A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism

INTRODUCTION: Sleep bruxism (SB) is a stereotypical movement disorder that is characterized by rhythmic masticatory muscle activity associated with tooth grinding and occasional jaw clenching. OBJECTIVES: The aim of this study was to determine the relief time for temporomandibular disorders (TMD), c...

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Main Authors: Lilian Christyane Giannasi, Raquel Pastréllo Hirata, Fabiano Politti, Sergio Roberto Nacif, Fernando Sérgio Studart Leitão Filho, Luis Vicente Franco de Oliveira
Format: Article
Language:English
Published: Editora Champagnat
Series:Fisioterapia em Movimento
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502012000100017&lng=en&tlng=en
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author Lilian Christyane Giannasi
Raquel Pastréllo Hirata
Fabiano Politti
Sergio Roberto Nacif
Fernando Sérgio Studart Leitão Filho
Luis Vicente Franco de Oliveira
author_facet Lilian Christyane Giannasi
Raquel Pastréllo Hirata
Fabiano Politti
Sergio Roberto Nacif
Fernando Sérgio Studart Leitão Filho
Luis Vicente Franco de Oliveira
author_sort Lilian Christyane Giannasi
collection DOAJ
description INTRODUCTION: Sleep bruxism (SB) is a stereotypical movement disorder that is characterized by rhythmic masticatory muscle activity associated with tooth grinding and occasional jaw clenching. OBJECTIVES: The aim of this study was to determine the relief time for temporomandibular disorders (TMD), cervical and otological signs and symptoms in patients with BS treated with occlusal splints (OS) for a period of 180 days. MATERIALS AND METHODS: Thirty patients, between ages 22 and 53 years old, presenting SB and TMD, including cervical and otological symptoms, were enrolled in this study. The patient’s treatment protocol consisted of using the OS applying a novel adjustment protocol. The total follow-up period was 180 days. The paired Student t-test was used to compare before and after long-term OS treatment. RESULTS: For all variables, the results were statistically significant (p < 0.001). As to the TMD symptoms, in most patients the relief of pain in masseter, temporalis, cervical and TMDs occurred in the 3rd month. Twenty percent of the patients were aware of clenching teeth while awake and reported that this parafunction decreased by the end of 6 months, and 90% reported an improvement in sleep quality as well. CONCLUSION: The use of an OS with a novel adjustment protocol was an effective treatment for TMD sign and symptoms in patients with SB.
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spelling doaj.art-4937636a093a455f8e79a8bba9341d702022-12-22T01:39:09ZengEditora ChampagnatFisioterapia em Movimento1980-591825117518110.1590/S0103-51502012000100017S0103-51502012000100017A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxismLilian Christyane Giannasi0Raquel Pastréllo Hirata1Fabiano Politti2Sergio Roberto Nacif3Fernando Sérgio Studart Leitão Filho4Luis Vicente Franco de Oliveira5Universidade Estadual PaulistaUniversidade Nove de JulhoUniversidade Nove de JulhoUniversidade Nove de JulhoUniversidade Nove de JulhoUniversidade Nove de JulhoINTRODUCTION: Sleep bruxism (SB) is a stereotypical movement disorder that is characterized by rhythmic masticatory muscle activity associated with tooth grinding and occasional jaw clenching. OBJECTIVES: The aim of this study was to determine the relief time for temporomandibular disorders (TMD), cervical and otological signs and symptoms in patients with BS treated with occlusal splints (OS) for a period of 180 days. MATERIALS AND METHODS: Thirty patients, between ages 22 and 53 years old, presenting SB and TMD, including cervical and otological symptoms, were enrolled in this study. The patient’s treatment protocol consisted of using the OS applying a novel adjustment protocol. The total follow-up period was 180 days. The paired Student t-test was used to compare before and after long-term OS treatment. RESULTS: For all variables, the results were statistically significant (p < 0.001). As to the TMD symptoms, in most patients the relief of pain in masseter, temporalis, cervical and TMDs occurred in the 3rd month. Twenty percent of the patients were aware of clenching teeth while awake and reported that this parafunction decreased by the end of 6 months, and 90% reported an improvement in sleep quality as well. CONCLUSION: The use of an OS with a novel adjustment protocol was an effective treatment for TMD sign and symptoms in patients with SB.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502012000100017&lng=en&tlng=enSleep bruxismTemporomandibular disordersOcclusal splintsPain
spellingShingle Lilian Christyane Giannasi
Raquel Pastréllo Hirata
Fabiano Politti
Sergio Roberto Nacif
Fernando Sérgio Studart Leitão Filho
Luis Vicente Franco de Oliveira
A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism
Fisioterapia em Movimento
Sleep bruxism
Temporomandibular disorders
Occlusal splints
Pain
title A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism
title_full A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism
title_fullStr A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism
title_full_unstemmed A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism
title_short A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism
title_sort novel protocol for occlusal splint adjustment to treat tmd in sleep bruxism
topic Sleep bruxism
Temporomandibular disorders
Occlusal splints
Pain
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502012000100017&lng=en&tlng=en
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