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CC BY-NC-ND 4.0 · Eur J Dent 2008; 02(04): 276-282
DOI: 10.1055/s-0039-1697392
Original Article
Dental Investigation Society

Evaluation of Treatments in Patients with Nocturnal Bruxism on Bite Force and Occlusal Contact Area: A preliminary report

Alper Alkan
a   Associate Professor and Chairman, DDS, PhD, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Erciyes University, Kayseri, Turkey
,
Emel Bulut
b   Assistant Professor, DDS, PhD, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey
,
Selim Arici
c   Professor, DDS, MMedSci, PhD, Department of Orthodonthics, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey
,
Shuichi Sato
d   Lecturer, Division of Maxillofacial Surgery, Graduate School of Dentistry, Tohoku University, Sendai, Japan
› Author Affiliations
Further Information

Publication History

Publication Date:
27 September 2019 (online)

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ABSTRACT

Objectives: The purpose of this study was to investigate the short-term effects of occlusal splint therapy and tricyclic antidepressants on the bite force and occlusal contact area of patients presenting with nocturnal bruxism.

Methods: A maxillary full-coverage hard acrylic splint was applied to the five patients (Group S). Five patients took a tricyclic antidepressant (Amitriptiline HCl, 10 mg/day) for 3 months (Group A) and a control group (Group C) comprising of 10 dental school students with normal occlusion was also formed. Using a Dental Prescale (Fuji Photo Film Corporation, Tokyo, Japan) and an Occluzer computer (FPD703, Fuji Photo Film Corporation, Tokyo, Japan) the bite force and occlusal contact area were measured. The evaluations were made just before the treatment and at 1 month and 3 months of treatment.

Results: The bite force and occlusal contact area before treatment in study Groups A and S were found to be higher than those in the Group C. Furthermore, the bite force and occlusal contact area increased during treatment in Group A whilst they decreased in Group S. Bite force and occlusal contact area in Group S were lower at both 1 month and 3 months of treatment than in Group C.

Conclusions: It could be tentatively suggested that occlusal splint therapy may be more effective than tricyclic antidepressant in the treatment of bruxism. Further investigations of this measurement method involving larger study populations and a longer follow-up period are needed. (Eur J Dent 2008;2:276-282)

Key Words:

Antidepressant - Bite force - Bruxism - Occlusal contact area - Splint
 

  • REFERENCES

  • 1 Bruxism S. in: The Glossary of Prosthodontic Terms(ed7) J Prosthet Dent 1999; 81: 5
    Search in Google Scholar
  • 2 Israel HA, Diamond B, Saed-Nejad F, Raatcliffe A. The relationship between parafunctional masticatory activity and arthroscopically diagnosed temporomandibular joint pathology. J Oral Maxillofac Surg 1999; 57: 1034-1039
    CrossrefPubMedSearch in Google Scholar
  • 3 Silverman S, Eversole LR, Trulove EL. Essentials of Oral Medicine. Hamilton-London: BC Decker Inc; 2001
    Search in Google Scholar
  • 4 Bowley JF, Marx DB. Masticatory muscle activity assessment and reliability of a portable electromyographic instrument. J Prosthet Dent 2001; 85: 252-260
    CrossrefPubMedSearch in Google Scholar
  • 5 Janal MN, Raphael KG, Klausner J, Teaford M. The role of tooth-grinding in the maintenance of myofascial face pain: A test of alternate models. Pain Medicine 2007; 8: 486-496
    CrossrefPubMedSearch in Google Scholar
  • 6 Sharav Y, Singer E, Schmidt E, Dionne RA, Dubner R. The analgesic effect of amitriptyline on chronic facial pain. Pain 1987; 31: 199-209
    CrossrefPubMedSearch in Google Scholar
  • 7 Sato S, Ohta M, Sawatari M, Kawamura H, Motegi K. Occlusal contact area, occlusal pressure, bite force and masticatory efficiency in patients with anterior disc displacement of the temporomandibular joint. J Oral Rehabil 1999; 26: 906-911
    CrossrefPubMedSearch in Google Scholar
  • 8 Ohkura K, Harada K, Morishima S, Enomoto S. Changes in bite force and occlusal contact area after orthognathic surgery for correction of mandibular prognathism. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 141-145
    CrossrefPubMedSearch in Google Scholar
  • 9 Hidaka O, Iwasaki M, Saito M, Morimoto T. Influence of clenching intensity on bite force balance, occlusal contact area, and average bite pressure. J Dent Res 1999; 78: 1336-1344
    Search in Google Scholar
  • 10 Ellis E, Throckmorton GS, Sinn DP. Bite forces before and after surgical correction of mandibular prognathism. J Oral Maxillofac Surg 1996; 54: 176-181
    CrossrefPubMedSearch in Google Scholar
  • 11 Iwase M, Sugimori M, Kurachi Y, Nagumo M. Changes in bite force and occlusal contacts in patients treated for mandibular prognathism by orthognathic surgery. J Oral Maxillofac Surg 1998; 56: 850-855
    CrossrefPubMedSearch in Google Scholar
  • 12 Kim YG, Oh SH. Effects of mandibular setback surgery on occlusal force. J Oral Maxillofac Surg 1997; 55: 121-126
    CrossrefPubMedSearch in Google Scholar
  • 13 Throckmorton GS, Buschang PH, Ellis E. Improvement of maximum occlusal forces after orthognathic surgery. J Oral Maxillofac Surg 1996; 54: 1080-1086
    CrossrefPubMedSearch in Google Scholar
  • 14 Miyaura K, Matsuka Y, Morita M, Yamashita A, Watanabe T. Comparison of biting forces in different age and sex groups: a study of biting efficiency with mobile and nonmobile teeth. J Oral Rehabil 1999; 26: 223-227
    CrossrefPubMedSearch in Google Scholar
  • 15 Miyaura K, Morita M, Matsuka Y, Yamashita A, Watanabe T. Rehabilitation of biting abilities in patients with different types of dental prostheses. J Oral Rehabil 2000; 27: 1073-1076
    CrossrefPubMedSearch in Google Scholar
  • 16 Allen JD, Rivera-Morales WC, Zwemer JD. Occurrence of temporomandibular disorders symptoms in healthy young adults with and without evidence of bruxism. Cranio 1990; 8: 312-318
    PubMedSearch in Google Scholar
  • 17 Capurso U. Clinical aspects of craniomandibular disorders. I. Analysis of a sample group of patients and diagnostic classification. Minerva Stomatol 1996; 45: 311-320
    PubMedSearch in Google Scholar
  • 18 Rugh JD, Harlan J. Nocturnal bruxism and temporomandibular disorders. Adv Neurol 1988; 49: 329-341
    Search in Google Scholar
  • 19 Solberg WK, Clark GT, Rugh JD. Nocturnal electromyographic evaluation of bruxism patients undergoing short term splint therapy. J Oral Rehabil 1975; 21: 215-223
    Search in Google Scholar
  • 20 Lobbezoo F, Van Der Glas HW, Van Kampen FM, Bosman F. The effect of an occlusal stabilization splint and the mode of visual feedback on the activity balance between jaw elevator muscles during isometric contraction. J Dent Res 1993; 72: 876-882
    Search in Google Scholar
  • 21 Visser A, Naeije M, Hansson TL. The temporal masseter co-construction: an electromyographic and clinical evaluation of short term stabilization splint therapy in myogenous CMD patients. J Oral Rehabil 1995; 22: 387-389
    CrossrefPubMedSearch in Google Scholar
  • 22 Kurita H, Ikeda K, Kurashina K. Evaluation of the effect of stabilization splint on occlusal force in patients with masticatory muscle disorders. J Oral Rehabil 2000; 27: 79-82
    CrossrefPubMedSearch in Google Scholar
  • 23 Ferrario VF, Serrao G, Dellavia C, Carusa E, Sforza C. Relationship between the number of occlusal contacts and masticatory muscle activity in healthy young adults. J Craniomandibular Practice 2002; 20: 91-98
    Search in Google Scholar
  • 24 Mohamed SE, Christensen LV, Penchas J. A randomized double-blind clinical trial of the effect of amitriptyline on nocturnal masseteric motor activity (sleep bruxism). Cranio 1997; 15: 326-332
    PubMedSearch in Google Scholar
  • 25 Raigrodski AJ, Mohamed SE, Gardiner DM. The effect of amitriptyline on pain intensity and perception of stress in bruxers. J Prosthodont 2001; 10: 73-77
    CrossrefPubMedSearch in Google Scholar
  • 26 Raigrodski AJ, Christensen LV, Mohamed SE, Gardiner DM. The effect of four-week administration of amitriptyline on sleep bruxism. A double-blind crossover clinical study. Cranio 2001; 19: 21-25 Comment in: Cranio 2001;19:149
    PubMedSearch in Google Scholar
  • 27 McQuay HJ, Carroll D, Glynn CJ. Dose-response for analgesic effect of amitriptyline in chronic pain. Anaesthesia 1993; 48: 281-285
    CrossrefPubMedSearch in Google Scholar