Effect of night dentures on tooth mobility in denture wearers with sleep bruxism: A pilot randomized controlled trial

  • Uchida Hirofumi
    Department of Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
  • Wada Junichiro
    Department of Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
  • Watanabe Chie
    Department of Conservative Dentistry, Division of Biomaterials and Engineering, Showa University School of Dentistry, Tokyo, Japan
  • Nagayama Tomiharu
    Department of Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
  • Mizutani Koji
    Department of Periodontology, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
  • Mikami Risako
    Department of Periodontology, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
  • Inukai Shusuke
    Department of Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
  • Wakabayashi Noriyuki
    Department of Removable Partial Prosthodontics, Graduate School, Tokyo Medical and Dental University (TMDU), Tokyo, Japan

抄録

<p>Purpose: The purpose of this study was to investigate the inhibitory effect of night denture (ND) placement on abutment tooth mobility in removable partial denture (RPD) wearers with sleep bruxism (SB).</p><p>Methods: The participants were selected from RPD wearers diagnosed with SB using BiteStrip® and randomly allocated to one of the following groups: with ND placement or without ND placement (intervention or control group, respectively). The mobility of the RPD abutment tooth was measured using Periotest® at baseline (T0) and at 1 (T1), 3 (T3), and 6 months (T6). BiteStrip® scores were recorded at T0 and T6. Intragroup comparisons of the Periotest® value (PTV) were performed using analysis of covariance. Intergroup comparisons of PTV and BiteStrip® scores were performed using the linear mixed model and Wilcoxon signed-rank test, respectively. Intragroup comparisons of BiteStrip® scores were performed using the Mann–Whitney U test.</p><p>Results: At T6, the PTV in the intervention group was significantly lower than that in the control group (p=0.004). PTV was significantly lower at T6 than that at T0 in the intervention group (p=0.030), while PTV was significantly higher at T6 than that at T0 in the control group (p=0.007). There was no significant difference in the BiteStrip® score between the two groups. The BiteStrip® score at T6 was significantly lower than that at T0 only in the intervention group (p=0.011).</p><p>Conclusion: ND placement might inhibit the increase in mobility of RPD abutment teeth and be effective in protecting them in RPD wearers with SB.</p>

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