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

Detalhes bibliográficos
Autor(a) principal: Giannasi, Lilian Christyane [UNESP]
Data de Publicação: 2012
Outros Autores: Hirata, Raquel Pastréllo, Politti, Fabiano, Nacif, Sergio Roberto, Leitão Filho, Fernando Sérgio Studart, Oliveira, Luis Vicente Franco De
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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spelling 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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