Consensus-based clinical guidelines for ambulatory electromyography and contingent electrical stimulation in sleep bruxism

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  • Frank Lobbezoo, Vrije Universiteit Amsterdam, Netherlands
  • Ghizlane Aarab, Vrije Universiteit Amsterdam, Netherlands
  • M Oliver Ahlers, CMD‐Center Hamburg‐Eppendorf,Hamburg, Germany, Department of Prosthetic Dentistry, Schoolof Dental Medicine, University Medical CentreHamburg‐Eppendorf, Hamburg, Germany, Germany
  • Lene Baad-Hansen
  • Olaf Bernhardt, Department of Restorative Dentistry, Periodontology, Endodontology, PreventiveDentistry and Pediatric Dentistry, University Medicine Greifswald, Greifswald, Germany
  • ,
  • Eduardo E Castrillon
  • Nikolaos Nikitas Giannakopoulos, Department of Prosthodontics, Faculty of Medicine, University of Würzburg, Würzburg, Germany, Germany
  • Anders Grønbeck
  • Justus Hauschild, Private Practice, Isernhagen, Germany, Germany
  • Marianne Holst-Knudsen, Private Practice, Herlev, Denmark, Denmark
  • Naja Skovlund, Private Practice, Herlev, Denmark
  • ,
  • Magdalini Thymi, Vrije Universiteit Amsterdam, Netherlands
  • Peter Svensson

As yet, there are still no evidence-based clinical diagnostic and management guidelines for ambulatory single-channel EMG devices, like the BUTLER® GrindCare® (GrindCare), that are used in patients with sleep bruxism. Therefore, a consensus meeting was organized with GrindCare developers, researchers, and academic and non-academic clinicians experienced with the use of ambulatory EMG devices. The aim of the meeting was to discuss and develop recommendations for clinical guidelines for GrindCare usage, based on the existing clinical and research experience of the consensus meeting's participants. As an important outcome of the consensus meeting, clinical guidelines were proposed in which an initial 2-week baseline phase with the device in its inactive (non-stimulus) mode for habituation and assessment of the number of jaw-muscle activities is followed by a 4-week active phase with contingent electrical stimuli suppressing the jaw-muscle activities. As to avoid the commonly reported reduction of sensitivity to the stimuli, a 2-week inactive phase is subsequently installed, followed by a repetition of active and inactive phases until a lasting reduction of the number of jaw-muscle activities and/or associated complaints has been achieved. This proposal has the characteristics of a single-patient clinical trial. From a research point of view, adoption of this approach by large numbers of GrindCare users creates a great opportunity to recruit relatively large numbers of study participants that follow the same protocol. This article is protected by copyright. All rights reserved.

Original languageEnglish
JournalJournal of Oral Rehabilitation
Pages (from-to)164-169
Number of pages6
Publication statusPublished - 2020

Bibliographical note

This article is protected by copyright. All rights reserved.

    Research areas

  • assessment, clinical guideline, contingent electrical stimulation, electromyography, management, sleep bruxism

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