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CompletedNCT04934449bruxismUpdated Jun 22, 2022

Occlusal Splints in the Treatment of Sleep Bruxism

An interventional study of Occlusal splint in Sleep Bruxism, Adult, Splints and Sleep, sponsored by Istanbul University. Completed at 1 site in Turkey. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2022-06-22.

Sponsored by Istanbul University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Occlusal splints are employed in the treatment of sleep bruxism. These appliances decrease sleep-related actions and damages bruxism, like grinding, tooth-wear, headache, and temporomandibular joint disorders. Occlusal splints are produced both in hard and soft forms according to the used material.

In this study, it was aimed to evaluate the effect of occlusal splint type on the sleep quality and occlusal force parameters of patients with sleep bruxism.

Read the detailed description

Various splint designs have been used for the treatment of sleep bruxism that is made up of different materials: Hard and soft splints. Although, these splints have slightly different appearances and properties, in fact, scientific evidence supports both the use of hard and soft occlusal splints. Hard splints are more preferred when compared to soft ones, thus, oft appliances have been less documented in the scientific literature. However, some studies suggested the use of soft-resin splints that are easily fabricated and may be inserted at an initial appointment, dental clinicians may desire the use of soft appliances. One of the advantages of these appliances is they are easy to tolerable to the patient and comfortable. Additionally, these splints fit tightly and provide a flat plane during sleep.

Considering these advantages, the present study was designed to examine the effect of the use of different types of occlusal splints on the sleep quality and occlusal force of patients with sleep bruxism. For this purpose, the effect of two splints basically fabricated from two different materials were evaluated and compared. The null hypothesis was that the use of both occlusal splints would not change the values of sleep quality and maximum occlusal force of the patients with sleep bruxism.

02

Conditions studied

  • Sleep Bruxism, Adult
  • Splints
  • Sleep

Keywords

  • sleep quality
  • occlusal splint
  • bruxism
03

In context

Bruxism

166 studies on the registry are indexed under Bruxism; 38 are open to participants now.

This study's enrollment of 100 is above the median of 38 across 103 interventional studies indexed under Bruxism.

Browse Bruxism studies →

Lead sponsor

Istanbul University is the lead sponsor of 496 studies on the registry; 79 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 1 (20%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Healthy participants with complete permanent dentition.

Exclusion criteria

Exclusion Criteria:

  • Presence of a systemic disorder that could compromise the masticatory system (e.g., neurological disorders, epilepsy, cerebral palsy, among others),
  • Systemic disorder or current use of drugs that could interfere, directly or indirectly, with muscle activity,
  • Inappropriate behavior and/or refusal to cooperate with dental procedures and data collection,
  • Tooth loss (except for third molars),
  • Soft tissue abnormalities,
  • Toothache report,
  • Active periodontitis (presence of periodontal pockets involvement of the supporting tissues),
  • Caries lesions,
  • Use of orthodontic appliances,
  • Use of dental prosthesis (fixed or removable partial).
  • Subjects with moderate to severe malocclusions, diagnosed by using the Orthodontic Treatment Need Index (IOTN) (scores 5 or 6 - severe and extreme need for orthodontic treatment)
  • Alcohol or drug abuse,
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
100 participants (actual)

Study arms

  • Experimental
    Hard splint group- 2 mm thicknesss

    This group of patients was allocated to use 2 mm-thickness, hard occlusal splints for 2 months during sleep

    Device: Occlusal splint

  • Experimental
    Hard splint group- 3 mm thicknesss

    This group of patients was allocated to use 3 mm-thickness, hard occlusal splints for 2 months during sleep

    Device: Occlusal splint

  • Experimental
    Soft splint group- 2 mm thicknesss

    This group of patients was allocated to use 2 mm-thickness, soft occlusal splints for 2 months during sleep

    Device: Occlusal splint

  • Experimental
    Soft splint group- 3 mm thicknesss

    This group of patients was allocated to use 3 mm-thickness, soft occlusal splints for 2 months during sleep

    Device: Occlusal splint

Interventions

  • DeviceOcclusal splint

    Using occlusal splints during sleep for 2 months

06

What researchers measure

Primary outcomes

  1. Sleep quality

    Evaluating sleep quality with Pittsburgh sleep quality index

    Time frame: 2 months

  2. occlusal force

    Measuring maximum occlusal force by using digital gnatodynanometer

    Time frame: 2 months

07

Study locations

1 site
  • Istanbul university,Faculty of Dentistry
    Fatih, 34452, Turkey
08

References and documents

Publications

  • Rosar JV, Barbosa TS, Dias IOV, Kobayashi FY, Costa YM, Gaviao MBD, Bonjardim LR, Castelo PM. Effect of interocclusal appliance on bite force, sleep quality, salivary cortisol levels and signs and symptoms of temporomandibular dysfunction in adults with sleep bruxism. Arch Oral Biol. 2017 Oct;82:62-70. doi: 10.1016/j.archoralbio.2017.05.018. Epub 2017 May 27. PubMed 28601734 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04934449
Lead sponsor
Istanbul University
Responsible party
Dr. Merve Benli (Assistant Professor, University of Pittsburgh) — Principal investigator
First posted
Jun 22, 2021
Start date
Aug 6, 2021
Primary completion
Dec 12, 2021
Completion
Dec 14, 2021
Last update
Jun 22, 2022

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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