TY - JOUR
T1 - Managements of sleep bruxism in adult
T2 - A systematic review
AU - Minakuchi, Hajime
AU - Fujisawa, Masanori
AU - Abe, Yuka
AU - Iida, Takashi
AU - Oki, Kyosuke
AU - Okura, Kazuo
AU - Tanabe, Norimasa
AU - Nishiyama, Akira
N1 - Funding Information:
This research was supported by the Japan Prosthodontic Society. The authors wish to thank Mr. Abe, Shin-ichi, Ms. Narita, Natsuki and Ms. Kawai, Fujimi (Japan Medical Library Association, Project Contract Committee, Expert Searching Working Group for Clinical Practice Guidelines) for their useful help and contributions in searching for the manuscripts. Prosthodontics and Neuroscience.
Funding Information:
This research was supported by the Japan Prosthodontic Society. The authors wish to thank Mr. Abe, Shin-ichi, Ms. Narita, Natsuki and Ms. Kawai, Fujimi ( Japan Medical Library Association , Project Contract Committee, Expert Searching Working Group for Clinical Practice Guidelines) for their useful help and contributions in searching for the manuscripts.
Publisher Copyright:
© 2022 The Authors
PY - 2022/11
Y1 - 2022/11
N2 - This systematic review aimed to update the management of sleep bruxism (SB) in adults, as diagnosed using polysomnography (PSG) and/or electromyography (EMG). Management methods covered were oral appliance therapy (OAT) with stabilization splints, cognitive-behavioral therapy (CBT), biofeedback therapy (BFT), and pharmacological therapy. A comprehensive search was conducted on MEDLINE, Cochrane Library, and Web of Science up to October 1st, 2021. Reference list searches and hand searches were also performed by an external organization. Two reviewers for each therapy independently performed article selection, data extraction, and risk of bias assessment. The reviewers resolved any disagreements concerning the assortment of the articles by discussion. Finally, 11, 3, 14, and 22 articles were selected for each therapy. The results suggested that OAT tended to reduce the number of SB events, although there was no significant difference compared to other types of splints, that the potential benefits of CBT were not well supported, and that BFT, rabeprazole, clonazepam, clonidine, and botulinum toxin type A injection showed significant reductions in specific SB parameters, although several side effects were reported. It can be concluded that more methodologically rigorous randomized large-sample long-term follow-up clinical trials are needed to clarify the efficacy and safety of management for SB.
AB - This systematic review aimed to update the management of sleep bruxism (SB) in adults, as diagnosed using polysomnography (PSG) and/or electromyography (EMG). Management methods covered were oral appliance therapy (OAT) with stabilization splints, cognitive-behavioral therapy (CBT), biofeedback therapy (BFT), and pharmacological therapy. A comprehensive search was conducted on MEDLINE, Cochrane Library, and Web of Science up to October 1st, 2021. Reference list searches and hand searches were also performed by an external organization. Two reviewers for each therapy independently performed article selection, data extraction, and risk of bias assessment. The reviewers resolved any disagreements concerning the assortment of the articles by discussion. Finally, 11, 3, 14, and 22 articles were selected for each therapy. The results suggested that OAT tended to reduce the number of SB events, although there was no significant difference compared to other types of splints, that the potential benefits of CBT were not well supported, and that BFT, rabeprazole, clonazepam, clonidine, and botulinum toxin type A injection showed significant reductions in specific SB parameters, although several side effects were reported. It can be concluded that more methodologically rigorous randomized large-sample long-term follow-up clinical trials are needed to clarify the efficacy and safety of management for SB.
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U2 - 10.1016/j.jdsr.2022.02.004
DO - 10.1016/j.jdsr.2022.02.004
M3 - Review article
AN - SCOPUS:85127006381
SN - 1882-7616
VL - 58
SP - 124
EP - 136
JO - Japanese Dental Science Review
JF - Japanese Dental Science Review
ER -