular joint.

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“…De Paula Gomes C, et al [32] reported the effect of physiotherapy on masticatory muscles and the use of occlusal splints for the treatment of SB in 78 patients, where they concluded that the combined treatment had better results for the treatment of bruxism. On the other hand, Gouw S, et al [33] determined the effect of physiotherapy in patients with SB, concluding that physiotherapy of the masticatory muscles was not effective rated in a study by Wieckiewicz M,et al [48] where the distribution of TMD was evaluated in 77 patients with bruxism, all with signs and symptoms of TMD; the most common diagnosis was myalgia, followed by disc displacement with reduction and temporal tendonitis, evidencing that bruxism was not directly related to TMDs.…”

Section: Non-pharmacological Therapeutic Alternativesmentioning

confidence: 99%

Bruxism Management: A Comprehensive Review

Gabriel¹,

Melissa²,

Johana³

et al. 2020

Clin Med Rev Case Rep

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Check for updates ed with its presence, which may or may not be etiological; However, in adult patients, possible causal factors have been reported such as: occlusal forces, emotional causes or those generated by the central nervous system [4]; psychological problems such as stress and anxiety at all ages; In addition, SB in children is associated with respiratory problems, physiological dental wear, caries, malocclusions and use of pacifiers. About the frequency, according to the study by Rodrigues, et al. [5] the prevalence of bruxism in children ranges from 3.5% to 46%, while the study by Manfredini, et al. [6] shows that the prevalence of bruxism in adults ranges from 8% to 31.4%; without reporting differences between gender or age in the SB, and a slight predominance of the AB in women [3]. In an umbrella review, Melo, et al. [7] reported the prevalence of bruxism in adults and children according to the type of bruxism diagnosed; concluding that in adults AB occurs from 22% to 30%, and SB occurs between 10% to 13%, evidencing a decrease at older age and in children or adolescents the SB in a range from 3% to 49% [6,7]. Treatment for bruxism is suggested to be multidisciplinary, for both children and adults. Dental treatment includes some intraoral devices, which aim to protect teeth and restorations from possible wear and tear that may be generated as a result of parafunctional activity [8]; Treatment with physical therapy consists of performing exercises of the masticatory muscles and they should be performed without exerting excessive inten

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Effects of Massage Therapy and Occlusal Splint Usage on Quality of Life and Pain in Individuals with Sleep Bruxism: A Randomized Controlled Trial

Cited by 19 publications

References 29 publications

Pressure Algometry Evaluation of Two Occlusal Splint Designs in Bruxism Management-Randomized, Controlled Clinical Trial

Pressure Algometry Evaluation of Two Occlusal Splint Designs in Bruxism Management-Randomized, Controlled Clinical Trial

Loose intra-articular body in the temporomandibular joint: case report of a successful conservative management

Bruxism Management: A Comprehensive Review

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