Experience with bruxism in the everyday oral implantology practice in the Netherlands: a qualitative study

Thymi, Magdalini; Rollman, Annemiek; Visscher, Corine M.; Wismeijer, Daniël; Lobbezoo, Frank

doi:10.1038/s41405-018-0006-4

Cited by 7 publications

(6 citation statements)

References 48 publications

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“…Occlusal splints are recommended by clinicians in the case that sleep bruxism is suspected, for example due to a history of severe dental attrition or repeated fractures of dental restorations. 26 Thus, by using this as an exclusion criterion, it is possible that a high-risk group of bruxers is filtered out from the study sample, consequently biasing study outcomes. As shown in the retrospective study by Chrcanovic et al, "possible" and "probable" sleep and/or awake bruxism may be associated with an increased risk of dental implant failure.…”

Section: Discussionmentioning

confidence: 99%

“…16 Moreover, careful selection of variables is also important considering that a large number of such variables can increase the risk for type I error. Given the significant number of variables that can be assessed in a bruxism-dental implant complication study (e.g., 27 ), it is suggested that future studies in the field include at least a set of 'classic' confounders/covariates, i.e., smoking and periodontal parameters, variables emerging from clinical studies (e.g., 27 ), and variables emerging from the experience of dentists in daily practice (e.g., 26 ).…”

Section: Discussionmentioning

confidence: 99%

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Associations between sleep bruxism and (peri-)implant complications: lessons learned from a clinical study

et al. 2020

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To report and discuss the lessons learned from the conduct of a clinical study on the associations between sleep bruxism and (peri-)implant complications, the protocol of which has been pre-published. MATERIALS AND METHODS: A single-center, double-blind, prospective cohort study with a 2 year follow-up was performed in the Academic Centre for Dentistry Amsterdam (ACTA), The Netherlands. Eleven adult participants were included, where an inclusion of 98 was planned. Sleep bruxism was assessed by multiple single-channel electromyographic (EMG) recordings. Main outcomes were biological and technical complications. Results of the study are presented alongside with comments on encountered difficulties. RESULTS: Insufficient participant recruitment and failed EMG recordings were encountered. The small sample size did not allow answering the study's main aim, and was mainly attributed to the study's protocol complexity. EMG recording failures were attributed to insufficient quality of the EMG signal and detachments of the electrode. DISCUSSION: The lessons learned from the conduct of this study can be used to design successful future clinical studies. CONCLUSIONS: Adequate participant recruitment, effective EMG recordings, and a careful selection of predictor variables are important ingredients for the successful conduct of a longitudinal clinical study on the association between sleep bruxism and (peri-)implant complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Associations between sleep bruxism and (peri-)implant complications: lessons learned from a clinical study

et al. 2020

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“…The assessment of bruxism based on intra-and extraoral clinical signs has also been described in other practicebased studies. 3,4 Recently, the BruxScreen pre sented a brief tool for the standardized assessment of extraand intraoral signs that may be associated with bruxism. 12 Alongside the clinical signs that are assessed in the BruxScreen, the results of the present study provide suggestions for the development of a comprehensive instrument for the wider assessment of clinical signs of sleep and awake bruxism in future versions of the STAB.…”

Section: Clinical Examinationmentioning

confidence: 99%

“…1,2 Clinicians usually base their bruxism assessments on self-reports and/or clinical examination. 3,4 Ideally, bruxism assessments in the clinic should be based on standardized tools. 5 The Standardized Tool for the Assessment of Bruxism (STAB) is a crucial part of the successful implementation of the bruxism diagnostic grading system, 5 allowing for consistent assessments in clinical practice and research.…”

Section: Introductionmentioning

confidence: 99%

Qualitative suggestions for the further development of the Standardized Tool for the Assessment of Bruxism (STAB)

Thymi,

Farzan,

Ahlberg

et al. 2024

Dent. Med. Probl.

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Background. The Standardized Tool for the Assessment of Bruxism (STAB) has recently been published. It contains Axis A for evaluating bruxism status and its potential consequences, and Axis B for bruxism risk, etiological factors and comorbid conditions. Suggestions from daily clinical practice can contribute to the further development of the STAB.Objectives. The study aimed to investigate the experiences and attitudes of general dentists, dentists specialized in Orofacial Pain and Dysfunction (OPD) and Disability Care (DC) regarding the assessment and etiology of sleep and awake bruxism and to examine the concordance of their experiences and attitudes with the respective STAB axes and its domains. Material and methods.Semi-structured interviews were conducted with 11 dentists. The main themes included bruxism assessment and etiology. Thematic analysis identified subthemes. The concordance between main themes, subthemes, and the corresponding STAB axes and domains was examined.Results. Overall, there was a good correspondence between the experiences and attitudes of the interviewees and the respective STAB axes and domains. Some discrepancies were identified, but they were mainly related to the lack of appropriate tools for the DC setting. Conclusions.It is suggested that future versions of the STAB include appropriate tools for the assessment of bruxism in DC settings.

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“…The development of an ideal assessment tool remains of high priority in the sleep bruxism research agenda . Patient self‐report and/or clinical examination are extensively used . These methods are simple, low cost and readily available, but unfortunately lack validity .…”

Section: Introductionmentioning

confidence: 99%

Patient‐based experiences with the use of an ambulatory electromyographic device for the assessment of masticatory muscle activity during sleep

Thymi

Verhoeff

Visscher

et al. 2020

J of Oral Rehabilitation

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Background: It is important to know how easy or difficult it is to use an ambulatory electromyographic (EMG) device for sleep bruxism assessment, and how this might affect its future utilisation. Objective:To explore the experience of individuals using an EMG device that pairs with a smartphone app, in order to detect factors that could facilitate and/or hamper its utilisation in future scientific research. Methods: Fifteen adults were recruited in the Orofacial Pain and Dysfunction Clinic of the Academic Centre for Dentistry Amsterdam (ACTA). Overnight recordings were performed in the home setting during one week. Time investment, feelings and thoughts, encountered difficulties and reasons for not using the device were assessed in a diary through open-ended questions and 5-point Likert scales. Content analysis of textual data was performed, and descriptives of quantitative data were calculated.Results: Time investment was low (mean 10.2 minutes in the clinic, and 1.9 minutes per recording at home). Quantitative data showed an overall good experience (median of 4). Qualitative diary data showed that the desire to gain insight into one's masticatory muscle activity formed the main motivation to use the device. Device detachment and difficulty in using the app were the most prominent negative experiences. Conclusion:The EMG device was well accepted for multiple overnight recordings.Curiosity for gaining insight into muscle activity was the most important factor that facilitated its use, and the app addressed this need. Device detachment and difficulties in using the app were the main factors that hampered its use. K E Y W O R D Sambulatory, electromyography, experience, mixed methods, sleep bruxism, smartphone

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Experience with bruxism in the everyday oral implantology practice in the Netherlands: a qualitative study

Cited by 7 publications

References 48 publications

Associations between sleep bruxism and (peri-)implant complications: lessons learned from a clinical study

Associations between sleep bruxism and (peri-)implant complications: lessons learned from a clinical study

Qualitative suggestions for the further development of the Standardized Tool for the Assessment of Bruxism (STAB)

Patient‐based experiences with the use of an ambulatory electromyographic device for the assessment of masticatory muscle activity during sleep

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