Universidad Católica del Uruguay (UCU), Montevideo, Uruguay, South America.
Post Graduation Program in Biophotonics Applied to Health Sciences, Universidade Nove de Julho, São Paulo, SP, Brazil.
Medicine (Baltimore). 2022 Nov 4;101(44):e31230. doi: 10.1097/MD.0000000000031230.
The objective of this study will be to evaluate the effect of intravascular irradiation of blood (ILIB) combined with myofunctional exercises for sleep bruxism in pediatrics.
This study will be a randomized controlled clinical trial. A triage of individuals between 4 and 17 years old with a diagnosis of sleep bruxism will be carried out at the clinic of the Catholic University of Uruguay, and in a private office referred by different private care centers. The selected participants will be evaluated before and after treatment by means of questionnaires on bruxism, sleep quality and nocturnal oxygen saturation measurement. For this, 46 patients with sleep bruxism will be recruited, who will be divided into 2 groups: control group (CG), which will undergo an application of placebo ILIB and an orofacial myofunctional therapy (MFT) exercise protocol; and na ILIB group, which will carry out an active application of ILIB and an exercise protocol, this being once a week for 8 weeks. The laser treatment (808 nm) will be performed twice a week for 8 weeks. The values will be tested for normality by the Kolmogorov-Smirnov test. For the comparison between the groups, t test will be carried out, considering a level of significance of 0.5% (P < .05).
Although local photobiomodulation (PBM), acupuncture PBM and physiotherapy have been studied in the treatment of bruxism, this is the first study to evaluate the effect of ILIB combined with myofunctional exercises for sleep bruxism in pediatrics.
本研究的目的将是评估血管内照射血液(ILIB)联合肌功能锻炼治疗儿童睡眠磨牙症的效果。
本研究将是一项随机对照临床试验。将在乌拉圭天主教大学诊所和不同私人护理中心转介的私人办公室对 4 至 17 岁被诊断为睡眠磨牙症的个体进行筛选。入选者将在治疗前后通过磨牙症、睡眠质量和夜间氧饱和度测量的问卷进行评估。为此,将招募 46 名睡眠磨牙症患者,将他们分为 2 组:对照组(CG),将接受安慰剂 ILIB 和口腔面部肌功能治疗(MFT)运动方案的应用;和非 ILIB 组,将进行主动应用 ILIB 和运动方案,每周一次,共 8 周。激光治疗(808nm)将每周进行两次,共 8 周。将通过 Kolmogorov-Smirnov 检验测试值的正态性。为了比较组间差异,将进行 t 检验,置信水平为 0.5%(P<0.05)。
尽管局部光生物调节(PBM)、针刺 PBM 和物理疗法已被研究用于治疗磨牙症,但这是第一项评估 ILIB 联合肌功能锻炼治疗儿童睡眠磨牙症效果的研究。