The effectiveness of Biofeedback and Therapeutic Exercise on symptoms related to Tooth Clenching while awake

Not Applicable

• Conditions: Bruxism; Temporomandibular Joint Disorders; G47.2

• Registration Number: RBR-7g9jtsm
• Lead Sponsor: niversidade Federal de Pernambuco

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-12-20
• Study Completion: 2022-03-17
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

Men and women between the ages of 18 and 45; Diagnosis of awake bruxism or diagnosis of both awake bruxism and sleep bruxism by a dentist; Complaints of pain or discomfort in the facial region for at least 3 months (chronic pain); Report of clenching or grinding of teeth while awake in the last 3 months

Exclusion Criteria

Presence only of sleep bruxism; History of facial trauma, rheumatic, neurological and orthopedic pathologies; Surgical procedures performed in the craniocervical region; Use of orthodontic appliance during the treatment period and removal of the same less than 3 months before the study

Study & Design

• Study Type: Intervention
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To evaluate the electromyographic activity of the masticatory muscles through the Neuroup electromyograph, where the increase or reduction of this activity will be based on the pre-established threshold of each patient, evaluated on the first day;To evaluate the intensity of pain in the masticatory muscles using the Visual Analog Scale, scored from 0 to 10, where the higher the value, the worse the pain will be;Evaluate the pain threshold to pressure of the masticatory and cervical muscles through the pressure algometer, where the higher the value, the patient has more tolerance to pain;Assess mandibular function using the Jaw Functional Limitation Scale (JFLS-8), which ranges from 0 to 10 for each statement, where 0 means no limitation and 10 severe limitation. An average will be calculated and the degree of limitation defined. The higher the score, the more limitation the patient presents

Secondary Outcome Measures

Name	Time	Method
To assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI) scale. The maximum score of this instrument is 21 points, where a score less than or equal to 5 means optimal sleep quality and greater than or equal to 6 is equivalent to poor sleep quality;Assess levels of anxiety and depression using the Hospital Anxiety and Depression Scale. The HADS score ranges from 0 to 21 points with 0 to 7 being unlikely anxiety, 8 to 11 possible anxiety (questionable or doubtful), and 12 to 21 probable anxiety;Assess the level of stress using the Perceived Stress Scale. The total scores range from 0 to 40, and higher values suggest higher levels of stress;To assess oral health-related quality of life using the Oral Health-Related Quality of Life Questionnaire - simplified version (OHIP-14). OHIP-14 scores range from 0 to 56, where higher scores indicate poor oral health-related quality of life