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Comparison of Two Exercise Therapy Protocols in Patients With Bruxism

A

Aydin Adnan Menderes University

Status

Completed

Conditions

Bruxism

Treatments

Other: Occlusal Splint Group
Other: Mandibular Exercise
Other: Mandibular Exercise and Postural Exercise Group

Study type

Interventional

Funder types

Other

Identifiers

NCT05555628
92340882-050.04.04

Details and patient eligibility

About

The main purpose of this planned research is to investigate the effectiveness of three different methods used for the treatment of bruxism. Two of these are physiotherapy-specific exercise treatment protocols (1.posture and proprioception exercises 2. Jaw area strengthening exercises) and a control group, (occlusal splint therapy) will take place during the study.

Full description

The current study is planned as a parallel group, randomized controlled trial. Patients who apply to Adnan Menderes University Faculty of Dentistry between June 2022 and January 2023 and diagnosed with bruxism after the examination will be screened for the study. Aydın Adnan Menderes University Faculty of Dentistry is a hospital that serves an average of 400 patients per day.

Enrollment

21 patients

Sex

All

Ages

18 to 50 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Diagnosis of sleep Bruxism according to the criteria of the International Classification of Sleep Disorders (ICSD) of the American Academy of Sleep Medicine (AASM) (5);
  2. 18-50 age range
  3. The diagnosis of awake bruxism, which was determined by a positive answer to the questions of the questionnaire developed according to Pintado's recommendations (6);
  4. Pain around the jaw is 3 or more on the visual analog scale (7)
  5. Patients who volunteered to participate in the study

Exclusion criteria

  1. Systemic and/or degenerative disorders
  2. Neurological or psychiatric diseases (excluding anxiety and depression)
  3. Use of drugs that affect sleep or motor behavior
  4. Arthrogenic or mixed temporomandibular disorder
  5. Axis I myogenic TMD according to investigational diagnostic criteria for temporomandibular disorders (RDC/TMD)
  6. Patients using total prosthesis
  7. Direct trauma or previous surgical intervention in the orofacial region
  8. Patients using muscle relaxants and non-steroidal anti-inflammatory drugs.
  9. Patients using removable prostheses
  10. Patients who have received any treatment for bruxism
  11. Patients who did not want to participate in the study

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

21 participants in 3 patient groups

Mandibular Exercise
Experimental group
Description:
At the beginning of the treatment, the therapist will perform a soft tissue massage to the patient's muscles. Then, an exercise protocol for specific muscles (masseter, temporal muscles, mandibular region muscles) will be administered. This group, the exercise will focus only on the chin area, not general like posture.
Treatment:
Other: Mandibular Exercise
Mandibular and Postural Exercise
Experimental group
Description:
The patients will perform posture exercises, including stabilization of the upper body and cervical region, accompanied by a physiotherapist. A theraband suitable for the patient's muscular strength will be used for posture exercises,. The appropriate therabant selection will be decided by a maximum repetition method.
Treatment:
Other: Mandibular Exercise and Postural Exercise Group
Other: Mandibular Exercise
Occlusal Splint
Active Comparator group
Description:
The patients assigned to this group will be treated by the occlusal splint administered by the dentist and the recommendations that they should pay attention to in daily life. Occlusal splints will be prepared according to previously published criteria by Okeson and other researchers. Occlusal splint measurement and production will be done by technicians with 5 years of experience. Using the models obtained from the maxillary measurements of the patients, 0.5 mm thick thermoplastic rigid splints will be prepared and adjusted according to the patient's occlusion. Occlusal splints will be prepared for night use only. Patients will use splints every night for 6 weeks. Splint use of the patients and possible side effects or plaque-related disorders will be followed up with phone calls to be made every 2 weeks.
Treatment:
Other: Occlusal Splint Group

Trial contacts and locations

1

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Central trial contact

Gul Karabicak

Data sourced from clinicaltrials.gov

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