Freely available or over-the-counter occlusal splints obtainable in commercial outlets: a reality dentists should know.

Ian Raby, Diego Quiroz, Paulina Galleguillos

Abstract


Aim and objective: Bruxism is defined by The American Sleep Disorders association as “tooth grinding during sleep plus tooth wear, sounds or jaw muscle discomfort in absence of medical disorder. People are obtaining over the counter splints (OTC) as a possible alternative to manage bruxism without the need for dental assessment. The aim of this study is survey OTC bruxism splints available in Chile through the internet or other commercial outlets, categorize their characteristics, claims, safety warnings and contrast it with scientific evidence. Materials and Methods: An internet search was made for OTC bruxism splints available in Chile. Only Chilean domains were evaluated. Information recorded was manufacture, name of the device, splint design, material, adjustability, price, claims and safety warnings. Results: five devices were found in our search. Only one is from a Chilean laboratory, being the most accessible. All devices have a full coverage splint design. the material made of is only described in one and their prices in the market are very dissimilar. The most usual advertising was “Eliminate Bruxism. Stop Night-Time Grinding & Clenching”. Two manufactures suggest that the device will help to sleep better. No manufacture provided a guide for how long each day the splint must be worn. Conclusion: Dentists should be aware to keep this market in mind when reviewing patients if there have been unexplained occlusal changes or other problems.  Bruxism is often a long-term problem and with any type of bruxism appliance the importance of regular review by a professional is critical.

Keywords


occlusal splint; bruxism; temporomandibular joint.

References


Hernandez-Juyol M, Job-Quesada JR. Dentistry and self-medication: a current challenge. Med Oral. 2002;7(5):344–7.

Bennadi D. Self-medication: A current challenge. J Basic Clin Pharm. 2013;5(1):19–23.

Wassell RW, Verhees L, Lawrence K, Davies S, Lobbezoo F. Over-the-counter (OTC) bruxism splints available on the Internet. Br Dent J. 2014;216(11):E24.

Okeson JP, American Academy of Orofacial Pain. Orofacial pain: guidelines for assessment, diagnosis, and management/the American Academy of Orofacial Pain. 1st Ed. Chicago: Quintessence Pub. Co; 1996.

American Academy of Sleep Medicine. International classification of sleep disorders, revised: Diagnostic and coding manual. Chicago, IL: AASM; 2001.

Blanchet PJ, Rompré PH, Lavigne GJ, Lamarche C. Oral dyskinesia: a clinical overview. Int J Prosthodont. 2005;18(1):10–9.

Winocur E, Gavish A, Voikovitch M, Emodi-Perlman A, Eli I. Drugs and bruxism: a critical review. J Orofac Pain. 2003;17(2):99–111.

Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of bruxism. J Orofac Pain. 2009;23(2):153–66.

Kato T, Rompré P, Montplaisir JY, Sessle BJ, Lavigne GJ. Sleep bruxism: an oromotor activity secondary to micro-arousal. J Dent Res. 2001;80(10):1940–4.

Huynh N, Kato T, Rompré PH, Okura K, Saber M, Lanfranchi PA, Montplaisir JY, Lavigne GJ. Sleep bruxism is associated to micro-arousals and an increase in cardiac sympathetic activity. J Sleep Res. 2006;15(3):339–46.

Bayar GR, Tutuncu R, Acikel C. Psychopathological profile of patients with different forms of bruxism. Clin Oral Investig. 2012;16(1):305–11.

Lobbezoo F, van der Zaag J, van Selms MK, Hamburger HL, Naeije M. Principles for the management of bruxism. J Oral Rehabil. 2008;35(7):509–23.

Gagnon Y, Mayer P, Morisson F, Rompré PH, Lavigne GJ. Aggravation of respiratory disturbances by the use of an occlusal splint in apneic patients: a pilot study. Int J Prosthodont. 2004;17(4):447–53.

Lobbezoo F, Ahlberg J, Manfredini D, Winocur E. Are bruxism and the bite causally related? J Oral Rehabil. 2012;39(7):489–501.

Moufti MA, Lilico JT, Wassell RW. How to make a well-fitting stabilization splint. Dent Update. 2007;34(7):398–408.

Chate RAC, Falconer DT. Dental appliances with inadequate occlusal coverage: a case report. Br Dent J. 2011;210(3):109–10.

Coto NP, Brito e Dias R, Costa RA, Antoniazzi TF, de Carvalho EP. Mechanical behavior of ethylene vinyl acetate copolymer (EVA) used for fabrication of mouthguards and interocclusal splints. Braz Dent J. 2007;18(4):324–8.

Ministerio de Salud Pública. Decreto con Fuerza de Ley 725; Decreto 725. Valparaiso, Chile: Biblioteca del Congreso Nacional de Chile; 1967. Dec 11, [cited 2018 June 17]. [Internet] Available from:https://www.leychile.cl/Navegar?idNorma=5595 .

. Ministerio de Salud Pública. Aprueba reglamento de laboratoristas dentales y de laboratorios dentales. Valparaiso, Chile: Biblioteca del Congreso Nacional de Chile; 1997. Ago. [cited 2018 June 17]. [Internet] Available from:https://www.leychile.cl/Navegar?idNorma=75393 .

Zhang C, Wu JY, Deng DL, He BY, Tao Y, Niu YM, Deng MH. Efficacy of splint therapy for the management of temporomandibular disorders: a meta-analysis. Oncotarget. 2016;7(51):84043–53.

van der Zaag J, Lobbezoo F, Wicks DJ, Visscher CM, Hamburger HL, Naeije M. Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism. J Orofac Pain. 2005;19(2):151–8.

Guaita M, Högl B. Current Treatments of Bruxism. Curr Treat Options Neurol. 2016;18(2):10.

Yap AU, Chua AP. Sleep bruxism: Current knowledge and contemporary management. J Conserv Dent. 2016;19(5):383–9.

Henderson SE, Lowe JR, Tudares MA, Gold MS, Almarza AJ. Temporomandibular joint fibrocartilage degeneration from unilateral dental splints. Arch Oral Biol. 2015;60(1):1–11.

Romero-Reyes M, Uyanik JM. Orofacial pain management: current perspectives. J Pain Res. 2014;7:99–115.

Okeson JP. The effects of hard and soft occlusal splints on nocturnal bruxism. J Am Dent Assoc. 1987;114(6):788–91.

Hermesh H, Schapir L, Marom S, Skopski R, Barnea E, Weizman A, Winocur E. Bruxism and oral parafunctional hyperactivity in social phobia outpatients. J Oral Rehabil. 2015;42(2):90–7.

Shetty S, Pitti V, Satish Babu CL, Surendra Kumar GP, Deepthi BC. Bruxism: a literature review. J Indian Prosthodont Soc. 2010;10(3):141–8.

Rintakoski K, Kaprio J. Legal Psychoactive Substances as Risk Factors for Sleep-Related Bruxism: A Nationwide Finnish Twin Cohort Study. J Indian Prosthodont Soc. 2013;48(4):487–94.

Santos Miotto Amorim C, Firsoff EF, Vieira GF, Costa JR, Marques AP. Effectiveness of two physical therapy interventions, relative to dental treatment in individuals with bruxism: study protocol of a randomized clinical trial. Trials. 2014;15:8.

Murali RV, Rangarajan PG, Mounissamy A. Bruxism: Conceptual discussion and review. J Pharm Bioallied Sci. 2015;7(Suppl 1):S265–70.

Amin A, Meshramkar R, Lekha K. Comparative evaluation of clinical performance of different kind of occlusal splint in management of myofascial pain. J Indian Prosthodont Soc. 2016;16(2):176–81.

Gil-Martínez A, Paris-Alemany A, López-de-Uralde-Villanueva I, La Touche R. Management of pain in patients with temporomandibular disorder (TMD): challenges and solutions. J Pain Res. 2018;11:571–87.

Wieckiewicz M, Boening K, Wiland P, Shiau YY, Paradowska-Stolarz A. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain. 2015;16:106.


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