A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S0103-51502012000100017 http://hdl.handle.net/11449/211448 |
Resumo: | 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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A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxismUm novo protocolo para ajuste de placa oclusal no tratamento do bruxismo noturnoSleep bruxismTemporomandibular disordersOcclusal splintsPainBruxismo do sonoDistúrbios temporomandibularesPlacas oclusaisDorINTRODUCTION: 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.INTRODUÇÃO: O bruxismo do sono (BS) é um distúrbio estereotipado de movimento que se caracteriza pela atividade rítmica mastigatória muscular associada com ranger de dentes e apertamento da mandíbula ocasional. OBJETIVOS: O objetivo deste estudo foi determinar o tempo de alívio para desordens temporomandibulares (DTM), cervical e sinais e sintomas otológicos em pacientes com BS tratados com placas oclusais (PO) por um período de 180 dias. MATERIAIS E MÉTODOS: Trinta pacientes, entre 22 e 53 anos, apresentando BS e DTM, incluindo sintomas cervical e otológicos, foram incluídos neste estudo. O protocolo de tratamento do paciente consistiu na utilização da PO com a aplicação de um novo protocolo de ajuste. O período de acompanhamento total foi de 180 dias. O teste t de Student pareado foi utilizado para comparar os efeitos após o tratamento a longo prazo da PO. RESULTADOS: Para todas as variáveis os resultados foram significativos (p < 0,001). Quanto aos sintomas da DTM, na maioria dos pacientes o alívio da dor no masseter, temporal, cervical e DTM ocorreu no terceiro mês. Vinte por cento dos pacientes autorrelataram ranger os dentes enquanto acordado e informaram que essa parafunção diminuiu até o final de 6 meses, 90% dos sujeitos relataram, também, melhora na qualidade do sono. CONCLUSÃO: O uso de uma PO com novo protocolo de ajuste foi um tratamento eficaz para os sinais e sintomas de DTM em pacientes com BS.Universidade Nove de JulhoUniversidade Estadual PaulistaUniversidade Estadual PaulistaPontifícia Universidade Católica do ParanáUniversidade Nove de JulhoUniversidade Estadual Paulista (Unesp)Giannasi, Lilian Christyane [UNESP]Hirata, Raquel PastrélloPolitti, FabianoNacif, Sergio RobertoLeitão Filho, Fernando Sérgio StudartOliveira, Luis Vicente Franco De2021-07-14T10:24:30Z2021-07-14T10:24:30Z2012-03info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article175-181application/pdfhttp://dx.doi.org/10.1590/S0103-51502012000100017Fisioterapia em Movimento. Curitiba, PR, Brazil: Pontifícia Universidade Católica do Paraná, v. 25, n. 1, p. 175-181, 2012.1980-5918http://hdl.handle.net/11449/21144810.1590/S0103-51502012000100017S0103-51502012000100017S0103-51502012000100017.pdfSciELOreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengFisioterapia em Movimentoinfo:eu-repo/semantics/openAccess2023-11-25T06:11:40Zoai:repositorio.unesp.br:11449/211448Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T18:39:10.870257Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism Um novo protocolo para ajuste de placa oclusal no tratamento do bruxismo noturno |
title |
A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism |
spellingShingle |
A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism Giannasi, Lilian Christyane [UNESP] Sleep bruxism Temporomandibular disorders Occlusal splints Pain Bruxismo do sono Distúrbios temporomandibulares Placas oclusais Dor |
title_short |
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_sort |
A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism |
author |
Giannasi, Lilian Christyane [UNESP] |
author_facet |
Giannasi, Lilian Christyane [UNESP] Hirata, Raquel Pastréllo Politti, Fabiano Nacif, Sergio Roberto Leitão Filho, Fernando Sérgio Studart Oliveira, Luis Vicente Franco De |
author_role |
author |
author2 |
Hirata, Raquel Pastréllo Politti, Fabiano Nacif, Sergio Roberto Leitão Filho, Fernando Sérgio Studart Oliveira, Luis Vicente Franco De |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Nove de Julho Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Giannasi, Lilian Christyane [UNESP] Hirata, Raquel Pastréllo Politti, Fabiano Nacif, Sergio Roberto Leitão Filho, Fernando Sérgio Studart Oliveira, Luis Vicente Franco De |
dc.subject.por.fl_str_mv |
Sleep bruxism Temporomandibular disorders Occlusal splints Pain Bruxismo do sono Distúrbios temporomandibulares Placas oclusais Dor |
topic |
Sleep bruxism Temporomandibular disorders Occlusal splints Pain Bruxismo do sono Distúrbios temporomandibulares Placas oclusais Dor |
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. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-03 2021-07-14T10:24:30Z 2021-07-14T10:24:30Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0103-51502012000100017 Fisioterapia em Movimento. Curitiba, PR, Brazil: Pontifícia Universidade Católica do Paraná, v. 25, n. 1, p. 175-181, 2012. 1980-5918 http://hdl.handle.net/11449/211448 10.1590/S0103-51502012000100017 S0103-51502012000100017 S0103-51502012000100017.pdf |
url |
http://dx.doi.org/10.1590/S0103-51502012000100017 http://hdl.handle.net/11449/211448 |
identifier_str_mv |
Fisioterapia em Movimento. Curitiba, PR, Brazil: Pontifícia Universidade Católica do Paraná, v. 25, n. 1, p. 175-181, 2012. 1980-5918 10.1590/S0103-51502012000100017 S0103-51502012000100017 S0103-51502012000100017.pdf |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Fisioterapia em Movimento |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
175-181 application/pdf |
dc.publisher.none.fl_str_mv |
Pontifícia Universidade Católica do Paraná |
publisher.none.fl_str_mv |
Pontifícia Universidade Católica do Paraná |
dc.source.none.fl_str_mv |
SciELO reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808128960085622784 |