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10.05.2022 | Original Article

Oral appliances reduce masticatory muscle activity-sleep bruxism metrics independently of changes in heart rate variability

verfasst von: Susumu Abe, Nelly T. Huynh, Takafumi Kato, Pierre H. Rompré, Anaïs Landry-Schönbeck, Marie-Lou Landry, Pierre de Grandmont, Fumiaki Kawano, Gilles J. Lavigne

Erschienen in: Clinical Oral Investigations | Ausgabe 9/2022

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Abstract

Objectives

Sleep bruxism (SB) is associated with physiological activities including sympathetic autonomic system dominance and sleep micro-arousal. While oral appliances (OA) are used to prevent SB harmful effects, the influence of OAs physiological mechanisms during sleep is unknown. The aim of this study is to assess whether heart rate variability (HRV) changes, as a marker of autonomic nervous system activity, would be associated with the OA mechanism of action on SB using occlusal splint (OS) and mandibular advancement splint (MAS).

Materials and methods

A retrospective analysis, from data previously collected in 21 participants with SB (25.6 ± 4.5 years) with polysomnographic recordings, was done. HRV data were compared between a reference night (no-device) and ones during which OS or MAS was used in a crossover study design. Rhythmic masticatory muscle activity (RMMA) index was compared between nights. HRV was evaluated using autoregressive model analysis for three sections: baseline (distance from RMMA), immediately before, and after RMMA period.

Results

A significant reduction in RMMA index, when wearing OA during sleep, was observed (P < 0.01), but was not associated with HRV parameters change. HRV significantly changed after RMMA onset for nights with OA during non-REM sleep in comparison with baseline (P < 0.02).

Conclusions

The usage of OAs for SB participants reduced RMMA, but most likely independently of changes in HRV linked to the mechanism associated with SB genesis.

Clinical relevance

Wearing OA seems to reduce grinding noise and protect from dental injuries but does not seem to influence SB genesis.

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Titel: Oral appliances reduce masticatory muscle activity-sleep bruxism metrics independently of changes in heart rate variability
verfasst von: Susumu Abe
Nelly T. Huynh
Takafumi Kato
Pierre H. Rompré
Anaïs Landry-Schönbeck
Marie-Lou Landry
Pierre de Grandmont
Fumiaki Kawano
Gilles J. Lavigne
Publikationsdatum: 10.05.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Clinical Oral Investigations / Ausgabe 9/2022
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-022-04520-y

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Oral appliances reduce masticatory muscle activity-sleep bruxism metrics independently of changes in heart rate variability