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Effect of mandibular advancement device on sleep bruxism score and sleep quality
Authors:Nehal Solanki  Balendra Pratap Singh  Pooran Chand  Ramashankar Siddharth  Deeksha Arya  Lakshya Kumar  Suryakant Tripathi  Hemant Jivanani  Abhishek Dubey
Affiliation:1. Senior Resident, Department of Prosthodontics, King George’s Medical University, Lucknow, India;2. Associate Professor, Department of Prosthodontics, King George’s Medical University, Lucknow, India;3. Professor, Department of Prosthodontics, King George’s Medical University, Lucknow, India;4. Associate Professor, Department of Prosthodontics, King George’s Medical University, Lucknow, India;5. Associate Professor, Department of Prosthodontics, King George’s Medical University, Lucknow, India;6. Assistant Professor, Department of Prosthodontics, King George’s Medical University, Lucknow, India;7. Professor, Department of Respiratory Medicine, King George’s Medical University, Lucknow, India;8. Junior Resident, Department of Prosthodontics, King George’s Medical University, Lucknow, India;9. Research Associate, Department of Respiratory Medicine, King George’s Medical University, Lucknow, India
Abstract:

Statement of problem

The use of mandibular advancement devices (MADs) in the treatment of sleep bruxism is gaining widespread importance. However, the effects of MADs on sleep bruxism scores, sleep quality, and occlusal force are not clear.

Purpose

The purpose of this clinical study was to analyze the effect of MADs on sleep bruxism scores, sleep quality, and occlusal force.

Material and methods

This uncontrolled before and after study enrolled 30 participants with sleep bruxism. Outcomes assessed were sleep quality, sleep bruxism scores (sleep bruxism bursts and sleep bruxism episodes/hour), and occlusal force before and after 15 and 30 days of using a MAD. Sleep bruxism scores were assessed by ambulatory polysomnography and sleep quality by using the Pittsburgh sleep quality index (PSQI). Occlusal force was recorded by using a digital gnathodynamometer in the first molar region on both sides. Statistical analysis was done by 1-factor repeated measures ANOVA (α=.05).

Results

Statistically significant reductions in sleep bruxism bursts/h, sleep bruxism episodes/h, and PSQI scores were found after 15 and 30 days of using a MAD (P<.001). Statistically significant reduction in occlusal force on both sides was found only after 15 days (P<.001) but not after 30 days of using a MAD (P=.292 on left side, and P=.575 on the right side).

Conclusions

The study showed a short-term improvement in sleep bruxism scores, sleep quality, and reduction in occlusal force in sleep bruxism participants after using MADs.
Keywords:Corresponding author: Dr Balendra Pratap Singh   Flat no. 101   New Teachers Apartment   TG Campus   Khadra   Lucknow   INDIA
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