Treatment of Primary and Secondary Sleep RelatedBruxism with the Luco Hybrid OSA Appliance

Sleep-related bruxism is classified as a repetitive jaw-muscle activity characterized by clenching or grinding and/or bracing or thrusting of the mandible during sleep. It has been shown in previous studies to occur in both a primary form as well as a secondary form. The Luco Hybrid OSA Appliance has been shown to be a very effective treatment of primary sleep-related bruxism as well as controlling the hyperstimulation of the trigeminal cardiac reflex that accompanies sleeps related-bruxism. The aim of this study is to determine if this device is effective in the treatment of secondary sleep relatedbruxism resulting from sleep disordered breathing as well as from administration of selective serotonin reuptake inhibitor (SSRI) type medications. It was found that the Luco Hybrid OSA Appliance was effective in the treatment of primary and both forms of secondary sleep-related bruxism however the SSRI group took significantly longer to respond (8 weeks vs. 2-3 weeks) to treatment.