Temporomandibular disorders in patients with polysomnographic diagnosis of sleep bruxism: a case–control study

Sinclair, Andrea L.; Więckiewicz, Mieszko; Ettlin, Dominik A; Júnior, Raimundo Carlos Silvério Freire; Guimarães, Antônio Sérgio Alfredo; Gomes, Miguel; Cruz, Miguel Meira e

doi:10.1007/s11325-021-02449-2

Cited by 14 publications

(14 citation statements)

References 52 publications

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“…The current study's findings demonstrated that subjects with <5 years of practice experience were not treating subjects with TMDs, which can be attributed to their insufficient skills and knowledge of the treatment of TMDs compared to practitioners with more experience. These results were consistent with the studies of (SAJJANAR et al 2021) and (Sinclair et al 2022), where the authors reported that required efforts are not put in by the practitioners newer in practice to assess the etiology of TMDs and to diagnose TMDs; they rather decide to not treat the subject and refer them to a higher center or to the specialist that could treat TMDs. However, practitioners with more experience, as in the present study, of 5-10 years or >10 years, owing to more encounters of practitioners with TMDs, require clinicians to treat subjects with TMDs and increase their attendance in CDEs focused on TMDs, increasing their confidence and knowledge in treating subjects with TMDs.…”

Section: Discussionsupporting

confidence: 90%

Use of occlusal splint in subjects with TMJ disorders by general dental practitioners in Indian scenario

Verma,

Garg,

Malathi

2023

Multidiscip. Sci. J.

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Temporomandibular disorders (TMDs) constitute a global health concern, giving rise to both physical and financial burdens, as evidenced by symptoms and indications indicative of masticatory muscle imbalances. These symptoms encompass manifestations associated with disorders of the masticatory muscles. Scant literature exists regarding the utilization of occlusal splints by general dentists for addressing TMDs within the Indian context. Employing a cross-sectional questionnaire survey, the present study aimed to evaluate the application of occlusal splints in the treatment of temporomandibular issues by Indian dental practitioners. The inquiry involved the administration of a questionnaire designed to investigate the diagnosis, management, and treatment of TMDs by general dentists in India. Responses to the survey questions, provided by 314 general dental practitioners, were subjected to assessment and analysis through statistical methodologies. For practitioners with less than five years of experience, 77.63% (n=118) of participants reported no attendance at Certified Diabetes Educator (CDE) programs, whereas 14.47% (n=22) attended a single CDE session, and 7.89% (n=12) attended multiple CDE sessions related to TMDs. Among those practicing for five to ten years, 57.77% (n=52) did not participate in any TMD-related CDE programs, while 24.4% (n=22) attended one, and 17.7% (n=16) attended more than one. Among practitioners with over ten years of experience, 34.48% (n=20) did not attend any CDE, 24.13% (n=14) attended one, and 37.93% (n=22) attended multiple TMD-related CDE sessions. Diagnosis of TMDs was carried out by 64.33% (n=193) of participants using a combination of study models, imaging, patient history, and medical history. Among a total of 300 subjects, 64.6% (n=194) of participants responded affirmatively to the treatment of patients with TMDs. Hinge and mean value articulators were utilized in conjunction with soft materials for the fabrication of occlusal splints. The survey results suggest a paucity of knowledge among general dental practitioners regarding the application of occlusal splints in the treatment of TMDs.

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Section: Discussionsupporting

confidence: 90%

Use of occlusal splint in subjects with TMJ disorders by general dental practitioners in Indian scenario

Verma,

Garg,

Malathi

2023

Multidiscip. Sci. J.

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“…One might possibly suspect the amount of subjects with painful TMD in the SB group. However, in comparison with previous studies, reporting a frequency of painful TMD in individuals diagnosed to have SB of 46.4% or more 19 , 21 , the proportion in the present study appears comparatively low and approximately within the range that was found in the general population 24 . Psychological aspects, such as psychological load, are further possible factors, which may have altered the general pain tolerance.…”

Section: Discussioncontrasting

confidence: 76%

“…In doing so, authors aimed for collecting a more naturalistic sample. As known from the literature 19 , 21 , SB samples included a mean percentage of approximately 50% with a TMD diagnosis. On the second appointment, another trained dentist, blinded to the SB diagnosis, performed the pain-inducing procedures to rule out investigator bias.…”

Section: Methodsmentioning

confidence: 99%

Effects on general pain perception and dental pulp sensibility in probable sleep bruxism subjects by experimentally induced pain in a pilot study

Ommerborn

Özbek

Grunwald

et al. 2023

Sci Rep

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In this pilot study, the general pain perception and the dental pulp sensibility of probable sleep bruxism (SB) subjects were compared with that of non-SB subjects. The cold pressor test (CPT), electric pulp test (EPT), and thermal pulp test with CO2 snow were executed by one trained dentist (blind to SB diagnosis). A one-factorial multivariate analysis of variance (MANOVA) with SB diagnosis as independent variable and standardized measures regarding pain perception and evaluation was performed. One-hundred-and-five participants (53 SB and 52 non-SB subjects) were included. The one-factorial MANOVA revealed a significant difference between SB and non-SB subjects (p = 0.01) concerning pain perception variables. Post-hoc univariate analyses of variance (ANOVA) showed statistically significant lower general pain tolerance (p = 0.02), higher general subjective sensibility of the teeth (p < 0.01), and a statistical trend for higher subjective dental pain intensity (p = 0.07) in SB subjects. In most of the standardized variables, probable SB subjects seem to react and feel similar to non-SB subjects. However, as probable SB subjects subjectively perceive their teeth to be more sensitive and tend to rate their subjective dental pain intensity more intensely after CO2 testing, data might point to a somatosensory amplification.

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“…There were a total of 1,257 participants in six studies [ 30 - 35 ] that examined the effects of bruxism on TMD. Two of the studies applied the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) [ 30 , 31 ], whereas three of the studies employed the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for the diagnosis of TMD [ 32 , 33 , 35 ]. Several studies examined the effect of bruxism on the TMJ using questionnaires [ 30 , 35 ], self-reports [ 31 , 34 ], and clinical examination results [ 30 , 31 , 33 , 34 ].…”

Section: Reviewmentioning

confidence: 99%

Relationship Between Occlusal Factors and Temporomandibular Disorders: A Systematic Literature Review

Lekaviciute,

Kriauciunas

2024

Cureus

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Temporomandibular disorders (TMD) originate from various components within the temporomandibular joint (TMJ), causing an impact on the masticatory muscles, the joint itself, and associated structures. They are a widely prevalent issue across the world. According to epidemiological research, up to 50% of adults in the population have TMD-related symptoms. The objective of this work was to analyze the existing scientific literature regarding the association between malocclusion classes, bruxism, and tooth loss in relation to the etiology of TMD. This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 analysis protocol. For the development of the question focus, the population, intervention, control, and outcomes (PICO) study design protocol was used. The question in focus according to the PICO format was: “Do malocclusion, tooth loss, and bruxism contribute to temporomandibular disorders?”. The review was performed with articles from PubMed, Web of Science, and Google Scholar databases according to the specified inclusion and exclusion criteria. The included articles were not older than five years. The risk of bias was assessed in the included studies by using the Cochrane Risk-of-bias 2 (RoB-2) tool. Out of a total of 32 results received, 21 articles were chosen according to the established criteria after conducting a review and analysis of their full texts. The article search sequence was presented in the PRISMA 2020 flow diagram, and the outcomes of the chosen articles were presented. The literature results revealed a relationship between occlusion and the development of TMD. The influence of occlusal factors on the TMJ was explained by an examination of joint anatomy and symptoms related to TMD. This study revealed variations in TMJ factors across different malocclusion classes. Additionally, it was observed that the occurrence and attributes of TMD are influenced by the number of tooth loss quadrants and the frequency of missing teeth. Furthermore, a correlation was found between bruxism and the symptoms of TMD, including myofascial pain, disc displacement, arthralgia, and muscle disorders. This literature review provides comprehensive information on the relationship between malocclusion classes, bruxism, tooth loss, and TMDs. This prompts healthcare professionals to prioritize patients’ occlusal assessment and TMJ condition.

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Temporomandibular disorders in patients with polysomnographic diagnosis of sleep bruxism: a case–control study

Cited by 14 publications

References 52 publications

Use of occlusal splint in subjects with TMJ disorders by general dental practitioners in Indian scenario

Use of occlusal splint in subjects with TMJ disorders by general dental practitioners in Indian scenario

Effects on general pain perception and dental pulp sensibility in probable sleep bruxism subjects by experimentally induced pain in a pilot study

Relationship Between Occlusal Factors and Temporomandibular Disorders: A Systematic Literature Review

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