ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title Grindcare Units Reduce Electromyographic Activity In Muscles Of TMD Patients During Sleep
Clinical Question With a patient who has chronic temporomandibular disorder (TMD) pain, would providing the patient with a GrindCare unit used at night be more effective than providing the patient with no treatment, in reducing the patient's TMD symptoms?
Clinical Bottom Line The use of a Grindcare unit can reduce the number of EMG episodes in temporomandibular joint muscles per hour of sleep; however, it neither reduces patients’ pain nor increases patients’ hours of sleep as compared to no treatment.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 23148551Jadidi / 2012Eleven subjects with myofascial temporomandibular disorders with a clinical diagnosis of bruxism Randomized Controlled Trial
Key resultsThe number of EMG episodes per hour of sleep was significantly reduced in patients using the Grindcare system compared to baseline (at p = 0.021). However, there were no significant differences in the number of painful muscles, maximum pain-free jaw opening, pain intensity, depression scores (at p > 0.513) or muscle tension scores (at p = 0.646) between groups that did and did not use the Grindcare system. Additionally, there was no significant difference in the average duration of sleep of patients with or without the Grindcare system (at p= 0.646).
Evidence Search Grindcare
Comments on
The Evidence
This study was a double-blind randomized controlled trial. The groups were similar at start, and each subject completed the study. The groups were treated the same, except that one group received active Grindcare treatment while the other did not. There was adequate follow-up of the subjects’ responses and adequate compliance by the subjects. The author of the study is the inventor of Grindcare.
Applicability These subjects are representative of many patients with temporomandibular disorder pain. The treatment is feasible in most settings; however, the cost of purchasing a Grindcare unit as well as patient comfort during sleep may be limiting factors to its widespread use.
Specialty/Discipline (General Dentistry)
Keywords Grindcare, Temporomandibular Disorder
ID# 2363
Date of submission: 02/25/2013spacer
E-mail jadava@livemail.uthscsa.edu
Author Ami Jadav
Co-author(s)
Co-author(s) e-mail
Faculty mentor/Co-author Edward F. Wright, DDS, MS
Faculty mentor/Co-author e-mail wrighte2@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
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None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
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