Childhood and Adolescents Sleep Bruxism Treatment: A Systematic Review.
| Autor: | Senff J; Universidade Federal do Paraná, Departamento de Odontologia Restauradora, Curitiba, Paraná, Brazil., Bonotto DV; Universidade Federal do Paraná, Departamento de Estomatologia, Curitiba, Paraná, Brazil., Hilgenberg-Sydney PB; Universidade Federal do Paraná, Departamento de Odontologia Restauradora, Curitiba, Paraná, Brazil., Sebastiani A; Universidade Federal do Paraná, Departamento de Estomatologia, Curitiba, Paraná, Brazil., Scariot R; Universidade Federal do Paraná, Departamento de Estomatologia, Curitiba, Paraná, Brazil., Oda LY; Universidade Federal do Paraná, Departamento de Odontologia Restauradora, Curitiba, Paraná, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Sleep science (Sao Paulo, Brazil) [Sleep Sci] 2023 Sep 11; Vol. 16 (3), pp. e344-e353. Date of Electronic Publication: 2023 Sep 11 (Print Publication: 2023). |
| DOI: | 10.1055/s-0043-1772826 |
| Abstrakt: | Introduction Sleep Bruxism (SB) is a common condition in childhood that can cause multiple consequences such as abnormal tooth wear, tensional headaches, masticatory muscle pain, or fatigue. The literature reports some interventions, however the treatment for SB in children is not well-established. Objectives A systematic review was performed to investigate the effectiveness of the treatments described for SB in children and adolescents: pharmacological and psychological treatments; behavioral guidelines; and dental approaches. Materials and methods Randomized clinical trials comparing different SB treatments with a control group were searched in the electronic databases PubMed, Scopus, Web of Science, Cochrane Library, and VHL until August 04, 2021. Two independent reviewers selected the studies, extracted the data, and assessed the risk of bias. After a two-phase selection process, 07 articles were selected. The methodology of the selected studies was analyzed using the Cochrane Risk of Bias Tool. The criteria used to qualify the studies were based on randomization, allocation, blinding of participants and evaluators, and analysis of results. Results The signs and symptoms of SB were reduced with pharmacotherapy (hydroxyzine/diazepam) and medicinal extracts ( M. Officinalis ), but with occlusal splints and physiotherapy, this improvement was not statistically significant when compared to control groups. Conclusion Some evidence of the efficacy of pharmacotherapy (hydroxyzine/diazepam) and medicinal extracts ( M. Officinalis ) was found. However, this systematic review is not enough to establish a protocol for the treatment of SB. Besides, the individualized management of SB in this population should be considered, emphasizing the management of risk factors. Competing Interests: Conflict of Interest None declared. (Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).) |
| Databáze: | MEDLINE |
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