Effects of orthodontic aligners on the ecological report of awake bruxism

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2024-07-18 DOI:10.1111/joor.13810

Anna Colonna, Frank Lobbezoo, Eleonora Capelli, Alessandro Bracci, Luca Lombardo, Matteo Pollis, Daniele Manfredini

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引用次数: 0

Abstract

Background

The demand for orthodontic treatment with aligners has recently increased, but their effects on awake bruxism (AB) behaviours have to be evaluated yet.

Objectives

This investigation assessed if aligners can affect oral behaviours (i.e. tooth contact, teeth clenching, teeth grinding and mandible bracing) that are related with the AB spectrum.

Methods

The investigation was performed in a sample of 32 consecutively recruited healthy adult patients who required orthodontic treatment. The study protocol involved three different sessions of 1-week monitoring without aligners, with passive aligners and with active aligners, respectively. All patients underwent an orthodontic treatment with aligners and used a smartphone-based application for a real-time report (i.e. ecological momentary assessment [EMA]) of their AB behaviours. Recording time was set from 8.00 to 12.30 and from 14.30 to 22.00. Analysis of variance (ANOVA) was used to compare the average reported frequency for each activity within and between the different sessions. The coefficient of variation (CV) was assessed to evaluate daily fluctuations within the 7 days monitoring periods.

Results

The average reported frequency of the relaxed condition was 64.9%, 63.0% and 60.0% during the sessions without aligners, with passive aligners and with active aligners, respectively. ANOVA showed no significant differences in any of the AB behaviours within (i.e. between 7 days of evaluation) and between the monitoring sessions (i.e. before orthodontic treatment, with passive aligners, with active aligners). No sex differences were detected, except for the ‘tooth contact’ report that showed a higher frequency in females.

Conclusion

The impact of our results in the orthodontic field is not negligible; clinicians can find support for the hypothesis that from a global point of view, wearing or not wearing aligners (passive and/or active) does not influence the frequency of AB behaviours at the short term.

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牙齿矫正器对清醒磨牙症生态报告的影响。

背景：使用矫正器进行正畸治疗的需求最近有所增加，但其对清醒磨牙症（AB）行为的影响尚未得到评估：本调查评估了矫治器是否会影响与磨牙症相关的口腔行为（即牙齿接触、牙齿紧咬、磨牙和下颌支撑）：调查对象是连续招募的 32 名需要接受正畸治疗的健康成年患者。研究方案包括不使用矫治器、使用被动矫治器和使用主动矫治器的三个不同疗程，分别进行为期一周的监测。所有患者都接受了矫治器正畸治疗，并使用智能手机应用程序对其 AB 行为进行实时报告（即生态瞬间评估 [EMA]）。记录时间为 8:00 至 12:30，14:30 至 22:00。方差分析（ANOVA）用于比较不同时段内和不同时段之间每种活动的平均报告频率。变异系数（CV）用于评估 7 天监测期内的每日波动：结果：在不佩戴矫治器、佩戴被动式矫治器和佩戴主动式矫治器的疗程中，放松状态下的平均报告频率分别为64.9%、63.0%和60.0%。方差分析结果表明，AB行为在监测时段内（即7天评估期间）和监测时段间（即正畸治疗前、使用被动式矫治器和使用主动式矫治器）均无明显差异。除了 "牙齿接触 "报告在女性中出现的频率较高外，没有发现性别差异：我们的研究结果对正畸领域的影响不容忽视；临床医生可以发现，从整体角度来看，佩戴或不佩戴矫治器（被动式和/或主动式）并不会在短期内影响AB行为的发生频率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.