Bruxism, characterized by involuntary clenching or grinding of teeth, affects approximately 10% - 20% of adults globally and has significant implications for dental and systemic health. Emerging AI-driven diagnostic t...Bruxism, characterized by involuntary clenching or grinding of teeth, affects approximately 10% - 20% of adults globally and has significant implications for dental and systemic health. Emerging AI-driven diagnostic tools have demonstrated a 25% improvement in identifying nocturnal bruxism compared to conventional methods. This study explores the etiology, pathogenesis, and treatment modalities of bruxism, integrating cutting-edge advancements like neuromodulation and personalized medicine. Furthermore, socioeconomic factors and access disparities are analyzed to propose comprehensive strategies for improving patient outcomes. Current management strategies include behavioral therapies, orthodontic appliances, pharmacological interventions, physical therapy, and, in severe cases, surgical options. Emerging technologies, such as artificial intelligence, personalized medicine, and neuromodulation, are highlighted as promising advancements in bruxism diagnosis and treatment. Additionally, the study underscores the socioeconomic and ethical dimensions of bruxism care, advocating for interdisciplinary collaboration, patient education, and equitable access to innovative treatments. This research aims to contribute to improved understanding and management of bruxism, enhancing patient outcomes and quality of life.展开更多
This study was conducted to verify the results of a preceding retrospective pilot study by means of a prospective controlled investigation including a larger sample size. Therefore, the aim of this clinical investigat...This study was conducted to verify the results of a preceding retrospective pilot study by means of a prospective controlled investigation including a larger sample size. Therefore, the aim of this clinical investigation was to analyze the relationship between sleep bruxism and several functional and occlusal parameters. The null hypothesis of this study was that there would be no differences among sleep bruxism subjects and non-sleep bruxism controls regarding several functional and occlusal parameters. Fifty-eight sleep bruxism subjects and 31 controls participated in this study. The diagnosis sleep bruxism was based on clinical criteria of the American Academy of Sleep Medicine. Sixteen functional and occlusal parameters were recorded clinically or from dental study casts. Similar to the recently published retrospective pilot study, with a mean slide of 0.77 mm （s.d., 0.69 mm） in the sleep bruxism group and a mean slide of 0.4 mm （s.d., 0.57 mm） in the control group, the evaluation of the mean comparison between the two groups demonstrated a larger slide from centric occlusion to maximum intercuspation in sleep bruxism subjects （Mann-Whitney U-test; P=O.O08）. However, following Bonferroni adjustment, none of the 16 occlusal and functional variables differed significantly between the sleep bruxism subjects and the non-sleep bruxism controls. The present study shows that the occlusal and functional parameters evaluated do not differ between sleep bruxism subjects and non-sleep bruxism subjects. However, as the literature reveals a possible association between bruxism and certain subgroups of temporomandibular disorders, it appears advisable to incorporate the individual adaptive caoacitv of the stomatognathic svstem into future investigations.展开更多
The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management.The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism,compared with occl...The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management.The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism,compared with occlusal splint.Twenty-four volunteers with sleep bruxism were divided into two groups：the GTB group that were treated with biofeedback therapy（n 512） and the GTO group that were treated with occlusal splint（n 512）.A mini pressure sensor integrated with a monitoring circuit by use of a maxillary biofeedback splint was fabricated.To foster the relaxation of the masticatory muscles and the nervous system,the wireless device received signals from bruxism events and vibrations alerted the bruxer when the threshold was exceeded.Total episodes and average duration of bruxism events during8 hours of sleep were analyzed with the monitoring program（TRMY1.0）.After 6 and 12 weeks,the episodes（P 50.001） and duration（P,0.05） in the GTB group declined dramatically.In contrast,there were no significant differences in the GTO group after the treatment（P.0.05）.Furthermore,the episodes had significant differences between the GTB group and the GTO group after the same period of treatment（P 5 0.000）.The results suggest that biofeedback therapy may be an effective and convenient measure for mild bruxers,when compared with occlusal splint therapy.The mini wireless biofeedback method may be of value for the diagnosis and management of bruxism in the future.展开更多
A finite element model of the temporomandibular joint （TMJ） and the human mandible was fabricated to study the effect of abnormal loading, such as awake and asleep bruxism, on the articular disc. A quasilinear visco...A finite element model of the temporomandibular joint （TMJ） and the human mandible was fabricated to study the effect of abnormal loading, such as awake and asleep bruxism, on the articular disc. A quasilinear viscoelastic model was used to simulate the behaviour of the disc. The viscoelastic nature of this tissue is shown to be an important factor when sustained （awake bruxism） or cyclic loading （sleep bruxism） is simulated. From the comparison of the two types of bruxism, it was seen that sustained clenching is the most detrimental activity for the TMJ disc, producing an overload that could lead to severe damage of this tissue.展开更多
Objective: To evaluate the effect of wireless biofeedback therapy on bruxism. Methods: Fifteen bruxiers participated to be treated by this therapy. The abnormal movements of teeth during sleep were monitored by a maxi...Objective: To evaluate the effect of wireless biofeedback therapy on bruxism. Methods: Fifteen bruxiers participated to be treated by this therapy. The abnormal movements of teeth during sleep were monitored by a maxillary splint with an electric resistance strain gauge. Meanwhile, the receiver device recorded these details and analyzed the data, including the value of the biting force, occurring time and duration. If the value of biting force or duration exceeds the threshold, a vibrating device like a watch style will alert the patient to relax the masticatory muscles and nervous system to stop the abnormal grinding or clenching. Data were recorded during 8 hours’ sleep and analyzed after the 12 weeks’ treatment and 24 weeks’ treatment. Results: The average episodes of bruxism have declined from (10.60 ± 1.23) to (6.60 ± 0.75) after 12 weeks’ treatment (p < 0.05), and the average duration of bruxism events was reduced from (13.2 ± 0.74) s to (6.50 ± 0.40) s (p < 0.05). The average episodes of bruxism have declined to (3.80 ± 0.64) after 24 weeks’ treatment, and the average duration of bruxism events was reduced to (3.37 ± 0.34) s (p < 0.05). Conclusions: The results suggest that biofeedback therapy can be effective for bruxism treatment.展开更多
BACKGROUND Bruxism is a jaw-muscle activity characterized by the clenching or grinding of teeth. It can be divided into nocturnal bruxism and diurnal bruxism(DB). DB secondary to antidepressants is rare and refractory...BACKGROUND Bruxism is a jaw-muscle activity characterized by the clenching or grinding of teeth. It can be divided into nocturnal bruxism and diurnal bruxism(DB). DB secondary to antidepressants is rare and refractory. Reports associated with antidepressant-induced DB are mostly anecdotal without long-term follow-up.The effect of drug intervention on antidepressant-induced DB is still contested.We herein report the first case of successful treatment of venlafaxine-induced DB with an occlusal splint.CASE SUMMARY This case report describes detailed 7-year follow-up of a patient with venlafaxineinduced DB treated with an occlusal splint. The patient who complained about involuntary daytime tooth grinding after taking venlafaxine for a period of 4 mo and was diagnosed with venlafaxine-induced DB. Subsequently, an occlusal splint with modified bilateral buccal-pterygoid pads was used to treat his tooth grinding and to protect the dental structures from tooth wearing. The patient reported remission of symptoms after several months of treatment. His grinding activity was gradually and stably controlled after 2 years, with an almost complete recovery from DB after 6 years.CONCLUSION The maxillary buccal-pterygoid splint can be used as a noninvasive approach to treat venlafaxine-induced DB.展开更多
BACKGROUND Bruxism is a rhythmic masticatory muscle activity that occurs involuntarily in a non-physiologically functional state.There is a lack of research classifying the functional status of masticatory muscles in ...BACKGROUND Bruxism is a rhythmic masticatory muscle activity that occurs involuntarily in a non-physiologically functional state.There is a lack of research classifying the functional status of masticatory muscles in patients with different mandibular movement types(centric clenching or eccentric grinding)of bruxism.AIM To assess the differences of the masticatory muscle activity in patients with different types of bruxism.METHODS A total of 21 subjects with centric bruxism(CB)and 21 subjects with eccentric bruxism(ECB)were screened from college students according to a questionnaire and their tooth wear features.Sixteen subjects with no bruxism were also recruited.The surface electromyography(EMG)signals of the temporalis anterior(TA)and superficial masseter muscle(MM)were measured in different mandibular positions and during the chewing task.The EMG amplitude and chewing cycle duration parameters were then analyzed.RESULTS The CB group showed fewer muscle maximal motor units,with the MM being more pronounced,a higher proportion of muscle contractions to be recruited for the same load of chewing activity,and a longer chewing cycle.The ECB group showed more TA maximal motor units and higher MM activity on the nonworking side in unilateral chewing.CONCLUSION CB mainly affects the MM,and patients with CB show reduced masticatory muscle contraction efficiency and chewing cycle efficiency.ECB mainly affects the TA,and patients with ECB show enhanced contraction of non-functional lateral muscle bundles.展开更多
Aims: To evaluate the association between bruxism, headaches, and temporomandibular disorder (TMD). Methods: A keyword search of the clinical notes of patients’ charts in AxiUm<sup>TM</sup> was performed ...Aims: To evaluate the association between bruxism, headaches, and temporomandibular disorder (TMD). Methods: A keyword search of the clinical notes of patients’ charts in AxiUm<sup>TM</sup> was performed using the search terms “TMD”, “headache”, and “sleep bruxism” to identify these patients. The inclusion criteria were patients with partial of full dentition, aged 18 to 65 years old who attended the UNLV School of Dental Medicine clinics between January 2014 and September 2018. Patients with incomplete records and those who were completely edentulous formed the exclusion criteria. Data were analyzed using the Pearson Correlation Coefficient. Results: The final sample was made up of 529 patients. The highest percentage of study subjects were in the age range of 29 - 34 (17.9%), with a statistically significant correlation to pain on opening (P = 0.0403). Females showed a statistically significant correlation to TMJ clicking (P = 0.0033). Caucasians also had a statistically significant correlation to TMJ clicking (P = 0.0001). In addition, a statistically significant correlation between pain on opening or chewing and headaches was also observed (P = 0.0081). Conclusion: Within the limitations of the present study, Caucasians, and females presented with more TMJ clicking than the other study subjects. Young adults, in particular, experienced more pain on opening or chewing.展开更多
Recently, bruxism became the center of attention for the etiological research of non-carious cervical lesions (NCCLs). The present study aims to investigate the presence and types of NCCLs associated with bruxism. Ret...Recently, bruxism became the center of attention for the etiological research of non-carious cervical lesions (NCCLs). The present study aims to investigate the presence and types of NCCLs associated with bruxism. Retrospective keywords search of the clinical notes of all patient charts in axiUmTM was performed using the terms “bruxism”, “attrition”, “abrasion”, “erosion”, and “abfraction”. All bruxer patients 18 years and older who presented to the UNLV School of Dental Medicine (01/01/2014 to 09/30/2018) with the complete record were included. To determine the statistical analysis implications, the chi-square test was used. Commonest types of NCCL associated with bruxism were attrition and abfraction. Five hundred seventeen cases had multifactorial lesions. Anterior maxillary teeth followed by mandibular anterior were the most affected teeth. Abfraction lesions were mainly sighted in maxillary premolars, followed by maxillary canines. Within the limitation of the present investigation, it was concluded that attrition and abfraction were highly associated with bruxism.展开更多
Objective：Bruxism is the term used for teeth grinding or jaw clenching. An electronic monitor of bruxism was developed to evaluate bruxism duration and frequency. Methods： Ten cases were selected in the Department o...Objective：Bruxism is the term used for teeth grinding or jaw clenching. An electronic monitor of bruxism was developed to evaluate bruxism duration and frequency. Methods： Ten cases were selected in the Department of Prosthodontics of Jiangsu Stomatological Hospital to evaluate the monitor. A stabilization occlusal splint was fabricated for each of the 10 cases. The vertical dimension for each splint was 0.5 nun lower than mandibular postural position. Some sensors had been prearranged at each splint which could transfer the variation of the biting force into electronic signals. The data of sleeping duration, grinding duration and grinding frequency were recorded with this new type of bruxism monitor, which had been specifically invented to study bruxism. Results：The data from 10 bruxism cases were collected and the results were considered reliable. Subjects nocturnal duration parameters did not change significantly from night-to-night. Conclusion：The bmxism monitor can automatically measure and record bruxism data using an occlusal splint. This device is valuable for diagnosis and evaluation of bruxism.展开更多
文摘Bruxism, characterized by involuntary clenching or grinding of teeth, affects approximately 10% - 20% of adults globally and has significant implications for dental and systemic health. Emerging AI-driven diagnostic tools have demonstrated a 25% improvement in identifying nocturnal bruxism compared to conventional methods. This study explores the etiology, pathogenesis, and treatment modalities of bruxism, integrating cutting-edge advancements like neuromodulation and personalized medicine. Furthermore, socioeconomic factors and access disparities are analyzed to propose comprehensive strategies for improving patient outcomes. Current management strategies include behavioral therapies, orthodontic appliances, pharmacological interventions, physical therapy, and, in severe cases, surgical options. Emerging technologies, such as artificial intelligence, personalized medicine, and neuromodulation, are highlighted as promising advancements in bruxism diagnosis and treatment. Additionally, the study underscores the socioeconomic and ethical dimensions of bruxism care, advocating for interdisciplinary collaboration, patient education, and equitable access to innovative treatments. This research aims to contribute to improved understanding and management of bruxism, enhancing patient outcomes and quality of life.
基金supported in part by grants from the German Research Foundation (839/6-1,839/6-2)
文摘This study was conducted to verify the results of a preceding retrospective pilot study by means of a prospective controlled investigation including a larger sample size. Therefore, the aim of this clinical investigation was to analyze the relationship between sleep bruxism and several functional and occlusal parameters. The null hypothesis of this study was that there would be no differences among sleep bruxism subjects and non-sleep bruxism controls regarding several functional and occlusal parameters. Fifty-eight sleep bruxism subjects and 31 controls participated in this study. The diagnosis sleep bruxism was based on clinical criteria of the American Academy of Sleep Medicine. Sixteen functional and occlusal parameters were recorded clinically or from dental study casts. Similar to the recently published retrospective pilot study, with a mean slide of 0.77 mm （s.d., 0.69 mm） in the sleep bruxism group and a mean slide of 0.4 mm （s.d., 0.57 mm） in the control group, the evaluation of the mean comparison between the two groups demonstrated a larger slide from centric occlusion to maximum intercuspation in sleep bruxism subjects （Mann-Whitney U-test; P=O.O08）. However, following Bonferroni adjustment, none of the 16 occlusal and functional variables differed significantly between the sleep bruxism subjects and the non-sleep bruxism controls. The present study shows that the occlusal and functional parameters evaluated do not differ between sleep bruxism subjects and non-sleep bruxism subjects. However, as the literature reveals a possible association between bruxism and certain subgroups of temporomandibular disorders, it appears advisable to incorporate the individual adaptive caoacitv of the stomatognathic svstem into future investigations.
基金The Bureau of Health of Jiangsu Province supported this study(H200939)the Priority Academic Program Development of Jiangsu Higher Education Institutions(PAPD,2014-37)
文摘The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management.The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism,compared with occlusal splint.Twenty-four volunteers with sleep bruxism were divided into two groups：the GTB group that were treated with biofeedback therapy（n 512） and the GTO group that were treated with occlusal splint（n 512）.A mini pressure sensor integrated with a monitoring circuit by use of a maxillary biofeedback splint was fabricated.To foster the relaxation of the masticatory muscles and the nervous system,the wireless device received signals from bruxism events and vibrations alerted the bruxer when the threshold was exceeded.Total episodes and average duration of bruxism events during8 hours of sleep were analyzed with the monitoring program（TRMY1.0）.After 6 and 12 weeks,the episodes（P 50.001） and duration（P,0.05） in the GTB group declined dramatically.In contrast,there were no significant differences in the GTO group after the treatment（P.0.05）.Furthermore,the episodes had significant differences between the GTB group and the GTO group after the same period of treatment（P 5 0.000）.The results suggest that biofeedback therapy may be an effective and convenient measure for mild bruxers,when compared with occlusal splint therapy.The mini wireless biofeedback method may be of value for the diagnosis and management of bruxism in the future.
基金provided by the Junta de Andalucí'a for the research project P07TEP-03115 titled Biomeca'nica de la Mandí'bula Humana,for which this articlehas been prepared
文摘A finite element model of the temporomandibular joint （TMJ） and the human mandible was fabricated to study the effect of abnormal loading, such as awake and asleep bruxism, on the articular disc. A quasilinear viscoelastic model was used to simulate the behaviour of the disc. The viscoelastic nature of this tissue is shown to be an important factor when sustained （awake bruxism） or cyclic loading （sleep bruxism） is simulated. From the comparison of the two types of bruxism, it was seen that sustained clenching is the most detrimental activity for the TMJ disc, producing an overload that could lead to severe damage of this tissue.
文摘Objective: To evaluate the effect of wireless biofeedback therapy on bruxism. Methods: Fifteen bruxiers participated to be treated by this therapy. The abnormal movements of teeth during sleep were monitored by a maxillary splint with an electric resistance strain gauge. Meanwhile, the receiver device recorded these details and analyzed the data, including the value of the biting force, occurring time and duration. If the value of biting force or duration exceeds the threshold, a vibrating device like a watch style will alert the patient to relax the masticatory muscles and nervous system to stop the abnormal grinding or clenching. Data were recorded during 8 hours’ sleep and analyzed after the 12 weeks’ treatment and 24 weeks’ treatment. Results: The average episodes of bruxism have declined from (10.60 ± 1.23) to (6.60 ± 0.75) after 12 weeks’ treatment (p < 0.05), and the average duration of bruxism events was reduced from (13.2 ± 0.74) s to (6.50 ± 0.40) s (p < 0.05). The average episodes of bruxism have declined to (3.80 ± 0.64) after 24 weeks’ treatment, and the average duration of bruxism events was reduced to (3.37 ± 0.34) s (p < 0.05). Conclusions: The results suggest that biofeedback therapy can be effective for bruxism treatment.
文摘BACKGROUND Bruxism is a jaw-muscle activity characterized by the clenching or grinding of teeth. It can be divided into nocturnal bruxism and diurnal bruxism(DB). DB secondary to antidepressants is rare and refractory. Reports associated with antidepressant-induced DB are mostly anecdotal without long-term follow-up.The effect of drug intervention on antidepressant-induced DB is still contested.We herein report the first case of successful treatment of venlafaxine-induced DB with an occlusal splint.CASE SUMMARY This case report describes detailed 7-year follow-up of a patient with venlafaxineinduced DB treated with an occlusal splint. The patient who complained about involuntary daytime tooth grinding after taking venlafaxine for a period of 4 mo and was diagnosed with venlafaxine-induced DB. Subsequently, an occlusal splint with modified bilateral buccal-pterygoid pads was used to treat his tooth grinding and to protect the dental structures from tooth wearing. The patient reported remission of symptoms after several months of treatment. His grinding activity was gradually and stably controlled after 2 years, with an almost complete recovery from DB after 6 years.CONCLUSION The maxillary buccal-pterygoid splint can be used as a noninvasive approach to treat venlafaxine-induced DB.
文摘BACKGROUND Bruxism is a rhythmic masticatory muscle activity that occurs involuntarily in a non-physiologically functional state.There is a lack of research classifying the functional status of masticatory muscles in patients with different mandibular movement types(centric clenching or eccentric grinding)of bruxism.AIM To assess the differences of the masticatory muscle activity in patients with different types of bruxism.METHODS A total of 21 subjects with centric bruxism(CB)and 21 subjects with eccentric bruxism(ECB)were screened from college students according to a questionnaire and their tooth wear features.Sixteen subjects with no bruxism were also recruited.The surface electromyography(EMG)signals of the temporalis anterior(TA)and superficial masseter muscle(MM)were measured in different mandibular positions and during the chewing task.The EMG amplitude and chewing cycle duration parameters were then analyzed.RESULTS The CB group showed fewer muscle maximal motor units,with the MM being more pronounced,a higher proportion of muscle contractions to be recruited for the same load of chewing activity,and a longer chewing cycle.The ECB group showed more TA maximal motor units and higher MM activity on the nonworking side in unilateral chewing.CONCLUSION CB mainly affects the MM,and patients with CB show reduced masticatory muscle contraction efficiency and chewing cycle efficiency.ECB mainly affects the TA,and patients with ECB show enhanced contraction of non-functional lateral muscle bundles.
文摘Aims: To evaluate the association between bruxism, headaches, and temporomandibular disorder (TMD). Methods: A keyword search of the clinical notes of patients’ charts in AxiUm<sup>TM</sup> was performed using the search terms “TMD”, “headache”, and “sleep bruxism” to identify these patients. The inclusion criteria were patients with partial of full dentition, aged 18 to 65 years old who attended the UNLV School of Dental Medicine clinics between January 2014 and September 2018. Patients with incomplete records and those who were completely edentulous formed the exclusion criteria. Data were analyzed using the Pearson Correlation Coefficient. Results: The final sample was made up of 529 patients. The highest percentage of study subjects were in the age range of 29 - 34 (17.9%), with a statistically significant correlation to pain on opening (P = 0.0403). Females showed a statistically significant correlation to TMJ clicking (P = 0.0033). Caucasians also had a statistically significant correlation to TMJ clicking (P = 0.0001). In addition, a statistically significant correlation between pain on opening or chewing and headaches was also observed (P = 0.0081). Conclusion: Within the limitations of the present study, Caucasians, and females presented with more TMJ clicking than the other study subjects. Young adults, in particular, experienced more pain on opening or chewing.
文摘Recently, bruxism became the center of attention for the etiological research of non-carious cervical lesions (NCCLs). The present study aims to investigate the presence and types of NCCLs associated with bruxism. Retrospective keywords search of the clinical notes of all patient charts in axiUmTM was performed using the terms “bruxism”, “attrition”, “abrasion”, “erosion”, and “abfraction”. All bruxer patients 18 years and older who presented to the UNLV School of Dental Medicine (01/01/2014 to 09/30/2018) with the complete record were included. To determine the statistical analysis implications, the chi-square test was used. Commonest types of NCCL associated with bruxism were attrition and abfraction. Five hundred seventeen cases had multifactorial lesions. Anterior maxillary teeth followed by mandibular anterior were the most affected teeth. Abfraction lesions were mainly sighted in maxillary premolars, followed by maxillary canines. Within the limitation of the present investigation, it was concluded that attrition and abfraction were highly associated with bruxism.
基金supported by Society Development Foundation of Jiangsu Science and Technology Department(BS98064)
文摘Objective：Bruxism is the term used for teeth grinding or jaw clenching. An electronic monitor of bruxism was developed to evaluate bruxism duration and frequency. Methods： Ten cases were selected in the Department of Prosthodontics of Jiangsu Stomatological Hospital to evaluate the monitor. A stabilization occlusal splint was fabricated for each of the 10 cases. The vertical dimension for each splint was 0.5 nun lower than mandibular postural position. Some sensors had been prearranged at each splint which could transfer the variation of the biting force into electronic signals. The data of sleeping duration, grinding duration and grinding frequency were recorded with this new type of bruxism monitor, which had been specifically invented to study bruxism. Results：The data from 10 bruxism cases were collected and the results were considered reliable. Subjects nocturnal duration parameters did not change significantly from night-to-night. Conclusion：The bmxism monitor can automatically measure and record bruxism data using an occlusal splint. This device is valuable for diagnosis and evaluation of bruxism.
