Effects on general pain perception and dental pulp sensibility in probable sleep bruxism subjects by experimentally induced pain in a pilot study

In this pilot study, the general pain perception and the dental pulp sensibility of probable sleep bruxism (SB) subjects were compared with that of non-SB subjects. The cold pressor test (CPT), electric pulp test (EPT), and thermal pulp test with CO 2 snow were executed by one trained dentist (blind...

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Published inScientific reports Vol. 13; no. 1; pp. 5836 - 11
Main Authors Ommerborn, Michelle Alicia, Özbek, Adem, Grunwald, Maike, Depprich, Rita Antonia, Walentek, Nicole Pascale, Franken, Michael, Schäfer, Ralf
Format Journal Article
LanguageEnglish
Published London Nature Publishing Group UK 10.04.2023
Nature Publishing Group
Nature Portfolio
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Summary:In this pilot study, the general pain perception and the dental pulp sensibility of probable sleep bruxism (SB) subjects were compared with that of non-SB subjects. The cold pressor test (CPT), electric pulp test (EPT), and thermal pulp test with CO 2 snow were executed by one trained dentist (blind to SB diagnosis). A one-factorial multivariate analysis of variance (MANOVA) with SB diagnosis as independent variable and standardized measures regarding pain perception and evaluation was performed. One-hundred-and-five participants (53 SB and 52 non-SB subjects) were included. The one-factorial MANOVA revealed a significant difference between SB and non-SB subjects ( p  = 0.01) concerning pain perception variables. Post-hoc univariate analyses of variance (ANOVA) showed statistically significant lower general pain tolerance ( p  = 0.02), higher general subjective sensibility of the teeth ( p  < 0.01), and a statistical trend for higher subjective dental pain intensity ( p  = 0.07) in SB subjects. In most of the standardized variables, probable SB subjects seem to react and feel similar to non-SB subjects. However, as probable SB subjects subjectively perceive their teeth to be more sensitive and tend to rate their subjective dental pain intensity more intensely after CO 2 testing, data might point to a somatosensory amplification.
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ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-023-33019-z