Etiology, diagnostics and management of bruxism

Recruitment & Eligibility

Status: Recruiting

Sex: Not specified

Target Recruitment: 174

Inclusion Criteria

(A) Study on etiology
- Age: adults of >18 years
- Is aware of his/her clenching and/or grinding and/or his/her bed partner notice this;(B) Study on diagnostics
- Age: 20-45 years
- Awareness of presence or absence of clenching and/or grinding;(C) Study on management
- Age: 20-45 years
- Clear signs (partner/intraoral) and/or the subject is aware of his/her clenching and/or grinding

Exclusion Criteria

(A) Study on etiology
- Presence of neurological disorders, neoplasms, psychiatric diseases
- Removable intraoral device, such as a full prothesis, frame prothesis or plate prothesis
- Treatment for TMD or bruxism
- Orthodontic treatment at the moment
- Use of medication which can influence the clenching and grinding
- Use of soft/harddrugs
- Toothache
- Dental treatment in the next 6 months, with plans for crowns, bridges, prothesis of more than one filling;(B) Study on diagnostics, and (C) Study on management
- Waking up with a pain complaint in the orofacial region
- Absence of natural teeth in the front, the presence of loose and/or painful elements
- Dislocated temporomandibular joint
- Limited mouth opening
- Excessive use of alcohol
- Use of soft/harddrugs
- Use of medication affecting sleep or motor behavior (psychotropic drugs, such as amphetamines, benzodiazepines, L-dopa, antipsychotics, tricyclic antidepressants, SSRI)
- Neurological and neuromuscular disorders with effects on motor skills (such as epilepsy, Parkinson's disease, SMA, Duchenne muscular dystrophy)
- Psychiatric disorders (such as schizophrenia)
- Severe systemic diseases (such as MS).

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>(A) Self-reported awake and sleepbruxism, anger and frustration.<br /><br>(B, C) Established criteria for sleepbruxism (bruxism episodes per hour,<br /><br>bruxism bursts per episode/hour, episodes with sounds).</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>(A) Use of alcohol, smoking, anxiety, stress, sleep quality.<br /><br>(B) Subjective experiences with TeleBrux, sleep quality.<br /><br>(C) Experiences with sleep quality, bruxism and stretching, range of motion of<br /><br>the jaw, pain threshold and pain tolerance, pain, bite force, mandibular<br /><br>function.</p><br>