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Influence of behavioral therapies on awake bruxism, biopsychosocial factors and orofacial pain: randomized controlled clinical trial

Grant number: 17/23429-3
Support Opportunities:Scholarships in Brazil - Doctorate
Effective date (Start): August 01, 2018
Effective date (End): February 28, 2021
Field of knowledge:Health Sciences - Dentistry
Principal Investigator:Renata Cunha Matheus Rodrigues Garcia
Grantee:Mariana Barbosa Câmara de Souza
Host Institution: Faculdade de Odontologia de Piracicaba (FOP). Universidade Estadual de Campinas (UNICAMP). Piracicaba , SP, Brazil

Abstract

Awake bruxism (AB) is characterized by tooth clenching, being associated with daily stress and anxiety, which justifies its increase around the globe. In addition, it can be considered a risk factor for temporomandibular disorders, highlighting the need to consolidate effective therapies in the management of this parafunction. Thus, this study aims to evaluate the influence of two AB therapies on electromyographic activity of masseter muscles, biopsychosocial factors and orofacial pain. Ninety volunteers with AB will be recruited at Piracicaba Dental School - UNICAMP, and randomly divided into 3 groups (n = 30) that will receive the following therapies: Biofeedback (group 1), Ecological Momentary Assessment (EMA) (group 2), and third group that will not receive any therapy (Control). AB will be diagnosed by the Oral Behaviors Checklist and confirmed by the EMA. Before receiving the therapies, all variables will be accessed as a baseline measurement. Masseter muscles electromyography will be achieved by using a portable device. Levels of anxiety will be evaluated by the Hospital Anxiety and Depression Scale (HADS). The Perceived Stress Scale (PSS) will be used to measure Stress degree. Quality of Life will be evaluated by the World Health Organization Quality of Life (WHOQOL-bref). Finally, orofacial pain will be measured by the visual analogue scale and pressure pain threshold. Then, 30, 60 and 90 days after AB therapies, all variables will be reevaluated. The collected results will be submitted to exploratory analysis and appropriate statistical tests will be applied, considering a significance level of 5%.

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Scientific publications (6)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
CANALES, GIANCARLO DE LA TORRE; CAMARA-SOUZA, MARIANA BARBOSA; POLUHA, RODRIGO LORENZI; GRILLO, CASSIA MARIA; RODRIGUES CONTI, PAULO CESAR; ROSARIO DE SOUSA, MARIA DA LUZ; MATHEUS RODRIGUES GARCIA, RENATA CUNHA; RIZZATTI-BARBOSA, CELIA MARISA. Botulinum toxin type A and acupuncture for masticatory myofascial pain: a randomized clinical trial. Journal of Applied Oral Science, v. 29, . (14/15863-7, 17/21674-0, 17/23429-3)
MARIANA BARBOSA CÂMARA-SOUZA; FABIANA HAN NA KIM; OLÍVIA MARIA COSTA DE FIGUEREDO; RENATA CUNHA MATHEUS RODRIGUES GARCIA. Academic perspectives and psychosocial aspects of final-year dental students during COVID-19 pandemic. Braz. J. Oral Sci., v. 21, . (17/23429-3)
GARCIA DUTRA DE CASTRO; ALFONSO SÁNCHEZ-AYALA; GIANCARLO DE LA TORRE CANALES; OLÍVIA MARIA COSTA FIGUEREDO; MARIANA BARBOSA CÂMARA-SOUZA; CAMILLA FRAGA DO AMARAL; RENATA CUNHA MATHEUS RODRIGUES GARCIA. Effect of frozen storage on preservation of a silicone-based test food material. Braz. J. Oral Sci., v. 21, . (17/21674-0, 17/23429-3)
CANALES, GIANCARLO DE LA TORRE; CAMARA-SOUZA, MARIANA BARBOSA; POLUHA, RODRIGO LORENZI; COSTA DE FIGUEREDO, OLIVIA MARIA; DE SOUZA NOBRE, BRYANNE BRISSIAN; ERNBERG, MALIN; RODRIGUES CONTI, PAULO CESAR; RIZZATTI-BARBOSA, CELIA MARISA. Long-Term Effects of a Single Application of Botulinum Toxin Type A in Temporomandibular Myofascial Pain Patients: A Controlled Clinical Trial. TOXINS, v. 14, n. 11, p. 9-pg., . (17/23429-3, 17/21674-0)
PINHEIRO, MAYARA ABREU; DO AMARAL, CAMILLA FRAGA; MEIRA, INGRID ANDRADE; CARLETTI, TALITA MALINI; CAMARA-SOUZA, MARIANA BARBOSA; SOUZA, CAROLINA SANTOS VENTURA; DE MORAES, MARCIO; RODRIGUES GARCIA, RENATA CUNHA MATHEUS. Single implant overdenture reinforced with a metallic framework: A 2-year clinical follow-up. SPECIAL CARE IN DENTISTRY, v. 41, n. 5, p. 12-pg., . (15/21704-1, 17/23429-3)
CAMARA-SOUZA, MARIANA BARBOSA; CARVALHO, AMANDA GUIMARAES; FIGUEREDO, OLIVIA MARIA COSTA; BRACCI, ALESSANDRO; MANFREDINI, DANIELE; RODRIGUES GARCIA, RENATA CUNHA MATHEUS. Awake bruxism frequency and psychosocial factors in college preparatory students. CRANIO-THE JOURNAL OF CRANIOMANDIBULAR PRACTICE, v. 41, n. 2, p. 7-pg., . (17/23429-3)
Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
SOUZA, Mariana Barbosa Câmara de. Awake bruxism prevalence, associated factors, and behavioral therapies. 2021. Doctoral Thesis - Universidade Estadual de Campinas (UNICAMP). Faculdade de Odontologia de Piracicaba Piracicaba, SP.

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