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Principles for the management of bruxism
F Lobbezoo1, J van der Zaag, M K A van Selms
1Department of Oral Function, Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands. f.lobbezoo@acta.nl
Journal of Oral Rehabilitation
|June 19, 2008
Summary
Research on bruxism management shows shifting trends, with a decline in behavioral studies and a rise in pharmacological approaches. However, a significant lack of high-quality evidence necessitates more rigorous clinical trials for effective bruxism treatment.
Area of Science:
- Dentistry
- Neurology
- Pharmacology
Background:
- Bruxism management research has evolved over 40 years, with varying focus on different treatment modalities.
- Interest in occlusal interventions and oral splints has remained consistent, while behavioral approaches have declined significantly.
- Pharmacological management of bruxism has seen a notable increase in research focus in recent decades.
Purpose of the Study:
- To review the trends in bruxism management research over the past 40 years.
- To assess the evidence base for different bruxism treatment strategies.
- To highlight the need for high-quality research in bruxism management.
Main Methods:
- A comprehensive PubMed search using relevant Medical Subject Headings (MeSH) terms was conducted.
- 177 papers published over 40 years were identified, with 135 selected for the review.
- Analysis focused on the distribution of research topics and the level of evidence, particularly the use of randomized clinical trials.
Main Results:
- Research trends show a shift from behavioral approaches to pharmacological interventions for bruxism.
- Despite consistent interest in occlusal interventions, only 13% of reviewed studies utilized a randomized clinical trial design.
- The majority of studies suffer from a low level of evidence, failing to provide strong clinical recommendations.
Conclusions:
- There is a critical paucity of high-quality, evidence-based recommendations for bruxism management.
- Clinicians must be aware of the limitations in the current evidence base.
- Well-designed studies are urgently needed to guide effective bruxism treatment strategies.
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