The association between Sleep bruxism and Temporomandibular disorder Pain

The association between Sleep bruxism and Temporomandibular disorder Pain - Sleep bruxism and Temporomandibular disorder Pain

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

NL-OMON

Registry ID

NL-OMON44258

Enrollment

Registered

2015-07-02

Start date

2012-10-25

Completion date

Unknown

Last updated

2024-04-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sleep disorders (Sleep bruxism) jaw-muscle pain

Interventions

In the experimental part of the research we will provoke delayed-onset muscle soreness in 10 pain free bruxism patients using a custom made provocation device. We need this experiment to study the e

Eligibility

Age

18 Years to 99 Years

Inclusion criteria

Inclusion criteria: Presence of clinical signs of sleep bruxism

Exclusion criteria

Exclusion criteria: Sleep disorders, other than sleep bruxism; regular use of painkillers

Design outcomes

Primary

Measure	Time frame
Experimental study. The main study parameters for experimental study are five characteristics of SB activity. 1. Bruxism intensity (PSG). This defined as the strength of clenching the teeth. Bruxism intensity is calculated based on the root mean-square of the EMG signal from the masticatory muscles. Bruxism intensity will be measured by analyzing polysomnographic recordings using RemLogic (Embla, Ontario, Canada) and Bruxism Detector (ACTA custom made) software. 2. Bruxism duration (PSG). How long the patient clenches or grinds his teeth will be calculated as a sum of all SB episodes duration by analyzing polysomnographic recordings using RemLogic and Bruxism Detector software. 3. Amount of episodes per hour of sleep (PSG). This will be computed by analyzing polysomnographic recordings using RemLogic and Bruxism Detector software. 4. Rest time between episodes. We will analyze the distribution of SB episodes throughout the night using RemLogic and Bruxism Detector software. Cross-sectional study Muscle pain (Myalgia). This diagnosis will be based on the Extensive Clinical Examination Protocol of ACTAs OPD Clinic. Criteria to evaluate the diagnosis of myalgia is in Inclusion criteria and based on Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications.. Longitudinal study (pilot) Muscle pain and psychological stress. Presence of Muscle pain will be assessed by the questionnaire with visual analog scales (VAS) and using the Extensive Clinical Examination Protocol of ACTAs OPD Clinic. Psychological stress experience will be recorded using the Patient Health Questionnaire 9 (PHQ-9).	—

Measure

Time frame

Experimental study. The main study parameters for experimental study are five characteristics of SB activity. 1. Bruxism intensity (PSG). This defined as the strength of clenching the teeth. Bruxism intensity is calculated based on the root mean-square of the EMG signal from the masticatory muscles. Bruxism intensity will be measured by analyzing polysomnographic recordings using RemLogic (Embla, Ontario, Canada) and Bruxism Detector (ACTA custom made) software. 2. Bruxism duration (PSG). How long the patient clenches or grinds his teeth will be calculated as a sum of all SB episodes duration by analyzing polysomnographic recordings using RemLogic and Bruxism Detector software. 3. Amount of episodes per hour of sleep (PSG). This will be computed by analyzing polysomnographic recordings using RemLogic and Bruxism Detector software. 4. Rest time between episodes. We will analyze the distribution of SB episodes throughout the night using RemLogic and Bruxism Detector software. Cross-sectional study Muscle pain (Myalgia). This diagnosis will be based on the Extensive Clinical Examination Protocol of ACTA*s OPD Clinic. Criteria to evaluate the diagnosis of myalgia is in Inclusion criteria and based on Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications.. Longitudinal study (pilot) Muscle pain and psychological stress. Presence of Muscle pain will be assessed by the questionnaire with visual analog scales (VAS) and using the Extensive Clinical Examination Protocol of ACTA*s OPD Clinic. Psychological stress experience will be recorded using the Patient Health Questionnaire 9 (PHQ-9).

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Secondary

Measure	Time frame
Experimental study Muscle pain.	—

Countries

Netherlands

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)