Occlusal splints for treating sleep bruxism (tooth grinding)

Macedo, CR; Ma, Machado; Silva, AB; Prado, GF

doi:10.1002/14651858.cd005514

Cited by 34 publications

(51 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Only a few randomised clinical trials have been performed on the efficacy of splints in the management of bruxism, with conflicting findings . Based on a systematic review, it was concluded that there is insufficient evidence to state that occlusal splints are effective for the management of sleep bruxism, but it might offer some benefit regarding the protection against tooth wear . Consequently, hard splints are commonly suggested as a means to prevent the progression of tooth wear and to protect the extensive restorations made because of tooth wear.…”

Section: Introductionmentioning

confidence: 99%

Comparison of wear between occlusal splint materials and resin composite materials

Reyes-Sevilla

Kuijs

Werner

et al. 2018

J of Oral Rehabilitation

View full text Add to dashboard Cite

Tooth wear in bruxing patients often results in a need for treatment with composite restorations. In some cases, bruxing patients receive an occlusal splint as a protective means as well. However, the wear between these opposing materials has not been investigated yet. The aim of this in vitro study was to assess the wear of different splint materials against resin composite materials. A two-body wear test was conducted using the ACTA wear machine. The materials selected for this study were three composites used for direct restorations (Filtek Z250, CLEARFIL AP-X, and Filtek Supreme XT) and four occlusal splints materials, viz. a polyamide resin (ThermoSens) an conventional (hand-processed), milled and printed polymethylmethacrylate (PMMA). As antagonistic materials, stainless steel, Filtek Supreme XT and CLEARFIL AP-X were used. The wear rate of the seven materials was determined after 200 000 cycles, using a profilometry. The rates were analysed using two-way ANOVA and post hoc Tukey's tests. The wear rates were significantly higher for the conventional and milled PMMA materials than for all other materials (P < .001). The wear rates of printed PMMA and the polyamide resin were comparable to composite wear rates. The antagonist materials have minor or no influence on the amount of wear of the various splint materials (P < .001). In conclusion, different splint materials yielded different wear rates for all antagonist materials tested. Keeping in mind that this study is an experimental in vitro study, this finding enables practitioners to choose the splint material necessary according to their patients' needs.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison of wear between occlusal splint materials and resin composite materials

Reyes-Sevilla

Kuijs

Werner

et al. 2018

J of Oral Rehabilitation

View full text Add to dashboard Cite

show abstract

“…Although these appliances are efficacious in protecting the teeth and attenuate the sounds of tooth grinding, there is no evidence that such devices may stop or permanently reduce SB activity; rather, their effectiveness remains unknown. 52 Most experimental or randomized trials using oral appliances for SB showed a short term/transitory reduction in the frequency of RMMA, as scored on EMG recordings. 53,54 However, some patients also may present with an exacerbation of SB activity.…”

Section: Pharmacotherapymentioning

confidence: 99%

Overview on Sleep Bruxism for Sleep Medicine Clinicians

Carra

Huynh

Fleury

et al. 2015

Sleep Medicine Clinics

View full text Add to dashboard Cite

“…Holmgren [16], Macedo [22] point out that the occlusal splint does not stop bruxism like Nagels [24], which indicates that the occlusal splint does not improve the sleep of the bruxerclencher. The opinion of the authors is if a real bruxism treatment exists it must be sought in the behavioral education and in a better stress management.…”

Section: The Occlusal Splint Should Be Smooth or Indented?mentioning

confidence: 99%

The occlusal splint therapy

Ré

Pérez

Darmouni

et al. 2009

J. Stomat. Occ. Med.

View full text Add to dashboard Cite

After being extensively used in various forms, indications of occlusal splints are reduced, today, essentially to three types: the Anterior Bite Splint (ABS), the Muscle Reconditioning Splint (MRS) and the AntePositioning Splint (APS). Through these different forms, the authors describe the current knowledge on the temporomandibular disorder treatment by occlusal splint therapy in answering the questions: why, how and when an occlusal splint should be used?We know there is insufficient evidence either for or against the use of stabilization splint therapy for the treatment of the temporomandibular pain dysfunction syndrome.In such a situation it is difficult for the practitioner to find clear academic recommendations, so the authors would like to propose a tutorial paper about the different types of splint, and their reasonable utilization to the reader.The management of temporomandibular disorders (TMD) is often confusing resulting in the etiopathogenic phenomena complex and multi-factorial. Diagnosis is sometimes unclear or has misunderstood success (placebo, natural resolution). The masticatory apparatus is not a simple mechanical system but a complex biological entity, multi-functional, in direct touch with its environment and strongly influenced by the individual psychosocial aspects. Any therapeutic approach must be used carefully, for a normalization of the function rather than a pseudo structural ideal.Occlusal splints, which have the advantage of being noninvasive, constitute one of the most therapeutic responses used in the treatment of TMD.So, according to McNeill [23], the first occlusal splint was described in 1881 by Goodwillie; its popularization however developed only as from the Sixties, with the "Michigan-type" occlusal splint of Ramford and Ash [3].Today the use of the occlusal splint is usual, as some international literature attests, and its forms or its terms are so various [12], that an actualization of basic knowledge could be of interest for the general practitioner. Based on concrete questions, the answers suggested are founded in a synthesis, which should be logical, updated data from scientific literature. These last ones having a low level of proof, so this article presented only slightly validated opinions. The occlusal splint: is it useful?An occlusal splint can be used to test a therapeutic position [8] before any definitive occlusal change, like a modification of vertical dimension [34] or the creation of a mandibular anteposition.An occlusal splint can be used for protecting teeth or prosthetic restorations against sleep pressures.But an occlusal splint is mainly used for therapeutic means [31]. Its principle use is to prevent the patient from finding his usual occlusion of maximal intercuspal position (ICP) and to oblige him to place his mandible in a new posture, thus, resulting in a new muscular and articular balance. The patient, disturbed in his habits, will not tighten his teeth any more, like before.He will change his clenching habits and then he will not tighten any more,...

show abstract

Occlusal splints for treating sleep bruxism (tooth grinding)

Cited by 34 publications

References 12 publications

Comparison of wear between occlusal splint materials and resin composite materials

Comparison of wear between occlusal splint materials and resin composite materials

Overview on Sleep Bruxism for Sleep Medicine Clinicians

The occlusal splint therapy

Contact Info

Product

Resources

About