Susumu Abe, Nelly T Huynh, Piere H Romprß, Pierre de Grandmont, Anaïs Landry-Schönbeck, Marie-Lou Landry, Takafumi Kato, Fumiaki Kawano, Gilles J Lavigne
{"title":"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。","authors":"Susumu Abe, Nelly T Huynh, Piere H Romprß, Pierre de Grandmont, Anaïs Landry-Schönbeck, Marie-Lou Landry, Takafumi Kato, Fumiaki Kawano, Gilles J Lavigne","doi":"10.11607/ijp.7525","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>Self-reports for sleep quality and comfort of the oral device showed a mild advantage of the OS when compared to the MAS (r<sup>2</sup> = 0.47, r<sup>2</sup> = 0.32; <i>P</i> ≤ .01). In responders, the MAS induced a greater reduction in the RMMA index (<i>P</i> = .03) than the OS.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":50292,"journal":{"name":"International Journal of Prosthodontics","volume":"36 2","pages":"138-147"},"PeriodicalIF":2.1000,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Sleep Quality and Comfort Reported by Sleep Bruxism Individuals Wearing the Occlusal Splint and Mandibular Advancement Splint: Revisiting Two Crossover Studies.\",\"authors\":\"Susumu Abe, Nelly T Huynh, Piere H Romprß, Pierre de Grandmont, Anaïs Landry-Schönbeck, Marie-Lou Landry, Takafumi Kato, Fumiaki Kawano, Gilles J Lavigne\",\"doi\":\"10.11607/ijp.7525\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>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.</p><p><strong>Materials and methods: </strong>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.</p><p><strong>Results: </strong>Self-reports for sleep quality and comfort of the oral device showed a mild advantage of the OS when compared to the MAS (r<sup>2</sup> = 0.47, r<sup>2</sup> = 0.32; <i>P</i> ≤ .01). In responders, the MAS induced a greater reduction in the RMMA index (<i>P</i> = .03) than the OS.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":50292,\"journal\":{\"name\":\"International Journal of Prosthodontics\",\"volume\":\"36 2\",\"pages\":\"138-147\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2023-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Prosthodontics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.11607/ijp.7525\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Prosthodontics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.11607/ijp.7525","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Sleep Quality and Comfort Reported by Sleep Bruxism Individuals Wearing the Occlusal Splint and Mandibular Advancement Splint: Revisiting Two Crossover Studies.
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.
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.
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