Managements of sleep bruxism in adult: A systematic review

IF 5.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Japanese Dental Science Review Pub Date : 2022-11-01 DOI:10.1016/j.jdsr.2022.02.004

Hajime Minakuchi , Masanori Fujisawa , Yuka Abe , Takashi Iida , Kyosuke Oki , Kazuo Okura , Norimasa Tanabe , Akira Nishiyama

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引用次数: 14

Abstract

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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成人睡眠磨牙症的处理:系统回顾

本系统综述旨在更新成人睡眠磨牙症(SB)的管理，如使用多导睡眠图(PSG)和/或肌电图(EMG)诊断。管理方法包括口腔器械治疗(OAT)与稳定夹板，认知行为治疗(CBT)，生物反馈治疗(BFT)和药物治疗。综合检索MEDLINE、Cochrane Library和Web of Science，截止到2021年10月1日。参考列表搜索和手工搜索也由外部组织执行。每项治疗的两名审稿人独立进行了文章选择、数据提取和偏倚风险评估。审稿人通过讨论解决了关于文章分类的任何分歧。最后，每种疗法分别选择了11、3、14和22篇文章。结果表明，OAT倾向于减少SB事件的数量，尽管与其他类型的夹板相比没有显著差异，CBT的潜在益处并没有得到很好的支持，BFT、雷贝拉唑、氯硝西泮、clonazepam、clonidine和A型肉毒杆菌毒素注射在特定SB参数上有显著降低，尽管有一些副作用的报道。因此，需要更多方法学上严格的随机大样本长期随访临床试验来阐明SB治疗的有效性和安全性。

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来源期刊

Japanese Dental Science Review DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

9.90

自引率

1.50%

发文量

审稿时长

32 days

期刊介绍： The Japanese Dental Science Review is published by the Japanese Association for Dental Science aiming to introduce the modern aspects of the dental basic and clinical sciences in Japan, and to share and discuss the update information with foreign researchers and dentists for further development of dentistry. In principle, papers are written and submitted on the invitation of one of the Editors, although the Editors would be glad to receive suggestions. Proposals for review articles should be sent by the authors to one of the Editors by e-mail. All submitted papers are subject to the peer- refereeing process.