Effect of Manual Therapy on Jaw Movement and Function in Patients With Bruxism

Effect of Manual Therapy on Jaw Movement and Function in Patients With Bruxism

Hypothesis

1. There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on pain level in patients with bruxism.
2. There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Range of Motion in patients with bruxism.
3. There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Sleep Quality Index in patients with bruxism.
4. There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on proprioception awareness in patients with bruxism.
5. There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Stress in patients with bruxism.
6. There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Anxiety in patients with bruxism.
7. There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Temporomandibular (TMJ) function in patients with bruxism.
8. There will be no significant statistical effect of Trigger Point Pressure release and Deep striking massage on Oral Health Impact Profile in patients with bruxism.

Inclusion Criteria:

1. The volunteers diagnosed with bruxism based on the criteria of the American Academy of Sleep Medicine
2. Positive self-report of awake bruxism.
3. Self-report of muscle fatigue or tenderness on awakening.
4. Sleeping partner reports of grinding sounds during the night in the last 6 months, or awake clenching.

Exclusion Criteria:

1. Severe psychological disorder and/or the use of antipsychotic psychotropic drugs(with the exception of anxiety and depression).
2. Using medications that influence sleep or motor behavior.
3. Direct trauma or past surgery in the orofacial region.
4. On physical, speech, dental, or psychological therapy at the time of study entry.
5. Currently undergoing physical therapy for TMD.
6. Neurological or central nervous system and/or peripheral nervous system disorders or history of neuromuscular disease.
7. The presence of prosthesis or extensive prosthetic restorations and the presence of gross malocclusion.
8. More than two missing teeth, except third molars;
9. Systemic and/or degenerative diseases.