2 research outputs found
Educating Dental Students About Eating Disorders: Perceptions and Practice of Interprofessional Care
Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/153591/1/jddjde017090.pd
Overâtheâcounter bite splints: A randomized controlled trial of compliance and efficacy
BackgroundOcclusal splints are often used to curb the impacts of sleep bruxism (SB) on the dentition, and overâtheâcounter (OCT) options are becoming increasingly popular. OTC splints are usually fabricated at home by patients, but not routinely evaluated by dental professionals. It is unclear how OCT splints compare with more traditional splints that receive dental oversight.ObjectivesThe present randomized controlled study tested how an OTC splint compared with a gold standard bite splint in terms of patient compliance (primary outcome) and efficacy (secondary outcomes).MethodsSixtyâseven subjects were randomly assigned to receive either the OTC (SOVA, N = 35) splint or the gold standard âMichiganâ bite splint (MI, N = 32), with 61 completing the study (SOVA, N = 30; MI, N = 31). OTCâsplint subjects were required to fabricate their splints to clinically acceptable standards. Both groups wore the splints nightly for four months. Compliance was measured via daily diary. Efficacy outcomes evaluated stability, retention, periodontal health, nightâtime rhythmic masticatory muscle activity (RMMA), and material wear.ResultsOTCâsplint subjects had difficulty fabricating splints to clinically acceptable standards. The number of nightâtime RMMA bursts was significantly greater for the OTC splint group. Compliance and all other efficacy measurements were not significantly different betweenâgroups.ConclusionsThe results support the potential use of OTC splints for curbing the impacts of SB. However, the results strongly suggest that dentists should be actively engaged in overseeing patientsâ use of selfâfabricated appliances. This clinical trial is registered at ClinicalTrials.gov, Identifier number NCT02340663.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/163891/1/cre2315.pdfhttp://deepblue.lib.umich.edu/bitstream/2027.42/163891/2/cre2315_am.pd