%0 Journal Article
%T Sleep hygiene measures combined with mindfulness meditation in the management of sleep bruxism in children: A randomized controlled clinical trial.
%A Amaral CC
%A Fernandez MDS
%A Chisini LA
%A Boscato N
%A Jansen K
%A Goettems ML
%J Int J Paediatr Dent
%V 0
%N 0
%D 2024 May 20
%M 38769624
%F 3.264
%R 10.1111/ipd.13212
%X <B>BACKGROUND: </B>Sleep hygiene measures and meditation may reduce stress and improve sleep quality, but their effect on the occurrence of sleep bruxism in children has not yet been investigated.<BR><B>OBJECTIVE: </B>To explore the effects of sleep hygiene measures combined with mindfulness meditation (relaxation audio) in the management of probable sleep bruxism (SB) in children.<BR><B>METHODS: </B>This clinical trial (no. NCT04501237) randomized 36 children with 3-8 years of age. Probable SB detection was performed according to the criteria established by the International Consensus on The Assessment of Bruxism-2018. Intervention group was instructed to practice sleep hygiene measures and mindfulness meditation (i.e., the use of a digital app to broadcast audio relaxation) each night before bedtime for 5 weeks; control group did not receive guidance for therapies. Parents completed a bruxism diary for 5 weeks, and the outcome was the number of SB episodes-day reported in the week (ranging from 0 to 7) in each period. A multilevel mixed-effects Poisson regression model was performed.<BR><B>RESULTS: </B>A total of 32 children (mean age: 6.1 years) completed the study. The children who received the therapies related to sleep hygiene measures and mindfulness meditation had a reduction in the SB incidence rate ratio (IRR) of 46% (IRR = 0.54 [Confidence Interval 95%, 0.45-0.65]) during a 5-week observation period. The sensitivity analyses did not show relevant changes in the measure of the effect.<BR><B>CONCLUSIONS: </B>Sleep hygiene measures combined with mindfulness meditation reduced the SB in children.