scholarly journals Effect of Contingent Electrical Stimulation on Masticatory Muscle Activity and Pain in Patients with a Myofascial Temporomandibular Disorder and Sleep Bruxism

2013 ◽  
Vol 27 (1) ◽  
pp. 21-31 ◽  
Author(s):  
Karen G Raphael ◽  
Malvin N Janal ◽  
David A Sirois ◽  
Peter Svensson
Author(s):  
Mohammed Saifuddin ◽  
Shahana Begum ◽  
Hiroshi M Ueda ◽  
Keisuke Miyamoto ◽  
Kazuo Tanne

Introduction: It is considered now-a-days that patients with transverse craniofacial deformity might have differences in masticatory muscle activity between both sides; and as masticatory muscle activity takes place throughout the usual daily life; therefore, it might have some relation with the transverse craniofacial morphology. The present study was carried out to find out any association between balance of masticatory  muscle activity during usual daily life and transverse craniofacial morphology or tooth contact area in patients with transverse jaw deformity.Subjects and Methods: All the controls and patients for the study were selected from our staffs and patients coming to Orthodontic Clinic, Hiroshima University Dental Hospital, respectively. Thirteen males and two females (mean and s.d. of ages: 28.6 ± 1.9 years) served as the controls. They had Angle’s Class I molar relationship, no severe malocclusion, no complaints of temporomandibular disorder (TMD).The patient group was consisted of 10 males and five females (mean and s.d. of ages: 19.9 ± 5.3 years) with lateral shift of the mandible. They had malocclusion such as cross-bite and severe crowding, but no complaints of TMD. Portable digital EMG recording device were used to record the EMG from the bilateral masster and anterior temporal muscles. The diurnal recording was carried out for consecutive 142 minutes and divided into two periods of usual daytime and mealtime for analysis. After the diurnal recording, the subjects were allowed to go back home with the electrodes in position and then nocturnal EMG recording was performed again at night with the usual sleeping posture for 142 minutes. Posteroanterior cephalometric analysis and tooth contact area were measured for all the subjects.Result: No significant correlations were found for both the muscles neither with transverse craniofacial morphology nor with the tooth contact area for all the three periods of usual daily life, although a significant correlation was detected between the A-B distance and AI of the anterior temporal muscle during usual daytime.Conclusion: It is suggested that masticatory muscle activity during usual daily life in patients with transverse craniofacial deformity may not be related only to such factors as skeletal deformity or tooth contact area but governed by other important factors like occlusal interference, premature contacts, instability and so on.Ban J Orthod & Dentofac Orthop, October 2012; Vol-3, No.1


2020 ◽  
Vol 9 (3) ◽  
pp. 880
Author(s):  
Mieszko Wieckiewicz ◽  
Efraim Winocur

According to the current approach [1], bruxism is considered as two different behaviours observed during sleep and wakefulness, respectively, and the single definition for bruxism has been replaced by two separate definitions: Sleep bruxism is a masticatory muscle activity during sleep that is characterised as rhythmic (phasic) or non-rhythmic (tonic) and is not a movement disorder or a sleep disorder in otherwise healthy individuals [...]


SLEEP ◽  
2021 ◽  
Author(s):  
Yuki Shiraishi ◽  
Masaya Tachibana ◽  
Ai Shirota ◽  
Ikuko Mohri ◽  
Masako Taniike ◽  
...  

Abstract Study Objectives The present study aimed to clarify the physiological relationships between rhythmic masticatory muscle activity (RMMA) and cyclic changes in cortical, autonomic, and arousal-motor activities during sleep in sleep bruxism (SB) children. Methods Polysomnographic recordings were performed on fifteen SB children (9 boys, 6 girls, 10.3 ± 2.5 years) and eighteen control children (5 boys, 13 girls, 10.7 ± 3.1 years) free from sleep and developmental disorders. Sleep and RMMA were scored by the standard rules. Sleep cycle was divided into NREM and REM sleep segments and the frequency of RMMA, transient arousal and movement, and cortical and cardiac activities were then quantitatively analyzed in relation to sleep cycles. Results Neither sleep architecture nor sleep stage distribution of RMMA significantly differed between two groups. In sleep cycles, SB children showed more frequent RMMA in all segments than controls, while cyclic changes in cortical and autonomic activities did not significantly differ between two groups. In SB children, RMMA was the most frequent in the last NREM segment before REM sleep and was associated with increases in cortical beta activity and arousal; more than 70% of RMMA time-dependently occurred with cortical and motor arousals. Conclusions This is the first study to suggest that the potentiation of RMMA occurrence was associated with transient arousal under cyclic sleep processes in primary SB children.


2019 ◽  
Vol 37 (18) ◽  
pp. 4823-4829
Author(s):  
Rodrigo Fiorin ◽  
Ana Paula G. O. Franco ◽  
Mauren Abreu de Souza ◽  
Danielle M. Fontenele ◽  
Ismael Luviseti G. Jones ◽  
...  

2003 ◽  
Vol 14 (1) ◽  
pp. 30-46 ◽  
Author(s):  
G.J. Lavigne ◽  
T. Kato ◽  
A. Kolta ◽  
B.J. Sessle

Sleep bruxism (SB) is reported by 8% of the adult population and is mainly associated with rhythmic masticatory muscle activity (RMMA) characterized by repetitive jaw muscle contractions (3 bursts or more at a frequency of 1 Hz). The consequences of SB may include tooth destruction, jaw pain, headaches, or the limitation of mandibular movement, as well as tooth-grinding sounds that disrupt the sleep of bed partners. SB is probably an extreme manifestation of a masticatory muscle activity occurring during the sleep of most normal subjects, since RMMA is observed in 60% of normal sleepers in the absence of grinding sounds. The pathophysiology of SB is becoming clearer, and there is an abundance of evidence outlining the neurophysiology and neurochemistry of rhythmic jaw movements (RJM) in relation to chewing, swallowing, and breathing. The sleep literature provides much evidence describing the mechanisms involved in the reduction of muscle tone, from sleep onset to the atonia that characterizes rapid eye movement (REM) sleep. Several brainstem structures ( e.g., reticular pontis oralis, pontis caudalis, parvocellularis) and neurochemicals ( e.g., serotonin, dopamine, gamma aminobutyric acid [GABA], noradrenaline) are involved in both the genesis of RJM and the modulation of muscle tone during sleep. It remains unknown why a high percentage of normal subjects present RMMA during sleep and why this activity is three times more frequent and higher in amplitude in SB patients. It is also unclear why RMMA during sleep is characterized by co-activation of both jaw-opening and jaw-closing muscles instead of the alternating jaw-opening and jaw-closing muscle activity pattern typical of chewing. The final section of this review proposes that RMMA during sleep has a role in lubricating the upper alimentary tract and increasing airway patency. The review concludes with an outline of questions for future research.


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