start-ver=1.4 cd-journal=joma no-vol=58 cd-vols= no-issue= article-no= start-page=124 end-page=136 dt-received= dt-revised= dt-accepted= dt-pub-year=2022 dt-pub=202211 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Managements of sleep bruxism in adult: A systematic review en-subtitle= kn-subtitle= en-abstract= kn-abstract=This systematic review aimed to update the management of sleep bruxism (SB) in adults, as diagnosed using polysomnography (PSG) and/or electromyography (EMG). Management methods covered were oral appliance therapy (OAT) with stabilization splints, cognitive-behavioral therapy (CBT), biofeedback therapy (BFT), and pharmacological therapy. A comprehensive search was conducted on MEDLINE, Cochrane Library, and Web of Science up to October 1st, 2021. Reference list searches and hand searches were also performed by an external organization. Two reviewers for each therapy independently performed article selection, data extraction, and risk of bias assessment. The reviewers resolved any disagreements concerning the assortment of the articles by discussion. Finally, 11, 3, 14, and 22 articles were selected for each therapy. The results suggested that OAT tended to reduce the number of SB events, although there was no significant difference compared to other types of splints, that the potential benefits of CBT were not well supported, and that BFT, rabeprazole, clonazepam, clonidine, and botulinum toxin type A injection showed significant reductions in specific SB parameters, although several side effects were reported. It can be concluded that more methodologically rigorous randomized large-sample long-term follow-up clinical trials are needed to clarify the efficacy and safety of management for SB. en-copyright= kn-copyright= en-aut-name=MinakuchiHajime en-aut-sei=Minakuchi en-aut-mei=Hajime kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=FujisawaMasanori en-aut-sei=Fujisawa en-aut-mei=Masanori kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=AbeYuka en-aut-sei=Abe en-aut-mei=Yuka kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=IidaTakashi en-aut-sei=Iida en-aut-mei=Takashi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=OkiKyosuke en-aut-sei=Oki en-aut-mei=Kyosuke kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=OkuraKazuo en-aut-sei=Okura en-aut-mei=Kazuo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=TanabeNorimasa en-aut-sei=Tanabe en-aut-mei=Norimasa kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=NishiyamaAkira en-aut-sei=Nishiyama en-aut-mei=Akira kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= affil-num=1 en-affil=Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Division of Fixed Prosthodontics, Department of Restorative & Biomaterials Sciences, Meikai University School of Dentistry kn-affil= affil-num=3 en-affil=Department of Prosthodontics, School of Dentistry, Showa University kn-affil= affil-num=4 en-affil=Department of Oral Function and Fixed Prosthodontics, Nihon University School of Dentistry at Matsudo kn-affil= affil-num=5 en-affil=Section of Fixed Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University kn-affil= affil-num=6 en-affil=Department of Stomatognathic Function and Occlusal Reconstruction, Institute of Biomedical Sciences, Tokushima University Graduate School kn-affil= affil-num=7 en-affil=Department of Prosthodontics and Oral Implantology, School of Dentistry, Iwate Medical University kn-affil= affil-num=8 en-affil=General Dentistry, Comprehensive Patient Care, Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University kn-affil= en-keyword=Sleep bruxism kn-keyword=Sleep bruxism en-keyword=Management kn-keyword=Management en-keyword=Systematic review kn-keyword=Systematic review en-keyword=Oral appliances kn-keyword=Oral appliances en-keyword=Biofeedback therapy kn-keyword=Biofeedback therapy en-keyword=Cognitive-behavioral therapy kn-keyword=Cognitive-behavioral therapy en-keyword=Pharmacological therapy kn-keyword=Pharmacological therapy END start-ver=1.4 cd-journal=joma no-vol=47 cd-vols= no-issue=3 article-no= start-page=281 end-page=288 dt-received= dt-revised= dt-accepted= dt-pub-year=2019 dt-pub=20191119 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Association of masticatory muscle activity with sleep arousal and other concomitant movements during sleep en-subtitle= kn-subtitle= en-abstract= kn-abstract=OBJECTIVE:
This study aims to verify the associations among sleep bruxism (SB), sleep arousal (SA) and concurrent body movements.
MATERIAL AND METHODS:
Subjects underwent a standard overnight polysomnography test and audio-video recordings. Sleep quality was evaluated according to the Rechtschaffen and Kales criteria, while SA was determined as per the American Sleep Disorders Association criteria. Analyses were performed by an external institution after masking of the subjects' information. SB was assessed based on the presence/absence of rhythmic masticatory muscle activity (RMMA) episodes, which were identified by using electromyography of the masseter muscle. The observed simultaneous movements included lower leg movement (LLM), swallowing, face scratching, head movement, body movement, eye blinking, coughing, licking, sighing, body scratching, lip sucking, somniloquy and yawning. The LLM was determined visually, as well as through an increase in the tibialis electromyogram signal. Other movements were visually assessed using audio-video recordings. The incidences of all the simultaneous movements were compared between RMMA with intercurrent SA (SAwRMMA; RMMA episode derived from a masseter electromyogram showing more than 10% of maximum voluntary contraction) and SA without RMMA (SAw/oRMMA).
RESULTS:
Fourteen subjects were included in this study (females/males: 4/10, mean age: 31.5 ± 5.7 years). Among these, LLM, swallowing, body movement, licking, body scratching and lip sucking were frequently observed in SAwRMMA episodes than in SAw/oRMMA episodes, significantly. However, the non-specific simultaneous movements were higher observed in SAw/oRMMA episodes than that in SAwRMMA.
CONCLUSION:
Our results suggest that SB is concurrently activated with LLM in relation to arousal. en-copyright= kn-copyright= en-aut-name=MikiHaruna en-aut-sei=Miki en-aut-mei=Haruna kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=MinakuchiHajime en-aut-sei=Minakuchi en-aut-mei=Hajime kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=MiyagiMayu en-aut-sei=Miyagi en-aut-mei=Mayu kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=HaraEmilio Satoshi en-aut-sei=Hara en-aut-mei=Emilio Satoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=ShigemotoShuji en-aut-sei=Shigemoto en-aut-mei=Shuji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=SuzukiYoshitaka en-aut-sei=Suzuki en-aut-mei=Yoshitaka kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= en-aut-name=MaekawaKenji en-aut-sei=Maekawa en-aut-mei=Kenji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=7 ORCID= en-aut-name=MatsukaYoshizo en-aut-sei=Matsuka en-aut-mei=Yoshizo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=8 ORCID= en-aut-name=ClarkGlenn T. en-aut-sei=Clark en-aut-mei=Glenn T. kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=9 ORCID= en-aut-name=KubokiTakuo en-aut-sei=Kuboki en-aut-mei=Takuo kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=10 ORCID= affil-num=1 en-affil=Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=2 en-affil=Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=3 en-affil=Department of Stomatgnathic Function and Occlusal Reconstruction, Institute of Biomedical Sciences, Clinical Dentistry, Tokushima University Graduate School kn-affil= affil-num=4 en-affil=Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=5 en-affil=Department of Fixed Prosthodontics, School of Dental Medicine, Tsurumi University kn-affil= affil-num=6 en-affil=Department of Stomatgnathic Function and Occlusal Reconstruction, Institute of Biomedical Sciences, Clinical Dentistry, Tokushima University Graduate School kn-affil= affil-num=7 en-affil=Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= affil-num=8 en-affil=Department of Stomatgnathic Function and Occlusal Reconstruction, Institute of Biomedical Sciences, Clinical Dentistry, Tokushima University Graduate School kn-affil= affil-num=9 en-affil=Advanced Program in Orofacial Pain and Oral Medicine, Ostrow School of Dentistry, University of Southern California kn-affil= affil-num=10 en-affil=Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences kn-affil= en-keyword=concomitant movement kn-keyword=concomitant movement en-keyword=non-specific simultaneous movements kn-keyword=non-specific simultaneous movements en-keyword=polysomnography assessment kn-keyword=polysomnography assessment en-keyword=rhythmic masticatory muscle activity kn-keyword=rhythmic masticatory muscle activity en-keyword=sleep arousal kn-keyword=sleep arousal en-keyword=sleep bruxism kn-keyword=sleep bruxism END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=1999 dt-pub=19990325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=非復位性関節円板前方転位症例における各種初期治療の有効性 Randomized Controlled Trialによる解析 en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name= en-aut-sei= en-aut-mei= kn-aut-name=水口一 kn-aut-sei=水口 kn-aut-mei=一 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END