Sleep Quality and Comfort Reported by Sleep Bruxism Individuals Wearing the Occlusal Splint and Mandibular Advancement Splint: Revisiting Two Crossover Studies.

IF 2.1 4区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International Journal of Prosthodontics Pub Date : 2023-05-01 DOI:10.11607/ijp.7525

Susumu Abe, Nelly T Huynh, Piere H Romprß, Pierre de Grandmont, Anaïs Landry-Schönbeck, Marie-Lou Landry, Takafumi Kato, Fumiaki Kawano, Gilles J Lavigne

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引用次数: 1

Abstract

Purpose: To assess (1) whether an occlusal splint (OS) or mandibular advancement splint (MAS) allowed better sleep quality and was more comfortable in individuals with sleep bruxism (SB); and (2) the relationship between sleep quality, comfort, and reduction in RMMA related to SB.

Materials and methods: Polysomnographic data from 21 SB subjects (mean ± SD age 25.6 ± 4.5 years) collected in two previous studies were compared. Morning self-reports on sleep quality and comfort of the oral device, polysomnographic data, and RMMA index data from no-device nights were compared to nights using an OS or MAS. The reduction ratio of the RMMA index was calculated for both devices. A responder to the oral device was identified when the RMMA index was less than 2 and when it showed a reduction of at least 50% from the no-device control night.

Results: Self-reports for sleep quality and comfort of the oral device showed a mild advantage of the OS when compared to the MAS (r² = 0.47, r² = 0.32; P ≤ .01). In responders, the MAS induced a greater reduction in the RMMA index (P = .03) than the OS.

Conclusions: In the short term, the comfort of the oral device seemed to influence sleep quality in SB individuals. However, despite the slightly higher degree of comfort offered by the OS, the MAS induced a greater effect on the RMMA index. Int J Prosthodont 2022;36:138-147. doi: 10.11607/ijp.7525.

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睡眠磨牙患者佩戴咬合夹板和下颌前移夹板报告的睡眠质量和舒适度:回顾两项交叉研究。

目的:评估(1)在睡眠磨牙症(SB)患者中，咬合夹板(OS)或下颌前移夹板(MAS)是否能提高睡眠质量和舒适度;(2)睡眠质量、舒适度和与SB相关的RMMA减少之间的关系。材料和方法:比较前两项研究中收集的21名SB受试者(平均±SD年龄25.6±4.5岁)的多导睡眠图数据。早晨自我报告的口腔设备的睡眠质量和舒适度、多导睡眠图数据和RMMA指数数据从没有设备的夜晚与使用OS或MAS的夜晚进行比较。计算了两种装置的RMMA指数降低比。当RMMA指数小于2时，当它显示比无器械控制夜至少减少50%时，确定对口腔器械有反应。结果:口腔装置的睡眠质量和舒适度的自我报告显示，与MAS相比，OS有轻微的优势(r2 = 0.47, r2 = 0.32;P≤0.01)。在应答者中，与OS相比，MAS诱导RMMA指数的降低幅度更大(P = .03)。结论:在短期内，口腔装置的舒适度似乎会影响SB个体的睡眠质量。然而，尽管OS提供的舒适程度略高，但MAS对RMMA指数的影响更大。[J]中华口腔医学杂志;2010;31(6):368 - 368。doi: 10.11607 / ijp.7525。

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来源期刊

International Journal of Prosthodontics 医学-牙科与口腔外科

CiteScore

3.20

自引率

4.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Official Journal of the European Association for Osseointegration (EAO), the International College of Prosthodontists (ICP), the German Society of Prosthodontics and Dental Materials Science (DGPro), and the Italian Academy of Prosthetic Dentistry (AIOP) Prosthodontics demands a clinical research emphasis on patient- and dentist-mediated concerns in the management of oral rehabilitation needs. It is about making and implementing the best clinical decisions to enhance patients'' quality of life via applied biologic architecture - a role that far exceeds that of traditional prosthetic dentistry, with its emphasis on materials and techniques. The International Journal of Prosthodontics is dedicated to exploring and developing this conceptual shift in the role of today''s prosthodontist, clinician, and educator alike. The editorial board is composed of a distinguished team of leading international scholars.