Sieben-Schritte-Programm bei Bruxismus-Patienten

Kopf- und Nackenschmerzen gehören zu jenen Diagnosen, mit denen Physiotherapeuten alltäglich konfrontiert werden. Dass diese Beschwerden auch von Bruxismus, also dem zumeist unbewussten, nächtlichen Knirschen oder Aufeinanderpressen der Zähne herrühren können, bleibt oft verborgen. Ein Sieben-Schritte-Programm für Diagnostik und Therapie hilft, das komplexe Phänomen Bruxismus zu identifizieren, gängige Irrtümer auszuräumen und geeignete therapeutische Interventionen einzuleiten.

Publication History

Article published online:
14 April 2021

• Literatur

• 1 DGFDT (Deutsche Gesellschaft für Funktionsdiagnostik und -therapie in der Zahn-, Mund- und Kieferheilkunde) und DGZMK (Deutsche Gesellschaft für Zahn-. Mund- und Kieferheilkunde). S3-Leitlinie (Langversion) Diagnostik und Behandlung von Bruxismus. AWMF-Registernummer: 083-027. Mai 2019. Im Internet (Stand: 12.01.2021): https://www.awmf.org/uploads/tx_szleitlinien/083-027l_S3_Bruxismus-Diagnostik-Behandlung_2019-06.pdf
• 2 Lobbezoo F, Ahlberg J, Raphael KG. et al. International consensus on the assessment of bruxism: report of a work in progress. J Oral Rehabil 2018; 45 (11) 837-844 doi:10.1111/joor.12663
• 3 De Vries C, Hagenaars L, Kiers H. et al. Royal Dutch Society for Physical Therapy (KNGF). The physical therapist – a professional profile. February 2014. Im Internet (Stand: 12.01.2021): https://www.kngf.nl/binaries/content/assets/kngf/onbeveiligd/vak-en-kwaliteit/beroepsprofiel/beroepsprofiel-engels.pdf
• 4 Manfredini D, Ahlberg J, Winocur E. et al. Management of sleep bruxism in adults: a qualitative systematic literature review. J Oral Rehabil 2015; 42 (11) 862-874 doi:10.1111/joor.12322
• 5 Armijo Olivo S, Magee DJ, Parfitt M. et al. The association between the cervical spine, the stomatognathic system, and craniofacial pain: a critical review. J Orofac Pain 2006; 20 (04) 271-287
• 6 Lavigne GJ, Montplaisir JY. Bruxism: epidemiology, diagnosis, pathophysiology and pharmacology. Adv Pain Res Ther 1995; 21: 387-404
• 7 Lavigne GJ, Kato T, Kolta A. et al. Neurobiological mechanisms involved in sleep bruxism. Crit Rev Oral Biol Med 2003; 14: 30-46 doi:10.1177/154411130301400104
• 8 Grosse P, Cassidy MJ, Brown P. EEG-EMG, MEG-EMG and EMG-EMG frequency analysis: physiological principles and clinical applications. Clin Neurophysiol 2002; 113 (10) 1523-1531 doi:10.1016/s1388-2457(02)00223-7
• 9 Lobbezoo F, Ahlberg J, Glaros AG. et al. Bruxism defined and graded: an international consensus. J Oral Rehabil 2013; 40 (01) 2-4 doi:10.1111/joor.12011
• 10 Ishii T, Narita N, Endo H. Evaluation of jaw and neck muscle activities while chewing using EMG-EMG transfer function and EMG-EMG coherence function analyses in healthy subjects. Physiol Behav 2016; 160: 35-42 doi:10.1016/j.physbeh.2016.03.023
• 11 Giannakopoulos NN, Hellmann D, Schmitter M. et al. Neuromuscular interaction of jaw and neck muscles during jaw clenching. J Orofac Pain 2013; 27 (01) 61-71 doi:10.11607/jop.915
• 12 Giannakopoulos NN, Schindler HJ, Rammelsberg P. et al. Co-activation of jaw and neck muscles during submaximum clenching in the supine position. Arch Oral Biol 2013; 58 (12) 1751-1760 doi:10.1016/j.archoralbio.2013.09.002
• 13 Haggman-Henrikson B, Nordh E, Eriksson PO. Increased sternocleidomastoid, but not trapezius, muscle activity in response to increased chewing load. Eur J Oral Sci 2013; 121 (05) 443-449 doi:10.1111/eos.12066
• 14 Gouw S, Angela Frowein A, Braem C. et al. Coherence of jaw and neck muscle activity during sleep bruxism. J Oral Rehabil 2020; 47 (04) 432-440 doi:10.1111/joor.12932
• 15 Wiesinger B, Malker H, Englund E. et al. Does a dose-response relation exist between spinal pain and temporomandibular disorders?. BMC Musculoskelet Disord 2009; 10: 28 doi:10.1186/1471-2474-10-28
• 16 van der Meulen MJ, Lobbezoo F, Aartman IHA. et al. Self-reported oral parafunctions and pain intensity in temporomandibular disorder patients. J Orofac Pain 2006; 20 (01) 31-35
• 17 Kuhn M, Türp JC. Risk factors for bruxism. Swiss Dent J 2018; 128 (02) 118-124
• 18 Wieckiewicz M, Paradowska-Stolarz A, Wieckiewicz W. Psychosocial aspects of bruxism: the most paramount factor influencing teeth grinding. Biomed Res Int 2014; 469187 doi:10.1155/2014/469187
• 19 Rintakoski K, Kaprio J. Legal psychoactive substances as risk factors for sleep-related bruxism: a nationwide Finnish twin cohort study. Alcohol Alcohol 2013; 48 (04) 487-494 doi:10.1093/alcalc/agt016
• 20 De Baat C, Verhoeff MC, Zweers PGMA. et al. [Series: Medicaments and oral healthcare. Medicaments and addictive substances, potentially inducing or ameliorating bruxism]. Ned Tijdschr Tandheelkd 2019; 126 (05) 247-253 doi:10.5177/ntvt.2019.05.19006
• 21 Lobbezoo F, Naeije M. A reliability study of clinical tooth wear measurements. J Prosthet Dent 2001; 86 (06) 597-602 doi:10.1067/mpr.2001.118892
• 22 Koutris M, Visscher CM, Lobbezoo F. et al. Comorbidity negatively influences the outcomes of diagnostic tests for musculoskeletal pain in the orofacial region. Pain 2013; 154: 927-932 doi:10.1016/j.pain.2013.03.004
• 23 Huber M, Knottnerus JA, Green L. et al. How should we define health?. BMJ 2011; 343: d4163 doi:10.1136/bmj.d4163
• 24 Durham J, Al-Baghdadi M, Baad-Hansen L. et al. Self-management programmes in TMD: results from an international Delphi process. J Oral Rehabil 2016; 43 (12) 929-936 doi:10.1111/joor.12448
• 25 American Academy of Sleep Medicine (AASM). International classification of sleep disorders, revised: Diagnostic and coding manual. 2001. Im Internet (Stand: 12.01.2021): https://vct.iums.ac.ir/uploads/icsd.pdf
• 26 Jokubauskas L, Baltrušaitytė A. Efficacy of biofeedback therapy on sleep bruxism: A systematic review and meta-analysis. J Oral Rehabil 2018; 45 (06) 485-495 doi:10.1111/joor.12628
• 27 Amorim CSM, Espirito Santo AS, Sommer M. et al. Effect of physical therapy in bruxism treatment: A systematic review. J Manipulative Physiol Ther 2018; 41 (05) 389-404 doi:10.1016/j.jmpt.2017.10.014
• 28 Jadidi F, Castrillon E, Nielsen P. et al. Effect of contingent electrical stimulation on jaw muscle activity during sleep: a pilot study with a randomized controlled trial design. Acta Odontol Scand 2013; 71: 1050-1062 doi:10.3109/00016357.2012.741702
• 29 Gouw S, de Wijer A, Kalaykova SI. et al. Masticatory muscle stretching for the management of sleep bruxism: A randomised controlled trial. J Oral Rehabil 2018; 45 (10) 770-776 doi:10.1111/joor.12694
• 30 Gouw S, de Wijer A, Creugers NHJ. et al. Diagnostic tools and management strategies used by specialized dentists and physical therapists for patients with bruxism a Delphi procedure. Int J Dent Oral Health 2018; 4 (03) DOI: 10.16966/2378-7090.262.
• 31 Bernhards ATM, Hagenaars LHA, Oostendorp RAB. et al. Het meerdimensionale belastingbelastbaarheidsmodel: een conceptueel model voor de fysiotherapie. Nederlands Tijdschrift voor Fysiotherapie 1999; 3: 58-65
• 32 Macneil CA, Hasty MK, Conus P. et al. Is diagnosis enough to guide interventions in mental health? Using case formulation in clinical practice. BMC Med 2012; 10: 111 doi:10.1186/1741-7015-10-111
• 33 Macedo CR, Silva AB, Machado MA. et al. Occlusal splints for treating sleep bruxism (tooth grinding). Cochrane Database Syst Rev 2007; 17 (04) CD005515 DOI: 10.1002/14651858.CD005514.pub2.
• 34 Winocur E, Gavish A, Voikovitch M. et al. Drugs and bruxism: a critical review. J Orofac Pain 2003; 17: 99-111
• 35 Long H, Liao Z, Wang Y. et al. Efficacy of botulinum toxins on bruxism: an evidence-based review. Int Dent J 2012; 62 (01) 1-5 doi:10.1111/j.1875-595X.2011.00085.x
• 36 Ommerborn MA, Schneider C, Giraki M. et al. Effects of an occlusal splint compared with cognitive-behavioral treatment on sleep bruxism activity. Eur J Oral Sci 2007; 115 (01) 7-14 doi:10.1111/j.1600-0722.2007.00417.x