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Treatment of Sleep Bruxism

Paloma María Blasco-Bonora, Aitor Martín-Pintado-Zugasti
OBJECTIVES: To investigate the effects of deep dry needling (DN) of myofascial trigger points (MTrPs) of the masseter and temporalis on pain, pressure pain threshold (PPT), pain-free maximal jaw opening and temporomandibular disorder (TMD)-related disability in patients with sleep bruxism (SB) and myofascial TMD. METHODS: Seventeen subjects (11 women, 6 men) aged 39±13 years (range 23-66) diagnosed with SB and myofascial TMD were invited to participate in this prospective case series study...
October 3, 2016: Acupuncture in Medicine: Journal of the British Medical Acupuncture Society
Marcin Berger, Leszek Szalewski, Jacek Szkutnik, Michał Ginszt, Apolinary Ginszt
INTRODUCTION: A growing body of evidence suggests that bruxism exists in two separate manifestations. However, little is known about the association between specific manifestations of bruxism and temporomandibular disorder (TMD) pain. AIM: The aim of our study was to analyze the association between TMD pain and specific diagnoses of bruxism (sleep, awake, and mixed diagnosis of sleep and awake bruxism). MATERIAL AND METHODS: 508 adult patients (296 women and 212 men), aged between 18 and 64 years (mean age 34±12 years), attending to a clinic for general dental treatment...
September 16, 2016: Neurologia i Neurochirurgia Polska
Se-Hyung Kim
Here, the author presents a case of bruxism-induced otalgia in a 29-year-old female patient. The pain was sharp and penetrating in character. It was usually worse in the morning and frequently radiated to the right temporal area. She had received unsuccessful medical treatments for migraine headache. The otoendoscopic examination revealed a normal tympanic membrane. A thorough inspection of her teeth revealed excessive wear on the incisal edges, and the cause of her otalgia was identified as bruxism-related temporomandibular joint disorder...
September 2016: Journal of Audiology & Otology
G H Oporto, T Bornhardt, V Iturriaga, L A Salazar
Bruxism (BRX) is a condition of great interest for researchers and clinicians in dental and medical areas. BRX has two circadian manifestations; it can occur during sleep (sleep bruxism, SB) or during wakefulness (awake bruxism, WB). However, it can be suffered together. Recent investigations suggest that central nervous system neurotransmitters and their genes could be involved in the genesis of BRX. Serotonin is responsible for the circadian rhythm, maintaining arousal, regulating stress response, muscle tone and breathing...
November 2016: Journal of Oral Rehabilitation
H Ohmure, K Kanematsu-Hashimoto, K Nagayama, H Taguchi, A Ido, K Tominaga, T Arakawa, S Miyawaki
Bruxism is a repetitive jaw-muscle activity characterized by clenching or grinding of the teeth and/or bracing or thrusting of the mandible. Recent advances have clarified the relationship between gastroesophageal reflux and sleep bruxism (SB). However, the influence of pharmacological elimination of gastric acid secretion on SB has not been confirmed. The authors aimed to assess the efficacy of a proton pump inhibitor (PPI) on SB and to examine the gastrointestinal (GI) symptoms and endoscopic findings of the upper GI tract in SB patients...
July 29, 2016: Journal of Dental Research
Birgitta Johansson Cahlin, Jan Hedner, Lars Dahlström
Sleep bruxism bears several similarities to restless legs syndrome, and a link to changes in central dopamine activity has been considered in both conditions. The dopamine agonist pramipexole is currently indicated for the symptomatic treatment of restless legs. The effect of pramipexole on sleep bruxism was investigated in subjects with 'probable bruxism' recruited at the Orofacial Pain Clinic. Thirteen patients underwent polysomnographic recordings, including bilateral masseter electromyographic activity...
July 17, 2016: Journal of Sleep Research
Nehal Solanki, Balendra Pratap Singh, Pooran Chand, Ramashankar Siddharth, Deeksha Arya, Lakshya Kumar, Suryakant Tripathi, Hemant Jivanani, Abhishek Dubey
STATEMENT OF PROBLEM: The use of mandibular advancement devices (MADs) in the treatment of sleep bruxism is gaining widespread importance. However, the effects of MADs on sleep bruxism scores, sleep quality, and occlusal force are not clear. PURPOSE: The purpose of this clinical study was to analyze the effect of MADs on sleep bruxism scores, sleep quality, and occlusal force. MATERIAL AND METHODS: This uncontrolled before and after study enrolled 30 participants with sleep bruxism...
July 13, 2016: Journal of Prosthetic Dentistry
Rukiye Çolak Sivri, Ömer Faruk Akça
No abstract text is available yet for this article.
June 17, 2016: Journal of Child and Adolescent Psychopharmacology
K G Raphael, V Santiago, F Lobbezoo
Inspired by the international consensus on defining and grading of bruxism (Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ et al. J Oral Rehabil. 2013;40:2), this commentary examines its contribution and underlying assumptions for defining sleep bruxism (SB). The consensus' parsimonious redefinition of bruxism as a behaviour is an advance, but we explore an implied question: might SB be more than behaviour? Behaviours do not inherently require clinical treatment, making the consensus-proposed 'diagnostic grading system' inappropriate...
October 2016: Journal of Oral Rehabilitation
Luisa Maria Faria Tavares, Leonora Cristina da Silva Parente Macedo, Cristina Maria Rabelais Duarte, Gilberto Senechal de Goffredo Filho, Ricardo de Souza Tesch
AIMS: The aim of this study was to assess the relationship between levels of anxiety symptoms and prevalence of self-report of awake and sleep bruxism in patients with temporomandibular disorders (TMD). METHOD: One hundred and eighty-one female patients, aged 19-77 years, were consecutively evaluated. The patients were selected from among those who sought treatment at the TMD and Orofacial Pain Outpatient Clinic of the Petrópolis School of Medicine. All patients completed the questionnaire and underwent clinical examination, both components of the RDC/TMD, in addition to answering questions pertaining to the assessment of levels of anxiety symptoms, taken from the Symptom Check List 90 self-report instrument...
April 20, 2016: Cranio: the Journal of Craniomandibular Practice
Bruno Ella, Imad Ghorayeb, Pierre Burbaud, Dominique Guehl
Bruxism is an abnormal repetitive movement disorder characterized by jaw clenching and tooth gnashing or grinding. It is classified into two overlapping types: awake bruxism (AB) and sleep bruxism (SB). Theories on factors causing bruxism are a matter of controversy, but a line of evidence suggests that it may to some extent be linked to basal ganglia dysfunction although so far, this topic has received little attention. The purpose of this article was to review cases of bruxism reported in various movement disorders...
April 14, 2016: Journal of Prosthodontics: Official Journal of the American College of Prosthodontists
Judith V Enguelberg-Gabbay, Lior Schapir, Yair Israeli, Haggai Hermesh, Abraham Weizman, Ephraim Winocur
There is little information on bruxism related to illicit drug use. Prolonged drug use may damage the stomatognathic system via oral motor overactivity. The aim of the present study was to compare the rates of bruxism and temporomandibular disorders (TMDs) between prisoners with and without drug-use disorders, to evaluate the association between methadone treatment and bruxism and to assess the possible relationship between bruxism and pain. The sample included 152 male prisoners, 69 of whom were drug users maintained on methadone...
June 2016: European Journal of Oral Sciences
Wei-Na Zhou, Hai-Yang Fu, Yi-Fei Du, Jian-Hua Sun, Jing-Lu Zhang, Chen Wang, Peter Svensson, Ke-Lun Wang
The purpose of this study was to investigate the effects of repetitive transcranial magnetic stimulation (rTMS) on patients with sleep bruxism (SB). Twelve patients with SB were included in an open, single-intervention pilot study. rTMS at 1 Hz and an intensity of 80% of the active motor threshold was applied to the 'hot spot' of the masseter muscle representation at the primary motor cortex bilaterally for 20 min per side each day for 5 consecutive days. The jaw-closing muscle electromyographic (EMG) activity during sleep was recorded with a portable EMG recorder at baseline, during rTMS treatment and at follow-up for 5 days...
March 2016: International Journal of Oral Science
Bruno Ramos Chrcanovic, Jenö Kisch, Tomas Albrektsson, Ann Wennerberg
OBJECTIVES: To analyze the complications of dental implant treatment in a group of patients with bruxism in comparison with a matched group of non-bruxers. MATERIAL AND METHODS: Patients being diagnosed as bruxers were identified within a group of patients consecutively treated with implant-supported prostheses at one specialist clinic, based on the most recent listed sign and symptoms of bruxism according to the International Classification of Sleep Disorders. A diagnostic grading system of "possible," "probable," and "definite" sleep or awake bruxism was used, according to a recent published international consensus...
March 23, 2016: Clinical Oral Implants Research
Marc Guaita, Birgit Högl
Despite numerous case reports, the evidence for treatment of bruxism is still low. Different treatment modalities (behavioral techniques, intraoral devices, medications, and contingent electrical stimulation) have been applied. A clinical evaluation is needed to differentiate between awake bruxism and sleep bruxism and rule out any medical disorder or medication that could be behind its appearance (secondary bruxism). A polysomnography is required only in a few cases of sleep bruxism, mostly when sleep comorbidities are present...
February 2016: Current Treatment Options in Neurology
Nezir Ozgun, Fatma Mujgan Sonmez, Murat Topbas, Gamze Can, Zeynep Goker
BACKGROUND: Insomnia and parasomnia are the most commonly seen sleep disorders in childhood. The aim of this study was determination of the prevalence of insomnia and parasomnia among school children in a metropolitan area (Trabzon) of Turkey. This is the first study in Turkey regarding this topic that includes a large child population. METHODS: An 84-item questionnaire was administered to 5200 school children from different socioeconomic levels in 10 primary and 10 secondary schools...
February 19, 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
Yi-Lung Chen, Susan Shur-Fen Gau
Although the literature has documented associations between sleep problems and internet addiction, the temporal direction of these relationships has not been established. The purpose of this study is to evaluate the bidirectional relationships between sleep problems and internet addiction among children and adolescents longitudinally. A four-wave longitudinal study was conducted with 1253 children and adolescents in grades 3, 5 and 8 from March 2013 to January 2014. The sleep problems of the student participants were measured by parental reports on the Sleep Habit Questionnaire, which catalogues early insomnia, middle insomnia, disturbed circadian rhythm, periodic leg movements, sleep terrors, sleepwalking, sleep talking, nightmares, bruxism, snoring and sleep apnoea...
August 2016: Journal of Sleep Research
Eduardo E Castrillon, Keng-Liang Ou, Kelun Wang, Jinglu Zhang, Xinwen Zhou, Peter Svensson
Objective To provide an update on what is known about bruxism and some of the major clinical highlights derived from new insights into this old problem in dentistry. Materials and methods A selective, non-systematic but critical review of the available scientific literature was performed. Results There are two main different types of bruxism, which are related to different circadian periods (sleep and awake bruxism) that may differ in terms of pathophysiology, but they share some common signs and symptoms. Approximately one out of 10 adult individuals may suffer from bruxism, but not all bruxers may need treatment...
July 2016: Acta Odontologica Scandinavica
Cid Andre Fidelis de Paula Gomes, Yasmin El-Hage, Ana Paula Amaral, Carolina Marciela Herpich, Fabiano Politti, Sandra Kalil-Bussadori, Tabajara de Oliveira Gonzalez, Daniela Aparecida Biasotto-Gonzalez
PURPOSE: The aim of the present study was to investigate the effects of massage therapy on the masticatory muscles and occlusal splint usage on quality of life and pain in individuals with sleep bruxism. METHOD: A randomized, controlled, blinded, clinical trial was conducted involving 78 volunteers aged 18 to 40 years with sleep bruxism. Quality of life and pain assessments were performed. RESULTS: Significant differences (p < 0.05) were found on the physical functioning, general health state, vitality, role emotional and mental health subscales...
2015: Journal of the Japanese Physical Therapy Association
Paul Saulue, Maria-Clotilde Carra, Jean-François Laluque, Emmanuel d'Incau
Screening for the various forms of bruxism in children and adolescents requires a sound knowledge of the physiopathology of this parafunction in addition to the etiologic and associated factors and comorbidities. The international literature contains various suggestions for suitable treatment. The optimal therapeutic approach often involves multidisciplinary management of these young patients. Sleep bruxism (SB) is a common sleep disorder which can cause serious problems to the stomatognathic system such as damaged teeth, headaches, muscle pain and TMD...
December 2015: International Orthodontics
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