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...
Main Authors: | , , , , , |
---|---|
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 |
_version_ | 1828430425422299136 |
---|---|
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. |
first_indexed | 2024-12-10T17:48:23Z |
format | Article |
id | doaj.art-4937636a093a455f8e79a8bba9341d70 |
institution | Directory Open Access Journal |
issn | 1980-5918 |
language | English |
last_indexed | 2024-12-10T17:48:23Z |
publisher | Editora Champagnat |
record_format | Article |
series | Fisioterapia em Movimento |
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 |
work_keys_str_mv | AT lilianchristyanegiannasi anovelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT raquelpastrellohirata anovelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT fabianopolitti anovelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT sergiorobertonacif anovelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT fernandosergiostudartleitaofilho anovelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT luisvicentefrancodeoliveira anovelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT lilianchristyanegiannasi novelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT raquelpastrellohirata novelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT fabianopolitti novelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT sergiorobertonacif novelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT fernandosergiostudartleitaofilho novelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism AT luisvicentefrancodeoliveira novelprotocolforocclusalsplintadjustmenttotreattmdinsleepbruxism |