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Bruxism, SleepEMGBruxismNCT07070947

Surface Electromyography in the Detection and Assessment of Bruxism

An observational study of Bruxism, Sleep, run by Escoles Universitaries Gimbernat at 1 site in Spain.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Introduction: Sleep bruxism is defined as the repetitive activity of the masticatory muscles, characterized by clenching or grinding of the teeth. Studies confirm the association between sleep bruxism and episodes of masticatory muscle activity, with an increase in autonomic sympathetic activity observed during… Read more about this study

Who is it for?
Ages 18 to 40 yearsHealthy volunteers can take part
Conditions the study is for
Bruxism, Sleep
What is being tested?
sEMG
How many people
54 participants
Where
1 siteSpain
Study dates
1 Oct 2025to 1 Dec 2028
How long will I take part?
1 Day
Phase
Observational
Are there results?
Not yet: the study is under way

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 40 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Study population: The observational study will include two groups of patients: the first, with active symptoms compatible with nocturnal bruxism, and the second, asymptomatic patients without signs of bruxism or other craniofacial pathologies. To this end, 54 participants aged between 18 and 40 years will be recruited.

Who may be able to join

  • For patients with bruxism:
  • Sleep bruxism diagnosed according to the ICSD-III (International Classification of Sleep Disorders, 3rd edition):
  • Regular or frequent tooth grinding sounds occurring during sleep and the presence of one or more of the following clinical signs and symptoms:
  • Abnormal tooth wear consistent with reports of clenching/grinding the teeth during sleep
  • Transient morning pain or fatigue in the jaw muscles; and/or temporal headaches; and/or jaw locking upon awakening, consistent with reports of clenching/grinding the teeth during sleep
  • Sleep bruxism diagnosed according to the RDC/TMD:
Show all 18Show fewer
  • Interview: During the interview, subjects are asked about the following symptoms: reports of regular or frequent tooth grinding during sleep, muscle fatigue, temporal headache, transient morning muscle pain in the jaw, and jaw locking upon awakening.
  • Physical examination: Presence or signs suggesting abnormal dental wear, such as teeth with flattened cusps and/or loss of contour with dentin exposure.
  • Hypertrophy of the masticatory muscles
  • Dental impressions on the tongue
  • Linea alba on the cheeks along the bite line
  • Damage to dental tissue
  • Excessive dental wear
  • A minimum pain intensity score of 3 on the Visual Analogue Scale at the masseter and temporal algometry points.
  • EMGs with elevated mean power frequency for the masseter and temporalis muscles (to be defined in the first clinical phase-observational study).
  • Age between 18 and 40 years.
  • For patiens without bruxism:
  • a)Asymptomatic and without signs of bruxism or other craniofacial pathologies.

Who cannot join

  • Having suffered direct trauma, mandibular fractures, or surgeries in the orofacial region.
  • Loss of more than 2 teeth, except for the third molar.
  • Use of muscle relaxant medication or medications that may influence motor behavior.
  • Having received botulinum toxin treatment in the last 6 months.
  • Periodontal disorders or current orthodontic treatment or prosthesis.
  • Partial or total dentures.
  • History of medical disorders (severe psychiatric, physiological, or neurological conditions).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Maider Sánchez-Padilla, MSc contact

0034 93 589 37 27

maider.sanchez@eug.es

Spain1 site
  • Universitat International de Catalunya (UIC)

    Sant Cugat del Vallès, Barcelona, 08195

    Maider Sánchez-Padilla, MSc, 0034 93 589 37 27, aqx203214@uic.es

Other trials in Spain

About this study

Official title: Efficacy of Manual Therapy in Indirect Non-Invasive Neuromodulation of the Vagus Nerve in the Treatment of Bruxism in Young Adult Population up to 40 Years Old

Introduction:

Sleep bruxism is defined as the repetitive activity of the masticatory muscles, characterized by clenching or grinding of the teeth. Studies confirm the association between sleep bruxism and episodes of masticatory muscle activity, with an increase in autonomic sympathetic activity observed during transient periods of sleep. This is associated with nocturnal awakenings, related to increased cardiac, cerebral (cortical arousal), respiratory, and muscular activity.

Read more

Objectives: The main objectives are "To study the mean power frequency (MPF) of the masticatory muscles measured by surface electromyography (sEMG) in the general population (with and without bruxism according to ICSD-3 and DC/TMD criteria)"; and "to assess the effectiveness of manual therapy applied to structures adjacent to the vagus nerve based on its impact on orofacial pain and symptomatology in patients with bruxism".

Material and Methods:

A cross-sectional observational study and a randomized controlled experimental study were designed. The first will analyze data collected by sEMG in the masticatory muscles, at rest and during maximum clenching, comparing results between bruxists and non-bruxists. The second will analyze, compared to the control group, data collected on signs (range of motion alteration, presence of sounds), symptomatology (pain, headaches, sensation of blockage, functional limitation) caused by bruxism, sleep quality (Pittsburgh Sleep Quality Index (PSQI)), oral health-related quality of life (OHIP-14), stress and anxiety status (Perceived Stress Scale and GAD-7 (Generalized Anxiety Disorder-7), respectively), and sympathetic-vagal balance (Heart Rate Variability in its frequency and time domains) before and after a manual therapy intervention on structures adjacent to the vagus nerve pathway (head, neck, thorax, diaphragm, abdomen). The collected data will be analyzed using IBM SPSS® version 25.0.0.

Conditions
Bruxism, Sleep
Being tested
sEMG
Keywords
Sleep Bruxism, Electromyography, Masticatory Muscles
Medical subject headings
Sleep Bruxism

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • sEMGDiagnostic test

    The spectral characteristics in the amplitude domain will be recorded through the root mean square (RMS, unit: μV) or the mean power frequency (MPF, unit: Hz) of the musculature to be evaluated by means of EMGs, with the electrodes placed parallel to the muscle fibers of the temporal, masseter, and suprahyoid muscles. Standardized EMGs will be recorded and compared in resting position and during maximum voluntary clenching

Study groups in NCT07070947
Study groupRoleWhat they receive
Group 1 (Bruxism)Temporomandibular disorder: Active symptoms compatible with nocturnal bruxism according to ICSD-III and RDC/TMD criteria
Receives: Diagnostic Test: sEMG
Group 2 (No bruxism)Asymptomatic and without signs of bruxism or other craniofacial pathologies
Receives: Diagnostic Test: sEMG

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Motor recruitment pattern of the masseter, temporalis, and suprahyoid muscles

    In resting position and during maximum clenching, as measured by the mean power frequency (MPF) recorded in a surface electromyography.

    Measured: 1 day, baseline

Secondary outcomes (13)
  1. Orofacial Pain (1)

    Assessment tests for TMD and bruxism condition "AXIS- I" is the assessment tool with a "Symptom questionnaire"

    Measured: 1 day, baseline

  2. Orofacial Pain (2)

    Assessment tests for TMD and bruxism condition "AXIS- I" is the assessment tool with a Pressure Pain Threshold of masseter and temporalis muscles with a DC/ TMD EXAMINATION FORM.

    Measured: 1 day, baseline

  3. Orofacial Pain (3)

    Assessment tests for TMD and bruxism condition "AXIS -II" throught the "Graded chronic pain scale version 2.0"

    Measured: 1 day, baseline

  4. Range of Motion (1)

    Assessment tests for TMD and bruxism condition "AXIS- I" is the assessment tool with a "Symptom questionnaire".

    Measured: 1 day, baseline

  5. Range of Motion (2)

    Assessment tests for TMD and bruxism condition "AXIS- I" is the assessment tool with a range of motion with a DC/ TMD EXAMINATION FORM.

    Measured: 1 day, baseline

  6. Jaw Funcionality

    AXIS-II" is the assesment tool that include "Jaw Functional Limitation Scale-20

    Measured: 1 day, baseline

  7. Oral behavior

    AXIS-II" is the assesment tool that include "The Oral Behavior checklist

    Measured: 1 day, baseline

  8. Headaches

    The assessment will be carried out using HIT-6 (Headeach Impact Test-6)

    Measured: 1 day, baseline

  9. Sleep Quality

    Sleep quality is considered one of the most important measures related to bruxism. To assess it, the Pittsburgh Sleep Quality Index (PSQI) questionnaire will be administered.

    Measured: 1 day, baseline

  10. Oral health-related quality of life

    To assess it, the HIP-14 (Oral Health Impact Profile-14) questionnaire will be administered.

    Measured: 1 day, baseline

  11. Stress

    To assess it, the PPS: Perceived Stress Scale will be administered.

    Measured: 1 day, baseline

  12. Anxiety

    To assess it, the GAD-7 (General Anxiety Disorder-7) will be administered.

    Measured: 1 day, baseline

  13. Heart Rate Variability (HRV)

    Spectral analysis of the time variation between consecutive heartbeats, referred to as the RR interval, which records the activity of the autonomic nervous system. This is collected using the chest strap "Polar H10 Band," which connects to the mobile app "Elite HRV" or "Kubios Software." It collects the frequency measures: LF (low frequency), HF (high frequency), and the ratio between them (LF/HF) as an indicator of sympathetic-vagal balance. It collects the time-domain measures: Mean RR interval; SDNN: standard deviation of all RR intervals; pNN50; RMSSD.

    Measured: 1 day, baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jul 2025
  2. Study start1 Oct 2025 (estimated)
  3. Primary completion1 Oct 2027 (estimated)
  4. Study completion1 Dec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Prospective
Enrolment
54 participants (estimated)
Target duration
1 Day
IDs, dates and publications
ClinicalTrials.gov ID
NCT07070947
Sponsor's protocol ID
EMGBruxism
Acronym
EMGBruxism
Status last verified
Jun 2025
First submitted
30 Jun 2025
Last updated
17 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: Once the project is completed, the all IPD collected throughout the trial will be disseminated through presentations at various national and international conferences. Manuscripts describing the IPD collected will also be prepared and submitted for publication in peer-reviewed journals.

Publications

  • Abe S, Huynh NT, Kato T, Rompre PH, Landry-Schonbeck A, Landry ML, de Grandmont P, Kawano F, Lavigne GJ. Oral appliances reduce masticatory muscle activity-sleep bruxism metrics independently of changes in heart rate variability. Clin Oral Investig. 2022 Sep;26(9):5653-5662. doi: 10.1007/s00784-022-04520-y. Epub 2022 May 10.

    PubMed 35538329
  • Matusz K, Maciejewska-Szaniec Z, Gredes T, Pobudek-Radzikowska M, Glapinski M, Gorna N, Przystanska A. Common therapeutic approaches in sleep and awake bruxism - an overview. Neurol Neurochir Pol. 2022;56(6):455-463. doi: 10.5603/PJNNS.a2022.0073. Epub 2022 Nov 29.

    PubMed 36444852
  • Amorim CSM, Espirito Santo AS, Sommer M, Marques AP. Effect of Physical Therapy in Bruxism Treatment: A Systematic Review. J Manipulative Physiol Ther. 2018 Jun;41(5):389-404. doi: 10.1016/j.jmpt.2017.10.014.

    PubMed 30041736
  • Kuang B, Li D, Lobbezoo F, de Vries R, Hilgevoord A, de Vries N, Huynh N, Lavigne G, Aarab G. Associations between sleep bruxism and other sleep-related disorders in adults: a systematic review. Sleep Med. 2022 Jan;89:31-47. doi: 10.1016/j.sleep.2021.11.008. Epub 2021 Nov 19.

    PubMed 34879286
  • Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, Santiago V, Winocur E, De Laat A, De Leeuw R, Koyano K, Lavigne GJ, Svensson P, Manfredini D. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil. 2018 Nov;45(11):837-844. doi: 10.1111/joor.12663. Epub 2018 Jun 21.

    PubMed 29926505
  • Thymi M, Shimada A, Lobbezoo F, Svensson P. Clinical jaw-muscle symptoms in a group of probable sleep bruxers. J Dent. 2019 Jun;85:81-87. doi: 10.1016/j.jdent.2019.05.016. Epub 2019 May 11.

    PubMed 31085350
  • Michalek-Zrabkowska M, Martynowicz H, Wieckiewicz M, Smardz J, Poreba R, Mazur G. Cardiovascular Implications of Sleep Bruxism-A Systematic Review with Narrative Summary and Future Perspectives. J Clin Med. 2021 May 21;10(11):2245. doi: 10.3390/jcm10112245.

    PubMed 34064229
  • Schaffarczyk M, Rogers B, Reer R, Gronwald T. Validity of the Polar H10 Sensor for Heart Rate Variability Analysis during Resting State and Incremental Exercise in Recreational Men and Women. Sensors (Basel). 2022 Aug 30;22(17):6536. doi: 10.3390/s22176536.

    PubMed 36081005
  • Perrotta AS, Jeklin AT, Hives BA, Meanwell LE, Warburton DER. Validity of the Elite HRV Smartphone Application for Examining Heart Rate Variability in a Field-Based Setting. J Strength Cond Res. 2017 Aug;31(8):2296-2302. doi: 10.1519/JSC.0000000000001841.

    PubMed 28195974
  • Matusik PS, Zhong C, Matusik PT, Alomar O, Stein PK. Neuroimaging Studies of the Neural Correlates of Heart Rate Variability: A Systematic Review. J Clin Med. 2023 Jan 28;12(3):1016. doi: 10.3390/jcm12031016.

    PubMed 36769662
  • von Piekartz H, Bleiss S, Herzer S, Hall T, Ballenberger N. Does combining oro-facial manual therapy with bruxism neuroscience education affect pain and function in cases of awake bruxism? A pilot study. J Oral Rehabil. 2024 Sep;51(9):1692-1700. doi: 10.1111/joor.13740. Epub 2024 Jun 18.

    PubMed 38894567
  • Wojcik M, Siatkowski I. The effect of cranial techniques on the heart rate variability response to psychological stress test in firefighter cadets. Sci Rep. 2023 May 13;13(1):7780. doi: 10.1038/s41598-023-34093-z.

    PubMed 37179419
  • Kadioglu MB, Sezer M, Elbasan B. Effects of Manual Therapy and Home Exercise Treatment on Pain, Stress, Sleep, and Life Quality in Patients with Bruxism: A Randomized Clinical Trial. Medicina (Kaunas). 2024 Dec 4;60(12):2007. doi: 10.3390/medicina60122007.

    PubMed 39768887
  • Berni KC, Dibai-Filho AV, Pires PF, Rodrigues-Bigaton D. Accuracy of the surface electromyography RMS processing for the diagnosis of myogenous temporomandibular disorder. J Electromyogr Kinesiol. 2015 Aug;25(4):596-602. doi: 10.1016/j.jelekin.2015.05.004. Epub 2015 May 27.

    PubMed 26054969
  • Lodetti G, Mapelli A, Musto F, Rosati R, Sforza C. EMG spectral characteristics of masticatory muscles and upper trapezius during maximum voluntary teeth clenching. J Electromyogr Kinesiol. 2012 Feb;22(1):103-9. doi: 10.1016/j.jelekin.2011.10.008. Epub 2011 Nov 17.

    PubMed 22100151

Questions about this trial

What is this clinical trial studying?

An observational study of Bruxism, Sleep, run by Escoles Universitaries Gimbernat at 1 site in Spain.

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 18 inclusion and 7 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: opening soon, as of the sponsor's last update on 17 Jul 2025. 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 Spain. 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Maider Sánchez-Padilla, MSc (0034 93 589 37 27, maider.sanchez@eug.es), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Motor recruitment pattern of the masseter, temporalis, and suprahyoid muscles (time frame: 1 day, baseline). 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 NCT07070947, which also lists 18 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 17 Jul 2025.

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