Evaluation of sleep bruxism with a novel designed occlusal splint. 2017

Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
Department of Fixed Prosthodontics, School of Dental Medicine, Tsurumi University, Yokohama, Japan.

OBJECTIVE This report presents our evaluation system that assesses sleep bruxism. The characteristics and fabrication process of our novel designed splint, and the analysis process of our system are presented. METHODS The subjects were 17 volunteers. The splint was fabricated with a self-curing resin compounded with an amino-acid powder for easy wear on the semi-adjustable articulator, and adjusted for a full-balanced occlusion. An impression of the splint, located on the cast, was taken before and after it was worn. The analytical casts were made and scanned via a dental 3D scanner. The datasets were superimposed using two kinds of regions of interest (palate and occlusal surface). The differences between the two datasets were quantitatively presented with pseudo-color mapping. The maximum differences in coronal and apical directions were calculated on the selected area in the occlusal surface when the occlusal surface was used as a region of interest for registration. The relationship between the EMG activities and the change of occlusal surface of the splint were investigated. RESULTS In all subjects, deformation and wear facets on the splint were observed. The differences in the apical direction, which indicate wear depth, were correlated with the maximum muscle activity during sleep (p=0.036). CONCLUSIONS From our results, it is suggested that we are not able to eliminate the influence of parafunction for the prosthesis only by designing the surface of occlusal splint using the semi-adjustable articulator. Our splint may have the potential to detect specific facets due to parafunctions as nocturnal bruxism.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003735 Dental Casting Technique The process of producing a form or impression made of metal or plaster using a mold. Casting Technic, Dental,Casting Technics, Dental,Casting Technique, Dental,Casting Techniques, Dental,Dental Casting Technic,Dental Casting Technics,Dental Casting Techniques,Technic, Dental Casting,Technics, Dental Casting,Technique, Dental Casting,Techniques, Dental Casting
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D016382 Orthodontic Appliance Design The planning, calculation, and creation of an apparatus for the purpose of correcting the placement or straightening of teeth. Appliance Design, Orthodontic,Appliance Designs, Orthodontic,Design, Orthodontic Appliance,Designs, Orthodontic Appliance,Orthodontic Appliance Designs
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
D019217 Tooth Attrition The wearing away of a tooth as a result of tooth-to-tooth contact, as in mastication, occurring only on the occlusal, incisal, and proximal surfaces. It is chiefly associated with aging. It is differentiated from TOOTH ABRASION (the pathologic wearing away of the tooth substance by friction, as brushing, bruxism, clenching, and other mechanical causes) and from TOOTH EROSION (the loss of substance caused by chemical action without bacterial action). (Jablonski, Dictionary of Dentistry, 1992, p86) Dental Attrition,Attrition, Dental,Occlusal Wear,Attrition, Tooth,Dental Attritions,Occlusal Wears,Wear, Occlusal,Wears, Occlusal
D020186 Sleep Bruxism A sleep disorder characterized by grinding and clenching of the teeth and forceful lateral or protrusive jaw movements. Sleep bruxism may be associated with TOOTH INJURIES; TEMPOROMANDIBULAR JOINT DISORDERS; sleep disturbances; and other conditions. Bruxism, Nocturnal,Nocturnal Teeth Grinding Disorder,Sleep Bruxism, Adult,Sleep Bruxism, Childhood,Sleep-Related Bruxism,Teeth Grinding Disorder, Nocturnal,Adult Sleep Bruxism,Adult Sleep Bruxisms,Bruxism, Sleep,Bruxism, Sleep-Related,Bruxisms, Nocturnal,Bruxisms, Sleep,Bruxisms, Sleep-Related,Childhood Sleep Bruxism,Childhood Sleep Bruxisms,Nocturnal Bruxism,Nocturnal Bruxisms,Sleep Bruxisms,Sleep Bruxisms, Adult,Sleep Bruxisms, Childhood,Sleep Related Bruxism,Sleep-Related Bruxisms

Related Publications

Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
August 2008, Sleep & breathing = Schlaf & Atmung,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
February 2007, European journal of oral sciences,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
June 2010, Shanghai kou qiang yi xue = Shanghai journal of stomatology,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
August 2013, The journal of advanced prosthodontics,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
September 1998, Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
May 2023, The International journal of prosthodontics,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
September 2019, BMC oral health,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
April 2015, Journal of biomedical research,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
February 2019, Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences,
Kentaro Hirai, and Tomoko Ikawa, and Yuko Shigeta, and Shuji Shigemoto, and Takumi Ogawa
January 2015, General dentistry,
Copied contents to your clipboard!