Skip to main content
Erschienen in:

02.05.2023 | Research

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

verfasst von: Merve Benli, Mutlu Özcan

Erschienen in: Clinical Oral Investigations | Ausgabe 8/2023

Einloggen, um Zugang zu erhalten

Abstract

Objective

To evaluate the short-term effects of hard and soft splints of different thicknesses on maximum bite force (MBF) and sleep quality (SQ) in participants with sleep bruxism (SB).

Methods

One-hundred-fifteen patients were randomly allocated to five groups: Groups H2(Hard splint-2 mm), H3(Hard splint-3 mm), S2(Soft splint-2 mm), S3(Soft splint-3 mm), and C (control). Outcomes were MBF (assessed with a digital gnathodynamometer) and SQ (assessed with the Pittsburgh Sleep Quality Index). Measurements were performed at T0 (before the splints), T1 (1-month follow-up), and T2 (2-months follow-up). Data were analyzed using one-way analysis of variance(ANOVA), Tukey’s HSD, and chi-square tests (alpha = 0.05).

Results

At T1, the highest MBF values were observed in group H3 (658.01 ± 22.6 N), while the lowest in group S2 (585.45 ± 8.68 N). For T2, the highest values were obtained in H3 group (676.85 ± 21.9 N), and the lowest in group S2 (565.65 ± 10.9 N) (p < 0.05).For SQ, groups S2 and S3 revealed the lowest PSQI values at T1 (9.1; 9.6) and T2 (9; 9.5) (p < 0.001).

Conclusions

The short-term use of both 2 and 3-mm thick soft splints resulted in a decrease in MBF. Improvement in SQ in patients using soft splints was observed in the 1st month and was maintained in the 2nd month.

Clinical Relevance

This study provides insights on short-term clinical effects as regards to increased sleep quality and regulated maximum bite force as a function of splint material type and the thickness of the splint.
Literatur
16.
Zurück zum Zitat Cruz-Reyes RA, Martínez-Aragón I, Guerrero-Arias RE, García-Zura DA, González-Sánchez LE (2011) Influence of occlusal stabilization splints and soft occlusal splints on the electromyographic pattern, in basal state and at the end of six weeks treatment in patients with bruxism. Acta Odontol Latinoam 24(1):66–74PubMed Cruz-Reyes RA, Martínez-Aragón I, Guerrero-Arias RE, García-Zura DA, González-Sánchez LE (2011) Influence of occlusal stabilization splints and soft occlusal splints on the electromyographic pattern, in basal state and at the end of six weeks treatment in patients with bruxism. Acta Odontol Latinoam 24(1):66–74PubMed
18.
Zurück zum Zitat Silva CAGD, Grossi ML, Araldi JC, Corso LL (2020) Can hard and/or soft occlusal splints reduce the bite force transmitted to the teeth and temporomandibular joint discs? A finite element method analysis [published online ahead of print, 2020 Dec 5]. Cranio 1–8. https://doi.org/10.1080/08869634.2020.1853464 Silva CAGD, Grossi ML, Araldi JC, Corso LL (2020) Can hard and/or soft occlusal splints reduce the bite force transmitted to the teeth and temporomandibular joint discs? A finite element method analysis [published online ahead of print, 2020 Dec 5]. Cranio 1–8. https://​doi.​org/​10.​1080/​08869634.​2020.​1853464
21.
Zurück zum Zitat American Academy of Sleep Medicine (2014) International Classification of Sleep Disorders, 3rd edn. American Academy of Sleep Medicine, Darien American Academy of Sleep Medicine (2014) International Classification of Sleep Disorders, 3rd edn. American Academy of Sleep Medicine, Darien
25.
Zurück zum Zitat Mainieri VC, Saueressig AC, Fagondes SC, Mainieri ET, Shinkai RSA, Grossi ML (2008) Bite force and sleep quality in patients with bruxism before and after using a mandibular advancement device. Rev Odonto Cienc 23:229–233 Mainieri VC, Saueressig AC, Fagondes SC, Mainieri ET, Shinkai RSA, Grossi ML (2008) Bite force and sleep quality in patients with bruxism before and after using a mandibular advancement device. Rev Odonto Cienc 23:229–233
28.
Zurück zum Zitat Kurita H, Ikeda K, Kurashina K (2000) Evaluation of the effect of a stabilization splint on occlusal force in patients with masticatory muscle disorders. J Oral Rehabil 27:79–82CrossRefPubMed Kurita H, Ikeda K, Kurashina K (2000) Evaluation of the effect of a stabilization splint on occlusal force in patients with masticatory muscle disorders. J Oral Rehabil 27:79–82CrossRefPubMed
29.
Zurück zum Zitat Alkan A, Bulut E, Arici S, Sato S (2008) Evaluation of treatments in patients with nocturnal bruxism on bite force and occlusal contact area: A preliminary report. Eur J Dent 2:276–282 (PMID: 19212534)CrossRefPubMedPubMedCentral Alkan A, Bulut E, Arici S, Sato S (2008) Evaluation of treatments in patients with nocturnal bruxism on bite force and occlusal contact area: A preliminary report. Eur J Dent 2:276–282 (PMID: 19212534)CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Polat S, Polat N, Cetioglu A (2016) Diagnostic Criteria for Temporomandibular Disorders: Assessment instruments (Turkish) (2016). [Temporomandibuler düzensizlikler için teşhis kriterleri: Değerlendirme araçları]. Turkish translation. 2016 Polat S, Polat N, Cetioglu A (2016) Diagnostic Criteria for Temporomandibular Disorders: Assessment instruments (Turkish) (2016). [Temporomandibuler düzensizlikler için teşhis kriterleri: Değerlendirme araçları]. Turkish translation. 2016
34.
Zurück zum Zitat Okeson JP (2019) Management of Temporomandibular Disorders and Occlusion (ed 8).St Louis, Mo: Elsevier Mosby Inc Okeson JP (2019) Management of Temporomandibular Disorders and Occlusion (ed 8).St Louis, Mo: Elsevier Mosby Inc
38.
Zurück zum Zitat Abekura H, Yokomura M, Sadamori S, Hamada T (2008) The initial effects of occlusal splint vertical thickness on the nocturnal EMG activities of masticatory muscles in subjects with a bruxism habit. Int J Prosthodont 21:116–120PubMed Abekura H, Yokomura M, Sadamori S, Hamada T (2008) The initial effects of occlusal splint vertical thickness on the nocturnal EMG activities of masticatory muscles in subjects with a bruxism habit. Int J Prosthodont 21:116–120PubMed
50.
Zurück zum Zitat Landry ML, Rompré PH, Manzini C, Guitard F, de Grandmont P, Lavigne GJ (2006) Reduction of sleep bruxism using a mandibular advancement device: an experimental controlled study. Int J Prosthodont 19:549–556PubMed Landry ML, Rompré PH, Manzini C, Guitard F, de Grandmont P, Lavigne GJ (2006) Reduction of sleep bruxism using a mandibular advancement device: an experimental controlled study. Int J Prosthodont 19:549–556PubMed
51.
Zurück zum Zitat Castroflorio T, Bargellini A, Lucchese A, Manuelli M, Casasco F, Cugliari G, Cioffi I, Deregibus A (2018) Effects of clear aligners on sleep bruxism: randomized controlled trial. J Biol Regul Homeost Agents 32:21–29PubMed Castroflorio T, Bargellini A, Lucchese A, Manuelli M, Casasco F, Cugliari G, Cioffi I, Deregibus A (2018) Effects of clear aligners on sleep bruxism: randomized controlled trial. J Biol Regul Homeost Agents 32:21–29PubMed
53.
Zurück zum Zitat van der Zaag J, Lobbezoo F, Wicks DJ, Visscher CM, Hamburger HL, Naeije M (2005) Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism. J Orofac Pain 19:151–158PubMed van der Zaag J, Lobbezoo F, Wicks DJ, Visscher CM, Hamburger HL, Naeije M (2005) Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism. J Orofac Pain 19:151–158PubMed
Metadaten
Titel
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
verfasst von
Merve Benli
Mutlu Özcan
Publikationsdatum
02.05.2023
Verlag
Springer Berlin Heidelberg
Erschienen in
Clinical Oral Investigations / Ausgabe 8/2023
Print ISSN: 1432-6981
Elektronische ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-023-05049-4

Neu im Fachgebiet Zahnmedizin

Das alles ändert sich für Arztpraxen in 2025

  • 31.12.2024
  • EBM
  • Nachrichten

Ab Januar greifen jede Menge Neuerungen – ob im EBM, Arbeits- und Steuerrecht oder bei der digitalen Vernetzung. Darunter einige Verbesserungen, aber teils auch Mehraufwand. „Same procedure as every year?“ – Ein Überblick.

Wenn Praxen Termine absagen müssen: So geht’s ohne Ärger und Stress

Bundesweit sind viele Praxen von Krankheitsfällen in den eigenen Reihen betroffen. Die Praxis-EDV und strukturierte Abläufe können notwendige Terminabsagen erleichtern.

Wie gefährlich sind suspekte Veränderungen in der Mundhöhle?

Wie hoch ist das Risiko, dass sich aus einer bereits verdächtigen Veränderung der Mundschleimhaut ein Karzinom entwickelt? Ein US-Team hat dazu das Patientenregister der Universität San Francisco ausgewertet.

Das deutsche Gesundheitssystem kränkelt und hat Fieber

OECD und Europäische Kommission haben zusammen einen Bericht zum Zustand der europäischen Gesundheitssysteme herausgegeben. Diagnose für Deutschland: Wäre das Land ein menschliches Wesen, würde man es wohl krankschreiben.

Update Zahnmedizin

Bestellen Sie unseren kostenlosen Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.