From risk factors to treatment: a holistic approach to managing bruxism

 Introduction and purpose Bruxism, characterized by involuntary clenching or grinding of teeth, affects individuals across all age groups, often leading to significant oral health complications and diminished quality of life. While its etiology is multifactorial, involving genetic, psychological, a...

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Main Authors: Olga Jabłońska, Aleksandra Galanty-Ochyra, Aleksandra Nosal, Adam Czarnecki, Piotr Zając, Jan Węgrzyn, Łukasz Fijałkowski, Karolina Serwońska, Artur Pastuszka
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-03-01
Series:Journal of Education, Health and Sport
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Online Access:https://apcz.umk.pl/JEHS/article/view/58357
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author Olga Jabłońska
Aleksandra Galanty-Ochyra
Aleksandra Nosal
Adam Czarnecki
Piotr Zając
Jan Węgrzyn
Łukasz Fijałkowski
Karolina Serwońska
Artur Pastuszka
author_facet Olga Jabłońska
Aleksandra Galanty-Ochyra
Aleksandra Nosal
Adam Czarnecki
Piotr Zając
Jan Węgrzyn
Łukasz Fijałkowski
Karolina Serwońska
Artur Pastuszka
author_sort Olga Jabłońska
collection DOAJ
description  Introduction and purpose Bruxism, characterized by involuntary clenching or grinding of teeth, affects individuals across all age groups, often leading to significant oral health complications and diminished quality of life. While its etiology is multifactorial, involving genetic, psychological, and physiological factors, the management of bruxism remains challenging due to the variability in its presentation. This study aims to characterize bruxism and evaluate various therapeutic interventions, including pharmacological treatments, botulinum toxin injections, occlusal splints, and non-invasive methods such as cognitive behavioral therapy (CBT), biofeedback therapy (BFT), and physiotherapy. Materials and methods A comprehensive review of recent clinical trials and studies was conducted, focusing on the efficacy, safety, and limitations of both invasive and non-invasive interventions. State of knowledge Botulinum toxin injections and dry needling demonstrated significant efficacy, though their effects were temporary. Non-invasive therapies, including CBT and BFT, were noted for their safety but showed limited effectiveness. Combining sleep hygiene with mindfulness practices produced promising results, particularly in children. Physiotherapeutic methods, such as manual therapy and home exercises, helped alleviate muscle tension and pain. Conclusions While bruxism management has advanced with diverse treatment options, challenges persist, particularly concerning the durability of effects and patient compliance. A multidisciplinary approach integrating psychological, physical, and pharmacological strategies appears essential for optimal outcomes. Further research is needed to refine therapies and establish long-term efficacy.
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spelling doaj-art-d9bea29b61dc416481cf9c7dd7c0dd6e2025-08-20T03:02:07ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-03-017910.12775/JEHS.2025.79.58357From risk factors to treatment: a holistic approach to managing bruxismOlga Jabłońska0https://orcid.org/0009-0000-3829-6482Aleksandra Galanty-Ochyra1https://orcid.org/0009-0000-2911-0201Aleksandra Nosal2https://orcid.org/0009-0007-3043-9494Adam Czarnecki3https://orcid.org/0009-0003-8090-0171Piotr Zając4https://orcid.org/0009-0004-1516-8487Jan Węgrzyn5https://orcid.org/0009-0008-0548-408XŁukasz Fijałkowski6https://orcid.org/0009-0009-9088-7461Karolina Serwońska7https://orcid.org/0000-0003-0958-9360Artur Pastuszka8https://orcid.org/0009-0008-6226-9861Independent Public Healthcare Institution of the Ministry of the Interior and Administration, Kronikarza Galla 25, 30-053 Kraków5 Military Clinical Hospital with Polyclinic SPZOZ, Wrocławska 1-3, 30-901 Kraków5 Military Clinical Hospital with Polyclinic SPZOZ, Wrocławska 1-3, 30-901 Kraków5 Military Clinical Hospital with Polyclinic SPZOZ, Wrocławska 1-3, 30-901 KrakówUpper Silesian Medical Center of Prof. Leszek Giec of the Silesian Medical University, Ziołowa 45-47, 40-635 Katowice – OchojecUpper Silesian Medical Center of Prof. Leszek Giec of the Silesian Medical University Ziołowa 45-47, 40-635 Katowice – Ochojec5 Military Clinical Hospital with Polyclinic SPZOZ Wrocławska 1-3, 30-901 KrakówUpper Silesian Medical Center of Prof. Leszek Giec of the Silesian Medical University Ziołowa 45-47, 40-635 Katowice – OchojecSt. Elizabeth Hospital in Katowice, The American Heart of Poland Group Warszawska 52, 40-008 Katowice  Introduction and purpose Bruxism, characterized by involuntary clenching or grinding of teeth, affects individuals across all age groups, often leading to significant oral health complications and diminished quality of life. While its etiology is multifactorial, involving genetic, psychological, and physiological factors, the management of bruxism remains challenging due to the variability in its presentation. This study aims to characterize bruxism and evaluate various therapeutic interventions, including pharmacological treatments, botulinum toxin injections, occlusal splints, and non-invasive methods such as cognitive behavioral therapy (CBT), biofeedback therapy (BFT), and physiotherapy. Materials and methods A comprehensive review of recent clinical trials and studies was conducted, focusing on the efficacy, safety, and limitations of both invasive and non-invasive interventions. State of knowledge Botulinum toxin injections and dry needling demonstrated significant efficacy, though their effects were temporary. Non-invasive therapies, including CBT and BFT, were noted for their safety but showed limited effectiveness. Combining sleep hygiene with mindfulness practices produced promising results, particularly in children. Physiotherapeutic methods, such as manual therapy and home exercises, helped alleviate muscle tension and pain. Conclusions While bruxism management has advanced with diverse treatment options, challenges persist, particularly concerning the durability of effects and patient compliance. A multidisciplinary approach integrating psychological, physical, and pharmacological strategies appears essential for optimal outcomes. Further research is needed to refine therapies and establish long-term efficacy. https://apcz.umk.pl/JEHS/article/view/58357bruxismmanual therapydry needlingbotulinum toxinocclusal splintsphysiotherapy
spellingShingle Olga Jabłońska
Aleksandra Galanty-Ochyra
Aleksandra Nosal
Adam Czarnecki
Piotr Zając
Jan Węgrzyn
Łukasz Fijałkowski
Karolina Serwońska
Artur Pastuszka
From risk factors to treatment: a holistic approach to managing bruxism
Journal of Education, Health and Sport
bruxism
manual therapy
dry needling
botulinum toxin
occlusal splints
physiotherapy
title From risk factors to treatment: a holistic approach to managing bruxism
title_full From risk factors to treatment: a holistic approach to managing bruxism
title_fullStr From risk factors to treatment: a holistic approach to managing bruxism
title_full_unstemmed From risk factors to treatment: a holistic approach to managing bruxism
title_short From risk factors to treatment: a holistic approach to managing bruxism
title_sort from risk factors to treatment a holistic approach to managing bruxism
topic bruxism
manual therapy
dry needling
botulinum toxin
occlusal splints
physiotherapy
url https://apcz.umk.pl/JEHS/article/view/58357
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