Management of Myofascial Pain in Children With Sleep Bruxism

NCT ID: NCT06232993

Last Updated: 2024-01-31

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 57 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-12-01
• Study Completion Date: 2023-04-10

Brief Summary

This study compared the effectiveness of Kinesio tape and occlusal splint application in improving sleep quality and reducing myofascial pain in children with sleep bruxism.

Detailed Description

Forty-seven pediatric patients with sleep bruxism symptoms were randomly assigned into 3 groups for treatment: Kinesio tape group (KT), Occlusal splint group (OS), and Exercise group (EG). The following assessments were made in all 3 groups, before the treatment and at the end of the 1st and 5th week: Wong-Baker Faces Pain Scale (WBFPS), measurement of maximum mouth opening, assessment of pressure pain threshold of the bilateral masseter and temporal muscles, and evaluation of temporal and masseter muscle thickness by ultrasonography.

Conditions

Bruxism

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

occlusal splint

A 0.5 mm thick hard thermoplastic acrylic plate was adapted to the model in the laboratory and prepared to cover the occlusal, buccal, and lingual surfaces of the teeth

Group Type: EXPERIMENTAL

Kinesio taping

Intervention Type: OTHER

Kinesio taping is a technique that involves the application of a special elastic tape to the skin to provide support to muscles and joints without restricting the body's range of motion. This method is designed to facilitate the body's natural healing process and improve muscle function while providing support and stability to muscles and joints. Kinesio tape is believed to help reduce pain, support muscles during movement, and aid in rehabilitation. It is commonly used in sports medicine and physical therapy to address a variety of musculoskeletal conditions and injuries.

kinesio taping

The tape was cut into 2 pieces of an 'I' shape, approximately 5 cm long and 2.5 cm wide, according to the instructions in the manual.

Group Type: EXPERIMENTAL

Occlusal Splinting

Intervention Type: OTHER

Occlusal splinting, also known as a bite guard or night guard, is a removable dental appliance typically made of plastic that is custom-fitted to a patient's upper or lower teeth. It is primarily used to address issues related to teeth grinding (bruxism) or temporomandibular joint (TMJ) disorders. The splint is designed to fit over the teeth, creating a barrier between the upper and lower teeth to prevent grinding and clenching during sleep. Occlusal splints aim to reduce the impact of bruxism on the teeth and jaw, alleviate associated pain, protect the teeth from wear, and promote relaxation of the jaw muscles.

exercises

Participants in the EG group performed the exercises twice a day, with 10 repetitions and 3 sets for 5 weeks.

Group Type: EXPERIMENTAL

Exercises

Intervention Type: OTHER

For patients with bruxism, exercises can be beneficial in managing symptoms and promoting relaxation of the jaw muscles. These exercises aim to reduce the frequency and intensity of bruxism, alleviate associated pain, and improve overall jaw function and comfort. It's important for patients to consult with healthcare professionals to determine the most appropriate exercises for their individual needs.

Interventions

Kinesio taping

Kinesio taping is a technique that involves the application of a special elastic tape to the skin to provide support to muscles and joints without restricting the body's range of motion. This method is designed to facilitate the body's natural healing process and improve muscle function while providing support and stability to muscles and joints. Kinesio tape is believed to help reduce pain, support muscles during movement, and aid in rehabilitation. It is commonly used in sports medicine and physical therapy to address a variety of musculoskeletal conditions and injuries.

Intervention Type: OTHER

Occlusal Splinting

Occlusal splinting, also known as a bite guard or night guard, is a removable dental appliance typically made of plastic that is custom-fitted to a patient's upper or lower teeth. It is primarily used to address issues related to teeth grinding (bruxism) or temporomandibular joint (TMJ) disorders. The splint is designed to fit over the teeth, creating a barrier between the upper and lower teeth to prevent grinding and clenching during sleep. Occlusal splints aim to reduce the impact of bruxism on the teeth and jaw, alleviate associated pain, protect the teeth from wear, and promote relaxation of the jaw muscles.

Intervention Type: OTHER

Exercises

For patients with bruxism, exercises can be beneficial in managing symptoms and promoting relaxation of the jaw muscles. These exercises aim to reduce the frequency and intensity of bruxism, alleviate associated pain, and improve overall jaw function and comfort. It's important for patients to consult with healthcare professionals to determine the most appropriate exercises for their individual needs.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Children aged 6-11 years [1] presented to the clinic and had at least one symptom of sleep bruxism,
• Children and parents who agreed to participate in the study,
• Children who have not been treated for sleep bruxism before,
• Children who can cooperate,
• Children without maxillofacial trauma.

Exclusion Criteria

• • Children with psychiatric/neurological/systemic disorders,

• Children with a history of allergies or asthma,
• Children using orthodontic appliances,
• Children taking any medication,
• Children with dental abscess or fistula mouth,
• Children using a fixed or removable placeholder appliance.

• Minimum Eligible Age: 6 Years
• Maximum Eligible Age: 11 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Adiyaman University

OTHER

Sponsor Role: lead

Responsible Party

Kamile Nur Tozar

Dr

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kamile N Tozar

Role: PRINCIPAL_INVESTIGATOR

Adıyaman U

Locations

Adiyaman Universty

Adıyaman, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

Decision number:2022-4-2

Identifier Type: -

Identifier Source: org_study_id