Interactions between chronic orofacial pain, sleep disorder and bruxism (clenching/grinding)

Not Applicable

Recruiting

Conditions: chronic orofacial pain, insomnia, bruxism
G47
F45.8
R51
Sleep disorders
Other somatoform disorders
Headache

Registration Number: DRKS00003462

Lead Sponsor: niversitätsmedizin der Johannes Gutenberg-Universität Mainz, Poliklinik für Zahnärztliche Chirurgie

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Recruiting

Sex: All

Target Recruitment: 50

Inclusion Criteria

minimal age of 18 years, patients with at least 3 months of chronic orofacial pain, patients with insomnia, patients with Parafnktionenbruxism, dentition with at least prosthetic rehabilitation on both sides, no presence of occlusal trigger, good compliance, sufficient knowledge of German language,
no analgetic and/or psychotropic medication (or cessation of medication at least three weeks prior study onset)

Exclusion Criteria

Age under 18 years, presence of occlusal interferences or triggers, no good compliance,
insufficient german language skills,
abusive alcohol consumption or alcohol dependence, excessive nicotine or other addictive disorders,
patients with sleep-associated breathing disorder, patients with neurological diseases,
patients with serious psychiatric disorders, patients with a complete denture care or no teeth, patients taking centrally acting drugs,co-analgetics and/ or psychotropic medication

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Main target is the bruxism index, that will be defined pre-and post-intervention by using the Grindcare and EMG derivation in the polysomnography.

Secondary Outcome Measures

Name	Time	Method
Further targets are 1. sleep parameters (subjective based on questionnaires as PSQI/ Munich Parasomnia Screening/ International RLS Study group Rating Scale/Epworth Sleepiness Scale/ Jenkins)<br>standardized sleep protocol of the German Society for Sleep Medicine and objectively using polysomnography 2. chronic pain: by using individualized pain questionnaire, HADS 3. Salivary cortisol (determination cortisollevels before and after MBSR).<br><br>