Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2021) – 132.50
MEiN – 70 pts
CiteScore (2021) – 2.0
JCI (2021) – 0.5
Average rejection rate (2022) – 79.69%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

Ahead of print

doi: 10.17219/dmp/156400

Publication type: review

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Cerón L, Pacheco M, Delgado Gaete A, Bravo Torres W, Astudillo Rubio D. Therapies for sleep bruxism in dentistry: A critical evaluation of systematic reviews [published online as ahead of print on November 28, 2022]. Dent Med Probl. doi:10.17219/dmp/156400

Therapies for sleep bruxism in dentistry: A critical evaluation of systematic reviews

Lissette Cerón1,A,B,C,D, Mishelle Pacheco1,A,B,C,D, Andrés Delgado Gaete2,A,C, Wilson Bravo Torres1,E,F, Daniela Astudillo Rubio1,E

1 Graduate Program in Oral Rehabilitation and Implant-Assisted Prosthetics, Faculty of Dentistry, University of Cuenca (Universidad de Cuenca), Ecuador

2 Department of Prostodontics, School of Dentistry, Catholic University of Cuenca (Universidad Católica de Cuenca), Ecuador


The aim of the study was to evaluate the methodological quality and the risk of bias of systematic reviews with regard to the literature on therapies for sleep bruxism (SB) in dentistry, applying the AMSTAR 2 (A MeaSurement Tool to Assess systematic Reviews) qualitative guide, as well as the effectiveness of various kinds of treatment of SB. Initially, a total of 1,499 articles were obtained from 4 databases and 2 websites. Relevant articles were obtained from the PubMed, Scopus, Cochrane, and Embase databases as well as from Google Scholar and OpenGrey. Six systematic reviews that met the eligibility criteria were included. The methodological quality of all systematic reviews, assessed with the AMSTAR 2 tool, was critically low. Regarding treatment effectiveness, 5 systematic reviews reported on pharmacological management (botulinum toxin type A (BTX-A), clonazepam and clonidine), 2 reported on oral appliances (OAs) (stabilizing splints and mandibular advancement devices (MADs)) and 1 study addressed the effects of biofeedback (BF). The results of the therapies were diverse and confusing. The available research is not conclusive, and does not show clear evidence or a consensus on the part of researchers on the most effective treatment for the management of SB. More research of better methodological quality is needed in this area.

Key words

treatment, sleep bruxism, teeth grinding, rhythmic masticatory muscle activity

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