ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title The Most Frequent Dental Therapies Used to Treat Bruxism by General Dentist are More Conservative Than Dental Specialists in The Management of Bruxism
Clinical Question Are General Dentists' therapies for the management of bruxism more conservation compared to those used by Dental Specialists?
Clinical Bottom Line General Dentists tend to manage bruxism predominantly by conservative and reversible therapies. Specialists tend to be less conservative and use irreversible forms of therapy.
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) 21356412Ommerborn/2011 939 German Dentists- 811 General and 128 Specialists Survey of Dentists
Key resultsThis study was to determine the most commonly applied therapies used for the management of bruxism by German General Dentists and Dental Specialists. A 13 item questionnaire was developed and mailed to 10,484 German dentists. Occlusal splints were by far the most frequently prescribed, followed by relaxation techniques, occlusal equilibration, physiotherapy, prosthodontics reconstruction and orthodontics. 52.3% of specialists used occlusal splints compared to 73.1% of the general dentists (P=.001). 9.2% of the specialists performed occlusal equilibration compared to 7.2% of general dentists (P=.003). 5.5% of the specialists utilized prosthodontics reconstruction compared to 4.0% of general dentists (P=.004). 7.2% of the specialist opted for orthodontics compared to 0.65 of general dentist (P=.001). Most practicing dentist respondents concur with current scientific recommendations, and express the opinion that the management of bruxism should be predominantly conservative and reversible. However, the findings in this study reveal diverse differences between general dentists and dental specialists concerning the most frequently prescribed therapies.
Evidence Search The following search strategy used in PubMed: Bruxism, Therapies, Management
Comments on
The Evidence
This study represented the full spectrum of dental practices- general dentists as well as dental specialists. The criteria for the conclusions were explicit and credible. The diagnostic work-up was comprehensive and consistently applied. The study did not include a follow up. There were no competing interests.
Applicability The participating dentists were representative of the profession (general dentists as well as specialists). The selection of bruxism therapies is feasible in the dental operatory. Most practicing dentists seem to concur with current scientific recommendations and express the opinion that the management of bruxism should predominantly be conservative and reversible. It should be noted that a combination of therapies can be utilized.
Specialty/Discipline (Endodontics) (General Dentistry) (Orthodontics) (Pediatric Dentistry) (Periodontics) (Prosthodontics) (Restorative Dentistry)
Keywords Bruxism, Management, Therapies
ID# 2489
Date of submission: 05/29/2013spacer
E-mail ronald.brown@ucdenver.edu
Author Ronald N. Brown, DDS
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Basic Science Rationale
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