Occlusal splints for treating sleep bruxism (tooth grinding)

Macedo, Cristiane R; Silva, Ademir B; Machado, Marco Antônio Cardoso; Saconato, Humberto; Prado, Gilmar Fernandes do

doi:10.1002/14651858.cd005514.pub2

Cited by 88 publications

(63 citation statements)

References 36 publications

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“…Class III treatment [37,38] treatment of transverse problems [39][40][41][42] incisor intrusion [43] external apical root resorption [44] dental anomalies [45][46][47] frequency of occlusal problems [48] nickel hypersensitivity [49] orthodontics and temporomandibular disorders [50,51] obstructive sleep apnea [52,53] oral hygiene [54] dentition analysis [55,56] cephalometric analysis [57] and orthodontic education [58] …”

Section: Resultsmentioning

confidence: 99%

“…Despite the extreme heterogeneity of the data of the primary studies, the following issues weaken even more the results of this investigation: (a) Only one electronic database was investigated. Macedo et al [51] performed a MA to evaluate the effectiveness of occlusal splints for the treatment of sleep bruxism with alternative interventions, placebo or no treatment. Among the 32 potentially relevant clinical trials initially identified, only 5 RCTs satisfied the inclusion criteria and were selected for further analysis.…”

Section: Orthodontics and Temporomandibular Disordersmentioning

confidence: 99%

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Meta-Analyses and Orthodontic Evidence-Based Clinical Practice in the 21st Century~!2009-09-21~!2009-10-05~!2010-07-16~!

Papadopoulos¹

2010

TODENTJ

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Abstract:Introduction: Aim of this systematic review was to assess the orthodontic related issues which currently provide the best evidence as documented by meta-analyses, by critically evaluating and discussing the methodology used in these studies. Material and Methods:Several electronic databases were searched and handsearching was also performed in order to identify the corresponding meta-analyses investigating orthodontic related subjects. In total, 197 studies were retrieved initially. After applying specific inclusion and exclusion criteria, 27 articles were identified as meta-analyses treating orthodontic-related subjects.Results: Many of these 27 papers presented sufficient quality and followed appropriate meta-analytic approaches to quantitatively synthesize data and presented adequately supported evidence. However, the methodology used in some of them presented weaknesses, limitations or deficiencies. Consequently, the topics in orthodontics which currently provide the best evidence, include some issues related to Class II or Class III treatment, treatment of transverse problems, external apical root resorption, dental anomalies, such as congenital missing teeth and tooth transposition, frequency of severe occlusal problems, nickel hypersensitivity, obstructive sleep apnea syndrome, and computer-assisted learning in orthodontic education. Conclusions:Only a few orthodontic related issues have been so far investigated by means of MAs. In addition, for some of these issues investigated in the corresponding MAs no definite conclusions could be drawn, due to significant methodological deficiencies of these studies. According to this investigation, it can be concluded that at the begin of the 21 st century there is evidence for only a few orthodontic related issues as documented by meta-analyses, and more well-conducted high quality research studies are needed to produce strong evidence in order to support evidence-based clinical practice in orthodontics.

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Section: Resultsmentioning

confidence: 99%

Section: Orthodontics and Temporomandibular Disordersmentioning

confidence: 99%

Meta-Analyses and Orthodontic Evidence-Based Clinical Practice in the 21st Century~!2009-09-21~!2009-10-05~!2010-07-16~!

Papadopoulos¹

2010

TODENTJ

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“…37 Splintlerin bruksizmi tedavi edip etmediğine dair farklı bilgiler mevcuttur. 18,38,39 Splint kullanımı bruksizmle meydana gelen diş aşınmalarını azaltmada etkilidir. 38,40 Stabilizasyon splintlerinin aralıklı kullanımı uyku bruksizmini sürekli kullanıma kıyasla daha uzun süreli olarak azaltmaktadır.…”

Section: Posteri̇or Isirma Plağiunclassified

Splint Therapy in Temporomandibular Joint Disorders: Review

Türker¹,

Büyükkaplan²

2017

Turkiye Klinikleri J Dental Sci

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Ö ÖZ ZE ET T Toplumda yüksek oranda gözlemlenen temporomandibuler eklem (TME) rahatsızlıkları çene, boyun ve baş ağrıları, eklem sesleri gibi pek çok semptomla bireylerin yaşam kalitesini düşürmek-tedir. Bu rahatsızlıklar tedavi edilmediği takdirde ilerlemekte ve TME'de kalıcı hasara sebep olabilmektedir. TME rahatsızlıkları için pek çok tedavi yöntemi bildirilmiştir. Bu tedavi yöntemleri geri dönüşümlü (noninvaziv) ve geri dönüşümsüz (invaziv) tedaviler olmak üzere ikiye ayrılmıştır. Geri dönüşümlü tedaviler arasında bilgilendirme yöntemi, fizik tedavi yöntemleri, farmakolojik tedavi, psikiyatrik destek tedavisi ve oklüzal splint tedavileri yer alır iken; geri dönüşümsüz tedaviler oklüzal uyumlama ve cerrahi girişimleri içermektedir. TME rahatsızlıklarında geri dönüşümsüz tedavilerden önce daha konservatif yöntemler olan geri dönüşümlü tedaviler denenmesi temel prensiptir. Tavsiye edilen tedavi yöntemlerinin etkinliklerini araştırmak amacıyla pek çok çalışma yapılmıştır. Bununla birlikte, tedavi etmede ya da semptomları azaltmada hangi tedavi yönteminin ya da hangi splint tipinin daha etkin olduğuna dair kesin bir kanıt mevcut değildir. Etki mekanizmaları ve tedavi başarıları tartışmalı olmasına rağmen, TME rahatsızlıkları tedavisinde en çok kullanılan yöntem oklüzal splint tedavisidir. Diş hekimliğinde her biri farklı özel durumlar için olmak üzere birçok oklüzal splint kullanılmaktadır. Splint endikasyonları TME inflamasyonu, eklem içi dü-zensizlik, cerrahi sonrası tedavi, hipertonik yüz kasları, diş sıkma ve gıcırdatma olarak belirtilmektedir. Bu çalışmada, oklüzal splint çeşitleri ele alınmış ve güncel literatür bilgisine dayanılarak TME rahatsızlıklarının tedavisinde kullanılan geri dönüşümlü yöntemlerin etkinliklerinin değer-lendirilmesi amaçlanmıştır.A An na ah ht ta ar r K Ke el li im me el le er r: : Temporomandibuler eklem bozuklukları; oklüzal splintler A AB BS ST TR RA AC CT T Temporomandibular joint (TMJ) disorders are highly prevalent in the community and reduces the quality of life with many symptoms such as jaw and neck pain, headache and joint sounds. These disorders progress when they are not treated and may cause permanent damage to the TMJ. Many treatment modalities have been reported for TMJ disorders. These treatment methods are divided into two as non-invasive treatments and invasive treatments. Non-invasive treatments include informative methods, physical therapy, pharmacological treatment, psychiatric support therapy and occlusal splint therapies and invasive treatments include occlusal adjustment and surgical interventions. Non-invasive treatments, which are more conservative methods should be employed before invasive treatments for TMJ disorders. Many studies have been conducted to investigate the effectiveness of recommended treatment modalities. However, there is no definitive evidence of which treatment method or splint type is more effective in treating or reducing symptoms. Although the mechanisms of influence and treatment success are controversial, the most common method of tre...

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“…Tooth clenching or grinding during sleep can result in abnormal wear patterns of the occlusal surface, fractures in teeth, morning headaches and facial muscle pain [4]. The most common management of bruxism is based on minimizing the abrasion of tooth surfaces by the wearing of a bite-guard, or splint in the mouth [5,6]. Currently, there is no definitive method for assessing bruxism clinically that has reasonable diagnostic and technical validity.…”

Section: Bruxismmentioning

confidence: 99%

Development of wireless bruxism monitoring device based on pressure-sensitive polymer composite

Kim

McAuliffe

O’Connell

et al. 2010

Sensors and Actuators A: Physical

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A wireless pressure sensing bite guard has been developed for monitoring the progress of bruxism (teeth grinding during sleep); as well as protecting the teeth from damages. For sensing the pressure effectively in the restricted space and hostile environment, a pressure sensitive polymer composite has been fabricated and encapsulated into a conventional bite guard which is safe for in-situ applications. The device is anticipated to give real-time data through wireless data transmission and to have a long working life (weeks). A microcontroller-based electronic circuit has been built in-house for data collection and transmission. A low power approach is configured to increase the working life of the device. This device is a useful tool for understanding and treating bruxism.

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Occlusal splints for treating sleep bruxism (tooth grinding)

Cited by 88 publications

References 36 publications

Meta-Analyses and Orthodontic Evidence-Based Clinical Practice in the 21st Century~!2009-09-21~!2009-10-05~!2010-07-16~!

Meta-Analyses and Orthodontic Evidence-Based Clinical Practice in the 21st Century~!2009-09-21~!2009-10-05~!2010-07-16~!

Splint Therapy in Temporomandibular Joint Disorders: Review

Development of wireless bruxism monitoring device based on pressure-sensitive polymer composite

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