Sleep-Related Bruxism Treatment and Management

Diagnosis and Treatment Approaches

• The American Academy of Sleep Medicine recommends that occlusal splints should be fitted by qualified dental personnel trained in sleep medicine and/or sleep-related breathing disorders 2
• Candidates for mandibular repositioning appliances require adequate healthy teeth, no significant temporomandibular joint disorder, and adequate jaw range of motion, as well as manual dexterity to insert/remove the appliance [1] [2]
• Temporomandibular joint discomfort, dental misalignment with long-term use, hypersalivation or dry mouth, dental pain, and gingival irritation are potential side effects of oral appliance therapy [1] [2]
• Regular dental follow-up is recommended to monitor for dental complications and adjust treatment as needed, with follow-up occurring at 6 months for the first year and at least annually thereafter for patients using oral appliances [1] [2]

Oral Appliance Therapy

• Tooth surface loss is a sign of sleep bruxism, and custom-made oral appliances can help protect dentition from damage caused by clenching/grinding, with adequate healthy teeth being a requirement for mandibular repositioning appliances 1
• The American Academy of Sleep Medicine guidelines suggest that oral appliances can provide transient reduction in muscle activity and are effective for preventing dental damage and reducing grinding sounds 2