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Occlusal splint for sleep bruxism: an electromyographic associated to Helkimo Index evaluation

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Abstract

This study aims to evaluate long-term effects of using an occlusal splint in patients with sleep bruxism (SB), using surface electromyography (EMG) of masseter and temporalis muscles, as well as the Helkimo Index. The subjects were 15 individuals aged from 19 to 29 years, bearers of SB, with presence of signs and symptoms of temporomandibular disorders (TMD), which never have used occlusal splints. The subjects answered the Helkimo’s Index and underwent EMG before and after 60 days of occlusal splints use. There was no indication of a significant decrease in mean EMG levels over the therapy in the muscles. A significant decrease in TMD signs and symptoms were observed in SB patients after 60 days of occlusal splints therapy.

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References

  1. Kato T, Montplaisir JY, Blanchet PJ, Lund JP, Lavigne GJ (1999) Idiopathic myoclonus in the oromandibular region during sleep: a possible source of confusion in sleep bruxism diagnosis. Mov Disord 14(15):865–871

    Article  PubMed  CAS  Google Scholar 

  2. Sjoholm TT, Lowe AA, Miyamoto K, Fleetham JA, Ryahn CF (2000) Sleep bruxism in patients with sleep-disordered breathing. Arch Oral Biol 45(10):889–896

    Article  PubMed  CAS  Google Scholar 

  3. Clarke NG, Townsend GC, Carey SE (1984) Bruxing patterns in man during sleep. J Oral Rehabil 11(2):123–127

    Article  PubMed  CAS  Google Scholar 

  4. Attanasio R (1991) Nocturnal bruxism and its clinical management. Dent Clin North Am 35(1):245–252

    PubMed  CAS  Google Scholar 

  5. Lobbezoo F, Van Der Zaag J, Naeije M (2006) Bruxism: its multiple causes and its effects on dental implants—an updated review. J Oral Rehabil 33(4):293–300

    Article  PubMed  CAS  Google Scholar 

  6. Lobbezoo F, Naeije M (2001) Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil 28(12):1085–1091

    Article  PubMed  CAS  Google Scholar 

  7. Rosales VP, Ikeda K, Hizaki K, Naruo T, Nozoe S, Ito G (2002) Emotional stress and brux-like activity of the masseter muscle in rats. Eur J Orthod 24(1):107–117

    Article  PubMed  Google Scholar 

  8. Amemori Y (1999) Influence of bruxism during sleep on stomatognathic system. Kokubyo Gakkai Zasshi 66(1):76–87 (in Japanese)

    PubMed  CAS  Google Scholar 

  9. Kato T, Thie NM, Huynh N, Miyawaki S, Lavigne GJ (2003) Topical review: sleep bruxism and the role of peripheral sensory influences. J Orofac Pain 17(3):191–213

    PubMed  Google Scholar 

  10. Kato T, Montplaisir JY, Guitard F, Sessle BJ, Lund JP, Lavigne GJ (2003) Evidence that experimentally induced sleep bruxism is a consequence of transient arousal. J Dent Res 82(4):284–288

    PubMed  CAS  Google Scholar 

  11. Lavigne GJ, Rompré PH, Montplaisir J (1996) Sleep bruxism: validity of clinical research diagnostic criteria in a controlled polysomnographic study. J Dent Res 75(1):546–552

    PubMed  CAS  Google Scholar 

  12. Macaluso GM, Guerra P, Di Giovanni G, Boselli M, Parrino L, Terzano MG (1998) Sleep bruxism is a disorder related to periodic arousals during sleep. J Dent Res 77(4):565–573

    Article  PubMed  CAS  Google Scholar 

  13. Alvarez-Arenal A, Junquera LM, Fernandez JP, Gonzalez I, Olay S (2002) Effect of splint occlusal and transcutaneous electric nerve stimulation on the signs and symptoms of temporomandibular disorders in patients with bruxism. J Oral Reabil 29(9):858–863

    Article  CAS  Google Scholar 

  14. Dubé C, Rompré PH, Manzini C, Guitard F, de Grandmont P, Lavigne GJ (2004) Quantitative polygraphic controlled study on efficacy and safety of oral splints devices in tooth-grinding subjects. J Dent Res 83(5):398–403

    PubMed  Google Scholar 

  15. Roark AL, Glaros AG, O’Mahony AM (2003) Effects of interocclusal appliances on EMG activity during parafunctional tooth contact. J Oral Rehabil 30(6):573–577

    Article  PubMed  CAS  Google Scholar 

  16. Raphael KG, Marbach JJ, Klausner JJ, Teaford MF (2003) Is bruxism severity a predictor of oral splint efficacy in patients with myofascial face pain? J Oral Rehabil 30(1):17–29

    Article  PubMed  CAS  Google Scholar 

  17. Harada T, Ichiki R, Tsukiyama Y, Koyano K (2006) The effect of oral splint devices on sleep bruxism: a 6-week observation with an ambulatory electromyographic recording device. J Oral Rehabil 33(7):482–488

    Article  PubMed  CAS  Google Scholar 

  18. Seligman DA, Pullinger AG (1995) The degree to which dental attrition in modern society is a function of age and of canine contact. J Orofac Pain 9(3):266–275

    PubMed  CAS  Google Scholar 

  19. Teaford MF, Tylenda CA (1991) A new approach to the study of tooth wear. J Dent Res 70(3):204–207

    PubMed  CAS  Google Scholar 

  20. Mehl A, Gloger W, Kunzelmann KH, Hickel R (1997) A new optical 3-D device for the detection of wear. J Dent Res 76(11):1799–1807

    PubMed  CAS  Google Scholar 

  21. Bakke M, Thomsen CE, Vilmann A, Soneda K, Farella M, Moller E (1996) Ultrasonographic assessment of the swelling of the human masseter muscle after static and dynamic activity. Arch Oral Biol 41(2):133–140

    Article  PubMed  CAS  Google Scholar 

  22. Helkimo M (1974) Studies on function and dysfunction of the masticatory system. II. Index for anamnestic and clinical dysfunction and occlusal state. Sven Tandlak Tidskr 67(2):101–21

    PubMed  CAS  Google Scholar 

  23. De Luca CJ (1997) The use of surface electromyography in biomechanics. J Appl Biomech 13(2):135–163

    Google Scholar 

  24. Kallenberg LA, Schulte E, Disselhorst-Klug C, Hermens HJ (2007) Myoelectric manifestations of fatigue at low contraction levels in subjects with and without chronic pain. J Electromyogr Kinesiol 17(3):264–274

    Article  PubMed  Google Scholar 

  25. Lauer RT, Smith BT, Shewokis PA, McCarthy JJ, Tucker CA (2007) Time–frequency changes in electromyographic signals after hamstring lengthening surgery in children with cerebral palsy. J Biomech 40(12):2738–2743

    Article  PubMed  Google Scholar 

  26. Drost G, Stegeman DF, van Engelen BG, Zwarts MJ (2006) Clinical applications of high-density surface EMG: a systematic review. J Electromyogr Kinesiol 16(6):586–602

    Article  PubMed  Google Scholar 

  27. Landulpho AB, e Silva WA, e Silva FA, Vitti M (2002) The effect of the occlusal splints on the treatment of temporomandibular disorders—a computerized electromyographic study of masseter and anterior temporalis muscles. Electromyogr Clin Neurophysiol 42(3):187–191

    PubMed  CAS  Google Scholar 

  28. Holmgren K, Sheikholeslam A, Riise C (1993) Effect of a full-arch maxillary occlusal splint on parafunctional activity during sleep in patient with nocturnal bruxism and signs and symptoms of craniomandibular disorders. J Prosthet Dent 69(3):293–297

    Article  PubMed  CAS  Google Scholar 

  29. Holmgren K, Sheikholeslam A, Riise C, Kopp S (1990) The effects of an occlusal splint on the electromyographic activities of the temporal and masseter muscles during maximal clenching in patients with a habit of nocturnal bruxism and signs and symptoms of craniomandibular disorders. J Oral Rehabil 17(5):447–459

    Article  PubMed  CAS  Google Scholar 

  30. Baad-Hansen L, Jadidi F, Cartrillon E, Thomsen PB, Svensson P (2007) Effect of a nociceptive trigeminal inhibitory splint on electromyographic activity in jaw closing muscles during sleep. J Oral Rehabil 34(2):105–111

    Article  PubMed  CAS  Google Scholar 

  31. Ommerborn MA, Schneider C, Giraki M, Schäfer R, Handschel J, Franz M, Raab WH-M (2007) Effects of an occlusal splint compared with cognitive-behavioral treatment on sleep bruxism activity. Eur J Oral Sci 115:7–14

    Article  PubMed  Google Scholar 

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Acknowledgment

We thank the State of Sao Paulo Research Support Foundation (local acronym FAPESP) for the support for this research.

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Correspondence to Lilian Chrystiane Giannasi.

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Nascimento, L.L.d., Amorim, C.F., Giannasi, L.C. et al. Occlusal splint for sleep bruxism: an electromyographic associated to Helkimo Index evaluation. Sleep Breath 12, 275–280 (2008). https://doi.org/10.1007/s11325-007-0152-8

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