Utilization of alternative treatment for management of clenching and bruxism
Main Article Content
Abstract
Temporomandibular disorders (TMDs) are a prevalent orofacial pain condition of non-dental origin affecting the temporomandibular joints (TMJ) and/or the associated orofacial muscles, often presenting as clenching and bruxism. Stress is a major contributor to increases in bruxism and clenching and discomfort increases as life stress increases. Traditional treatment has been with the use of mouthguards to alleviate stress on the joint. Alternative treatment utilizing low magnitude high frequency vibration (LMHFV) or photobiomodulation (PBM) has demonstrated useful in those patients having increases in daytime bruxism and clenching and can be a useful adjunct to nocturnal use of mouthguards. This article will discuss their applications and the authors personal experiences with their use.
Keywords:
TMD, TMJ, bruxism, clenching, LMHFV, PBM
Article Details
How to Cite
KURTZMAN, Gregori M.; HOROWITZ, Robert A.; DECKER, Charlie.
Utilization of alternative treatment for management of clenching and bruxism.
Medical Research Archives, [S.l.], v. 12, n. 8, aug. 2024.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/5615>. Date accessed: 22 dec. 2024.
doi: https://doi.org/10.18103/mra.v12i8.5615.
Section
Research Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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2. Alves AC, Alchieri JC, Barbosa GA. Bruxism. Masticatory implications and anxiety. Acta Odontol Latinoam. 2013;26(1):15-22. PMID: 24294819.
3. Soto-Goñi XA, Alen F, Buiza-González L, Marcolino-Cruz D, Sánchez-Sánchez T, Ardizone-García I, Aneiros-López F, Jiménez-Ortega L. Adaptive Stress Coping in Awake Bruxism. Front Neurol. 2020 Dec 9;11:564431. doi: 10.3389/fneur.2020.564431. PMID: 33362686; PMCID: PMC7755641.
4. Tavares LM, da Silva Parente Macedo LC, Duarte CM, de Goffredo Filho GS, de Souza Tesch R. Cross-sectional study of anxiety symptoms and self-report of awake and sleep bruxism in female TMD patients. Cranio. 2016 Nov;34(6):378-381. doi: 10.1080/08869634.2016.1163806. Epub 2016 Apr 20. PMID: 27097685.
5. Jokubauskas L, Baltrušaitytė A, Pileičikienė G. Oral appliances for managing sleep bruxism in adults: a systematic review from 2007 to 2017. Journal of oral rehabilitation. 2018 Jan;45(1):81-95
6. Klasser GD, Greene CS, Lavigne GJ. Oral appliances and the management of sleep bruxism in adults: a century of clinical applications and search for mechanisms. International Journal of Prosthodontics. 2010 Sep 1;23(5)
7. Carra MC, Huynh N, Lavigne G. Sleep bruxism: a comprehensive overview for the dental clinician interested in sleep medicine. Dent Clin North Am. 2012 Apr;56(2):387-413. doi: 10.1016/j.cden.2012.01.003. PMID: 22480810.
8. Ohara H, Takaba M, Abe Y, Nakazato Y, Aoki R, Yoshida Y, Suganuma T, Baba K. Effects of vibratory feedback stimuli through an oral appliance on sleep bruxism: a 6-week intervention trial. Sleep and Breathing. 2021 Aug 9:1-9
9. Maekawa K: Prospects for research and clinical medicine in sleep bruxism. J Prosthodont Res. 2013, 57: 67-68. 10.1016/j.jpor.2013.04.003.
10. Réus JC, Polmann H, Mendes Souza BD, Flores-Mir C, Trevisol Bittencourt PC, Winocur E, Okeson J, De Luca Canto G. Association Between Primary Headache and Bruxism: An Updated Systematic Review. J Oral Facial Pain Headache. 2021 Spring;35(2):129-138. doi: 10.11607/ofph.2745. PMID: 34129658.
11. Svensson P, Jadidi F, Arima T, Baad-Hansen L, Sessle BJ: Relationships between craniofacial pain and bruxism. J Oral Rehabil. 2008, 35: 524-547. 10.1111/j.1365-2842.2008.01852.x.,
12. Behr M, Hahnel S, Faltermeier A, Bürgers R, Kolbeck C, Handel G, Proff P. The two main theories on dental bruxism. Ann Anat. 2012 Mar 20;194(2):216-9. doi: 10.1016/j.aanat.2011.09.002. Epub 2011 Oct 5. PMID: 22035706.
13. Kluskens TJ, Kessler PA, Jansma BM, Kaas A, van de Ven V. Neural Correlates of Tooth Clenching in Patients with Bruxism and Temporomandibular Disorder-Related Pain. J Oral Facial Pain Headache. 2023 Spring;37(2):139-148. doi: 10.11607/ofph.3091. PMID: 37389840; PMCID: PMC10627198.
14. Soto-Goñi XA, Alen F, Buiza-González L, Marcolino-Cruz D, Sánchez-Sánchez T, Ardizone-García I, Aneiros-López F, Jiménez-Ortega L. Adaptive Stress Coping in Awake Bruxism. Front Neurol. 2020 Dec 9;11:564431. doi: 10.3389/fneur.2020.564431. PMID: 33362686; PMCID: PMC7755641.
15. Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, et al. International consensus on the assessment of bruxism: report of a work in progress. J Oral Rehabil. (2018) 11:837–44. doi: 10.1111/joor.12663
16. Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. 2008 Jul;35(7):476-94. doi: 10.1111/j.1365-2842.2008.01881.x. PMID: 18557915.
17. Cavallo P, Carpinelli L, Savarese G. Perceived stress and bruxism in university students. BMC Res Notes. 2016 Dec 21;9(1):514. doi: 10.1186/s13104-016-2311-0. PMID: 28003024; PMCID: PMC5178076.
18. Carra MC, Huynh N, Lavigne G: Sleep bruxism: a comprehensive overview for the dental clinician interested in sleep medicine. Dent Clin North Am. 2012, 56: 387-413. 10.1016/j.cden.2012.01.003.
19. Riley P, Glenny AM, Worthington HV, Jacobsen E, Robertson C, Durham J, Davies S, Petersen H, Boyers D. Oral splints for patients with temporomandibular disorders or bruxism: a systematic review and economic evaluation. Health Technol Assess. 2020 Feb;24(7):1-224. doi: 10.3310/hta24070. PMID: 32065109; PMCID: PMC7049908.
20. Jokubauskas L, Baltrušaitytė A. Relationship between obstructive sleep apnea syndrome and sleep bruxism: a systematic review. J Oral Rehabil. 2017 Feb;44(2):144-153. doi: 10.1111/joor.12468. PMID: 27977045. GJB. Perceived stress and bruxism in university students. BMC Res Notes. (2016) 9:514. doi: 10.1186/s13104-016-2311-0
21. Beinert K, Preiss S, Huber M, Taube W. Cervical joint position sense in neck pain. Immediate effects of muscle vibration versus mental training interventions: a RCT. Eur J Phys Rehabil Med. 2015 Dec;51(6):825-32. Epub 2015 Mar 17. PMID: 25779914.
22. Pantaleo T, Duranti R, Bellini F. Effects of vibratory stimulation on muscular pain threshold and blink response in human subjects. Pain. 1986 Feb;24(2):239-250. doi: 10.1016/0304-3959(86)90046-1. PMID: 3960570.
23. Kakigi R, Shibasaki H. Mechanisms of pain relief by vibration and movement. J Neurol Neurosurg Psychiatry. 1992 Apr;55(4):282-6. doi: 10.1136/jnnp.55.4.282. PMID: 1583512; PMCID: PMC489040.
24. Serritella E, Scialanca G, Di Giacomo P, Di Paolo C. Local Vibratory Stimulation for Temporomandibular Disorder Myofascial Pain Treatment: A Randomised, Double-Blind, Placebo-Controlled Preliminary Study. Pain Res Manag. 2020 Dec 5;2020:6705307. doi: 10.1155/2020/6705307. PMID: 33354268; PMCID: PMC7735843.
25. Nakazato Y, Takaba M, Abe Y, Nakamura H, Ohara H, Suganuma T, Clark GT, Baba K. Effect of contingent vibratory stimulus via an oral appliance on sleep bruxism after the splint adaptation period. J Oral Rehabil. 2021 Aug;48(8):901-908. doi: 10.1111/joor.13182. Epub 2021 May 25. PMID: 33983628.
26. Bergmann A, Edelhoff D, Schubert O, Erdelt KJ, Pho Duc JM. Effect of treatment with a full-occlusion biofeedback splint on sleep bruxism and TMD pain: a randomized controlled clinical trial. Clin Oral Investig. 2020 Nov;24(11):4005-4018. doi: 10.1007/s00784-020-03270-z. Epub 2020 May 19. PMID: 32430774; PMCID: PMC7544753.
27. Nakamura H, Takaba M, Abe Y, Yoshizawa S, Suganuma T, Yoshida Y, Nakazato Y, Ono Y, Clark GT, Baba K. Effects of a contingent vibratory stimulus delivered by an intra-oral device on sleep bruxism: a pilot study. Sleep Breath. 2019 Mar;23(1):363-372. doi: 10.1007/s11325-019-01782-x. Epub 2019 Jan 26. PMID: 30685853.
28. Nakamura H, Takaba M, Abe Y, Yoshizawa S, Suganuma T, Yoshida Y, Nakazato Y, Ono Y, Clark GT, Baba K. Effects of a contingent vibratory stimulus delivered by an intra-oral device on sleep bruxism: a pilot study. Sleep Breath. 2019 Mar;23(1):363-372. doi: 10.1007/s11325-019-01782-x. Epub 2019 Jan 26. PMID: 30685853.
29. Bergmann A, Edelhoff D, Schubert O, Erdelt KJ, Pho Duc JM. Effect of treatment with a full-occlusion biofeedback splint on sleep bruxism and TMD pain: a randomized controlled clinical trial. Clin Oral Investig. 2020 Nov;24(11):4005-4018. doi: 10.1007/s00784-020-03270-z. Epub 2020 May 19. PMID: 32430774; PMCID: PMC7544753.
30. Emodi-Perlman A, Eli I, Smardz J, Uziel N, Wieckiewicz G, Gilon E, Grychowska N, Wieckiewicz M. Temporomandibular Disorders and Bruxism Outbreak as a Possible Factor of Orofacial Pain Worsening during the COVID-19 Pandemic-Concomitant Research in Two Countries. J Clin Med. 2020 Oct 12;9(10):3250. doi: 10.3390/jcm9103250. PMID: 33053640; PMCID: PMC7601612.
31. Di Giacomo P, Serritella E, Imondi F, Di Paolo C. Psychological impact of COVID-19 pandemic on TMD subjects. Eur Rev Med Pharmacol Sci. 2021 Jul;25(13):4616-4626. doi: 10.26355/eurrev_202107_26254. PMID: 34286503.
32. Colonna A, Guarda-Nardini L, Ferrari M, Manfredini D. COVID-19 pandemic and the psyche, bruxism, temporomandibular disorders triangle. Cranio. 2021 Oct 15:1-6. doi: 10.1080/08869634.2021.1989768. Epub ahead of print. PMID: 34652252.
33. Marklund S, Mienna CS, Wahlström J, Englund E, Wiesinger B. Work ability and productivity among dentists: associations with musculoskeletal pain, stress, and sleep. Int Arch Occup Environ Health. 2020 Feb;93(2):271-278. doi: 10.1007/s00420-019-01478-5. Epub 2019 Oct 25. PMID: 31654126; PMCID: PMC7007882.
34. Myers HL, Myers LB. 'It's difficult being a dentist': stress and health in the general dental practitioner. Br Dent J. 2004 Jul 24;197(2):89-93; discussion 83; quiz 100-1. doi: 10.1038/sj.bdj.4811476. PMID: 15272347.
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