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. 2011

René A Cruz-Reyes, and Ivette Martínez-Aragón, and Rafael E Guerrero-Arias, and David A García-Zura, and Luis E González-Sánchez
rene_alexcruz@yahoo.es

The aim of this study is to assess the electrical activity generated in temporal and masseter muscles during voluntary muscular contraction of patients with bruxism, as a result of the use of two types of occlusal splints (occlusal stabilization splint and soft occlusal splint) in which 2 groups of 8 patients were evaluated -12 women and four men aged 19 to 40 years, who used a single type of occlusal splint for 46 to 60 days. The splints were made from sheets of rigid acetate plus heat-cured acrylic (occlusal stabilization splint, control group) and sheets of flexible acetate (soft occlusal splint, experimental group). Two electromyographic tests (EMG) were performed on each patient; one before placing the splint and another at the end of the treatment. The statistical analysis used was computerized variance ANOVA analysis with F distribution (P < or = 0.025). In the control group, muscle electrical activity increased significantly in 5 patients and decreased slightly in 3. In the experimental group, there was considerable reduction of such activity in 6 patients and a slight increase in 2. There is a statistically significant difference (P < or = 0.025) between the muscle electrical activity generated in the control group and in the experimental group. The increase in muscle electrical activity in the control group may have been due to a neuromuscular recovery process; while the decrease in the experimental group might have been due to a negative or decremental process of muscular organization to prevent the recruitment of new motor units. Occlusal stabilization splints are therefore considered better than soft occlusal splints.

UI MeSH Term Description Entries
D008297 Male Males
D002012 Bruxism A disorder characterized by grinding and clenching of the teeth. Bruxomania,Teeth Grinding Disorder,Disorder, Teeth Grinding,Grinding Disorder, Teeth,Teeth Grinding Disorders
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
D017090 Occlusal Splints Rigid or flexible appliances that overlay the occlusal surfaces of the teeth. They are used to treat OBSTRUCTIVE SLEEP APNEA, clenching, BRUXISM, and their sequelae, and to provide temporary relief from muscle or temporomandibular joint pain. Dental Night Guard,Mandibular Advancement Devices,Mandibular Advancement Splints,Splints, Occlusal,Advancement Device, Mandibular,Advancement Devices, Mandibular,Advancement Splint, Mandibular,Advancement Splints, Mandibular,Dental Night Guards,Device, Mandibular Advancement,Devices, Mandibular Advancement,Guard, Dental Night,Guards, Dental Night,Mandibular Advancement Device,Mandibular Advancement Splint,Night Guard, Dental,Night Guards, Dental,Occlusal Splint,Splint, Mandibular Advancement,Splint, Occlusal,Splints, Mandibular Advancement
D055815 Young Adult A person between 19 and 24 years of age. Adult, Young,Adults, Young,Young Adults

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