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Therapies most frequently used for the management of bruxism by a sample of German dentists.
MedLine Citation:
PMID:  21356412     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
STATEMENT OF PROBLEM: At present, there is little information available on how practicing dentists manage bruxism patients with respect to conservative, reversible techniques as compared to irreversible techniques.
PURPOSE: The purpose of this study was to determine the most commonly applied therapies used for the management of bruxism by German general dentists (GDs) and dental specialists. In addition, efforts were made to gather information on the knowledge and opinion of GDs and specialists regarding the role of occlusal interferences, in particular, on the development of sleep bruxism.
MATERIAL AND METHODS: A 13-item questionnaire was developed and mailed to all active members of the statutory dental insurance providers of the German North Rhine (n=5500; 2006 roster) and the German Westphalia-Lippe area (n=4984; 2006 roster). Group differences were statistically analyzed using chi-square tests for the qualitative variables and Mann-Whitney U tests for the quantitative variables (α=.05).
RESULTS: Occlusal splints were by far the most frequently prescribed therapy for the management of bruxism, followed by relaxation techniques, occlusal equilibration, physiotherapy, and prosthodontic reconstruction. The occlusal stabilization splint with canine protected articulation was the splint type most often prescribed, whereas respondents used unadjusted soft splints for approximately 8% of their bruxism patients. Comparison of the opinions of all responding practicing dentists with that of experts in regard to the statement that "sleep bruxism is caused by occlusal interferences" showed a significant difference between the 2 groups (P=.021). Eighty-five percent of the experts disagreed with this statement, and only 47.7% of the practicing dentists had the same opinion as the experts.
CONCLUSIONS: Most practicing dentists seem to concur with current scientific recommendations, and express the opinion that the management of bruxism should predominantly be conservative and reversible; however, the findings of the present survey reveal diverse differences between GDs and dental specialists concerning the most frequently prescribed therapies. Moreover, the discrepancies detected in some areas, such as the use of irreversible techniques or the use of unadjusted soft splints, emphasize the need to more promptly transfer new knowledge in the field of bruxism from researchers to practicing dentists. (J Prosthet Dent 2011;105:194-202).
Authors:
Michelle A Ommerborn; Jalleh Taghavi; Preeti Singh; Joerg Handschel; Rita A Depprich; Wolfgang H M Raab
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of prosthetic dentistry     Volume:  105     ISSN:  1097-6841     ISO Abbreviation:  J Prosthet Dent     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376364     Medline TA:  J Prosthet Dent     Country:  United States    
Other Details:
Languages:  eng     Pagination:  194-202     Citation Subset:  D; IM    
Copyright Information:
Copyright © 2011 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.
Affiliation:
Associate Professor, Department of Operative Dentistry, Periodontology and Endodontics, Heinrich-Heine-University, Duesseldorf, Germany.
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