{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T03:57:34Z","timestamp":1785038254134,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Prosthodontics"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The objective was the comparison of an occlusal device (OD), and sleep hygiene and progressive muscle relaxation (SH &amp; PMR) on perceived stress and sleep bruxism activity (burst\/episode and episode\/hour) in participants with sleep bruxism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>Sixty\u2010six participants with self\u2010reported sleep bruxism were selected and randomly allocated into two groups: OD group or SH &amp; PMR group. Assessment of perceived stress and sleep bruxism activity were the primary outcomes. The Perceived Stress Scale\u201010 (PSS\u201010 scale) was used to measure perceived stress and bruxism episodes\/hour and bursts\/episode recorded by electromyography of masseter and temporalis. These outcomes were assessed at baseline, 1 month, 6 months, and 1 year. The paired <jats:italic>t<\/jats:italic>\u2010test assessed changes in PSS\u201010 scores and sleep bruxism activity within the same group over different time points (baseline, 1 month, 6 months, and 1 year). The unpaired <jats:italic>t<\/jats:italic>\u2010test compared scores between two groups (OD and SH &amp; PMR) at each time point to evaluate intervention differences. The chi\u2010square test compared gender distribution between both groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>PSS\u201010 scores were found to decrease with the OD at 1 month and 6 months compared to baseline and SH &amp; PMR at all subsequent follow\u2010ups. This decrease was not statistically significant (<jats:italic>p<\/jats:italic>\u00a0&gt;\u00a00.05) between the OD and SH &amp; PMR groups at all follow\u2010ups. OD and SH &amp; PMR significantly reduced bruxism episodes\/hour and bursts\/episode at all follow\u2010ups (<jats:italic>p\u00a0<\/jats:italic>&lt;\u00a00.05). There were no adverse effects related to any intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The OD\u00a0and SH &amp; PMR both effectively reduced PSS\u201010 scores over 6 months and significantly decreased bruxism episodes and bursts per episode. Both methods are safe and effective for managing sleep bruxism and reducing stress.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jopr.13917","type":"journal-article","created":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T18:49:32Z","timestamp":1722538172000},"page":"149-156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy of occlusal splint versus sleep hygiene and progressive muscle relaxation on perceived stress and sleep bruxism: A randomized clinical trial"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1738-2702","authenticated-orcid":false,"given":"Ayushi","family":"Tandon","sequence":"first","affiliation":[{"name":"Department of Prosthodontics, Crown &amp; Bridge King George's Medical University  Lucknow Uttar Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2512-1613","authenticated-orcid":false,"given":"Balendra Pratap","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics, Crown &amp; 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