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Tatiana Ferreira Foscaldo¹, Paulo Henrique Dos Santos Belo Junior¹, Giselle Rodrigues Ribeiro¹

¹Department of Prosthodontics, Rio de Janeiro State University, Rio de Janeiro, Rio de Janeiro, Brazil.

BMC oral health

|November 11, 2025

概括

基于电肌图的生物反 (BIO) 在关节障碍患者中显著降低了清醒布鲁克西斯症行为. 毒素A型 (BTA) 没有显著改善,这表明BIO可能更适合用于管理 Bruxism行为.

科学领域:

牙科牙科是指牙科的专业.
神经学神经学
行为医学是一种行为医学.

背景情况:

在关节障碍 (TMD) 中,清醒布鲁克斯症 (AB) 的管理通常涉及行为疗法和注射.
基于电肌图的生物反 (BIO) 和甲型肉毒素 (BTA) 是AB的潜在治疗方法.
这项研究比较了BIO和BTA在患有AB的TMD患者的疗效.

研究的目的:

为了比较BIO和BTA在减少AB行为方面的有效性.
评估BIO和BTA对TMD患者疼痛强度和心理社会痛苦的影响.
确定在TMD中管理AB行为的首选治疗方法.

主要方法:

一个单中心,单盲,并行组随机临床试验与40名被诊断为TMD和AB的成年人进行.
参与者被随机分配到接受BIO或BTA干预.
评估包括口腔行为检查清单 (OBC),生态瞬间评估 (EMA),特征性疼痛强度 (CPI) 和心理社会问卷 (PHQ-9,PHQ-15,GAD-7) 在基线和1个月,3个月和6个月的随访.

主要成果:

生物组显示持续牙接触和EMA评估的全球AB行为显著减少.
BTA组在AB行为中没有显著改善.
在任何随访点,在AB行为,疼痛强度或心理社会结果方面,在BIO和BTA组之间没有发现显著差异.

结论:

基于电肌图的生物反 (BIO) 在患有关节障碍的患者中显著降低了清醒布鲁克西斯症行为.
无论是BIO还是BTA干预都没有导致疼痛或心理社会结果的显著改善.
与TMD患者的BTA相比,BIO似乎是一个更有效的治疗方法来控制清醒的布鲁克斯主义行为.

关键词:

布鲁克斯主义布鲁克斯主义生态瞬间评价生态瞬间评价电子肌图学电子肌图学肌筋关节疼痛肌筋关节疼痛心理学生物反反部部疾病部部疾病

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