Use of a portable electromyogram integrator and biofeedback unit in the treatment of chronic nocturnal bruxism

Hudzinski, Leonard G.; Walters, Paul J.

doi:10.1016/0022-3913(87)90422-7

Cited by 15 publications

(9 citation statements)

References 14 publications

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“…Similar findings, with longer evaluation periods of up to three months, were reported by Clark et al. (95) and Hudzinski and Walters (96). Pierce and Gale (97) also found positive effects of nocturnal biofeedback (viz.…”

supporting

confidence: 90%

Principles for the management of bruxism*

Lobbezoo

Zaag

Selms

et al. 2008

J of Oral Rehabilitation

240

202

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Summary The management of bruxism has been the subject of a large number of studies. A PubMed search, using relevant MeSH terms, yielded a total of 177 papers that were published over the past 40 years. Of these papers, 135 were used for the present review. Apparently, research into bruxism management is sensitive to fashion. Interest in studying the role of occlusal interventions and oral splints in the treatment of bruxism remained more or less constant over the years: between 1966 and 2007, approximately 40–60% of the papers dealt with this subject. The percentage of papers that dealt with behavioural approaches, on the other hand, declined from >60% in the first 2 decades (1966–1986) to only slightly >10% in the most recent decade (1997–2007). In the latter period, >40% of the papers studied the role of various medicines in the treatment of bruxism, while in the preceding decade (1987–1996), only approximately 5% of the studies dealt with the pharmacological management of bruxism. Unfortunately, a vast majority of the 135 papers have a too low level of evidence. Only 13% of the studies used a randomized clinical trial design, and even these trials do not yet provide clinicians with strong, evidence‐based recommendations for the treatment of bruxism. Hence, there is a vast need for well‐designed studies. Clinicians should be aware of this striking paucity of evidence regarding management of bruxism.

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supporting

confidence: 90%

Principles for the management of bruxism*

Lobbezoo

Zaag

Selms

et al. 2008

J of Oral Rehabilitation

240

202

View full text Add to dashboard Cite

show abstract

“…In this study, the assumed hypothesis was that bruxists display higher muscle activity than do normal subjects ( Rutrick, 1970; Hudzinski & Walters, 1987; Kampe et al , 1997 ), especially during rest or in an unstressed position. Sheikholeslam, Moller & Lous (1982) reported that patients with oro‐facial pain and functional disorders show higher postural muscle activity than do normal subjects, when measured by EMG.…”

Section: Discussionmentioning

confidence: 99%

“…Bruxism has been defined as the habitual grinding, clenching ( Nadler, 1970; Rutrick, 1970; Glaros & Rao, 1977; Bowley, Stockstill & Pierre, 1993; Lavigne, Rompre & Montplaisir, 1996; Kampe et al , 1997 ), gritting, clicking and gnashing of the teeth ( Hudzinski & Walters, 1987), during the day and/or night for non‐functional purposes. It occurs in practically all age groups and can be a habit carried throughout life, that is to say prior to the eruption of teeth, during the natural dentition period and through the artificial denture period ( Nadler, 1970).…”

Section: Introductionmentioning

confidence: 99%

A clinical diagnosis of diurnal (non‐sleep) bruxism in denture wearers

Piquero

Sakurai

2000

J of Oral Rehabilitation

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The purpose of this study was to establish a clinical method for diagnosing diurnal bruxism in denture wearers by recording masseter and anterior temporal electromyograph (EMG) activity. Seven suspected bruxists and five normal patients who wore complete dentures and/or distal extension base removable partial dentures were selected for participation. EMG activity in both the masseter and the anterior temporal muscles was recorded bilaterally during silent reading (10 min), maximal voluntary clenching (MVC), tapping in centric occlusion, lateral movements, chewing and swallowing. No significant differences of EMG activity were found between the groups during tapping, lateral movement, chewing and swallowing (P> 0.05). However, during 10 min of silent reading, a significant difference was found between the groups when comparing masseter muscle activity (P < 0.05). A threshold of 10% of MVC of at least 3-s duration was used to define an individual bruxism event. When the muscle activity recorded during silent reading was further analysed using these criteria, the control group displayed no bruxing activity while the suspected bruxist group displayed a mean frequency of six bruxism events (range 2-10). It was concluded that: (a) masseter muscle activity recorded during 10 min of silent reading showed significant difference between the groups; (b) the criteria selected in this study for the detection of sleep bruxism can also be used to assess diurnal bruxism; and (c) it is possible to diagnose diurnal bruxism in denture wearers by measuring the masseter EMG activity during 10 min of silent reading.

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“…94]; a possible explanation for this could lie in the short duration of therapy (1-2 weeks). In fact, when biofeedback therapy has a longer dura tion (2 months), improvement seems to be more lasting, and even better results can be obtained by gradually discontinuing the treat ment for an additional period of 1 month [107], It should be remarked that standard dental treatment and psychotherapy are not mu tually exclusive. They can successfully be as sociated in the same patient.…”

Section: Bruxismmentioning

confidence: 99%

Temporomandibular Joint Pain-Dysfunction Syndrome and Bruxism: Etiopathogenesis and Treatment from a Psychosomatic Integrative Viewpoint

Biondi¹,

Picardi²

1993

Psychother Psychosom

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It is common opinion that temporomandibular joint pain-dysfunction (TMJPD) syndrome and bruxism have a major psychosomatic component. In this paper, we try to review these entities in an integrated manner, taking into account both medical and psychological aspects. Two etiological models have been developed: the structural model emphasizes the role played by malocclusion or alterations of the maxillomandibular relationship, while the functional model underscores the role of stress, emotional tension, and personality characteristics. In TMJPD and bruxist patients a careful physical and psychological examination has to be performed. The classical dental treatment is based on equilibration procedures, prostheses and drugs. Treatment strategy can also be based on psychotherapeutic and relaxation treatments; in this respect, the use of EMG biofeedback training has been subjected to intense study.

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Use of a portable electromyogram integrator and biofeedback unit in the treatment of chronic nocturnal bruxism

Cited by 15 publications

References 14 publications

Principles for the management of bruxism*

Principles for the management of bruxism*

A clinical diagnosis of diurnal (non‐sleep) bruxism in denture wearers

Temporomandibular Joint Pain-Dysfunction Syndrome and Bruxism: Etiopathogenesis and Treatment from a Psychosomatic Integrative Viewpoint

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