Comparing Somatosensory Training and Exercise Therapy for Adults with Awake Bruxism A Randomized Controlled Study on Jaw and Posture Treatment Approaches

What this Trial Is About

Awake bruxism, which involves daytime teeth clenching or jaw tension, can cause jaw and facial pain, muscle fatigue, and lower quality of life. Researchers are evaluating two physiotherapy-based treatments compared to a wait-list control group to better understand how these approaches affect pain and function in adults with awake bruxism. This study focuses on both physical and sensory changes in the brain that may contribute to bruxism-related pain. Participants are randomly assigned to one of three groups a somatosensory awareness-based training group, a jaw and posture exercise therapy group, or a wait-list control group. The somatosensory training enhances body and sensory awareness of the face and jaw through tactile and proprioceptive exercises without conventional strengthening. The exercise therapy includes jaw mobility, relaxation, postural alignment, scapular stabilization, and cervical exercises delivered twice weekly for four weeks. The wait-list group continues usual routines during the initial four weeks and may receive treatment afterward. Throughout the study, participants undergo assessments at baseline, immediately after the 4-week treatment, and at follow-ups up to 12 weeks. Evaluations include orofacial pain intensity and disability, jaw function, sensory processing tests, muscle structure imaging, oral parafunctional behaviors, and quality of life related to oral health. Adherence to home exercises and awareness tasks is monitored regularly. This comprehensive evaluation aims to improve physiotherapy strategies by addressing both sensory and physical aspects of awake bruxism.

Somatosensory Training Versus Exercise Therapy in Awake Bruxism