Title
Author
DOI
Article Type
Special Issue
Volume
Issue
A Comparison of Hard and Soft Occlusal Splints for the Treatment of Nocturnal Bruxism in Children Using the BiteSTRIP®
1Erciyes University Faculty of Dentistry, Department of Pediatric Dentistry, Kayseri, Turkey
2Ankara University Faculty of Dentistry, Department of Pediatric Dentistry, Ankara, Turkey
*Corresponding Author(s): Kevser Kolcakoglu E-mail: kevser.kolcakoglu@gmail.com
Objective: Bruxism is defined as a parafunctional activity. It could be in diurnal or nocturnal form, based on the time it occurs. The purpose of the study compares the effectiveness of occlusal splint treatments in children with nocturnal bruxism using the BiteStrip®. Study Design: The muscle activity of children was measured using the BiteStrip®. The groups used occlusal splints during nighttime sleep for three months, at the end of which their muscle activity were measured again through the use of the BiteStrip®. Results: Muscle pain in palpation and pain in the dynamic position of TMJ pain was significantly reduced in patients using soft occlusal splint (p=0.01). There was no significant change in the BiteStrip® score in both group I (p=0.11) and group II (p=0.61). Conclusion: Soft occlusal splints could reduce pain caused by nocturnal bruxism on muscle and TMJ. The relationship between treatment results and BiteStrip® scores of patients using soft occlusal splint or hard occlusal splint are not significantly.
Bruxism; Teeth grinding; Occlusal splint; BiteStrip®; Children
Kevser Kolcakoglu,Salih Dogan,Firdevs Tulga Oz,Mustafa Aydınbelge. A Comparison of Hard and Soft Occlusal Splints for the Treatment of Nocturnal Bruxism in Children Using the BiteSTRIP®. Journal of Clinical Pediatric Dentistry. 2022. 46(3);219-224.
1. Sateia MJ. International Classification of Sleep Disorders-Third Edition. Chest. 2014;146(5):1387-94.
2. Thorpy MJ. Classification of sleep Disorders. Neurotherapeutics. 2012;9(4):687-701.
3. Dawson PE. Evaluation, diagnosis, treatment of occlusal problems. St. Louis: CV Mosby; 1989.
4. Lobbezoo F, Jacobs R, De Laat A, Aarab G, Wetselaar P, Manfredini D. [Chewing on bruxism. Diagnosis, imaging, epidemiology and aetiology]. Nederlands tijdschrift voor tandheelkunde. 2017;124(6):309-16.
5. Shochat T, et al. Validation of the Bitestrip screener for sleep bruxism. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(3):32-9.
6. Ahlberg K, et al. Bruxism and sleep efficiency measured at home with wireless devices. J Oral Rehabil. 2008;35(8):567-71.
7. Bader G, and Gilles Lavigne. Sleep bruxism; an overview of an oromandibular sleep movement disorder. Sleep Med Rev. 2000;4(1):27-43.
8. Manfredini D, and Frank Lobbezoo. Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010;109(6):26-50.
9. Bumann A, and Ulrich Lotzmann. TMJ disorders and orofacial pain: the role of dentistry in a multidisciplinary diagnostic approach. In: Rateitschak Klaus H WHF, editor. Color atlas of dental medicine. Thieme: Newyork; 2002. p. 201-46.
10. Tehrani MH, Pestechian N, Yousefi H, Sekhavati H, Attarzadeh H. The Correlation between Intestinal Parasitic Infections and Bruxism among 3-6 Year-Old Children in Isfahan. Dental research journal 2010;7:51-55.
11. Demir A, et al. The relationship between bruxism and occlusal factors among seven to 19 yeard old Turkısh children. Angle Orthod. 2004;74(5):672-6.
12. Okeson J. Management of temporomandibular disorders and occlusion-E-book. 8th ed: Elsevier Health Sciences; 2019.
13. Okeson JP. Management of temporomandibular disorders and occlusion-E-book. 8th ed: Elsevier Health Sciences; 2019.
14. Cheifetz AT, et al. Prevelance of bruxism and associated correlates in children as reported by parents. J Dent Child (Chic). 2005;72(2):67-73.
15. Ramfjord SP. Bruxism, a clinical and electromyographic study. J Am Dent Assoc. 1961;62:21-44.
16. Menapace SE, et al. The dentofacial morphology of bruxers versus non-bruxes. Angle Orthod. 1994;64(1):43-52.
17. Ierardo G, et al. Treatments of sleep bruxism in children: A systematic review and meta-analysis. Cranio. 2021;39(1).
18. Mizumori T, et al. Prediction of sleep bruxism events by increased heart rate. Int J Prosthodont. 2013;26(3):239-43.
19. Serra-Negra JM, et al. Environmental factors, sleep duration and sleep bruxism in Brazilian schoolchildren: a case-control study. Sleep Med. 2014;15(2):236-9.
20. Lavigne GJ, et al. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. 2008;35(7):476-94.
21. Rompré PH, et al. Identification of a sleep bruxism subgroup with a higher risk of pain. J Dent Res. 2007;86(9):837-42.
22. Lavigne GJ, and FR CDC. Current knowledge on awake and sleep bruxism: overview. Alpha Omegan. 2003;96(2):24-32.
23. Rugh JD. Electromyographic studies of bruxist behavior before and during treatment. J Calif Dent Assoc. 1975;3(9):56-9.
24. Harada T, et al. The effect of oral splint devices on sleep bruxism: a 6-week observation with an ambulatory electromyographic recording device. J Oral Rehabil. 2006;33(7):482-8.
25. Minakuchi H, et al. Sensitivity and specificity of a miniature bruxism detection device. Oral Surg Oral Med Oral Pathol Oral Radiol. 2005;99(4):440-1.
26. Magnusson T HM. Temporomandibular Disorders. Pediatric Dentistry: A Clinical Approach. John Wiley& Sons: West Sussex; 2016. p. 309-15.
27. Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. Journal of oral & facial pain and headache. 2014;28(1):6-27.
28. Conti PCR, Silva RDS, Rossetti LMN, Da Silva RDOF, Do Valle AL, Gelmini M. Palpation of the lateral pterygoid area in the myofascial pain diagnosis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2008;105(3):e61-e6.
29. Wieckiewicz M, Smardz J, Martynowicz H, Wojakowska A, Mazur G, Winocur E. Distribution of temporomandibular disorders among sleep bruxers and non-bruxers-A polysomnographic study. J Oral Rehabil. 2020;47(7):820-6.
30. Noguchi T, Kashiwagi K, Fukuda K. The effectiveness of stabilization appliance therapy among patients with myalgia. Clinical and experimental dental research. 2020;6(2):244-53.
31. Pettengill CA, et al. A pilot study comparing the efficacy of hard and soft stabilizing appliances in treating patients with temporomandibular disorders. J Prosthet Dent. 1998;79(2):165-8.
32. Wright EF, and Gary D. Klasser. Manual of Temporomandibular Disorders. 4th ed: Wiley Publishing Company; 2019.
33. Kashiwagi K, Noguchi T, Fukuda K. Effects of soft occlusal appliance therapy for patients with masticatory muscle pain. J Dent Anesth Pain Med. 2021;21(1):71-80.
34. Holmgren K, A. Sheikholeslam, and C. Riise. Effect of a full-arch maxillary occlusal splint on parafunctional activity during sleep in patients with nocturnal bruxism and sign and symptoms of craniomandibular disorder. J Prosthet Dent. 1993;69(3):293-7.
35. Clark GT, et al. Nocturnal electromyographic evaluation of myofascial pain dysfunction in patients undergoing occlusal splint therapy. J Am Dent Assoc. 1979;99(4):607-11.
36. Oral K. [Bruksizm; Tanı ve Tedavi] Bruxism: Diagnosis and Treatment. İstanbul: Quintessence; 2012.
37. Hachmann A, et al. Efficacy of the nocturnal bite plate in the control of bruxism for 3 to 5 year old children. J Clin Pediatr Dent. 1999;24(1):9-15.
38. Narita N, et al. Effects of jaw clenching while wearing an occlusal splint on awareness of tiredness, bite force, and EEG power spectrum. J Prosthodont Res. 2009;53(3):120-5.
39. Humsi ANK, et al. The immediate effects of a stabilization splint on the muscular symmetry in the masseter and anterior temporal muscles of patients with a craniomandibular disorder. J Prosthet Dent. 1989;62(3):339-43.
40. Sarinnaphakorn L, Qadeer S, Kerstein R. Force Distribution on Occlusal Splints Using T-Scan Occlusal Analysis. Advanced Dental Technologies & Techniques. 2020:11730.
Top