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Effects of different interventions on bruxism: an overview of systematic reviews

  • Dentistry • Review
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Abstract

Objective

This study aimed to evaluate, qualify, and summarize evidence presented in systematic reviews (SR) on treatments for bruxism.

Methods

The overview was conducted using the PICO strategy: children, adolescents, and adults with bruxism (P) were submitted to different treatments (I) compared to other treatments, placebo, or no treatment (C) in order to evaluate incidence, prevalence, and number of episodes of bruxism (O). The search was carried out in six databases and gray literature up to July 2023. Data were extracted, and the ROBS tool was used, followed by a descriptive synthesis of the results.

Results

A total of 31 SR were included. Sixteen showed a positive effect on episodes of bruxism (BE), while two had negative, one had neutral, and nine had inconclusive effects. Using the risk of bias in systematic reviews tool (ROBIS), risk of bias varied from low (n = 23) to high (n = 5) among the SR. Pharmacological treatment, oral rehabilitation, and other therapeutic approaches presented inconclusive or negative effects on BE, while oral appliances showed controversial effects. Biofeedback, physical therapy, laser therapy, and botulinum toxin showed positive effects on the reduction of BE.

Conclusion

Biofeedback, physical therapy, laser therapy, and botulinum toxin showed positive effects on the reduction of BE; there is still a lack of studies to support the safe and long-term use of these therapies.

Registration number: PROSPERO CRD42021273905.

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Data availability

To guarantee transparency, all collected data were included in the figures and tables as an ordinal or supplementary file.

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Acknowledgements

Thank you to the authors Frank Lobbezoo, Graziela De Luca Canto, Tatiana Pereira Cenci, Daniele Manfredini, and Aobo Zhang for kindly providing additional information to the content already published in systematic reviews.

Funding

This study it part of the PhD thesis of the first author and was financed in by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES — finance code 001).

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Authors and Affiliations

  1. Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Universidade Federal do Rio de Janeiro, Rua Professor Rodolpho Paulo Rocco, 325 – Cidade Universitária, Rio de Janeiro, RJ, CEP: 21941-971, Brazil

    Larissa Soares-Silva, Camila Silva de Amorim, Marcela Baraúna Magno, Claudia Tavares-Silva & Lucianne Cople Maia

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  1. Larissa Soares-Silva
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  2. Camila Silva de Amorim
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  3. Marcela Baraúna Magno
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Correspondence to Larissa Soares-Silva or Lucianne Cople Maia.

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Soares-Silva, L., de Amorim, C.S., Magno, M.B. et al. Effects of different interventions on bruxism: an overview of systematic reviews. Sleep Breath (2024). https://doi.org/10.1007/s11325-023-02961-7

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