Bruxism: Are botulinum toxin injections helpful?

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Only 5 small low quality studies were included in this review of botulinum toxin (BoNT-A ) injections for sleep bruxism. 3 of the included studies were RCTs and while a potential benefit from use of BoNT-A treatment was suggested the findings should be treated very cautiously.

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Permanent tooth agenesis in Down syndrome

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This review included 13 observational studies involving 1080 patients demonstrating high prevalence and severity of tooth agenesis in Down syndrome individuals.

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Sleep bruxism: little evidence for management

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The review of sleep bruxism was only able to identify 12 small low quality RCTs covering a range of treatments. Most evidence was available for oral appliances but there is no sufficient evidence to state that the occlusal splint is effective for treating sleep bruxism.

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Insufficient evidence to assess the effectiveness of biofeedback for sleep bruxism

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Sleep bruxism (SB) is a sleep related disorder characterized by tooth grinding or jaw clenching during sleep, which is usually associated with sleep arousal. A wide range of treatments has been proposed including, relaxation exercises, behavioural approaches, dental splints and biofeedback.  The aim of this review was to evaluate the efficacy of any biofeedback treatment [read the full story…]

Little good evidence currently available to support the effectiveness of antidepressants in the treatment of orofacial pain

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Orofacial pain is a relatively common and is categorized into musculoskeletal; neuropathic; vascular; neurovascular; idiopathic; pain caused by local, distant, or systemic pathology; and psychogenic.  Diagnosis can be challenging when psychosocial factors are present and while antidepressants have been used as a treatment there remains some controversy.  The aim of this review was to assess [read the full story…]

Botulinum toxin for bruxism

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Bruxism can be classified as primary (idiopatic) or secondary (iatrogenic).  While secondary bruxism is associated with medical conditions (e.g. neurologic, psychiatric, sleep disorders medication), primary bruxism ( which includes clenching and sleep bruxism ) is not. Dental treatments for bruxism include occlusion adjustment, tooth surface restoration, and orthodontic treatment. These interventions are extensive and irreversible [read the full story…]