BruxismNCT06482060
In Vivo Comparison of Two Different Occlusal Splints in Bruxism
A study testing Stabilization splint in people with Bruxism, run by Marmara University at 1 site in Turkey (Türkiye).
Trial summary
According to the international consensus, bruxism is a masticatory muscle activity consisting of grinding and clenching while sleep or wakefullness. The etiology of bruxism is multifactorial and phisical and psychological facts are some causes of this habit. Read more about this study
- Who is it for?
- Ages 18 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Bruxism
- What is being tested?
- Stabilization splint
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 May 2023to 1 May 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Volunteers with natural dentition between the ages of 18-60
- Diagnosed with bruxism
Who cannot join
- Pregnancy
- Alcohol or drug addiction
- Having more than one missing tooth in one part of the oral arch
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Marmara University School of Dentistry
Istanbul, 34854
About this study
Official title: Evaluation of Amount of Wear and Patient Satisfaction of Two Different Occlusal Splint Materials in Individuals With Bruxism
According to the international consensus, bruxism is a masticatory muscle activity consisting of grinding and clenching while sleep or wakefullness. The etiology of bruxism is multifactorial and phisical and psychological facts are some causes of this habit. Bruxism is one of the main causes of tooth wear and temporomandibular joint diseases. Muscle ensembles that occur in bruxist individuals can cause temporomandibular joint degenerations. There is no definitive method recommended for the treatment of sleep bruxism. The most important clinical intervention for sleep bruxism is to protect teeth, reduce teeth grinding, relieve facial and temporal pain and improve sleep quality.
Stabilization splint is the gold standard in temporomandibular joint treatments. The purpose of occlusal splint treatment is to improve the functions of tmj and masticatory muscles by creating a balanced , stable occlusion to eliminate the associated pain to reduce the effects of occlusal interferences and parafunctional habits. Conventional occlusal devices have been fabricated from different materials including polyethylene (PVAc-PE), auto-, heat-, and lightpolymerized acrylic resin. However, despite the interesting characteristics of these materials, they are not considered optimal due to potential thermal discomfort, bad taste, residual monomers, dimensional instability, undesirable shape or color, fracture susceptibility, and skin or respiratory allergies of polymethyl mehacrylate (PMMA) resin, in addition to the time-demanding manufacturing process. New digital technologies based on computer-aided design and computer-aided manufacturing have enabled the use of digital workflow in the fabrication of occlusal devices or other intraoral prostheses such as complete dentures and interim fixed restorations, by using subtractive milling or additive approaches. Such devices are manufactured from prefabricated and standard materials such as polycarbonate, polyetheretherketone (PEEK), and PMMA discs. The whole workflow of digital occlusal splints enhances occlusal design and considerably simplifies and optimizes the traditional occlusal splint manufacturing process. Furthermore, digital occlusal splints have shown superior performance over traditional ones in terms of fit, quantitative control, time-saving, speed, and dimensional stability.
The aim of this study is to evaluate the patient satisfaction and wear rates of occlusal splint materials that fabricated with conventional and CAD/CAM techniques.
Read the detailed description
The patients who applied to Marmara University Faculty of Dentistry Department of Prosthodontics with complaints of teeth clenching and grinding were clinically and radiologically examined. A questionarre is also applied to evaluate the sleep bruxism. 30 individuals diagnosed with sleep bruxism were included in this study. The individuals were informed about bruxism, its effects and the application of a stabilization splint and were divided into two groups randomly. Stabilization splint was applied to one group with digital and to other group with conventional impression and production method.
In the conventional treatment group, impressions were taken with alginate impression material, then the occlusal splint was fabricated with hard vinyl resin material in the dental laboratory. The splints were appllied o the upper jaw in accordance with the recomendations of Okeson. Canine guidence was provided in lateral movements. Autopolymerizing acrylic (Imıcryl, Turkey) was used for the adjustment of the splint intraorally. The individuals were asked to come for monthly recalls according to the routine treatment procedure and the pain values measured by visual analog scale (VAS). The occlusal surfaces of the stabilization splints were scanned before the usage of splint and after the three and six months usage. The wear amounts were calculated by Geomagic Control Program for evaluation. Patient satisfaction was evaluated with the questionarre at the beginning and final stage of the treatment.
In the CAD/CAM treatment group, intraoral digital impressions were taken with an intraoral camera (3Shape Trios (3Shape Dental Systems, Copenhagen, Denmark)) and the occlusal splints were fabricated with methacrylate resin material by digital three dimensional production. The splints were delivered to the individuals. Minimal occlusal adjustment was performed to obtain canine guidence. The individuals were asked to come for monthly recalls according to the routine treatment procedure and the pain values measured by visual analog scale (VAS). The occlusal surfaces of the stabilization splints were scanned before the usage of splint and after the three and six months usage. The wear amounts were calculated by Geomagic Control Program for evaluation. Patient satisfaction was evaluated with the questionarre at the beginning and final stage of the treatment.
- Conditions
- Bruxism
- Being tested
- Stabilization splint
- Keywords
- Bruxism, Stabilization splint, Digital workflow
- Medical subject headings
- Bruxism
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Stabilization splintDevice
Stabilization splint application is a treatment that improves the function of TMJ and masticatory muscles by creating a balanced, stable occlusion to reduce the effects of occlusal interference and parafunctional habits and eliminate associated pain.
| Study group | Role | What they receive |
|---|---|---|
| Conventional group | Active comparator | Not described Receives: Device: Stabilization splint |
| Digital workflow group | Experimental | Not described Receives: Device: Stabilization splint |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in vertical and volumetric loss of splint material during the treatment
The occlusal surfaces of the stabilization splints were scanned with the 3Shape Trios 3 scanning device (3Shape Dental Systems, Copenhagen, Denmark) three times for each volunteer as before use scan, 3 month end of use scan and 6 months end of use scan. STL images uploaded to Geomagic Control 2014.4.0 program and vertical an volumetric losses are evaluated.
Measured: At the beginning, 3. months and 6. months
Secondary outcomes (2)
Change in pain of the patient with Visual Analog Scale (VAS) during the treatment
Each month, the volunteers were asked to rate their pain scores according to the visual analog scale (VAS) from 1 to 10.
Measured: At the beginning, 1. Months and 6. Months
Change in patient satisfaction during the treatment
A Likert-type questionnaire was administered to the volunteers of both groups including the main topics of impression taking session, readjustment of the splint session and ease of use of the splint.
Measured: At the beginning, 6. Months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Jul 2024
- Study start1 May 2023
- Primary completion1 Mar 2024
- Study completion1 May 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for BruxismStudies of the same condition, open and under way.
- More trials run by Marmara UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Marmara University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06482060
- Sponsor's protocol ID
- MUDHF_Prosthesis_01
- Status last verified
- Jun 2024
- First submitted
- 25 Jun 2024
- Last updated
- 1 Jul 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Bodian CA, Freedman G, Hossain S, Eisenkraft JB, Beilin Y. The visual analog scale for pain: clinical significance in postoperative patients. Anesthesiology. 2001 Dec;95(6):1356-61. doi: 10.1097/00000542-200112000-00013.
PubMed 11748392Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, de Leeuw R, Manfredini D, Svensson P, Winocur E. Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013 Jan;40(1):2-4. doi: 10.1111/joor.12011. Epub 2012 Nov 4.
PubMed 23121262Marcel R, Reinhard H, Andreas K. Accuracy of CAD/CAM-fabricated bite splints: milling vs 3D printing. Clin Oral Investig. 2020 Dec;24(12):4607-4615. doi: 10.1007/s00784-020-03329-x. Epub 2020 May 21.
PubMed 32436163Melo G, Duarte J, Pauletto P, Porporatti AL, Stuginski-Barbosa J, Winocur E, Flores-Mir C, De Luca Canto G. Bruxism: An umbrella review of systematic reviews. J Oral Rehabil. 2019 Jul;46(7):666-690. doi: 10.1111/joor.12801. Epub 2019 May 7.
PubMed 30993738
Study at a glance
From the registry record, last updated by the sponsor on 1 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of Amount of Wear and Patient Satisfaction of Two Different Occlusal Splint Materials in Individuals With Bruxism
- ClinicalTrials.gov ID
- NCT06482060
- Acronym / sponsor ID
- MUDHF_Prosthesis_01
- Conditions
- Bruxism
- Keywords
- Bruxism, Stabilization splint, Digital workflow
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Marmara UniversityUniversity, hospital or other
- Study start
- 1 May 2023 (actual)
- Primary completion
- 1 Mar 2024 (actual)
- Study completion
- 1 May 2024 (actual)
- First posted
- 1 Jul 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
According to the international consensus, bruxism is a masticatory muscle activity consisting of grinding and clenching while sleep or wakefullness. The etiology of bruxism is multifactorial and phisical and psychological facts are some causes of this habit. Bruxism is one of the main causes of tooth wear and temporomandibular joint diseases. Muscle ensembles that occur in bruxist individuals can cause temporomandibular joint degenerations. There is no definitive method recommended for the treatment of sleep bruxism. The most important clinical intervention for sleep bruxism is to protect teeth, reduce teeth grinding, relieve facial and temporal pain and improve sleep quality.
Stabilization splint is the gold standard in temporomandibular joint treatments. The purpose of occlusal splint treatment is to improve the functions of tmj and masticatory muscles by creating a balanced , stable occlusion to eliminate the associated pain to reduce the effects of occlusal interferences and parafunctional habits. Conventional occlusal devices have been fabricated from different materials including polyethylene (PVAc-PE), auto-, heat-, and lightpolymerized acrylic resin. However, despite the interesting characteristics of these materials, they are not considered optimal due to potential thermal discomfort, bad taste, residual monomers, dimensional instability, undesirable shape or color, fracture susceptibility, and skin or respiratory allergies of polymethyl mehacrylate (PMMA) resin, in addition to the time-demanding manufacturing process. New digital technologies based on computer-aided design and computer-aided manufacturing have enabled the use of digital workflow in the fabrication of occlusal devices or other intraoral prostheses such as complete dentures and interim fixed restorations, by using subtractive milling or additive approaches. Such devices are manufactured from prefabricated and standard materials such as polycarbonate, polyetheretherketone (PEEK), and PMMA discs. The whole workflow of digital occlusal splints enhances occlusal design and considerably simplifies and optimizes the traditional occlusal splint manufacturing process. Furthermore, digital occlusal splints have shown superior performance over traditional ones in terms of fit, quantitative control, time-saving, speed, and dimensional stability.
The aim of this study is to evaluate the patient satisfaction and wear rates of occlusal splint materials that fabricated with conventional and CAD/CAM techniques.
Detailed description
The patients who applied to Marmara University Faculty of Dentistry Department of Prosthodontics with complaints of teeth clenching and grinding were clinically and radiologically examined. A questionarre is also applied to evaluate the sleep bruxism. 30 individuals diagnosed with sleep bruxism were included in this study. The individuals were informed about bruxism, its effects and the application of a stabilization splint and were divided into two groups randomly. Stabilization splint was applied to one group with digital and to other group with conventional impression and production method.
In the conventional treatment group, impressions were taken with alginate impression material, then the occlusal splint was fabricated with hard vinyl resin material in the dental laboratory. The splints were appllied o the upper jaw in accordance with the recomendations of Okeson. Canine guidence was provided in lateral movements. Autopolymerizing acrylic (Imıcryl, Turkey) was used for the adjustment of the splint intraorally. The individuals were asked to come for monthly recalls according to the routine treatment procedure and the pain values measured by visual analog scale (VAS). The occlusal surfaces of the stabilization splints were scanned before the usage of splint and after the three and six months usage. The wear amounts were calculated by Geomagic Control Program for evaluation. Patient satisfaction was evaluated with the questionarre at the beginning and final stage of the treatment.
In the CAD/CAM treatment group, intraoral digital impressions were taken with an intraoral camera (3Shape Trios (3Shape Dental Systems, Copenhagen, Denmark)) and the occlusal splints were fabricated with methacrylate resin material by digital three dimensional production. The splints were delivered to the individuals. Minimal occlusal adjustment was performed to obtain canine guidence. The individuals were asked to come for monthly recalls according to the routine treatment procedure and the pain values measured by visual analog scale (VAS). The occlusal surfaces of the stabilization splints were scanned before the usage of splint and after the three and six months usage. The wear amounts were calculated by Geomagic Control Program for evaluation. Patient satisfaction was evaluated with the questionarre at the beginning and final stage of the treatment.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Conventional group | Active comparator | Device: Stabilization splint |
| Digital workflow group | Experimental | Device: Stabilization splint |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Volunteers with natural dentition between the ages of 18-60
- Diagnosed with bruxism
Key exclusion criteria (3 listed)
- Pregnancy
- Alcohol or drug addiction
- Having more than one missing tooth in one part of the oral arch
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Stabilization splintStabilization splint application is a treatment that improves the function of TMJ and masticatory muscles by creating a balanced, stable occlusion to reduce the effects of occlusal interference and parafunctional habits and eliminate associated pain. | Device | Conventional group, Digital workflow group |
Primary outcome
Change in vertical and volumetric loss of splint material during the treatment
Time frame: At the beginning, 3. months and 6. months
The occlusal surfaces of the stabilization splints were scanned with the 3Shape Trios 3 scanning device (3Shape Dental Systems, Copenhagen, Denmark) three times for each volunteer as before use scan, 3 month end of use scan and 6 months end of use scan. STL images uploaded to Geomagic Control 2014.4.0 program and vertical an volumetric losses are evaluated.
2 secondary outcomes
Change in pain of the patient with Visual Analog Scale (VAS) during the treatment
Time frame: At the beginning, 1. Months and 6. Months
Change in patient satisfaction during the treatment
Time frame: At the beginning, 6. Months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 1 Jul 2024.
- Background: PubMed 11748392Bodian CA, Freedman G, Hossain S, Eisenkraft JB, Beilin Y. The visual analog scale for pain: clinical significance in postoperative patients. Anesthesiology. 2001 Dec;95(6):1356-61. doi: 10.1097/00000542-200112000-00013.
- Background: PubMed 23121262Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ, de Leeuw R, Manfredini D, Svensson P, Winocur E. Bruxism defined and graded: an international consensus. J Oral Rehabil. 2013 Jan;40(1):2-4. doi: 10.1111/joor.12011. Epub 2012 Nov 4.
- Background: PubMed 32436163Marcel R, Reinhard H, Andreas K. Accuracy of CAD/CAM-fabricated bite splints: milling vs 3D printing. Clin Oral Investig. 2020 Dec;24(12):4607-4615. doi: 10.1007/s00784-020-03329-x. Epub 2020 May 21.
- Background: PubMed 30993738Melo G, Duarte J, Pauletto P, Porporatti AL, Stuginski-Barbosa J, Winocur E, Flores-Mir C, De Luca Canto G. Bruxism: An umbrella review of systematic reviews. J Oral Rehabil. 2019 Jul;46(7):666-690. doi: 10.1111/joor.12801. Epub 2019 May 7.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Stabilization splint in people with Bruxism, run by Marmara University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 1 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in vertical and volumetric loss of splint material during the treatment (time frame: At the beginning, 3. months and 6. months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06482060, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 Jul 2024.