Remote monitoring of sleep bruxism using a sensor containting occlusal device
Citation:Boyd, Rory John, Remote monitoring of sleep bruxism using a sensor containting occlusal device, Trinity College Dublin. School of Dental Sciences. Oral Biosciences, 2018
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Background: Sleep Bruxism is a complex oral condition that has been associated with a multitude of clinical problems. It is accepted that inpatient polysomnographic with audio-visual recording is the 'gold standard' diagnostic test, however due to the expense and inconvenience of this test, the most commonly used assessment tools are questionnaires and clinical examinations. The accuracy and reliability of these tests have been questioned. This prospective clinical study aimed to assess the feasibility of remote monitoring of sleep bruxism activity using a sensor containing occlusal device. Materials: A prospective pilot clinical cohort trial using a Smartsplint (a pressure sensor containing occlusal device, associated docking station and computer software, and data upload website) was carried out. The participants (2 male and 2 female) underwent an initial bruxism assessment including a medical history questionnaire, bruxism questionnaire, clinical examination and an ambulatory EMG recording. Following the assessment of bruxism activity each participant had a Smartsplint fabricated and fitted. The patient uploaded the data from the Smartsplint to the study website at regular intervals throughout the study period. Each participant had up to three ambulatory EMG recordings simultaneous with Smartsplint use (day one, week eight and week 26). A descriptive analysis of the acquired data was then carried out. Results: All four participants were diagnosed with sleep bruxism (2 high bruxism activity, 2 low bruxism activity). Six simultaneous EMG/Smartsplint recordings were carried out, of these three were in agreement of the level of bruxism activity (non-bruxism, low bruxism activity and high bruxism activity). A total of 202 nights of Smartsplint recordings were taken (112 non-bruxism, 45 low bruxism activity, 45 high bruxism activity) over 320 days. Conclusion: This study confirmed the feasibility of remote monitoring of bruxism activity using a sensor containing occlusal device by measuring direct occlusal pressure. The ability of the Smartsplint to record different types of bruxism was shown. One participant recorded over a period of 181 days, the longest analysis of sleep bruxism to date. Further research is required to assess the accuracy and reliability of the Smartsplint data.
Author: Boyd, Rory John
Publisher:Trinity College Dublin. School of Dental Sciences. Discipline of Dental Science
Type of material:Thesis
Availability:Full text available