Comparative Effects of Dental Treatment and Two Different Physical Therapy Interventions in Individuals with Bruxism: A Randomized Clinical Trial

2021 ◽  
Author(s):  
Cinthia S Miotto
Keyword(s):  
Oral Health ◽  
Physical Therapy ◽  
Sleep Quality ◽  
Muscle Pain ◽  
Dental Treatment ◽  
Direct Restoration ◽  
Initial Intervention ◽  
Therapy Interventions ◽  
Level Of Significance ◽  
Pain Symptoms

Objective: To compare the efficacy of dental treatment and two different physical therapy interventions in individuals with bruxism. Methods: A total of 72 individuals with bruxism were randomly allocated to the massage (massage with stretching exercises), relaxation (relaxation with imagination therapy) groups (n=24 each; biweekly 40-min sessions over 6 weeks) or the dental group (n=24; direct restoration; two 2-h sessions 1 week apart). Primary outcomes included muscle pain and symptoms, and mandibular opening. Secondary outcomes included anxiety, stress, depression, oral health and sleep quality. Outcomes were evaluated at baseline, 6 weeks and 2 months post-initial intervention by a blinded assessor. Physical therapy interventions included individual sessions that lasted 40 min biweekly for 6 weeks and dental treatment, two 2-h individual sessions conducted a week apart. The level of significance established was α=5%. RESULTS: After 6 weeks, the improvement with difference among massage and relaxation groups and dental group was observed in muscle pain, symptoms, anxiety, stress, depression and sleep quality (p<0.001). Relaxation group exhibited significantly greater improvement in oral health than dental group (p<0.001). These effects were sustained for up to 2 months. Conclusion: Therefore, two physical therapy interventions are superior to dental treatment in the improvement of muscle pain, symptoms, anxiety, stress, depression and sleep quality in individuals with bruxism. Oral health improves more with relaxation with imagination therapy than with dental treatment.

scholarly journals Effectiveness of two physical therapy interventions, relative to dental treatment in individuals with bruxism: study protocol of a randomized clinical trial

Trials ◽  
2014 ◽  
Vol 15 (1) ◽  
Author(s):  
Cinthia Santos Miotto Amorim ◽  
Eliete Ferreira Osses Firsoff ◽  
Glauco Fioranelli Vieira ◽  
Jecilene Rosana Costa ◽  
Amélia Pasqual Marques
Keyword(s):  
Clinical Trial ◽  
Physical Therapy ◽  
Randomized Clinical Trial ◽  
Study Protocol ◽  
Dental Treatment ◽  
Therapy Interventions

scholarly journals Symptoms in different severity degrees of bruxism: a cross-sectional study

2016 ◽  
Vol 23 (4) ◽  
pp. 423-430 ◽  
Author(s):  
Cinthia Santos Miotto Amorim ◽  
Glauco Fioranelli Vieira ◽  
Eliete Ferreira Osses Firsoff ◽  
Jecilene Rosana Costa Frutuoso ◽  
Elizabeth Puliti ◽  
...  
Keyword(s):  
Oral Health ◽  
Sleep Quality ◽  
Pain Intensity ◽  
Muscle Pain ◽  
Pain Threshold ◽  
Health Anxiety ◽  
Health Impact ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Significance Level

ABSTRACT Objective: The aim of the present study was to evaluate symptoms of the muscle pain, sleep quality, oral health, anxiety, stress and depression in individuals with different severity degrees of bruxism. Methods: Seventy-two individuals with bruxism were enrolled in the study, classified into: moderate (n=25) and severe (n=47) bruxism. Pain intensity was assessed using the Visual Analogical Scale, pain threshold with algometer, sleep quality by the Pittsburgh Sleep Quality Index, oral health by the Oral Health Impact Profile, anxiety by the State-Trait Anxiety Inventory, stress by the Perceived Stress Scale and depression using the Beck Depression Inventory. The significance level considered was 5%. Results: The results showed that individuals with severe bruxism presented greater muscle pain intensity, sleep disorder, worse oral health, high anxiety level and dysphoria with statistically significant differences (p<0.05) than individuals with moderate bruxism, except in pain threshold and stress (p<0.05). Conclusion: Data suggest that individuals with severe bruxism have more intense symptoms. They present greater muscle pain, alterations in sleep quality and oral health, anxiety and depression than individuals with moderate bruxism. However, both present similarity in stress.

Consideraciones para la atención odontológica en un paciente con síndrome de Asperger. reporte de un caso

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Claudia Butrón-Téllez Girón
Keyword(s):  
Oral Health ◽  
Primary Prevention ◽  
Asperger Syndrome ◽  
Pervasive Developmental Disorders ◽  
Developmental Disorders ◽  
Dental Treatment ◽  
Systematic Desensitization ◽  
Behaviour Management ◽  
Palabras Clave ◽  
Behavioral Techniques

El Síndrome de Asperger es una enfermedad del neurodesarrollo caracterizado por deficiencias en la interacción social y la comunicación,sin retraso en el desarrollo cognitivo y del lenguaje, considerado dentro de los Trastornos Generalizados del Desarrollo y de las Condiciones del Espectro Autista. Debido a las características de este síndrome estos pacientes requieren atención y técnicas conductuales específicas, parapoder realizar el tratamiento dental. El objetivo de este reporte es dar a conocer los cuidados y el manejo de conducta para el tratamiento dental en pacientes con Síndrome de Asperger. Palabras clave: Síndrome de Asperger, desensibilización sistemática, cuidado dental, salud bucal, prevención primaria, comportamiento.  AbstractAsperger syndrome is a disease of the neurodevelopmental characterized by deficiencies in social interaction and communication, without delay in cognitive development and language, and is considered within pervasive developmental disorders and the autism spectrumconditions. Due to the characteristics these patients require care and specific behavioral techniques, to perform dental treatment. The objective of this report is to present the care and behaviour management for dental treatment in patients with Asperger syndrome. Key words: Asperger syndrome, systematic desensitization, dental care, oral health, primary prevention, behaviour.

Effect of physical therapy interventions on spatiotemporal gait parameters in children with cerebral palsy: a systematic review

2019 ◽  
pp. 1-10
Author(s):  
Carolina Corsi ◽  
Mariana M. Santos ◽  
Roberta F. C. Moreira ◽  
Adriana N. dos Santos ◽  
Ana C. de Campos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Physical Therapy ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Therapy Interventions

Oral Health Status of Autistic Children in India

2011 ◽  
Vol 36 (1) ◽  
pp. 43-48 ◽  
Author(s):  
P Subramaniam ◽  
M Gupta
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Oral Hygiene ◽  
Dental Treatment ◽  
Children With Autism ◽  
Oral Health Status ◽  
Repetitive Behaviors ◽  
Caries Experience ◽  
Autistic Children ◽  
Behavior Rating Scale

Autism is one of the most severe childhood neuropsychiatric disorders. Autistic individuals are characterized by impairment in social interaction with a restricted range of interests and often, stereotyped repetitive behaviors. Studies on oral health conditions in children with autism are sparse. The complicated disability itself makes clinical research difficult. Aim: The need for baseline information regarding the oral health status of children with autism is essential. Method: The present study assessed the oral health status of 106 autistic children aged 4 to 15 years in Bangalore city, India. The dental caries was recorded according to the WHO criteria; oral hygiene was assessed using the Oral Hygiene Index-Simplified (OHI-S) and its modification for deciduous dentition. The behavior of children towards dental treatment was also assessed using the Frankel's behavior rating scale. Data obtained was subjected to statistical analysis. Results showed that caries experience among autistic children was lower; however they were found to have more debris and calculus deposits. Conclusions: Negative behavior towards dental treatment was seen in autistic children.

scholarly journals The effect of multimodal comprehensive care methodology training on oral health care professionals’ empathy for patients with dementia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masaki Kobayashi ◽  
Mio Ito ◽  
Yasuyuki Iwasa ◽  
Yoshiko Motohashi ◽  
Ayako Edahiro ◽  
...  
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Dental Treatment ◽  
Oral Care ◽  
Training Programme ◽  
Comprehensive Care ◽  
Dental Hygienists ◽  
People With Dementia

Abstract Background The prevalence of oral diseases in people with dementia has increased, and patients with dementia have worse oral health than people without dementia. However, in the provision of oral care, these patients often exhibit care-resistant behaviours. Empathy is important for health care professionals who provide dental care for people with dementia. A study was conducted to assess whether a multimodal comprehensive care methodology training programme, Humanitude™, was associated with an improvement in empathy for people with dementia among oral health care professionals. Methods This research was a pre-post prospective study. A total of 45 dentists and dental hygienists participated in a 7-h multimodal comprehensive care methodology training programme. Participants’ empathy for their patients was evaluated with the Jefferson Scale of Physician Empathy-Health Professionals Version (JSPE-HP) before the training and 1 month after the training (primary outcome). Each participant listed 3 patients with poor oral health due to the refusal of usual oral care or dental treatment from his or her clinical practice. The oral health of the 3 care-resistant patients listed by each participant was evaluated by the Oral Health Assessment Tool (OHAT) before the training and 1 month after the training (secondary outcome). Results The post-training response rate was 87% (21 dentists and 18 dental hygienists). From pre-training to post-training, the multimodal comprehensive care methodology training significantly increased the mean empathy score (from 113.97 to 122.95, P < 0.05, effect size = 0.9). Regardless of gender, profession and years of clinical experience, all post-training subgroup scores were higher than the pre-training subgroup scores. The tongue, natural teeth, and oral hygiene scores of patients with dementia who resisted usual oral care or dental treatment, as assessed by the OHAT, were significantly improved compared with those before the training. Conclusions The multimodal comprehensive care methodology training was associated with an improvement in oral health professionals’ empathy for patients with dementia. These findings suggest that randomized controlled trials with large sample sizes will be needed. Trial registration UMIN Clinical Trials Registry (UMIN-CTR), UMIN000041687. Registered 4 September 2020 – Retrospectively registered, https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047586

Reduction of hsCRP levels following an Oral Health Education Program combined with routine dental treatment

2021 ◽  
pp. 103686
Author(s):  
Eman S. Almabadi ◽  
Gregory J. Seymour ◽  
Rahena Akhter ◽  
Adrian Bauman ◽  
Mary P. Cullinan ◽  
...  
Keyword(s):  
Oral Health ◽  
Health Education ◽  
Education Program ◽  
Dental Treatment ◽  
Health Education Program ◽  
Oral Health Education
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