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The purpose of this study is to investigate the effects of mandibular occlusal stabilization splint (OSS) and modified farrar splint on sleep bruxism and respiratory indices and the effects of occlusal splints on the airway volume through imaging.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Maxillary OSS | Experimental |
| |
| Mandibular OSS | Experimental |
| |
| Modified farrar splint | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Maxillary OSS | Device | Maxillary OSS will be a night guard for the top teeth. Digital impressions will be taken at the first appointment. After delivery appointment the patient will take home a sleep test monitor and bruxism monitor to record respiration and muscle activity during sleep.This will be a 2 night sleep study (Night A will be without splint and Night B will be with splint). Therefore, the patient will sleep with the mouth guard one night and the monitoring device two nights. Subjects will also undergo cone beam computed tomography (CBCT) airway imaging with and without splint. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in peripheral capillary oxygen saturation (SpO2) as measured by the MediByte device | Baseline(without device),with device | |
| Change in pulse as measured by the MediByte device | Baseline(without device),with device | |
| Change in airflow as measured by the MediByte device | Baseline(without device),with device | |
| Change in chest plethysmography as measured by the MediByte device | Baseline(without device),with device | |
| Change in abdomen plethysmography as measured by the MediByte device | Baseline(without device),with device | |
| Change in masticatory muscle activity as measured by the MediByte device | Baseline(without device),with device |
| Measure | Description | Time Frame |
|---|---|---|
| Change in airway anatomy as measured by CBCT | Baseline(without device),with device |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Aaron Glick, DDS | The University of Texas Health Science Center, Houston | Principal Investigator |
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| ID | Term |
|---|---|
| D020186 | Sleep Bruxism |
| ID | Term |
|---|---|
| D002012 | Bruxism |
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
| D020447 | Parasomnias |
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|
| Mandibular OSS | Device | Mandibular OSS will be a night guard for the bottom teeth.Digital impressions will be taken at the first appointment. After delivery appointment the patient will take home a sleep test monitor and bruxism monitor to record respiration and muscle activity during sleep.This will be a 2 night sleep study (Night A will be without splint and Night B will be with splint). Therefore, the patient will sleep with the mouth guard one night and the monitoring device two nights. Subjects will also undergo CBCT airway imaging with and without splint. |
|
| Modified farrar splint | Device | Modified farrar splint will be a night guard for the top teeth that positions and maintains the lower jaw in a more forward position.Digital impressions will be taken at the first appointment. After delivery appointment the patient will take home a sleep test monitor and bruxism monitor to record respiration and muscle activity during sleep. This will be a 2 night sleep study (Night A will be without splint and Night B will be with splint). Therefore, the patient will sleep with the mouth guard one night and the monitoring device two nights. Subjects will also undergo CBCT airway imaging with and without splint. |
|
| D012893 |
| Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |