Evaluation of the Effect of Two Different Occlusal Splints on Maximum Occlusal Force in Patients with Sleep Bruxism: a Pilot Study

Overview

Journal J Adv Prosthodont

Specialty Dentistry

Date 2014 May 21

PMID 24843394

Citations 7

Authors

Duygu Karakis

Arife Dogan

Bulent Bek

Affiliations

Soon will be listed here.

Abstract

Purpose: The occlusal splint has been used for many years as an effective treatment of sleep bruxism. Several methods have been used to evaluate efficiency of the occlusal splints. However, the effect of the occlusal splints on occlusal force has not been clarified sufficiently. The purpose of this study was to evaluate the effect of occlusal splints on maximum occlusal force in patients with sleep bruxism and compare two type of splints that are Bruxogard-soft splint and canine protected hard stabilization splint.

Materials And Methods: Twelve students with sleep bruxism were participated in the present study. All participants used two different occlusal splints during sleep for 6 weeks. Maximum occlusal force was measured with two miniature strain-gage transducers before, 3 and 6 weeks after insertion of occlusal splints. Clinical examination of temporomandibular disorders was performed for all individuals according to the Craniomandibular Index (CMI) before and 6 weeks after the insertion of splints. The changes in mean occlusal force before, 3 and 6 weeks after insertion of both splints were analysed with paired sample t-test. The Wilcoxon test was used for the comparison of the CMI values before and 6 weeks after the insertion of splints.

Results: Participants using stabilization splints showed no statistically significant changes in occlusal force before, 3, and 6 weeks after insertion of splint (P>.05) and participants using Bruxogard-soft splint had statistically significant decreased occlusal force 6 weeks after insertion of splint (P<.05). There was statistically significant improvement in the CMI value of the participants in both of the splint groups (P<.05).

Conclusion: Participants who used Bruxogard-soft splint showed decreases in occlusal force 6 weeks after insertion of splint. The use of both splints led to a significant reduction in the clinical symptoms.

Citing Articles

Comparative analysis of different types of occlusal splints for the management of sleep bruxism: a systematic review.

Ainoosah S, Farghal A, Alzemei M, Saini R, Gurumurthy V, Quadri S BMC Oral Health. 2024; 24(1):29.

PMID: 38182999 PMC: 10770907. DOI: 10.1186/s12903-023-03782-6.

Short-term effect of material type and thickness of occlusal splints on maximum bite force and sleep quality in patients with sleep bruxism: a randomized controlled clinical trial.

Benli M, Ozcan M Clin Oral Investig. 2023; 27(8):4313-4322.

PMID: 37127807 DOI: 10.1007/s00784-023-05049-4.

T-Scan Novus System in the Management of Splints-Pilot Study.

Bozhkova T, Shopova D Eur J Dent. 2021; 16(2):454-457.

PMID: 34863081 PMC: 9339920. DOI: 10.1055/s-0041-1736315.

Effects of soft occlusal appliance therapy for patients with masticatory muscle pain.

Kashiwagi K, Noguchi T, Fukuda K J Dent Anesth Pain Med. 2021; 21(1):71-80.

PMID: 33585686 PMC: 7871186. DOI: 10.17245/jdapm.2021.21.1.71.

Oral splints for patients with temporomandibular disorders or bruxism: a systematic review and economic evaluation.

Riley P, Glenny A, Worthington H, Jacobsen E, Robertson C, Durham J Health Technol Assess. 2020; 24(7):1-224.

PMID: 32065109 PMC: 7049908. DOI: 10.3310/hta24070.

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