A pilot study to test the validity of a piezoelectric intra-splint force detector for monitoring of sleep bruxism in comparison to portable polysomnography.
J Oral Sci 2021;
64:63-68. [PMID:
34955491 DOI:
10.2334/josnusd.21-0421]
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Abstract
PURPOSE
To test the validity of a force-based detection system (ISFD: intra-splint force detector) to record sleep bruxism (SB) in comparison to portable polysomnography (PSG).
METHODS
Simultaneous portable PSG recordings with a masseter electromyography (EMG) channel and ISFD with a deformation-sensitive piezoelectric film were performed on six participants with definite SB. First, simulated bruxism behaviors (static clenching, grinding, tapping, and rhythmic clenching) were recorded using both EMG and ISFD. Using these data, interval and duration criteria for ISFD data conditioning were established. Then, portable PSG recordings were conducted with the ISFD during sleep. Using the above criteria, ISFD events were compared with EMG-based SB episodes (the gold standard), and the sensitivity and positive predictive value of ISFD events were calculated. Spearman's correlation coefficients between true-positive ISFD events and SB episodes were then calculated.
RESULTS
Among the tested conditioning criteria, a 3-s interval combined with a 1-s duration was selected. The median sensitivity and positive predictive value for the ISFD were 0.861 and 0.585, respectively. The duration of true-positive ISFD events was correlated with that of EMG-based SB episodes (rho = 0.658, P < 0.01).
CONCLUSION
ISFD has validity for SB detection and could be an alternative to single-channel EMG-based recordings.
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