Current therapies used in the treatment of bruxism
a systematic review
DOI:
https://doi.org/10.36557/2674-8169.2023v5n5p786-798Keywords:
Bruxismo, Tratamento, Sono, VirgíliaAbstract
Bruxism is defined as a repetitive activity of the jaw muscles characterized by clenching or grinding the teeth and/or holding or pushing the jaw, which can occur during sleep or while awake. In view of the physiological implications, the search for effective and current treatment is essential. Therefore, this systematic objective review presents the most recent therapies used in the treatment of bruxism. The PubMed, Web of Science, SciELO and LILACS databases were used to collect articles published from 2018 to 2023, in Portuguese and English and related to the theme presented, 10 articles being selected for the study. It is inferred that, within the limitations of this systematic review, the most indicated treatment for bruxism is an occlusal adjustment using a splint. Among the most current alternative therapies is the application of botulinum toxin; the use of herbal medicines, such as Melissa officinalis; manual therapy combined with Kinesio Tape; vibratory stimulation using an oral device and low-intensity laser therapy. Clinical studies are needed to standardize bruxism treatment protocols.
Downloads
References
Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, de Leeuw R, Manfredini D, Svensson P, Winocur E. Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013;40(1):2–4. doi: 10.1111/joor.12011.
Sateia MJ. International classification of sleep disorders-third edition: highlights and modifications. Chest. 2014;146(5):1387–1394. doi: 10.1378/chest.14-0970.
Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD) J Dent Res. 2002;81(4):284–288. doi: 10.1177/154405910208100412.
Okeson J.P. Etiology of functional disturbances in the masticatory system. In: Okeson J.P., editor. Management of Temporomandibular Disorders and Occlusion. 7th ed. Elsevier; St. Louis, MO, USA: 2011.
Deutsche Gesellschaft für Funktionsdiagnostik und -therapie in der Zahn- M-uKD, Deutsche Gesellschaft für Zahn- M-uKD (2019) S3-Leitlinie (Langversion) Diagnostik und Behandlung von Bruxismus. AWMForg. Disponível em: https://wwwawmforg/leitlinien/detail/ll/083-027html. Acesso em: 04 out 2023.
Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. 2008;35(7):476–494. doi: 10.1111/j.1365-2842.2008.01881.x.
Van der Zaag J., Lobbezoo F., Wicks D.J., Visscher C.M., Hamburger H.L., Naeije M. Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism. J. Orofac. Pain. 2005;19:151–158. doi: 10.1016/j.prosdent.2005.09.007.
Moher D et al.. Preferred reporting items for systematic reviews and Meta-Analyses: the PRISMA statement (reprinted from annals of internal medicine). Phys Ther. 2009;89(9):873–880.
Bergmann, A., Edelhoff, D., Schubert, O., Erdelt, K. J., & Pho Duc, J. M. (2020). Effect of treatment with a full-occlusion biofeedback splint on sleep bruxism and TMD pain: a randomized controlled clinical trial. Clinical oral investigations, 24, 4005-4018.
Shim, Y. J., Lee, H. J., Park, K. J., Kim, H. T., Hong, I. H., & Kim, S. T. (2020). Botulinum toxin therapy for managing sleep bruxism: A randomized and placebo—controlled trial. Toxins, 12(3), 168.
Cahlin, B. J., Lindberg, C., & Dahlström, L. (2019). Cerebral palsy and bruxism: Effects of botulinum toxin injections—A randomized controlled trial. Clinical and experimental dental research, 5(5), 460-468.
Tavares-Silva, C., Holandino, C., Homsani, F., Luiz, R. R., Prodestino, J., Farah, A., & Fonseca-Gonçalves, A. (2019). Homeopathic medicine of Melissa officinalis combined or not with Phytolacca decandra in the treatment of possible sleep bruxism in children: A crossover randomized triple-blinded controlled clinical trial. Phytomedicine, 58, 152869.
Benli, M., & Özcan, M. (2023). 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. Clinical Oral Investigations, 1-10.
Yazici, G., Kafa, N., Kolsuz, M. E., Volkan-Yazici, M., Evli, C., & Orhan, K. (2023). Evaluation of single session physical therapy methods in bruxism patients using shear wave ultrasonography. CRANIO®, 41(1), 41-47.
Kobayashi, F. Y., Castelo, P. M., Gonçalves, M. L. L., Motta, L. J., da Costa Mota, A. C., Altavista, O. M., ... & Bussadori, S. K. (2019). Evaluation of the effectiveness of infrared light-emitting diode photobiomodulation in children with sleep bruxism: Study protocol for randomized clinical trial. Medicine, 98(38).
Ohara, H., Takaba, M., Abe, Y., Nakazato, Y., Aoki, R., Yoshida, Y., ... & Baba, K. (2022). Effects of vibratory feedback stimuli through an oral appliance on sleep bruxism: a 6-week intervention trial. Sleep and Breathing, 26(2), 949-957.
Gerstner, G., Yao, W., Siripurapu, K., Aljanabi, H., Decker, A., Ludkin, D., ... & Tewksbury, C. (2020). Over‐the‐counter bite splints: A randomized controlled trial of compliance and efficacy. Clinical and experimental dental research, 6(6), 626-641.
Ispirgil, E., Erdoğan, S. B., Akın, A., & Şakar, O. (2020). The hemodynamic effects of occlusal splint therapy on the masseter muscle of patients with myofascial pain accompanied by bruxism. CRANIO®, 38(2), 99-108.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Ana Vitória Machado Duarte, Giovana Gisele Costa Oliveira, Mariana Silveira Santos , Renato Pires Barbosa , Stanley Keynes Duarte dos Santos

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.



