Article

Effects of an occlusal splint compared with cognitive-behavioral treatment on sleep bruxism activity

Department of Operative and Preventive Dentistry and Endodontics, Faculty of Medicine Heinrich-Heine-University, Düsseldorf, Germany.
European Journal Of Oral Sciences (Impact Factor: 1.73). 03/2007; 115(1):7-14. DOI: 10.1111/j.1600-0722.2007.00417.x
Source: PubMed

ABSTRACT The impact of an occlusal splint (OS) compared with cognitive-behavioral treatment (CBT) on the management of sleep bruxism (SB) has been poorly investigated. The aim of this study was to evaluate the efficacy of an OS with CBT in SB patients. Following a randomized assignment, the OS group consisted of 29, and the CBT group of 28, SB patients. The CBT comprised problem-solving, progressive muscle relaxation, nocturnal biofeedback, and training of recreation and enjoyment. The treatment took place over a period of 12 wk, and the OS group received an OS over the same time period. Both groups were examined pretreatment, post-treatment, and at 6 months of follow-up for SB activity, self-assessment of SB activity and associated symptoms, psychological impairment, and individual stress-coping strategies. The analyses demonstrated a significant reduction in SB activity, self-assessment of SB activity, and psychological impairment, as well as an increase of positive stress-coping strategies in both groups. However, the effects were small and no group-specific differences were seen in any dependent variable. This is an initial attempt to compare CBT and OS in SB patients, and the data collected substantiate the need for further controlled evaluations, using a three-group randomized design with repeated measures to verify treatment effects.

0 Followers
 · 
101 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Bruxism is characterized by repeated tooth grinding or clenching. The condition can occur in all age ranges and in both genders, being related or not to other oral habits. The objective of the present study was to investigate the occurrence of bruxism in children with nasal obstruction and to determine its association with other factors. Sixty children with nasal obstruction seen at the Otorhinolaryngology Outpatient Clinic of the University Hospital of Ribeirão Preto participated in the study. The data were obtained using a pre-established questionnaire applied to the person responsible and by orofacial evaluation of the patient. The participants were divided into two groups: group with bruxism (GB) as reported by the relatives and with the presence of tooth wear detected by clinical evaluation, and group without bruxism (GWB), consisting of children with none of the two symptoms of bruxism mentioned above. The presence of bruxism exceeded its absence in the sample studied (65.22%). There was no significant difference (P<0.05) between groups regarding gender, phase of dentition, presence of hearing diseases, degree of malocclusion, or child behavior. Bruxism and deleterious oral habits such as biting behavior (objects, lips and nails) were significantly present, together with the absence of suction habits, in the children with nasal obstruction.
    International Journal of Pediatric Otorhinolaryngology 04/2008; 72(3):391-6. DOI:10.1016/j.ijporl.2007.11.014 · 1.32 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Existe uma necessidade de avaliação da real necessidade do uso de placas oclusais no tratamento das disfunções temporomandibulares, bem como da efetividade de outras modalidades terapêuticas como a farmacoterapia e aconselhamento, a longo prazo. Tendo em vista o amplo uso das placas oclusais em pacientes com DTM e a mínima utilização de aconselhamento/farmacoterapia como modalidades terapêuticas, este trabalho teve como objetivo avaliar os pacientes tratados na Clínica de Oclusão e Dores Orofaciais da Faculdade de Odontologia de Araraquara -UNESP, para verificar o percentual de pacientes tratados com placas oclusais e farmacoterapia/aconselhamento, bem como o índice de sucesso das modalidades terapêuticas empregadas. A amostra inicial foi de 258 pacientes (63 do gênero masculino e do 195 gênero feminino),sendo que 62 (24%) tiveram indicação para o uso de placa oclusal e aconselhamento e para 196 (76%) foi recomendado apenas o aconselhamento e/ou farmacoterapia, sem uso de nenhum tipo de placa oclusal. Quanto ao sucesso das terapias empregadas, houve melhora da sintomatologia dolorosa em 79,2% dos pacientes que usaram a placa oclusal comparado a 75% dos pacientes aos quais foi indicado apenas aconselhamento e/ou farmacoterapia. Após 2 a 3 anos da finalização do tratamento, 41,6% dos pacientes não utilizavam mais as placas oclusais e 58,4% só a utilizavam durante a noite. A conclusão foi que a maior parte dos pacientes da Clínica de Dores Orofaciais foi tratada com aconselhamento e/ou farmacoterapia (76%) sem a utilização de placas oclusais. Ambas as modalidades se mostraram eficazes na redução dos sinais e sintomas de DTM. Sendo assim, pelo índice de sucesso obtido e ainda pelos pacientes não utilizarem mais as placas com o decorrer do tempo, o uso do aconselhamento associado à farmacoterapia deveria ser uma modalidade terapêutica mais explorada pelos profissionais. Desordem temporomandibular; placa oclusal; farmacoterapia; aconselhamento.