Bruxism a literature review
Scoring bruxism in the absence of audiovisual recordings
Conclusions Although the absence of audio-video recording, the diagnostic accuracy of assessing RMMA with portable PSG systems appeared to remain good, supporting their use for both research and clinical purposes. However, the risk of moderate overestimation in absence of audio-video must be taken into account. https://docksci.com/diagnostic-accuracy-of-sleep-bruxism-scoring-in-absence-of-audio-video-recording_5adffcedd64ab21eb28a08f9.html
Link between bruxism-TMJ and SDB review
“It appears that when patients with SB and/or painful TMD complain about insomnia, snoring and/or cessation of breathing during sleep, sleepiness of unidentified causes, or uncontrolled blood pressure, it is prudent to screen for the presence of SDB. Such is done in collaboration with sleep medicine specialists using either sleep laboratory or home recording systems with electromyography analysis of masseter/temporal muscle activity” https://www.researchgate.net/publication/273088020_The_Link_between_Sleep_Bruxism_Sleep_Disordered_Breathing_and_Temporomandibular_Disorders_An_Evidence-based_Review
Etiology of sleep bruxism “Definitive diagnosis of SB can only be achieved using electrophysiological tools- IN OTHER WORDS, PLEASE INCLUDE BRUXISM IN YOUR SLEEP TESTING” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5026093/
Sleep bruxism can raise blood pressure https://academic.oup.com/sleep/article/35/4/529/2558893
“Lavigne” Bruxism physiology and pathology https://www.ncbi.nlm.nih.gov/pubmed/18557915
Teeth Grinding: Is Emotional Stability related to Bruxism? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934876/
Home Sleep Testing Supporting Literature
Oral Appliance Therapy Supporting Literature
“ You should have your professional do screening for oral appliance effectiveness to make sure it works” Practice parameters for the treatment of snoring and obstructive sleep apnea with oral appliances and update for 2005. Sleep.
“Devices open the airway, but without a tongue posture shield that tongue will block it again” Moses AJ, Bedoya JA, Learreta JA, Case study of the anatomic changes effected by a mandibular advancement device in a sleep apnea patient, Sleep Diagnosis and Therapy, 5:1, 2010: 30-34.
“46% of patients effectively use CPAP” Kribbs NB, Pack AI, Kline LR, et al., Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea, Am Rev Respir Dis, April 1993, 147(4): 887-895.
“Even if you think it will be OK, this study shows how tired you will be if you do not wear the therapy” Kribbs NB, Pack AI, Kline LR, et al., Effects of one night without nasal CPAP treatment on sleep and sleepiness in patients with obstructive sleep apnea, Amer Rev Respir Dis., May 1993, 147(5):1162-1168.
“We are always learning and we need to keep looking for better appliances, even when we think we have found the best” Chan, A., Cistulli, P. Oral appliance treatment of obstructive sleep apnea: an update. Curr Opin Pulm Med. 15:591–596.
“ The USA uses PM in a type 3 level and we in Australia use HST at a type 2 level that is better than is the USA- so therefore you should get tested in Australia for the convenience and accuracy that HST provides” Collop, N., Anderson, W., Boehlecke, B., Claman, D., Goldberg, R., Gottlieb, D., Hudgel, D., Sateia, M., Schwab, R. Clinical Guidelines for the Use of Unattended Portable Monitors in the Diagnosis of Obstructive Sleep Apnea in Adult Patients. Journal of Clinical Sleep Medicine, 3(7), 737-747.
Randomized Controlled Study of an Oral Jaw-Positioning Appliance for the Treatment of Obstructive Sleep Apnea in Children with Malocclusion https://www.atsjournals.org/doi/full/10.1164/ajrccm.165.1.2011031
Guilleminault and coworkers suggest that children with retro-position of the mandible, steep mandibular plane, high hard palate, long oval-shaped face, or long soft palate were highly likely to have sleep-disordered breathing
Tongue posture and Oral Appliance Therapy Supporting Literature
Tongue Function: An Underrecognized Component in the Treatment of Obstructive Sleep Apnea with Mandibular Repositioning Appliance https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247694/
The Tongue-Retaining Device: Efficacy and Side Effects in Obstructive Sleep Apnea Syndrome https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2762714/
Intra-oral compartment pressures: A biofunctional model and experimental measurements under different conditions of posture https://www.researchgate.net/publication/41402257_Intra-oral_compartment_pressures_A_biofunctional_model_and_experimental_measurements_under_different_conditions_of_posture
Functional treatment of snoring based on the tongue-repositioning manoeuvre https://academic.oup.com/ejo/article/32/5/490/559907
“Negative intraoral pressure is fundamental to the stabilization of the soft palate and tongue, reducing neuromuscular activity for the permeability of the respiratory tract” Description of intraoral pressures on sub-palatal space in young adult patients with normal occlusion https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4565308/
UPPER AIRWAY IMAGING DURING A NOVEL INTRA‐ORAL NEGATIVE PRESSURE DEVICE THERAPY IN PATIENTS WITH OBSTRUCTIVE SLEEP APNEA https://onlinelibrary.wiley.com/doi/full/10.1111/resp.13419_91
Tongue and upper airway function in subjects with and without obstructive sleep apnea https://www.sciencedirect.com/science/article/pii/S1882761611000731
Analysis of tongue pressure in Brazilian young adults “Get that tongue high in the palate” http://www.scielo.br/scielo.php?pid=S2317-17822015000500478&script=sci_arttext&tlng=en