Department of Dentistry, State University of Maringa, Maringá, Brazil.
Ingá University Center, Maringá, Brazil.
J Oral Rehabil. 2024 Jun;51(6):917-923. doi: 10.1111/joor.13667. Epub 2024 Feb 13.
Awake Bruxism (AB) management includes cognitive and behavioural changes. Digital and analogic tools can be used to remind the individual to control/avoid AB behaviours. However, no study addressed both tools together.
To compare the efficacy of the combination of digital (smartphone application) and analogic (adhesive reminders) tools versus digital tool alone for AB management.
Seventy-two individuals diagnosed with probable AB were divided into 3 groups: Group 1 (n = 24), used both digital and analogic tools during 30 days; Group 2 (n = 24), used only a digital tool during 30 days and Group 3 (n = 24), used only a digital tool for the first 15 days and then added the analogic tool for 15 days. The AB frequency was measured in real-time with a smartphone app, which sent alerts asking the individuals if they were doing any AB behaviours (bracing, teeth contact, clenching or grinding). Groups were compared using one-way ANOVA and before-after adding an analogic tool (group 3) by paired t-test, considering α = 0.05.
All groups showed a decrease in AB behaviours at the end of the evaluation period. Group 1 (digital and analogic tools) showed the lowest average of AB behaviours among all groups; however, statistically significant differences were found only for the comparison between groups 1 and 2. In group 3, a significantly greater reduction in AB behaviours was found after combining both approaches.
The combination of digital and analogic tools showed the greatest reduction of AB frequency and can be recommended for AB control.
觉醒性磨牙症（AB）的管理包括认知和行为改变。数字和模拟工具可用于提醒个人控制/避免 AB 行为。然而，尚无研究同时涉及这两种工具。
比较数字（智能手机应用程序）和模拟（粘贴提醒物）工具联合与仅使用数字工具对 AB 管理的效果。
72 名被诊断为可能 AB 的个体被分为 3 组：第 1 组（n = 24），在 30 天内同时使用数字和模拟工具；第 2 组（n = 24），仅在 30 天内使用数字工具；第 3 组（n = 24），仅在最初的 15 天内使用数字工具，然后添加模拟工具 15 天。使用智能手机应用程序实时测量 AB 频率，该应用程序会发送提醒，询问个体是否正在进行任何 AB 行为（紧咬牙、牙齿接触、咬紧或磨牙）。使用单向方差分析比较各组，对于第 3 组（添加模拟工具），使用配对 t 检验进行前后比较，α = 0.05。
所有组在评估期末均显示 AB 行为减少。第 1 组（数字和模拟工具）在所有组中显示出最低的 AB 行为平均值；然而，仅在组 1 和 2 之间的比较中发现了统计学上的显著差异。在第 3 组中，联合使用两种方法后，AB 行为显著减少。
数字和模拟工具的联合使用显示出对 AB 频率最大的降低作用，可推荐用于 AB 控制。
