Treatment Sleep Bruxism With the Luco Hybrid OSA Appliance
LucoHybrid
The Treatment of Sleep Bruxism With the Luco Hybrid OSA Appliance
1 other identifier
interventional
51
1 country
1
Brief Summary
To determine the effectiveness of the Luco Hybrid OSA Appliance in the treatment of sleep bruxism and to aid in the treatment of associated tension/migraine type headaches in adults.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jul 2015
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2016
CompletedFirst Submitted
Initial submission to the registry
August 21, 2016
CompletedFirst Posted
Study publicly available on registry
August 30, 2016
CompletedFebruary 18, 2021
February 1, 2021
11 months
August 21, 2016
February 16, 2021
Conditions
Outcome Measures
Primary Outcomes (1)
Response to treatment with the Luco Hybrid OSA Appliance
Clinical examination, sleep study and visual analog scale. Clinical examination of the subject's musculature, temporomandibular joints (TMJ), and measurement of the range of mandibular movements. The home sleep study (HSS) measured the number and duration of sleep bruxism events as well as the heart rate associated with these events. The visual analog scale (VAS) recorded the patient's response regarding TMJ pain on waking and later in the day, jaw muscle pain on waking and later in the day, tooth sensitivity to temperature extremes, tension/migraine type headaches on waking and later in the day and neck/shoulder pain on waking and later in the day. HSS scoring according to the American Academy of Sleep Medicine's "Manual for the Scoring of Sleep and Associated Events" for sleep bruxism.
60 days
Study Arms (2)
Started
OTHERIntervention: Treatment with the Luco Hybrid OSA Appliance (LHOA) Group 1, fitted with LHOA Group 2: LHOA removed for 48 hours
Completed
ACTIVE COMPARATORIntervention: The LUco Hybrid OSA APpliance The subjects that actually completed the study in both groups. Group 1 n = 32, in Group 2 n=19
Interventions
Group 1, initial treatment with the device, reassessed at 14 and 60 days, Group 2, removal of the treatment for 48 hours, to determine if relapse occurs, retested at 60 days with the device (recovery from intervention).
Eligibility Criteria
You may qualify if:
- years of age (adult)
- capable of giving informed consent
- met the AASM criteria for sleep bruxism
- had sound dentition
- did not have active obstructive sleep apnea(OSA)/upper airway resistance syndrome (UARS)
You may not qualify if:
- younger than 18
- incapable of informed consent
- did not meet the AASM criteria for sleep bruxism
- discovered OSA or UARS in the initial study
- did not have sound dentition (active caries, periodontal disease, inadequate number of teeth
- had obstructive sleep apnea/UARS
- did not complete the study
- completed the study but did not complete all aspects of the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Dr. K. Luco Dentistry Professional Corporation
Kingston, Ontario, K7L 0C3, Canada
Related Publications (55)
Klasser GD, Greene CS, Lavigne GJ. Oral appliances and the management of sleep bruxism in adults: a century of clinical applications and search for mechanisms. Int J Prosthodont. 2010 Sep-Oct;23(5):453-62.
PMID: 20859563BACKGROUNDRaphael KG, Santiago V, Lobbezoo F. Is bruxism a disorder or a behaviour? Rethinking the international consensus on defining and grading of bruxism. J Oral Rehabil. 2016 Oct;43(10):791-8. doi: 10.1111/joor.12413. Epub 2016 Jun 10.
PMID: 27283599BACKGROUNDTavares LM, da Silva Parente Macedo LC, Duarte CM, de Goffredo Filho GS, de Souza Tesch R. Cross-sectional study of anxiety symptoms and self-report of awake and sleep bruxism in female TMD patients. Cranio. 2016 Nov;34(6):378-381. doi: 10.1080/08869634.2016.1163806. Epub 2016 Apr 20.
PMID: 27097685BACKGROUNDGomes CAFP, El-Hage Y, Amaral AP, Herpich CM, Politti F, Kalil-Bussadori S, Gonzalez TO, Biasotto-Gonzalez DA. Effects of Massage Therapy and Occlusal Splint Usage on Quality of Life and Pain in Individuals with Sleep Bruxism: A Randomized Controlled Trial. J Jpn Phys Ther Assoc. 2015;18(1):1-6. doi: 10.1298/jjpta.Vol18_001.
PMID: 26733760BACKGROUNDDharmadhikari S, Romito LM, Dzemidzic M, Dydak U, Xu J, Bodkin CL, Manchanda S, Byrd KE. GABA and glutamate levels in occlusal splint-wearing males with possible bruxism. Arch Oral Biol. 2015 Jul;60(7):1021-9. doi: 10.1016/j.archoralbio.2015.03.006. Epub 2015 Mar 28.
PMID: 25889171BACKGROUNDHesselbacher S, Subramanian S, Rao S, Casturi L, Surani S. Self-reported sleep bruxism and nocturnal gastroesophageal reflux disease in patients with obstructive sleep apnea: relationship to gender and ethnicity. Open Respir Med J. 2014 Oct 22;8:34-40. doi: 10.2174/1874306401408010034. eCollection 2014.
PMID: 25352924BACKGROUNDCarra MC, Huynh N, Fleury B, Lavigne G. Overview on Sleep Bruxism for Sleep Medicine Clinicians. Sleep Med Clin. 2015 Sep;10(3):375-84, xvi. doi: 10.1016/j.jsmc.2015.05.005. Epub 2015 Jul 8.
PMID: 26329448RESULTMayer P, Heinzer R, Lavigne G. Sleep Bruxism in Respiratory Medicine Practice. Chest. 2016 Jan;149(1):262-71. doi: 10.1378/chest.15-0822. Epub 2016 Jan 6.
PMID: 26225899RESULTKlasser GD, Rei N, Lavigne GJ. Sleep bruxism etiology: the evolution of a changing paradigm. J Can Dent Assoc. 2015;81:f2.
PMID: 25633110RESULTSaito M, Yamaguchi T, Mikami S, Watanabe K, Gotouda A, Okada K, Hishikawa R, Shibuya E, Lavigne G. Temporal association between sleep apnea-hypopnea and sleep bruxism events. J Sleep Res. 2013 Nov 4. doi: 10.1111/jsr.12099. Online ahead of print.
PMID: 24635459RESULTHasegawa Y, Lavigne G, Rompre P, Kato T, Urade M, Huynh N. Is there a first night effect on sleep bruxism? A sleep laboratory study. J Clin Sleep Med. 2013 Nov 15;9(11):1139-45. doi: 10.5664/jcsm.3152.
PMID: 24235894RESULTAbe S, Gagnon JF, Montplaisir JY, Postuma RB, Rompre PH, Huynh NT, Kato T, Kawano F, Lavigne GJ. Sleep bruxism and oromandibular myoclonus in rapid eye movement sleep behavior disorder: a preliminary report. Sleep Med. 2013 Oct;14(10):1024-30. doi: 10.1016/j.sleep.2013.04.021. Epub 2013 Aug 15.
PMID: 23953215RESULTRaphael KG, Sirois DA, Janal MN, Wigren PE, Dubrovsky B, Nemelivsky LV, Klausner JJ, Krieger AC, Lavigne GJ. Sleep bruxism and myofascial temporomandibular disorders: a laboratory-based polysomnographic investigation. J Am Dent Assoc. 2012 Nov;143(11):1223-31. doi: 10.14219/jada.archive.2012.0068.
PMID: 23115152RESULTCarra MC, Huynh N, Lavigne G. Sleep bruxism: a comprehensive overview for the dental clinician interested in sleep medicine. Dent Clin North Am. 2012 Apr;56(2):387-413. doi: 10.1016/j.cden.2012.01.003.
PMID: 22480810RESULTNashed A, Lanfranchi P, Rompre P, Carra MC, Mayer P, Colombo R, Huynh N, Lavigne G. Sleep bruxism is associated with a rise in arterial blood pressure. Sleep. 2012 Apr 1;35(4):529-36. doi: 10.5665/sleep.1740.
PMID: 22467991RESULTFranco L, Rompre PH, de Grandmont P, Abe S, Lavigne GJ. A mandibular advancement appliance reduces pain and rhythmic masticatory muscle activity in patients with morning headache. J Orofac Pain. 2011 Summer;25(3):240-9.
PMID: 21837291RESULTLavigne G, Palla S. Transient morning headache: recognizing the role of sleep bruxism and sleep-disordered breathing. J Am Dent Assoc. 2010 Mar;141(3):297-9. doi: 10.14219/jada.archive.2010.0163. No abstract available.
PMID: 20194385RESULTLandry-Schonbeck A, de Grandmont P, Rompre PH, Lavigne GJ. Effect of an adjustable mandibular advancement appliance on sleep bruxism: a crossover sleep laboratory study. Int J Prosthodont. 2009 May-Jun;22(3):251-9.
PMID: 19548407RESULTHuynh NT, Rompre PH, Montplaisir JY, Manzini C, Okura K, Lavigne GJ. Comparison of various treatments for sleep bruxism using determinants of number needed to treat and effect size. Int J Prosthodont. 2006 Sep-Oct;19(5):435-41.
PMID: 17323720RESULTLandry ML, Rompre PH, Manzini C, Guitard F, de Grandmont P, Lavigne GJ. Reduction of sleep bruxism using a mandibular advancement device: an experimental controlled study. Int J Prosthodont. 2006 Nov-Dec;19(6):549-56.
PMID: 17165292RESULTHuynh N, Lavigne GJ, Lanfranchi PA, Montplaisir JY, de Champlain J. The effect of 2 sympatholytic medications--propranolol and clonidine--on sleep bruxism: experimental randomized controlled studies. Sleep. 2006 Mar;29(3):307-16. doi: 10.1093/sleep/29.3.307.
PMID: 16553016RESULTLavigne G, Kato T. Usual and unusual orofacial motor activities associated with tooth wear. Int J Prosthodont. 2005 Jul-Aug;18(4):291-2. No abstract available.
PMID: 16052775RESULTMiyawaki S, Lavigne GJ, Pierre M, Guitard F, Montplaisir JY, Kato T. Association between sleep bruxism, swallowing-related laryngeal movement, and sleep positions. Sleep. 2003 Jun 15;26(4):461-5.
PMID: 12841373RESULTOhmure H, Kanematsu-Hashimoto K, Nagayama K, Taguchi H, Ido A, Tominaga K, Arakawa T, Miyawaki S. Evaluation of a Proton Pump Inhibitor for Sleep Bruxism: A Randomized Clinical Trial. J Dent Res. 2016 Dec;95(13):1479-1486. doi: 10.1177/0022034516662245. Epub 2016 Jul 29.
PMID: 27474257RESULTCahlin BJ, Hedner J, Dahlstrom L. A randomised, open-label, crossover study of the dopamine agonist, pramipexole, in patients with sleep bruxism. J Sleep Res. 2017 Feb;26(1):64-72. doi: 10.1111/jsr.12440. Epub 2016 Jul 17.
PMID: 27426276RESULTSolanki N, Singh BP, Chand P, Siddharth R, Arya D, Kumar L, Tripathi S, Jivanani H, Dubey A. Effect of mandibular advancement device on sleep bruxism score and sleep quality. J Prosthet Dent. 2017 Jan;117(1):67-72. doi: 10.1016/j.prosdent.2016.04.009. Epub 2016 Jul 14.
PMID: 27422230RESULTOkura K, Shigemoto S, Suzuki Y, Noguchi N, Omoto K, Abe S, Matsuka Y. Mandibular movement during sleep bruxism associated with current tooth attrition. J Prosthodont Res. 2017 Jan;61(1):87-95. doi: 10.1016/j.jpor.2016.06.003. Epub 2016 Jun 25.
PMID: 27354030RESULTZhou WN, Fu HY, Du YF, Sun JH, Zhang JL, Wang C, Svensson P, Wang KL. Short-term effects of repetitive transcranial magnetic stimulation on sleep bruxism - a pilot study. Int J Oral Sci. 2016 Mar 30;8(1):61-5. doi: 10.1038/ijos.2015.35.
PMID: 27025267RESULTGuaita M, Hogl B. Current Treatments of Bruxism. Curr Treat Options Neurol. 2016 Feb;18(2):10. doi: 10.1007/s11940-016-0396-3.
PMID: 26897026RESULTCastrillon EE, Ou KL, Wang K, Zhang J, Zhou X, Svensson P. Sleep bruxism: an updated review of an old problem. Acta Odontol Scand. 2016 Jul;74(5):328-34. doi: 10.3109/00016357.2015.1125943. Epub 2016 Jan 12.
PMID: 26758348RESULTMinakuchi H, Sogawa C, Miki H, Hara ES, Maekawa K, Sogawa N, Kitayama S, Matsuka Y, Clark GT, Kuboki T. Sleep bruxism frequency and platelet serotonin transporter activities in young adult subjects. Sleep Breath. 2016 Mar;20(1):271-6. doi: 10.1007/s11325-015-1281-0. Epub 2015 Nov 2.
PMID: 26527205RESULTMalcmacher L. Ensuring Restorative Success With Bruxism Testing. Dent Today. 2015 Jul;34(7):131-3. No abstract available.
PMID: 26285347RESULTMalcmacher L. Bruxism--Are You Helping or Hurting Your Patients? J N J Dent Assoc. 2015 Winter;86(1):14-6. No abstract available.
PMID: 26215023RESULTKostrzewa-Janicka J, Jurkowski P, Zycinska K, Przybylowska D, Mierzwinska-Nastalska E. Sleep-Related Breathing Disorders and Bruxism. Adv Exp Med Biol. 2015;873:9-14. doi: 10.1007/5584_2015_151.
PMID: 26022906RESULTGu W, Yang J, Zhang F, Yin X, Wei X, Wang C. Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint: a pilot study. J Biomed Res. 2015 Apr;29(2):160-8. doi: 10.7555/JBR.28.20130145. Epub 2014 Nov 18.
PMID: 25859272RESULTGomes CA, El Hage Y, Amaral AP, Politti F, Biasotto-Gonzalez DA. Effects of massage therapy and occlusal splint therapy on electromyographic activity and the intensity of signs and symptoms in individuals with temporomandibular disorder and sleep bruxism: a randomized clinical trial. Chiropr Man Therap. 2014 Dec 15;22(1):43. doi: 10.1186/s12998-014-0043-6. eCollection 2014.
PMID: 25512839RESULTStark CD, Stark RJ. Sleep and chronic daily headache. Curr Pain Headache Rep. 2015 Jan;19(1):468. doi: 10.1007/s11916-014-0468-6.
PMID: 25416461RESULTMatsumoto H, Tsukiyama Y, Kuwatsuru R, Koyano K. The effect of intermittent use of occlusal splint devices on sleep bruxism: a 4-week observation with a portable electromyographic recording device. J Oral Rehabil. 2015 Apr;42(4):251-8. doi: 10.1111/joor.12251. Epub 2014 Nov 1.
PMID: 25363423RESULTMalcmacher L. Are you prescribing bruxism appliances? Dent Today. 2014 Sep;33(9):126-9. No abstract available.
PMID: 25283030RESULTYamaguchi K, Ishiura Y, Tanaka S, Baba K. Influence of the rigidity of a provisional restoration supported on four immediately loaded implants in the edentulous maxilla on biomechanical bone-implant interactions under simulated bruxism conditions: a three-dimensional finite element analysis. Int J Prosthodont. 2014 Sep-Oct;27(5):442-50. doi: 10.11607/ijp.3857.
PMID: 25191887RESULTPorporatti AL, Costa YM, Conti PC, Bonjardim LR, Calderon Pdos S. Primary headaches interfere with the efficacy of temporomandibular disorders management. J Appl Oral Sci. 2015 Mar-Apr;23(2):129-34. doi: 10.1590/1678-775720130557. Epub 2014 Jul 4.
PMID: 25004051RESULTSjoholm T, Kauko T, Kemppainen P, Rauhala E. Long-term use of occlusal appliance has impact on sleep structure. J Oral Rehabil. 2014 Nov;41(11):795-800. doi: 10.1111/joor.12201. Epub 2014 Jun 18.
PMID: 24942041RESULTChate R. Summary of: Over-the-counter (OTC) bruxism splints available on the Internet. Br Dent J. 2014 Jun 13;216(11):642-3. doi: 10.1038/sj.bdj.2014.480. No abstract available.
PMID: 24923944RESULTde-la-Hoz JL. Sleep bruxism: review and update for the restorative dentist. Alpha Omegan. 2013 Spring-Summer;106(1-2):23-8.
PMID: 24864394RESULTKarakis D, Dogan A, Bek B. Evaluation of the effect of two different occlusal splints on maximum occlusal force in patients with sleep bruxism: a pilot study. J Adv Prosthodont. 2014 Apr;6(2):103-8. doi: 10.4047/jap.2014.6.2.103. Epub 2014 Apr 22.
PMID: 24843394RESULTMainieri VC, Saueressig AC, Fagondes SC, Teixeira ER, Rehm DD, Grossi ML. Analysis of the effects of a mandibular advancement device on sleep bruxism using polysomnography, the BiteStrip, the sleep assessment questionnaire, and occlusal force. Int J Prosthodont. 2014 Mar-Apr;27(2):119-26. doi: 10.11607/ijp.3675.
PMID: 24596907RESULTSumiya M, Mizumori T, Kobayashi Y, Inano S, Yatani H. Suppression of sleep bruxism: effect of electrical stimulation of the masseter muscle triggered by heart rate elevation. Int J Prosthodont. 2014 Jan-Feb;27(1):80-6. doi: 10.11607/ijp.3330.
PMID: 24392483RESULTHuang H, Song YH, Wang JJ, Guo Q, Liu WC. Excitability of the central masticatory pathways in patients with sleep bruxism. Neurosci Lett. 2014 Jan 13;558:82-6. doi: 10.1016/j.neulet.2013.11.014. Epub 2013 Nov 20.
PMID: 24269982RESULTSaletu B, Anderer P, Saletu-Zyhlarz GM. Recent advances in sleep research. Psychiatr Danub. 2013 Dec;25(4):426-34.
PMID: 24247058RESULTLin XL, Tang SY. Sodium valproate may be a treatment for sleep bruxism. J Child Adolesc Psychopharmacol. 2013 Nov;23(9):636-7. doi: 10.1089/cap.2013.0015. Epub 2013 Oct 29. No abstract available.
PMID: 24168714RESULTAqueveque P, Pino E, Lopez R. Electrical stimulation device as possible treatment for nocturnal bruxism: preliminary results. Annu Int Conf IEEE Eng Med Biol Soc. 2013;2013:3571-3. doi: 10.1109/EMBC.2013.6610314.
PMID: 24110501RESULTWang LF, Long H, Deng M, Xu H, Fang J, Fan Y, Bai D, Han XL. Biofeedback treatment for sleep bruxism: a systematic review. Sleep Breath. 2014 May;18(2):235-42. doi: 10.1007/s11325-013-0871-y. Epub 2013 Jun 12.
PMID: 23756884RESULTCarra MC, Huynh NT, El-Khatib H, Remise C, Lavigne GJ. Sleep bruxism, snoring, and headaches in adolescents: short-term effects of a mandibular advancement appliance. Sleep Med. 2013 Jul;14(7):656-61. doi: 10.1016/j.sleep.2013.03.009. Epub 2013 May 2.
PMID: 23643652RESULTDowd ET. Nocturnal bruxism and hypnotherapy: a case study. Int J Clin Exp Hypn. 2013;61(2):205-18. doi: 10.1080/00207144.2013.753832.
PMID: 23427844RESULTSilber MH. Sleep-related movement disorders. Continuum (Minneap Minn). 2013 Feb;19(1 Sleep Disorders):170-84. doi: 10.1212/01.CON.0000427207.13553.68.
PMID: 23385700RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Ken J Luco, DDS, BSc
Luco Hybrid OSA Appliance Inc.
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NON RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
August 21, 2016
First Posted
August 30, 2016
Study Start
July 1, 2015
Primary Completion
June 1, 2016
Study Completion
July 1, 2016
Last Updated
February 18, 2021
Record last verified: 2021-02
Data Sharing
- IPD Sharing
- Will not share