Current Treatments of Bruxism.

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Guaita, Marc; Högl, Birgit

2016-02-01

Despite numerous case reports, the evidence for treatment of bruxism is still low. Different treatment modalities (behavioral techniques, intraoral devices, medications, and contingent electrical stimulation) have been applied. A clinical evaluation is needed to differentiate between awake bruxism and sleep bruxism and rule out any medical disorder or medication that could be behind its appearance (secondary bruxism). A polysomnography is required only in a few cases of sleep bruxism, mostly when sleep comorbidities are present. Counselling with regard to sleep hygiene, sleep habit modification, and relaxation techniques has been suggested as the first step in the therapeutic intervention, and is generally considered not harmful, despite low evidence of any efficacy. Occlusal splints are successful in the prevention of dental damage and grinding sounds associated with sleep bruxism, but their effects on reducing bruxism electromyographic (EMG) events are transient. In patients with psychiatric and sleep comorbidities, the acute use of clonazepam at night has been reported to improve sleep bruxism, but in the absence of double-blind randomized trials, its use in general clinical practice cannot be recommended. Severe secondary bruxism interfering with speaking, chewing, or swallowing has been reported in patients with neurological disorders such as in cranial dystonia; in these patients, injections of botulinum toxin in the masticatory muscles may decrease bruxism for up to 1-5 months and improve pain and mandibular functions. Long-term studies in larger and better specified samples of patients with bruxism, comparing the effects of different therapeutic modalities on bruxism EMG activity, progression of dental wear, and orofacial pain are current gaps of knowledge and preclude the development of severity-based treatment guidelines.

Bruxism: overview of current knowledge and suggestions for dental implants planning.

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Manfredini, Daniele; Bucci, Marco Brady; Sabattini, Vincenzo Bucci; Lobbezoo, Frank

2011-10-01

Bruxism is commonly considered a detrimental motor activity, potentially causing overload of the stomatognathic structures and representing a risk factor for dental implant survival. The available literature does not provide evidence-based guidelines for the management of bruxers undergoing implant-retained restorations. The present paper reviewed current concepts on bruxism etiology, diagnosis and management, underlining its effects on dental implants in an attempt to provide clinically useful suggestions based on scientifically sound data. Unfortunately, very little data exists on the subject of a cause-and-effect relationship between bruxism and implant failure, to the point that expert opinions and cautionary approaches are still considered the best available sources for suggesting good practice indicators. By including experimental literature data on the effects of different types of occlusal loading on peri-implant marginal bone loss along with data from studies investigating the intensity of the forces transmitted to the bone itself during tooth-clenching and tooth-grinding activities, the authors were able to compile the suggestions presented here for prosthetic implant rehabilitations in patients with bruxism.

Bruxism and genetics: a review of the literature.

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Lobbezoo, F; Visscher, C M; Ahlberg, J; Manfredini, D

2014-09-01

People who suffer from bruxism (teeth-grinding) often ask their dentists whether their condition is hereditary. The purpose of this study is to enable dentists to provide an 'evidence-based' answer to this question. The biomedical literature was searched using PubMed, and 32 publications were identified, of which nine proved relevant to the research question. The references cited by the publications identified yielded one further publication, bringing the total number of publications included in the analysis to 10. Four publications related to family studies, five related to twin studies and one related to a DNA analysis. With the exception of one of the twin studies, all the included studies concluded that bruxism appears to be (in part) genetically determined. Dentists whose patients ask them about bruxism can therefore tell them that teeth-grinding does indeed 'run in families'. © 2014 John Wiley & Sons Ltd.

Functional analysis and treatment of the diurnal bruxism of a 16-year-old girl with autism.

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Armstrong, Amy; Knapp, Vicki Madaus; McAdam, David B

2014-01-01

Bruxism is defined as the clenching and grinding of teeth. This study used a functional analysis to examine whether the bruxism of a 16-year-old girl with autism was maintained by automatic reinforcement or social consequences. A subsequent component analysis of the intervention package described by Barnoy, Najdowski, Tarbox, Wilke, and Nollet (2009) showed that a vocal reprimand (e.g., "stop grinding") effectively reduced the participant's bruxism. Results were maintained across time, and effects extended to novel staff members. © Society for the Experimental Analysis of Behavior.

[Etiology of sleep bruxism: a review of the literature].

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Cuccia, Antonino Marco

2008-06-01

Bruxism is a para-function with tooth clenching and grinding. Particularly, the sleep bruxism is a frequent phenomenon that causes cephalalgia and muscular/joint pains to the awakening, besides an increased dental abrasion and sensibility. The etiology of sleep bruxism is uncertain: while the occlusal discrepancies and the anatomy of the bony structures of the orofacial region play only a minor role, others factors, like smoking, alcohol, drugs, systemic diseases, stress, trauma and heredity, appear to have an important role in the sleep bruxism genesis. Recent polysomnographic studies, suggest that sleep bruxism episodes are part of an sleep arousal response. The sleep arousal response is a sudden change in the depth of sleep. Besides the sleep bruxism appears to be an disturbance in the dopaminergic system. Further psychological factors (like stress, anxiety) are implicated in the aetiology of sleep bruxism as well. The aim of this paper is to review the literature on the aetiology of bruxism.

Sleep bruxism: challenges and restorative solutions

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Mengatto, Cristiane Machado; Coelho-de-Souza, Fábio Herrmann; de Souza Junior, Oswaldo Baptista

2016-01-01

Bruxism is a parafunctional activity related to clenching or grinding the teeth and tooth wear can be a consequence of sleep bruxism (SB). Management of severe tooth wear due to SB is a challenging situation because of the common reduced amount of remaining dental structure and loss of vertical dimension of occlusion. Rationale for the planning of oral rehabilitation of patients with SB presenting severe tooth wear should rely on evidence-based approaches; however, few studies have discussed properties of dental materials for SB rehabilitation and how to cosmetically manage severe tooth wear. This review aimed to provide an overview into bruxism cosmetic rehabilitation and how this can be implemented with good outcomes for the patient. PMID:27217798

Mandibular condylar morphology for bruxers with different grinding patterns.

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Tao, Jianxiang; Wu, Junhua; Zhang, Xuying

2016-07-01

The purpose of this study was to investigate the mandibular condylar morphology for bruxers with different grinding patterns. Condylar sectional morphology and condylar position of 30 subjects were determined by two viewers using cone beam computed tomography (CBCT) image data sets. The grinding patterns during sleep bruxism (SB) were determined objectively using a Brux-checker device.Chi-square tests were used for statistical analysis for the condylar morphology type between different tooth grinding patterns. Spearman's rank correlation coefficient was used for correlation analysis between condylar position and the canine guidance area during SB. Theincidence of condylarmorphologicaldivergence from idealwas35%.There isa significant difference in distribution of condylar morphology type between the group grinding (GG) and GG combined with mediotrusive side grinding (MG) (p < 0.05). There was no significant correlation between condylar position and canine guidance area during bruxism. MG during SB is associated with condylar morphology that is considered not to be ideal.

Gemstone Grinding Process Improvement by using Impedance Force Control

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Hamprommarat Chumpol

2015-01-01

Full Text Available Chula Automatic Faceting Machine has been developed by The Advance Manufacturing Research Lab, Chulalongkorn University to support Thailand Gems-Industry. The machine has high precision motion control by using position and force control. A contact stiffness model is used to estimate grinding force. Although polished gems from the Faceting Machine have uniform size and acceptable shape, the force of the grinding and polishing process cannot be maintain constant and has some fluctuation due to indirect force control. Therefor this research work propose a new controller for this process based on an impedance direct force control to improve the gemstone grinding performance during polishing process. The grinding force can be measured through motor current. The results show that the polished gems by using impedance direct force control can maintain uniform size as well as good shape and high quality surface.

[Chewing on bruxism. Diagnosis, imaging, epidemiology and aetiology].

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Lobbezoo, F; Jacobs, R; De Laat, A; Aarab, G; Wetselaar, P; Manfredini, D

2017-06-01

Since the publication of a special issue on bruxism of the NTvT in July 2000, consensus has been reached on bruxism's definition as a repetitive masticatory muscle activity that is characterised by clenching and/or grinding while awake (awake bruxism) or during sleep (sleep bruxism). As yet, however, no consensus exists about the diagnosis of bruxism: sufficient evidence to establish the reliability and validity of the commonly used techniques (self-report, clinical examination, imaging, electromyography, polysomnography) has not yet been produced. Morphological factors are no longer considered important aetiological factors, while increasing evidence suggests aetiological roles for psychosocial, physiological, biological, and exogenous factors. This review paper is the first part of a diptych and is concerned with the definition, diagnostics, epidemiology and possible causes of this disorder. In the second part, that will be published in the next issue, associations of bruxism with other conditions will be discussed, along with its (purported) consequences and its management.

Correlation between self-reported and clinically based diagnoses of bruxism in temporomandibular disorders patients.

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Paesani, D A; Lobbezoo, F; Gelos, C; Guarda-Nardini, L; Ahlberg, J; Manfredini, D

2013-11-01

The present investigation was performed in a population of patients with temporomandibular disorders (TMD), and it was designed to assess the correlation between self-reported questionnaire-based bruxism diagnosis and a diagnosis based on history taking plus clinical examination. One-hundred-fifty-nine patients with TMD underwent an assessment including a questionnaire investigating five bruxism-related items (i.e. sleep grinding, sleep grinding referral by bed partner, sleep clenching, awake clenching, awake grinding) and an interview (i.e. oral history taking with specific focus on bruxism habits) plus a clinical examination to evaluate bruxism signs and symptoms. The correlation between findings of the questionnaire, viz., patients' report, and findings of the interview/oral history taking plus clinical examination, viz., clinicians' diagnosis, was assessed by means of φ coefficient. The highest correlations were achieved for the sleep grinding referral item (φ = 0·932) and for the awake clenching item (φ = 0·811), whilst lower correlation values were found for the other items (φ values ranging from 0·363 to 0·641). The percentage of disagreement between the two diagnostic approaches ranged between 1·8% and 18·2%. Within the limits of the present investigation, it can be suggested that a strong positive correlation between a self-reported and a clinically based approach to bruxism diagnosis can be achieved as for awake clenching, whilst lower levels of correlation were detected for sleep-time activities. © 2013 John Wiley & Sons Ltd.

Association of temporomandibular disorder pain with awake and sleep bruxism in adults.

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Sierwald, Ira; John, Mike T; Schierz, Oliver; Hirsch, Christian; Sagheri, Darius; Jost-Brinkmann, Paul-Georg; Reissmann, Daniel R

2015-07-01

Parafunctional habits such as clenching or grinding (bruxism) during daytime and at night are considered to have a great impact on the etiopathogenesis of temporomandibular disorders (TMD). However, the size of the effect and how daytime activities interact with nocturnal activities is not yet clear. The aim of this study was to assess the association of TMD pain with both awake and sleep bruxism in adults. In this case-control study, data of a consecutive sample of 733 TMD patients (cases; mean age ± SD: 41.4 ± 16.3 years; 82% women) with at least one pain-related TMD diagnosis according to the German version of the Research Diagnostic Criteria for TMD (RDC/TMD) and of a community-based probability sample of 890 subjects (controls; mean age ± SD: 40.4 ± 11.8 years; 57% female) without TMD were evaluated. Clenching or grinding while awake and/or asleep was assessed with self-reports. Association of TMD pain with awake and sleep bruxism was analyzed using multiple logistic regression analyses and controlled for potential confounders. Odds ratios (OR) with corresponding 95% confidence intervals (CI) were calculated. While 11.2% of the controls reported clenching or grinding while awake, this proportion was significantly higher in TMD patients (33.9%; p bruxism (OR 1.8; CI 1.4-2.4). However, risk for TMD pain substantially increased in cases of simultaneous presence of awake and sleep bruxism (OR 7.7; CI 5.4-11.1). When occurring separately, awake and sleep bruxism are significant risk factors for TMD pain. In case of simultaneous presence, the risk for TMD pain is even higher.

Sleep bruxism: challenges and restorative solutions

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Mengatto CM

2016-04-01

Full Text Available Cristiane Machado Mengatto, Fábio Herrmann Coelho-de-Souza, Oswaldo Baptista de Souza Junior Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS, Porto Alegre, Brazil Abstract: Bruxism is a parafunctional activity related to clenching or grinding the teeth and tooth wear can be a consequence of sleep bruxism (SB. Management of severe tooth wear due to SB is a challenging situation because of the common reduced amount of remaining dental structure and loss of vertical dimension of occlusion. Rationale for the planning of oral rehabilitation of patients with SB presenting severe tooth wear should rely on evidence-based approaches; however, few studies have discussed properties of dental materials for SB rehabilitation and how to cosmetically manage severe tooth wear. This review aimed to provide an overview into bruxism cosmetic rehabilitation and how this can be implemented with good outcomes for the patient. Keywords: sleep bruxism, restoration, rehabilitation, prosthodontics, dentistry

Clinical Decision Support Model to Predict Occlusal Force in Bruxism Patients.

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Thanathornwong, Bhornsawan; Suebnukarn, Siriwan

2017-10-01

The aim of this study was to develop a decision support model for the prediction of occlusal force from the size and color of articulating paper markings in bruxism patients. We used the information from the datasets of 30 bruxism patients in which digital measurements of the size and color of articulating paper markings (12-µm Hanel; Coltene/Whaledent GmbH, Langenau, Germany) on canine protected hard stabilization splints were measured in pixels (P) and in red (R), green (G), and blue (B) values using Adobe Photoshop software (Adobe Systems, San Jose, CA, USA). The occlusal force (F) was measured using T-Scan III (Tekscan Inc., South Boston, MA, USA). The multiple regression equation was applied to predict F from the P and RGB. Model evaluation was performed using the datasets from 10 new patients. The patient's occlusal force measured by T-Scan III was used as a 'gold standard' to compare with the occlusal force predicted by the multiple regression model. The results demonstrate that the correlation between the occlusal force and the pixels and RGB of the articulating paper markings was positive (F = 1.62×P + 0.07×R -0.08×G + 0.08×B + 4.74; R 2 = 0.34). There was a high degree of agreement between the occlusal force of the patient measured using T-Scan III and the occlusal force predicted by the model (kappa value = 0.82). The results obtained demonstrate that the multiple regression model can predict the occlusal force using the digital values for the size and color of the articulating paper markings in bruxism patients.

Clinical Decision Support Model to Predict Occlusal Force in Bruxism Patients

Science.gov (United States)

Thanathornwong, Bhornsawan

2017-01-01

Objectives The aim of this study was to develop a decision support model for the prediction of occlusal force from the size and color of articulating paper markings in bruxism patients. Methods We used the information from the datasets of 30 bruxism patients in which digital measurements of the size and color of articulating paper markings (12-µm Hanel; Coltene/Whaledent GmbH, Langenau, Germany) on canine protected hard stabilization splints were measured in pixels (P) and in red (R), green (G), and blue (B) values using Adobe Photoshop software (Adobe Systems, San Jose, CA, USA). The occlusal force (F) was measured using T-Scan III (Tekscan Inc., South Boston, MA, USA). The multiple regression equation was applied to predict F from the P and RGB. Model evaluation was performed using the datasets from 10 new patients. The patient's occlusal force measured by T-Scan III was used as a ‘gold standard’ to compare with the occlusal force predicted by the multiple regression model. Results The results demonstrate that the correlation between the occlusal force and the pixels and RGB of the articulating paper markings was positive (F = 1.62×P + 0.07×R –0.08×G + 0.08×B + 4.74; R2 = 0.34). There was a high degree of agreement between the occlusal force of the patient measured using T-Scan III and the occlusal force predicted by the model (kappa value = 0.82). Conclusions The results obtained demonstrate that the multiple regression model can predict the occlusal force using the digital values for the size and color of the articulating paper markings in bruxism patients. PMID:29181234

[Sleep bruxism in children and adolescents].

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Firmani, Mónica; Reyes, Milton; Becerra, Nilda; Flores, Guillermo; Weitzman, Mariana; Espinosa, Paula

2015-01-01

Bruxism is a rhythmic masticatory muscle activity, characterized by teeth grinding and clenching. This is a phenomenon mainly regulated by the central nervous system and peripherally influenced. It has two circadian manifestations, during sleep (sleep bruxism) and awake states (awake bruxism). Bruxism is much more than just tooth wearing. It is currently linked to orofacial pain; headaches; sleep disorders; sleep breathing disorders, such as apnea and hypopnea sleep syndrome; behavior disorders, or those associated with the use of medications. It is also influenced by psycho-social and behavior factors, which means that oromandibular parafunctional activities, temporomandibular disorders, malocclusion, high levels of anxiety and stress, among others, may precipitate the occurrence of bruxism. Nowadays, its etiology is multifactorial. The dentist and the pediatrician are responsible for its early detection, diagnosis, management, and prevention of its possible consequences on the patients. The aim of this review is to update the concepts of this disease and to make health professionals aware of its early detection and its timely management. Copyright © 2015 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

Bruxism Associated with Anoxic Encephalopathy: Successful Treatment with Baclofen

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A. Bruce Janati

2013-01-01

Full Text Available Introduction. Bruxism is a movement disorder characterized by grinding and clenching of the teeth. Etiology of bruxism can be divided into three groups: psychosocial factors, peripheral factors, and pathophysiological factors. Methods. The clinical investigation was conducted at King Khaled Hospital in Hail, Saudi Arabia, in 2012. Results. A 16-year-old Saudi female was brought to the hospital in a comatose state and with generalized convulsive seizures secondary to acute anoxic encephalopathy. In the third week of hospitalization, while still in a state of akinetic mutism, she developed incessant bruxism which responded favorably to a GABA receptor agonist (baclofen. Conclusion. Our data support the hypothesis that bruxism emanates from imbalance or dysregulation of the neurotransmitter system. Larger scale studies will be needed to confirm this hypothesis.

Childhood bruxism: a clinical review and case report.

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Gupta, B; Marya, C M; Anegundi, R

2010-01-01

The present case report refers to a patient who reported to the department with the complaint of teeth grinding (Bruxism). A brief review of the literature is reported concerning the aetiology, clinical diagnosis and the therapeutic approach of the disease.

DENTAL WEAR CAUSED BY ASSOCIATION BETWEEN BRUXISM AND GASTROESOPHAGEAL REFLUX DISEASE: A REHABILITATION REPORT

OpenAIRE

Machado, Naila Aparecida de Godoi; Fonseca, Rodrigo Borges; Branco, Carolina Assaf; Barbosa, Gustavo Augusto Seabra; Fernandes, Alfredo J?lio; Soares, Carlos Jos?

2007-01-01

Bruxism is a pathological activity of the stomatognathic system that involves tooth grinding and clenching during parafunctional jaw movements. Clinical signs of bruxism are mostly related to dental wear and muscular and joint discomforts, but a large number of etiological factors can be listed, as local, systemic, psychological and hereditary factors. The association between bruxism, feeding and smoking habits and digestive disorders may lead to serious consequences to dental and related str...

Study on Effect of Ultrasonic Vibration on Grinding Force and Surface Quality in Ultrasonic Assisted Micro End Grinding of Silica Glass

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Zhang Jianhua

2014-01-01

Full Text Available Ultrasonic vibration assisted micro end grinding (UAMEG is a promising processing method for micro parts made of hard and brittle materials. First, the influence of ultrasonic assistance on the mechanism of this processing technology is theoretically analyzed. Then, in order to reveal the effects of ultrasonic vibration and grinding parameters on grinding forces and surface quality, contrast grinding tests of silica glass with and without ultrasonic assistance using micro radial electroplated diamond wheel are conducted. The grinding forces are measured using a three-component dynamometer. The surface characteristics are detected using the scanning electron microscope. The experiment results demonstrate that grinding forces are significantly reduced by introducing ultrasonic vibration into conventional micro end grinding (CMEG of silica glass; ultrasonic assistance causes inhibiting effect on variation percentages of tangential grinding force with grinding parameters; ductile machining is easier to be achieved and surface quality is obviously improved due to ultrasonic assistance in UAMEG. Therefore, larger grinding depth and feed rate adopted in UAMEG can lead to the improvement of removal rate and machining efficiency compared with CMEG.

Role of psychosocial factors in the etiology of bruxism.

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Manfredini, Daniele; Lobbezoo, Frank

2009-01-01

To summarize literature data about the role of psychosocial factors in the etiology of bruxism. A systematic search in the National Library of Medicine's PubMed Database was performed to identify all peer-reviewed papers in the English literature dealing with the bruxism-psychosocial factors relationship. All studies assessing the psychosocial traits of bruxers (by using questionnaires, interviews, and instrumental and laboratory exams) and reviews discussing the contribution of those factors to the etiology of bruxism were included in this review. A total of 45 relevant papers (including eight reviews) were retrieved with a search strategy combining the term "bruxism" with the words stress, anxiety, depression, psychosocial and psychological factors. The majority of data about the association between psychosocial disorders and bruxism came from studies adopting a clinical and/or self-report diagnosis of bruxism. These studies showed some association of bruxism with anxiety, stress sensitivity, depression and other personological characteristics, apparently in contrast with sleep laboratory investigations. A plausible hypothesis is that clinical studies are more suitable to detect awake bruxism (clenching type), while polysomnographic studies focused only on sleep bruxism (grinding type). Wake clenching seems to be associated with psychosocial factors and a number of psychopathological symptoms, while there is no evidence to relate sleep bruxism with psychosocial disorders. Future research should be directed toward the achievement of a better distinction between the two forms of bruxism in order to facilitate the design of experimental studies on this topic.

Jaw tremor as a physiological biomarker of bruxism.

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Laine, C M; Yavuz, Ş U; D'Amico, J M; Gorassini, M A; Türker, K S; Farina, D

2015-09-01

To determine if sleep bruxism is associated with abnormal physiological tremor of the jaw during a visually-guided bite force control task. Healthy participants and patients with sleep bruxism were given visual feedback of their bite force and asked to trace triangular target trajectories (duration=20s, peak force bruxism have abnormal jaw tremor when engaged in a visually-guided bite force task. Measurement of jaw tremor may aid in the detection/evaluation of bruxism. In light of previous literature, our results also suggest that bruxism is marked by abnormal or mishandled peripheral feedback from the teeth. Copyright © 2015. Published by Elsevier Ireland Ltd.

Association between respiratory problems and dental caries in children with bruxism.

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Motta, Lara Jansiski; Bortoletto, Carolina Carvalho; Marques, Alyne Jacques; Ferrari, Raquel Agnelli Mesquita; Fernandes, Kristianne Porta Santos; Bussadori, Sandra Kalil

2014-01-01

Bruxism is the habit of clenching or grinding one's teeth in non-functional activities and affects both children and adults alike. Respiratory problems, such as asthma and upper airway infections, are reported to be the etiological factors of bruxism. The aim of the present study was to determine whether there is an association between respiratory problems and dental caries in children who exhibit the habit of bruxism. An observational cross-sectional study was carried out. Patient histories were taken and clinical exams were performed on 90 children for selection and allocation to one of two groups. For the determination of bruxism, a questionnaire was administered to parents/guardians and an oral clinical exam was performed based on the criteria of the American Academy of Sleep Medicine. Thirty-three male and female children between 4 and 7 years of age participated in the study - 14 children with bruxism and 19 children without bruxism. The data were statistically analyzed using the chi-square test, with level of significance set at 5% (P bruxism. Seventy-seven percent of the children with bruxism had caries and 62.5% the children with respiratory problems exhibited the habit of bruxism. There seems to be an association between bruxism, respiratory problems, and dental caries in children.

Bruxism and genetics: a review of the literature

NARCIS (Netherlands)

Lobbezoo, F.; Visscher, C.M.; Ahlberg, J.; Manfredini, D.

2014-01-01

People who suffer from bruxism (teeth-grinding) often ask their dentists whether their condition is hereditary. The purpose of this study is to enable dentists to provide an ‘evidence-based’ answer to this question. The biomedical literature was searched using PubMed, and 32 publications were

Cylindrical plunge grinding of difficult to grind materials

International Nuclear Information System (INIS)

Nakajima, Toshikatsu; Uno, Yoshiyuki; Kayahara, Masayuki.

1983-01-01

Cylindrical plunge grinding processes of titanium alloy and nickel-base superalloys with various kinds of conventional grinding wheels, which are known as difficult to grind materials, are experimentally investigated, analyzing size generation process, grinding force, surface roughness, wheel wear, grinding ratio and so on. For grinding titanium alloy Ti-6Al-4V, GC grinding wheel yields most superior grinding results which leads to lower grinding force, smaller residual stock, less wheel wear and higher grinding ratio up to about 3 with GC 80 L 9 V wheel. Then, for grinding nickelbase superalloys Waspaloy and Rene 41, WA 150 L 9 V wheel yields better grinding results in surface roughness, wheel wear, grinding ratio without chatter vibration though grinding force is higher, and the grinding ratio about 3 is obtained. Furthermore, higher plunge speed and speed ratio result in higher grinding efficiency though grinding force, surface roughness, wheel wear increase for grinding titanium alloy and nickel-base superalloys. (author)

Bruxism in Movement Disorders: A Comprehensive Review.

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Ella, Bruno; Ghorayeb, Imad; Burbaud, Pierre; Guehl, Dominique

2017-10-01

Bruxism is an abnormal repetitive movement disorder characterized by jaw clenching and tooth gnashing or grinding. It is classified into two overlapping types: awake bruxism (AB) and sleep bruxism (SB). Theories on factors causing bruxism are a matter of controversy, but a line of evidence suggests that it may to some extent be linked to basal ganglia dysfunction although so far, this topic has received little attention. The purpose of this article was to review cases of bruxism reported in various movement disorders. The biomedical literature was searched for publications reporting the association of bruxism with various types of movement disorders. As a whole, very few series were found, and most papers corresponded to clinical reports. In Parkinsonian syndromes, AB was rarely reported, but seems to be exacerbated by medical treatment, whereas SB is mainly observed during non-REM sleep, as in restless leg syndrome. AB is occasionally reported in Huntington's disease, primary dystonia, and secondary dystonia; however, its highest incidence and severity is reported in syndromes combining stereotypies and cognitive impairment, such as Rett's syndrome (97%), Down syndrome (42%), and autistic spectrum disorders (32%). Taken as a whole, AB seems to be more frequent in hyperkinetic movement disorders, notably those with stereotypies, and is influenced by anxiety, suggesting an involvement of the limbic part of the basal ganglia in its pathophysiology. © 2016 by the American College of Prosthodontists.

Sleep bruxism: Current knowledge and contemporary management

Science.gov (United States)

Yap, Adrian U.; Chua, Ai Ping

2016-01-01

Bruxism is defined as the repetitive jaw muscle activity characterized by the clenching or grinding of teeth. It can be categorized into awake and sleep bruxism (SB). Frequent SB occurs in about 13% of adults. The exact etiology of SB is still unknown and probably multifactorial in nature. Current literature suggests that SB is regulated centrally (pathophysiological and psychosocial factors) and not peripherally (morphological factors). Cited consequences of SB include temporomandibular disorders, headaches, tooth wear/fracture, implant, and other restoration failure. Chairside recognition of SB involves the use of subjective reports, clinical examinations, and trial oral splints. Definitive diagnosis of SB can only be achieved using electrophysiological tools. Pharmacological, psychological, and dental strategies had been employed to manage SB. There is at present, no effective treatment that “cures” or “stops” SB permanently. Management is usually directed toward tooth/restoration protection, reduction of bruxism activity, and pain relief. PMID:27656052

Sleep bruxism: Current knowledge and contemporary management.

Science.gov (United States)

Yap, Adrian U; Chua, Ai Ping

2016-01-01

Bruxism is defined as the repetitive jaw muscle activity characterized by the clenching or grinding of teeth. It can be categorized into awake and sleep bruxism (SB). Frequent SB occurs in about 13% of adults. The exact etiology of SB is still unknown and probably multifactorial in nature. Current literature suggests that SB is regulated centrally (pathophysiological and psychosocial factors) and not peripherally (morphological factors). Cited consequences of SB include temporomandibular disorders, headaches, tooth wear/fracture, implant, and other restoration failure. Chairside recognition of SB involves the use of subjective reports, clinical examinations, and trial oral splints. Definitive diagnosis of SB can only be achieved using electrophysiological tools. Pharmacological, psychological, and dental strategies had been employed to manage SB. There is at present, no effective treatment that "cures" or "stops" SB permanently. Management is usually directed toward tooth/restoration protection, reduction of bruxism activity, and pain relief.

Analysing a Relationship Between Wheel Wear and Cutting Forces During Diamond Grinding

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M. A. Shavva

2014-01-01

Full Text Available In diamond grinding cutting forces affect the quality of the machined surface. We can estimate a wear rate of the diamond wheel by the magnitude of the forces and promptly resort to the restoration of its cutting properties. To solve this problem it is necessary to define a relationship between grinding wheel wear and cutting forces. There was no this dependence found in the sources of literature.The forces acting on a single worn diamond grain are considered to find the relationship between wheel wear and cutting forces. The main forces acting on the diamond grain are such as a reaction force of machining material, a frictional force over a worn place of the grain, and a total pressure on the contact surface of the grain and machining material. According to calculation results, in grinding the cutting forces are proportional to the hardness of machining material, and depend on the grain wear, as well as on the process operation conditions.The paper presents a technique for calculating the number of cutting (active grains per unit surface of diamond wheel to determine a total cutting force in grinding. The number of cutting grains depends on the properties of diamond wheel and on the operation conditions of grinding process.During grinding a total cutting force is calculated through the single grain cutting force, the number of cutting grains per unit surface of the grinding wheel and the contact area between the wheel and the work piece. Theoretical calculation of the forces is based on the condition that protrusions of all cutting grains are identical and all grains have a maximum wear, i.e. maximum worn place of grain.Calculations based on proposed theoretical formulas are compared with the calculations from the empirical formulas given in the literature. Varying the operation conditions of grinding makes the comparison. Convergence of results in the range of 5-20% is regarded as acceptable.On the BMSTU base flat diamond grinding of tungsten

Reevaluating Antidepressant Selection in Patients With Bruxism and Temporomandibular Joint Disorder.

Science.gov (United States)

Rajan, Royce; Sun, Ye-Ming

2017-05-01

Temporomandibular joint disorder (TMD) is a broad pain disorder that refers to several conditions affecting the temporomandibular joint of the jaw and the muscles of mastication. As with most pain disorders, a high prevalence of depression and anxiety is associated with TMD. Research has shown that selective serotonin reuptake inhibitors (SSRIs), the first-line drug therapy for major depressive disorder, may not be suitable for TMD patients because SSRIs can induce teeth-grinding, otherwise known as bruxism. This is problematic because bruxism is believed to further exacerbate TMD. Therefore, the purpose of this literature review is to better understand the mechanism of SSRI-induced bruxism, as well as discuss alternative antidepressant options for treating depression and anxiety in patients with bruxism and TMD. Alternative classes of antidepressants reviewed include serotonin-norepinephrine reuptake inhibitors, tricyclic antidepressants, atypical antidepressants, and monoamine oxidase inhibitors. Findings indicate that dopamine agonists and buspirone are currently the most effective medications to treat the side effects of SSRI-induced bruxism, but results regarding the effectiveness of specific antidepressants that avoid bruxism altogether remain inconclusive.

[The role of bruxism in the appearance of temporomandibular joint disorders].

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De Meyer, M D; De Boever, J A

1997-01-01

Bruxism is a parafunction observed both in young and adult populations. The mean prevalence is about 20% and is decreasing with age. Women appear to clench more frequently than men. Often, bruxism is understood as both clenching with occasional tooth contact or grinding. A correct and validated definition has only recently been suggested. Many symptoms are assigned to this process, although few symptoms scientifically can be used as specific diagnostic criteria. The symptoms most often associated with bruxism like muscle-stiffness and -pain, limitation of mouth opening. TMJ-internal derangements, toothwear, are also found in TMD-patients. Because the bruxism-process is not only a problem for the patient, who suffers from pain, dysfunction and possible toothwear, it concerns also the dentist. It is essential that those who treat the bruxist-patient, have an understanding of the etiology, diagnosis and management of bruxism, of the many described oral parafunctional behaviors (oromotor behavior). This literature-review could not find a causal etiological mechanism between the occurrence of TMD-symptoms and the bruxism although a relationship between those two conditions has been described.

Temporomandibular disorders and bruxism in childhood and adolescence: review of the literature.

Science.gov (United States)

Barbosa, Taís de Souza; Miyakoda, Luana Sayuri; Pocztaruk, Rafael de Liz; Rocha, Camila Pinhata; Gavião, Maria Beatriz Duarte

2008-03-01

The aim of this article was to review the literature about temporomandibular disorders and bruxism and their relationships in children and adolescents. The literature was searched using Medline, ISI, Cochrane Library, Scielo and the Internet, from March 1970 to the end of June 2007. The inclusion criteria were: they evaluated a possible association between TMD and bruxism, and they dealt with child and/or adolescent samples. Furthermore, interim reports, related Internet sites and chapters in textbooks were considered. From 64 records found, 30 fulfilled the inclusion criteria. The prevalence of temporomandibular disorders in children and adolescent varies widely in the literature. Temporomandibular disorders are often defined on the basis of signs and symptoms, of which the most common are: temporomandibular joint sounds, impaired movement of the mandible, limitation in mouth opening, preauricular pain, facial pain, headaches and jaw tenderness on function, having mainly a mild character, fluctuation and progression to severe pain and dysfunction is rare. One of the possible causal factors suggested that temporomandibular disorders in children is a functional mandibular overload variable, mainly bruxism. Bruxism, defined as the habitual nonfunctional forceful contact between occlusal tooth surfaces, is involuntary, excessive grinding, clenching or rubbing of teeth during nonfunctional movements of the masticatory system. Its etiology is still controversial but the multifactorial cause has been attributed, including pathophysiologic, psychologic and morphologic factors. Moreover, in younger children, bruxism may be a consequence of the masticatory neuromuscular system immaturity. Complications include dental attrition, headaches, temporomandibular disorders and masticatory muscle soreness. Some studies have linked oral parafunctional habits to disturbances and diseases of the temporomandibular joint, mainly bruxism, suggesting its association with temporomandibular

Research on Grinding and Polishing Force Control of Compliant Flange

Directory of Open Access Journals (Sweden)

Li Chuang

2015-01-01

Full Text Available The automation of the grinding and polishing process is important to improve the production efficiency of the part surfaces. In this paper, a new compliant flange mounted on the end of the industrial robots for the robotic grinding and polishing force control is developed. With regard to the non-linear and time-varying problem of the contact force, the mathematical model of the new force control system was presented and the fuzzy PID control strategy was used to drive the proposed system. Especially, the air spring and electric proportional valve is studied to establish the model. The simulation results show that the selected control strategy has quick response and good robustness, which satisfies the real-time requirements of the grinding and polishing force control in processing.

Psychosocial Aspects of Bruxism: The Most Paramount Factor Influencing Teeth Grinding

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Wieckiewicz, Mieszko; Paradowska-Stolarz, Anna; Wieckiewicz, Wlodzimierz

2014-01-01

In clinical practice, patients suffering from an occlusal parafunctional activity have increased. It can be observed that a negative influence of environment aggravates patient's health. The aim of this paper is to present the impact of environment and development of human civilization on the prevalence of bruxism and the correlation between them. The authors grasp the most relevant aspects of psychological and anthropological factors changing over time as well as their interactions and describe a relationship between chronic stress and bruxism. Current literature shows how contemporary lifestyle, working environment, diet, and habits influence the patient's psychoemotional situation and the way these factors affect the occluso-muscle condition. PMID:25101282

Biofeedback for treatment of awake and sleep bruxism in adults: systematic review protocol

OpenAIRE

Ilovar, Sasa; Zolger, Danaja; Castrillon, Eduardo; Car, Josip; Huckvale, Kit

2014-01-01

Background Bruxism is a disorder of jaw-muscle activity characterised by repetitive clenching or grinding of the teeth which results in discomfort and damage to dentition. The two clinical manifestations of the condition (sleep and awake bruxism) are thought to have unrelated aetiologies but are palliated using similar techniques. The lack of a definitive treatment has prompted renewed interest in biofeedback, a behaviour change method that uses electronic detection to provide a stimulus when...

Teeth grinding, oral motor performance and maximal bite force in cerebral palsy children.

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Botti Rodrigues Santos, Maria Teresa; Duarte Ferreira, Maria Cristina; de Oliveira Guaré, Renata; Guimarães, Antonio Sergio; Lira Ortega, Adriana

2015-01-01

Identify whether the degree of oral motor performance is related to the presence of teeth grinding and maximal bite force values in children with spastic cerebral palsy. Ninety-five spastic cerebral palsy children with and without teeth grinding, according to caregivers' reports, were submitted to a comprehensive oral motor performance evaluation during the feeding process using the Oral Motor Assessment Scale. Maximal bite force was measured using an electronic gnathodynamometer. The teeth grinding group (n = 42) was younger, used anticonvulsant drugs, and was more frequently classified within the subfunctional oral motor performance category. Teeth grinding subfunctional spastic cerebral palsy children presented lower values of maximal bite force. The functional groups showing the presence or absence of teeth grinding presented higher values of maximal bite force compared with the subfunctional groups. In spastic cerebral palsy children, teeth grinding is associated with the worse oral motor performance. © 2015 Special Care Dentistry Association and Wiley Periodicals, Inc.

Experimental Study of Tool Wear and Grinding Forces During BK-7 Glass Micro-grinding with Modified PCD Tool

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Pratap, A.; Sahoo, P.; Patra, K.; Dyakonov, A. A.

2017-09-01

This study focuses on the improvement in grinding performance of BK-7 glass using polycrystalline diamond micro-tool. Micro-tools are modified using wire EDM and performance of modified tools is compared with that of as received tool. Tool wear of different types of tools are observed. To quantify the tool wear, a method based on weight loss of tool is introduced in this study. Modified tools significantly reduce tool wear in comparison to the normal tool. Grinding forces increase with machining time due to tool wear. However, modified tools produce lesser forces thus can improve life of the PCD micro-grinding tool.

Effect of mandibular advancement device on sleep bruxism score and sleep quality.

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Solanki, Nehal; Singh, Balendra Pratap; Chand, Pooran; Siddharth, Ramashankar; Arya, Deeksha; Kumar, Lakshya; Tripathi, Suryakant; Jivanani, Hemant; Dubey, Abhishek

2017-01-01

The use of mandibular advancement devices (MADs) in the treatment of sleep bruxism is gaining widespread importance. However, the effects of MADs on sleep bruxism scores, sleep quality, and occlusal force are not clear. The purpose of this clinical study was to analyze the effect of MADs on sleep bruxism scores, sleep quality, and occlusal force. This uncontrolled before and after study enrolled 30 participants with sleep bruxism. Outcomes assessed were sleep quality, sleep bruxism scores (sleep bruxism bursts and sleep bruxism episodes/hour), and occlusal force before and after 15 and 30 days of using a MAD. Sleep bruxism scores were assessed by ambulatory polysomnography and sleep quality by using the Pittsburgh sleep quality index (PSQI). Occlusal force was recorded by using a digital gnathodynamometer in the first molar region on both sides. Statistical analysis was done by 1-factor repeated measures ANOVA (α=.05). Statistically significant reductions in sleep bruxism bursts/h, sleep bruxism episodes/h, and PSQI scores were found after 15 and 30 days of using a MAD (Pbruxism scores, sleep quality, and reduction in occlusal force in sleep bruxism participants after using MADs. Copyright © 2016 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

Awareness of tooth grinding and clenching from adolescence to young adulthood: a nine-year follow-up

NARCIS (Netherlands)

Strausz, T.; Ahlberg, J.; Lobbezoo, F.; Restrepo, C.; Hublin, C.; Ahlberg, K.; Könönen, M.

2010-01-01

How bruxism develops from adolescence to early adulthood remains unclear. A previous database was revisited to evaluate the natural course of self-reported tooth grinding and clenching among young Finns aged 14-23 using four assessments. Overall, the self-reported frequencies of both grinding and

Treatment of Bruxism in Individuals with Developmental Disabilities: A Systematic Review

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Lang, Russell; White, Pamela J.; Machalicek, Wendy; Rispoli, Mandy; Kang, Soyeon; Aquilar, Jeannie; O'Reilly, Mark; Sigafoos, Jeff; Lancioni, Giulio; Didden, Robert

2009-01-01

We reviewed studies involving the treatment of bruxism (i.e., teeth clenching or teeth grinding) in individuals with developmental disabilities. Systematic searches of electronic databases, journals, and reference lists identified 11 studies meeting the inclusion criteria. These studies were evaluated in terms of: (a) participants, (b) procedures…

Prevalence of Bruxism in Hemifacial-Spasm Patients.

Science.gov (United States)

Ella, Bruno; Guillaud, Etienne; Langbour, Nicolas; Guehl, Dominique; Burbaud, Pierre

2017-06-01

A previous study reported an increased prevalence of bruxism (25%) in patients with cranio-cervical dystonia (CCD) compared to normal controls (13%). CCD can affect the muscles of the head and neck. Besides the CCD affecting these muscles, hemifacial spasm (HFS) is a form of peripheral myoclonus due to a neurovascular conflict affecting the muscles of the face. The fact that they affect the same muscle regions could lead to other links in clinical manifestations such as bruxism, which is more common in patients with CCD than in the normal population. The aim was to study the prevalence of bruxism in patients with HFS. Patients with HFS were enrolled in the department of clinical neurophysiology (Bordeaux University Hospital) over a 6-month period. They were paired regarding age, the absence of neurological pathology or neuroleptics intake. To be included in the study, patients needed to have had unilateral involuntary facial muscle contractions affecting one hemiface. A hetero-questionnaire and a clinicial study were performed. The diagnostic criteria of bruxism included parafunction items such as grinding and clenching and at least one of the following clinical signs: abnormal tooth wear, temporomandibular joint (TMJ) pain, TMJ clicking, muscle hypertonia (masseter or temporal muscles). Additional epidemiological data were collected including age, sex, disease duration, stress, and sleep disorders. Stress symptoms inventory included symptoms like depression, strong heartbeat, dry mouth, anger, inability to concentrate, weakness, fatigability, insomnia, headache, and excessive sweating. The sleep disorder diagnosis included at least two of the symptoms described in the ICSD-3. All these criteria were recorded as either present (scored "1") or absent (scored "0"). The prevalence of bruxism in the two groups (normal and HFS) was not significantly different (p = 0.37). The rate was not significantly different between sleep and awake bruxism (p = 0.15) in both groups

Sleep bruxism associated with obstructive sleep apnoea syndrome - A pilot study using a new portable device.

Science.gov (United States)

Winck, M; Drummond, M; Viana, P; Pinho, J C; Winck, J C

Sleep bruxism (SB) and obstructive sleep apnoea syndrome (OSAS) share common pathophysiologic pathways. We aimed to study the presence and relationship of SB in a OSAS population. Patients referred with OSAS suspicion and concomitant SB complains were evaluated using a specific questionnaire, orofacial evaluation and cardio-respiratory polygraphy that could also monitor audio and EMG of the masseter muscles. From 11 patients studied 9 had OSAS. 55.6% were male, mean age was 46.3±11.3 years, and apnea hypopnea index of 11.1±5.7/h. Through specific questionnaire 55.6% had SB criteria. Orofacial examination (only feasible in 3) confirmed tooth wear in all. 77.8% had polygraphic SB criteria (SB index>2/h). Mean SB index was 5.12±3.6/h, phasic events predominated (72.7%). Concerning tooth grinding episodes, we found a mean of 10.7±9.2 per night. All OSAS patients except two (77.8%) had more than two audible tooth-grinding episodes. These two patients were the ones with the lowest SB index (1.0 and 1.4 per hour). Only in one patient could we not detect tooth grinding episodes. There was a statistically significant positive correlation between tooth grinding episodes and SB index and phasic event index (R=0.755, p=0.019 and R=0.737, p=0.023 respectively, Pearson correlation). Mean apnoea to bruxism index was 0.4/h, meaning that only a minority of SB events were not secondary to OSAS. We could not find any significant correlation between AHI and bruxism index or phasic bruxism index (R=-0.632 and R=-0.611, p>0.05, Pearson correlation). This pilot study shows that SB is a very common phenomenon in a group of mild OSAS patients, probably being secondary to it in the majority of cases. The new portable device used may add diagnostic accuracy and help to tailor therapy in this setting. Copyright © 2016 Sociedade Portuguesa de Pneumologia. Published by Elsevier España, S.L.U. All rights reserved.

Bruxism in prospective studies of veneered zirconia restorations-a systematic review.

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Schmitter, Marc; Boemicke, Wolfgang; Stober, Thomas

2014-01-01

The objectives of this work were to systematically review the effect of bruxism on the survival of zirconia restorations on teeth and to assess the prevalence of nocturnal masseter muscle activity in a clinical sample. A Medline search was performed independently and in triplicate using the term "zirconia" and activating the filter "clinical trial." Furthermore, three other electronic databases were searched using the same term. Only papers published in English on prospective studies of veneered zirconia frameworks on teeth were included. To estimate the prevalence of sleep bruxism in clinical settings, subjects with no clinical signs of bruxism and who did not report grinding and/or clenching were examined by use of a disposable electromyographic device. The initial search resulted in 107 papers, of which 22 were included in the analysis. Bruxers were excluded in 20 of these articles. In 1 study bruxers were not excluded, and 1 study did not provide information regarding this issue. The methods used to identify bruxers were heterogeneous/not described, and no study used reliable, valid methods. Of 33 subjects without clinical signs of bruxism, nocturnal muscle activity exceeded predefined muscle activity for 63.8% of the subjects. There is a lack of information about the effect of bruxism on the incidence of technical failure of veneered zirconia restorations because all available studies failed to use suitable instruments for diagnosis of bruxism. Nocturnal muscle activity without clinical symptoms/report of bruxism was observed for a relevant number of patients.

Relationship between malocclusion and bruxism in children and adolescents: a review.

Science.gov (United States)

Vanderas, A P; Manetas, K J

1995-01-01

A review of the literature on the relationship between malocclusion and bruxism is presented. Statistically significant correlations were found between different types of morphologic malocclusion such as Class II and III molar relationship, deep bite, overjet, and dental wear or grinding. The types of functional malocclusion correlated with dental wear or bruxofacets were mediotrusion interferences, anterior-posterior and vertical distance between retruded position and intercuspal position, lateral shift of the mandible together with nonfunctional side interferences. However, all studies that reported significant correlations were cross-sectional, which implies that the relationship between malocclusion and bruxism was investigated at a certain point of time. The results were not confirmed by the two longitudinal studies. Besides, the correlations were found in different age groups. Finally, the reported correlations cannot have biological significance since the biological plausibility of the causal hypothesis cannot be inferred. On the basis of this study, malocclusion does not increase the probability of bruxism, and therefore early treatment of occlusal conditions to prevent bruxism is not scientifically justified.

Bruxism frequency and dental occlusion type in a group of Mexican adolescents.

Directory of Open Access Journals (Sweden)

José Murrieta

2014-12-01

Full Text Available Introduction. Bruxism is a parafunctional habit characterized by the incessant action of grinding and clenching of the teeth improperly. It can occurred when dental occlusion is altered due to premature contacts between the teeth, and excursive occlusal interference. These conditions can alter the frequency, intensity and duration of the bruxism episode adopted. A transversal study was carried out to evaluate the frequency of the habit of bruxism and its relation with the type of dental occlusion in a group of teenagers. Material and method. A total of 278 teenagers were examined, who were signed up in high school. For the epidemiology survey, a questioner was applied and they were given a mouth exam for such end, an examiner was previously standardized (malocclusion kappa=0.89, bruxism kappa=0.93. Results. 51.5% of the teenagers presented bruxism being more frequent in the category of 17 years old with no difference of sex. The 81.4% showed some kind of dental malocclusion, out of which 57.6% were cases of malocclusion Class I, the 21.4% Class II and the 2.4% Class III, with no association noticed between both variables. Conclusion. The frequency of bruxism was high with similar distribution given the age as well as gender with no relation noticed with the type of dental occlusion or with the frequency of dental malocclusion.

The effect of wheel eccentricity and run-out on grinding forces, waviness, wheel wear and chatter

OpenAIRE

O'DONNELL, GARRET; MURPHY, STUART

2011-01-01

PUBLISHED The effect of grinding-wheel eccentricity on grinding forces, wheel wear and final waviness height was studied. Eccentricity was evident in force oscillations and acceleration and audio measurements. A model was developed to predict final scallop-profile shape from grinding parameters and eccentricity. Recommendations are given on detecting eccentricity and determining when eccentricity is tolerable.

Bruxism in children: effect on sleep architecture and daytime cognitive performance and behavior.

Science.gov (United States)

Herrera, Marcela; Valencia, Ignacio; Grant, Mitzie; Metroka, David; Chialastri, Augustine; Kothare, Sanjeev V

2006-09-01

Sleep bruxism is an involuntary mandibular movement with tooth grinding during sleep. The prevalence of sleep bruxism in children is high and may lead to frequent arousals with altered daytime functioning. We investigated the sleep architecture, the incidence of gastroesophageal reflux, and the daytime cognitive behavioral functioning in a group of children with sleep bruxism. DESIGN-PATIENTS: This prospective pilot study included 10 children. Polysomnographic data with pH-probe analysis was compared with 10 age- and sex-matched controls. Each patient completed a dental evaluation, a nighttime polysomnogram, and cognitive behavioral tests (Kaufman Brief Intelligence Test and Achenbach Child Behavior Checklist). Eight of 10 children had clinically significant bruxism and the 2 remaining patients had recent teeth exfoliation. There was no difference on sleep architecture between patients and controls, except for a higher arousal index for the bruxism group (36.7 vs 20.7, p Sleep bruxism occurred more frequently in stage 2 and rapid eye movement sleep, with arousals in 66% of the cases. There was no relationship of bruxism to gastroesophageal reflux or intelligence. However, 40% of the patients had elevated scores on the Achenbach Child Behavior Checklist, indicating significant attention and behavior problems, and there were moderate correlations between the arousal index and several of the behavior-problem scales from the Achenbach Child Behavior Checklist (0.5 to 0.6). The data suggest that children with bruxism have a higher arousal index, which may be associated with an increased incidence of attention-behavior problems. Future studies investigating pediatric sleep bruxism will need to focus on behavior issues that may be prevalent in this population.

modeling grinding modeling grinding processes as micro processes

African Journals Online (AJOL)

eobe

industrial precision grinding processes are cylindrical, center less and ... Several model shave been proposed and used to study grinding ..... grinding force for the two cases were 9.07237N/mm ..... International Journal of Machine Tools &.

Understanding bruxism in children and adolescents.

Science.gov (United States)

Saulue, Paul; Carra, Maria-Clotilde; Laluque, Jean-François; d'Incau, Emmanuel

2015-12-01

Screening for the various forms of bruxism in children and adolescents requires a sound knowledge of the physiopathology of this parafunction in addition to the etiologic and associated factors and comorbidities. The international literature contains various suggestions for suitable treatment. The optimal therapeutic approach often involves multidisciplinary management of these young patients. Sleep bruxism (SB) is a common sleep disorder which can cause serious problems to the stomatognathic system such as damaged teeth, headaches, muscle pain and TMD. Dental professionals are responsible for the detection and prevention of these harmful impacts on the patient's oral health. However, SB is much more than a question of worn teeth. Patients with SB consult for other medical comorbidities such as nighttime breathing problems, insomnia, attention deficit hyperactivity disorder, depression, moodiness and gastroesophogeal reflux before any course of treatment is initiated. If a comorbidity is diagnosed, the treatment approach will be aimed in the first instance at the medical disorder, while concurrently managing the repercussions of SB. On the other hand, in as far as the majority of young bruxers cease to grind their teeth before adolescence or adulthood, it is feasible to adopt wait-and-see and non-interventionist strategies for young children. However, it is preferable to have a better understanding of SB, notably on account of its potential association with psychological disorders during childhood. Daytime bruxism is characterized by teeth clenching (TC). First-line treatment involves encouraging patients to monitor their harmful parafunctional behavior and, consequently, change and cease it. This protocol is not always easy to apply, particularly in younger children. In such cases, cognitive-behavioral treatments and biofeedback techniques can also be used in daytime bruxism.

Surface grinding characteristics of ferrous metals under high-speed and speed-stroke grinding conditions

International Nuclear Information System (INIS)

Ghani, A.K.; Choudhury, I.A.; Ahim, M.B.

1999-01-01

Some ferrous metals have been ground under different conditions with high-speed and speed-stroke in surface grinding operation. The paper describes experimental investigation of grinding forces in grinding some ferrous metals with the application of cutting fluids. Grinding tests have been carried out on mild steel, assab steel and stainless steel with different combinations of down feed and cross feed. The wheel speed was 27 m/sec while the table speed was maintained at the maximum possible 25 m/min. The grindability has been evaluated by measuring the grinding forces, grinding ratio, and surface finish. Grinding forces have been plotted against down feed of the grinding wheel and cross feed of the table. It has been observed that the radial and tangential grinding forces in stainless steel were higher than those in assab steel and mild steel

Efficacy of botulinum toxin in treating myofascial pain and occlusal force characteristics of masticatory muscles in bruxism

Directory of Open Access Journals (Sweden)

Varsha A Jadhao

2017-01-01

Full Text Available Aim and Objective: The present study was conducted in patients with bruxism to evaluate the effect of botulinum toxin type A (BTX-A (Botox, Allergan, Inc., Irvine, CA, USA in the treatment of myofascial pain and the occlusal force characteristics of masticatory muscles. Materials and Methods: Twenty-four diagnosed with bruxism were randomly divided into three groups (n = 8 and treated by bilateral intramuscular injection of BTX-A and placebo-treated with saline placebo injections and control group where no injections were given. The clinical parameters such as pain at rest and during chewing were assessed and occlusal force analysis system to measure the distribution of occlusal force in bruxism patients. All the three groups were assessed at baseline time and at 1 week, 3 months, and 6 months follow-up appointments. Descriptive analysis showed that improvements in parameters such as pain at rest; pain during chewing clinical outcome variables were higher in the botox treated group than in the placebo-treated subjects. Results: The pain at rest and at chewing decreased in the BTX-A group while remaining constant in the placebo group and control group. There was a significant change in maximum occlusal force in the BTX-A group compared with the other two groups (P < 0.05, post hoc Bonferroni test, no exact P value, and there was no significant difference between the placebo and control groups (post hoc Bonferroni test, no exact P value. Conclusion: Results from the present study supported the efficacy of BTX-A to reduce myofascial pain symptoms in bruxers, and effective in reducing the occlusal force.

Is there an association between bruxism and intestinal parasitic infestation in children?

Science.gov (United States)

Díaz-Serrano, Kranya Victoria; da Silva, Carolina Brunelli Alvares; de Albuquerque, Sérgio; Pereira Saraiva, Maria da Conceição; Nelson-Filho, Paulo

2008-01-01

Multiple factors have been considered in the etiology of bruxism in pediatric patients, among which are infestations by intestinal parasites suggested by some authors. No empirical evidence exists, however, of such association. Therefore, this study's purpose was to investigate the existence of an association between bruxism and intestinal parasitic infestation in children. Fifty-seven 6- to 11-year-olds (30 cases and 27 controls) who had not used anthelminthics 2 months before the baseline examination were enrolled in the study. A diagnosis of bruxism was based on an intraoral clinical examination performed by a single trained examiner and on the parent/guardian's report of any perceived parafunctional habits (questionnaire-based interview). Bruxism cases were defined as those children with a report of currently perceived habits of eccentric or centric bruxism (tooth-grinding and tooth-clenching, respectively) combined with clinical evidence of nonphysiologic wear facets. The volunteers were required to collect 3 fecal samples (1 every 2 to 3 days). Parasitologic analysis was performed using the spontaneous sedimentation method. Data gathered from the intraoral clinical examination, questionnaire, and parasitologic analysis were tabulated and submitted to statistical analysis using the chi-square test and student's t test. Intestinal parasitic infestation was observed in 30% (N=9) of cases and 41% (N=11) of controls, but no statistically significant association was observed (P=.40). This study's findings do not support the existence of an association between intestinal parasitic infestation and bruxism among the evaluated pediatric population.

Clinical Management of Implant Prostheses in Patients with Bruxism

Science.gov (United States)

Komiyama, Osamu; Lobbezoo, Frank; De Laat, Antoon; Iida, Takashi; Kitagawa, Tsuyoshi; Murakami, Hiroshi; Kato, Takao; Kawara, Misao

2012-01-01

There is general agreement that excessive stress to the bone-implant interface may result in implant overload and failure. Early failure of the implant due to excessive loading occurs shortly after uncovering the implant. Excess load on a final restoration after successful implant integration can result in physical failure of the implant structure. Many clinicians believe that overload of dental implants is a risk factor for vertical peri-implant bone loss and/or may be detrimental for the suprastructure in implant prostheses. It has been documented that occlusal parafunction, such as, bruxism (tooth grinding and clenching) affects the outcome of implant prostheses, but there is no evidence for a causal relation between the failures and overload of dental implants. In spite of this lack of evidence, often metal restorations are preferred instead of porcelain for patients in whom bruxism is presumed on the basis of tooth wear. The purpose of this paper is to discuss the importance of the occlusal scheme used in implant restorations for implant longevity and to suggest a clinical approach and occlusal materials for implant prostheses in order to prevent complications related to bruxism. PMID:22701484

GABA and glutamate levels in occlusal splint-wearing males with possible bruxism.

Science.gov (United States)

Dharmadhikari, Shalmali; Romito, Laura M; Dzemidzic, Mario; Dydak, Ulrike; Xu, Jun; Bodkin, Cynthia L; Manchanda, Shalini; Byrd, Kenneth E

2015-07-01

The inhibitory neurotransmitter γ-aminobutyric acid (GABA) plays an important role in the pathophysiology of anxiety behavioural disorders such as panic disorder and post-traumatic stress disorder and is also implicated in the manifestation of tooth-grinding and clenching behaviours generally known as bruxism. In order to test whether the stress-related behaviours of tooth-grinding and clenching share similar underlying mechanisms involving GABA and other metabolites as do anxiety-related behavioural disorders, we performed a Magnetic Resonance Spectroscopy (MRS) study for accurate, in vivo metabolite quantification in anxiety-related brain regions. MRS was performed in the right hippocampus and right thalamus involved in the hypothalamic-pituitary-adrenal axis system, together with a motor planning region (dorsal anterior cingulate cortex/pre-supplementary motor area) and right dorsolateral prefrontal cortex (DLPFC). Eight occlusal splint-wearing men (OCS) with possible tooth-grinding and clenching behaviours and nine male controls (CON) with no such behaviour were studied. Repeated-measures ANOVA showed significant Group×Region interaction for GABA+ (p = 0.001) and glutamate (Glu) (p = 0.031). Between-group post hoc ANOVA showed significantly lower levels of GABA+ (p = 0.003) and higher levels of Glu (p = 0.002) in DLPFC of OCS subjects. These GABA+ and Glu group differences remained significant (GABA+, p = 0.049; Glu, p = 0.039) after the inclusion of anxiety as a covariate. Additionally, GABA and Glu levels in the DLPFC of all subjects were negatively related (Pearson's r = -0.75, p = 0.003). These findings indicate that the oral behaviours of tooth-grinding and clenching, generally known as bruxism, may be associated with disturbances in brain GABAergic and glutamatergic systems. Copyright © 2015 Elsevier Ltd. All rights reserved.

Biofeedback for treatment of awake and sleep bruxism in adults: systematic review protocol.

Science.gov (United States)

Ilovar, Sasa; Zolger, Danaja; Castrillon, Eduardo; Car, Josip; Huckvale, Kit

2014-05-02

Bruxism is a disorder of jaw-muscle activity characterised by repetitive clenching or grinding of the teeth which results in discomfort and damage to dentition. The two clinical manifestations of the condition (sleep and awake bruxism) are thought to have unrelated aetiologies but are palliated using similar techniques. The lack of a definitive treatment has prompted renewed interest in biofeedback, a behaviour change method that uses electronic detection to provide a stimulus whenever bruxism occurs. This systematic review aims to provide a comprehensive overview of the state of research into biofeedback for bruxism; to assess the efficacy and acceptability of biofeedback therapy in management of awake bruxism and, separately, sleep bruxism in adults; and to compare findings between the two variants. A systematic review of published literature examining biofeedback as an intervention directed at controlling primary bruxism in adults. We will search electronic databases and the grey literature using a predefined search strategy to identify randomised and non-randomised studies, technical reports and patents. Searches will not be restricted by language or date and will be expanded through contact with authors and experts, and by following up reference lists and citations. Two authors, working independently, will conduct screening of search results, study selection, data extraction and quality assessment and a third will resolve any disagreements. The primary outcomes of acceptability and effectiveness will be assessed using only randomised studies, segregated by bruxism subtype. A meta-analysis of these data will be conducted only if pre-defined conditions for quality and heterogeneity are met, otherwise the data will be summarized in narrative form. Data from non-randomised studies will be used to augment a narrative synthesis of the state of technical developments and any safety-related issues. PROSPERO registration number: CRD42013006880. Biofeedback is not new

Bruxism: A Literature Review

Science.gov (United States)

Reddy, S Varalakshmi; Kumar, M Praveen; Sravanthi, D; Mohsin, Abdul Habeeb Bin; Anuhya, V

2014-01-01

Parafunctional activities associated with the stomatognathic system include lip and cheek chewing, nail biting, and teeth clenching. Bruxism can be classified as awake or sleep bruxism. Patients with sleep bruxism are more likely to experience jaw pain and limitation of movement, than people who do not experience sleep bruxism. Faulty occlusion is one of the most common causes of bruxism that further leads to temporomandibular joint pain. Bruxism has been described in various ways by different authors. This article gives a review of the literature on bruxism since its first description. PMID:25628497

Bruxism: a literature review.

Science.gov (United States)

Reddy, S Varalakshmi; Kumar, M Praveen; Sravanthi, D; Mohsin, Abdul Habeeb Bin; Anuhya, V

2014-01-01

Parafunctional activities associated with the stomatognathic system include lip and cheek chewing, nail biting, and teeth clenching. Bruxism can be classified as awake or sleep bruxism. Patients with sleep bruxism are more likely to experience jaw pain and limitation of movement, than people who do not experience sleep bruxism. Faulty occlusion is one of the most common causes of bruxism that further leads to temporomandibular joint pain. Bruxism has been described in various ways by different authors. This article gives a review of the literature on bruxism since its first description.

Prevalence and potential factors associated with probable sleep or awake bruxism and dentin hypersensitivity in undergraduate students

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Neusa Barros DANTAS-NETA

Full Text Available OBJECTIVE: To measure the prevalence of probable sleep or awake bruxism and cervical dentin hypersensitivity of undergraduate students and to determine the symptoms associated with these conditions.METHODOLOGY: This was a cross-sectional study. A diagnosis of probable bruxism was reached when students reported clenching or grinding of the teeth during sleep and/or wakefulness, and when they also presented some of the signs and symptoms of bruxism and masseter muscle pain on palpation. Cervical dentinal hypersensitivity was diagnosed by testing for sensitivity to pain in the cervical region of the teeth. Pain was triggered either by touch (using a #5 probe or by an air jet spray. The sample consisted of 306 university students aged between 19 and 35 years old. The data were stored and analysed using SPSS software, version 15.0 for Windows.RESULT: The prevalence of probable bruxism was 34.3%, with no predominance regarding sex. Probable awake bruxism was more prevalent (61.9%, mostly occurring when the individual reported being in a state of mental concentration (63.1%. There was no association between probable sleep or awake bruxism and dentin hypersensitivity (p = 0.195. Individuals with probable sleep bruxism had increased odds of having muscular pain in the face upon waking (OR = 14.14, 95% CI 5.06-39.55, and those with probable awake bruxism had a increased odds of having facial muscle fatigue when chewing or talking for a long time (OR = 2.88, 95% CI 1.53-5.43 and muscular pain in the face upon waking (OR = 5.31, 95% CI 1.93-14.62.CONCLUSION: The prevalence of probable bruxism was 34.3% and that of HDC was 57.8%, with 22.2% of these subjects also showing probable bruxism. Individuals with probable bruxism tended to have a higher odds of facial pain when they awakened and when chewing or talking for long periods. There were no associations between probable sleep and awake bruxism and cervical dentin hypersensitivity.

Bruxism: A Literature Review

OpenAIRE

Reddy, S Varalakshmi; Kumar, M Praveen; Sravanthi, D; Mohsin, Abdul Habeeb Bin; Anuhya, V

2014-01-01

Parafunctional activities associated with the stomatognathic system include lip and cheek chewing, nail biting, and teeth clenching. Bruxism can be classified as awake or sleep bruxism. Patients with sleep bruxism are more likely to experience jaw pain and limitation of movement, than people who do not experience sleep bruxism. Faulty occlusion is one of the most common causes of bruxism that further leads to temporomandibular joint pain. Bruxism has been described in various ways by differen...

Weighing the potential effectiveness of various treatments for sleep bruxism.

Science.gov (United States)

Huynh, Nelly; Manzini, Christiane; Rompré, Pierre H; Lavigne, Gilles J

2007-10-01

Sleep bruxism may lead to a variety of problems, but its pathophysiology has not been completely elucidated. As such, there is no definitive treatment, but certain preventive measures and/or drugs may be used in acute cases, particularly those involving pain. This article is intended to guide clinician scientists to the treatment most appropriate for future clinical studies. To determine the best current treatment, 2 measures were used to compare the results of 10 clinical studies on sleep bruxism, 3 involving oral devices and 7 involving pharmacologic therapy. The first measure, the number needed to treat (NNT), allows several randomized clinical studies to be compared and a general conclusion to be drawn. The second measure, effect size, allows evaluation of the impact of treatment relative to a placebo using different studies of similar design. Taking into account the NNT, the effect size and the power of each study, it can be concluded that the following treatments reduce sleep bruxism: mandibular advancement device, clonidine and occlusal splint. However, the first 2 of these have been linked to adverse effects. The occlusal splint is therefore the treatment of choice, as it reduces grinding noise and protects the teeth from premature wear with no reported adverse effects. The NNT could not be calculated for an alternative pharmacologic treatment, short-term clonazepam therapy, which had a large effect size and reduced the average bruxism index. However, the risk of dependency limits its use over long periods. Assessment of efficacy and safety of the most promising treatments will require studies with larger sample sizes over longer periods.

Development of a Laser-Guided Deep-Hole Internal-Grinding Tool (Series 1) : Grinding Forces

OpenAIRE

Katsuki, Akio; Onikura, Hiromichi; Sajima, Takao; Park, Hyunkoo

2005-01-01

The laser-guided deep-hole internal grinding tool is developed to bore accurate and straight deep-holes with high surface quality. The tool consists of a grinding head, the front and rear actuators mounted on an actuator holder and a laser diode set in the back end of the holder. The grinding head consists of a diamond or CBN wheel, an air motor, and the piezoelectric actuators for the compensation of tool diameter. The grinding wheel is located eccentrically at the grinding head. The grindin...

Grinding temperature and energy ratio coefficient in MQL grinding of high-temperature nickel-base alloy by using different vegetable oils as base oil

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Li Benkai

2016-08-01

Full Text Available Vegetable oil can be used as a base oil in minimal quantity of lubrication (MQL. This study compared the performances of MQL grinding by using castor oil, soybean oil, rapeseed oil, corn oil, sunflower oil, peanut oil, and palm oil as base oils. A K-P36 numerical-control precision surface grinder was used to perform plain grinding on a workpiece material with a high-temperature nickel base alloy. A YDM–III 99 three-dimensional dynamometer was used to measure grinding force, and a clip-type thermocouple was used to determine grinding temperature. The grinding force, grinding temperature, and energy ratio coefficient of MQL grinding were compared among the seven vegetable oil types. Results revealed that (1 castor oil-based MQL grinding yields the lowest grinding force but exhibits the highest grinding temperature and energy ratio coefficient; (2 palm oil-based MQL grinding generates the second lowest grinding force but shows the lowest grinding temperature and energy ratio coefficient; (3 MQL grinding based on the five other vegetable oils produces similar grinding forces, grinding temperatures, and energy ratio coefficients, with values ranging between those of castor oil and palm oil; (4 viscosity significantly influences grinding force and grinding temperature to a greater extent than fatty acid varieties and contents in vegetable oils; (5 although more viscous vegetable oil exhibits greater lubrication and significantly lower grinding force than less viscous vegetable oil, high viscosity reduces the heat exchange capability of vegetable oil and thus yields a high grinding temperature; (6 saturated fatty acid is a more efficient lubricant than unsaturated fatty acid; and (7 a short carbon chain transfers heat more effectively than a long carbon chain. Palm oil is the optimum base oil of MQL grinding, and this base oil yields 26.98 N tangential grinding force, 87.10 N normal grinding force, 119.6 °C grinding temperature, and 42.7% energy

[Bruxism, temporo-mandibular dysfunction and botulinum toxin].

Science.gov (United States)

Chikhani, L; Dichamp, J

2003-07-01

Tooth grinding and tooth clenching are unvoluntary mainly nocturnal habits that result in an hypertrophy of masseter and temporalis muscles with an unbalance between opening and closing muscles of the jaw and lead to an alteration of mandibular condyles movements and to hyper pressure in the temporo-mandibular joints (TMJ) which can generate severe pain. Intra muscular injections of botulinum toxin permit to restablish the balance between closing and opening muscles, to relieve pain, to treat masseteric hypertrophy with improvement of face outline and to recover a normal cinetic of temporo-mandibular joints. Moreover, botulinum toxin injections permit to quit habits of tooth grinding and clenching and one single session of injections is curative for 2/3 of the patients. There are no side effects apart from slight diffusion to superficial muscles of the face resulting in a "fixed" smile for about 6 to 8 weeks. So injections of botulinum toxin in masseter and temporalis muscles are an efficient treatment of bruxism and TMJ dysfunction, cheap with no lasting side effect.

Therapies for bruxism: a systematic review and network meta-analysis (protocol).

Science.gov (United States)

Mesko, Mauro Elias; Hutton, Brian; Skupien, Jovito Adiel; Sarkis-Onofre, Rafael; Moher, David; Pereira-Cenci, Tatiana

2017-01-13

Bruxism is a sleep disorder characterized by grinding and clenching of the teeth that may be related to irreversible tooth injuries. It is a prevalent condition occurring in up to 31% of adults. However, there is no definitive answer as to which of the many currently available treatments (including drug therapy, intramuscular injections, physiotherapy, biofeedback, kinesiotherapy, use of intraoral devices, or psychological therapy) is the best for the clinical management of the different manifestations of bruxism. The aim of this systematic review and network meta-analysis is to answer the following question: what is the best treatment for adult bruxists? Comprehensive searches of the Cochrane Library, MEDLINE (via PubMed), Scopus, and LILACS will be completed using the following keywords: bruxism and therapies and related entry terms. Studies will be included, according to the eligibility criteria (Controlled Clinical Trials and Randomized Clinical Trials, considering specific outcome measures for bruxism). The reference lists of included studies will be hand searched. Relevant data will be extracted from included studies using a specially designed data extraction sheet. Risk of bias of the included studies will be assessed, and the overall strength of the evidence will be summarized (i.e., GRADE). A random effects model will be used for all pairwise meta-analyses (with a 95% confidence interval). A Bayesian network meta-analysis will explore the relative benefits between the various treatments. The review will be reported using the Preferred Reporting Items for Systematic Reviews incorporating Network Meta-Analyses (PRISMA-NMA) statement. This systematic review aims at identifying and evaluating therapies to treat bruxism. This systematic review may lead to several recommendations, for both patients and researchers, as which is the best therapy for a specific patient case and how future studies need to be designed, considering what is available now and what is

A case of sleep bruxism treated through behavioural change using hypnosis

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Shakir Quaid Johar

2012-01-01

Full Text Available The mouth has been a natural site for release of stress. Right from the time of birth, a new born child cries and attracts attention of parents during stress. As the child grows, they spit and bite to release stress and frustration. As an adult, the same child uses abusive language, alcohol, smokes, and uses drugs (all orally to release stress. Clenching, grinding, and bruxism are also a form of stress release using the oral route. Dentist is the first to detect such habit, and treat such cases with habit breaking appliances, which usually fail. This article highlights the need to refer cases for psychiatric treatment and hypnotherapy may be a choice of treatment. A female aged 26 year, reported with pain in all her teeth due to bruxism. All conventional dental treatments failed. This outlined a strong psychological component, hence hypnosis was tried. A 5-year follow-up showed no relapse.

Influence of experimental esophageal acidification on sleep bruxism: a randomized trial.

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Ohmure, H; Oikawa, K; Kanematsu, K; Saito, Y; Yamamoto, T; Nagahama, H; Tsubouchi, H; Miyawaki, S

2011-05-01

The aim of this cross-over, randomized, single-blinded trial was to examine whether intra-esophageal acidification induces sleep bruxism (SB). Polysomnography with electromyogram (EMG) of masseter muscle, audio-video recording, and esophageal pH monitoring were performed in a sleep laboratory. Twelve healthy adult males without SB participated. Intra-esophageal infusions of 5-mL acidic solution (0.1 N HCl) or saline were administered. The frequencies of EMG bursts, rhythmic masticatory muscle activity (RMMA) episodes, grinding noise, and the RMMA/microarousal ratio were significantly higher in the 20-minute period after acidic infusion than after saline infusion. RMMA episodes including SB were induced by esophageal acidification. This trial is registered with the UMIN Clinical Trials Registry, UMIN000002923. ASDA, American Sleep Disorders Association; EMG, electromyogram; GER, gastroesophageal reflux; LES, lower esophageal sphincter; NREM, non-rapid eye movement; REM, rapid eye movement; RMMA, rhythmic masticatory muscle activity; SB, sleep bruxism; SD, standard deviation; UES, upper esophageal sphincter.

Relationship between Bruxism and Malocclusion among Preschool Children in Isfahan

Science.gov (United States)

Ghafournia, Maryam; Hajenourozali Tehrani, Maryam

2012-01-01

Background and aims Bruxism is defined as a habitual nonfunctional forceful contact between occlusal tooth surfaces. In younger children bruxism may be a consequence of the masticatory neuromuscular system immaturity. The aim of this study was to assess the prevalence of bruxism and investigate the relationship between occlusal factors and bruxism among preschool children. Materials and methods In this cross-sectional survey, 400 3-6-year-old children were selected randomly from different preschools in Isfahan, Iran. The subjects were divided into two groups of bruxers and non-bruxers as determined by the clinical examination and their parents’ reports. The examiner recorded the primary canines (Class I, Class II, and Class III) and molars (mesial step, distal step, flash terminal plane) relationship, existence of anterior and posterior crossbite, open and deep bite. Also, rotated teeth, food impaction, sharp tooth edges, high restorations, extensive tooth caries, and painful teeth (categorized as irritating tooth conditions) were evaluated. The relationship between bruxism and occlusal factors and irritating tooth conditions was evaluated with chi-square test. Results Bruxism was seen in 12.75% of the subjects. Statistically significant relationships existed between bruxism and some occlusal factors, such as flash terminal plane (P = 0.023) and mesial step (P = 0.001) and also, between food impaction, extensive tooth caries, tooth pain, sharp tooth edge and bruxism. Conclusion The results showed significant relationship of bruxism with primary molar relationships and irritating tooth conditions among preschool children. PMID:23277860

The effect of hydroxyzine on treating bruxism of 2- to 14-year-old children admitted to the clinic of Bandar Abbas Children Hospital in 2013-2014

OpenAIRE

Rahmati, M; Moayedi, A; Zakery Shahvari, S; Golmirzaei, J; Zahirinea, M; Abbasi, B

2015-01-01

Introduction. Bruxism is to press or grind teeth against each other in non-physiologic cases, when an individual does not swallow or chew. If not treated, teeth problems, stress, mental disorders, frequent night waking, and headache is expected. This research aimed to study the effect of hydroxyzine on treating bruxism of 2- to 14-year-old children admitted to the clinic of Bandar Abbas Children Hospital. Methodology. In this clinical trial, 143 children with the ages between 4-12 years were ...

Grinding temperature and energy ratio coe cient in MQL grinding of high-temperature nickel-base alloy by using di erent vegetable oils as base oil

Institute of Scientific and Technical Information of China (English)

Li Benkai; Li Changhe; Zhang Yanbin; Wang Yaogang; Jia Dongzhou; Yang Min

2016-01-01

Vegetable oil can be used as a base oil in minimal quantity of lubrication (MQL). This study compared the performances of MQL grinding by using castor oil, soybean oil, rapeseed oil, corn oil, sunflower oil, peanut oil, and palm oil as base oils. A K-P36 numerical-control precision surface grinder was used to perform plain grinding on a workpiece material with a high-temperature nickel base alloy. A YDM–III 99 three-dimensional dynamometer was used to measure grinding force, and a clip-type thermocouple was used to determine grinding temperature. The grinding force, grind-ing temperature, and energy ratio coefficient of MQL grinding were compared among the seven veg-etable oil types. Results revealed that (1) castor oil-based MQL grinding yields the lowest grinding force but exhibits the highest grinding temperature and energy ratio coefficient;(2) palm oil-based MQL grinding generates the second lowest grinding force but shows the lowest grinding temperature and energy ratio coefficient;(3) MQL grinding based on the five other vegetable oils produces similar grinding forces, grinding temperatures, and energy ratio coefficients, with values ranging between those of castor oil and palm oil;(4) viscosity significantly influences grinding force and grinding tem-perature to a greater extent than fatty acid varieties and contents in vegetable oils;(5) although more viscous vegetable oil exhibits greater lubrication and significantly lower grinding force than less vis-cous vegetable oil, high viscosity reduces the heat exchange capability of vegetable oil and thus yields a high grinding temperature;(6) saturated fatty acid is a more efficient lubricant than unsaturated fatty acid;and (7) a short carbon chain transfers heat more effectively than a long carbon chain. Palm oil is the optimum base oil of MQL grinding, and this base oil yields 26.98 N tangential grinding force, 87.10 N normal grinding force, 119.6 °C grinding temperature, and 42.7%energy ratio coefficient

Use of the Grindcare® device in the management of nocturnal bruxism: a pilot study.

Science.gov (United States)

Needham, R; Davies, S J

2013-07-01

Bruxism may be described as a diurnal or nocturnal parafunction, characterised by clenching, bracing, gnashing or grinding of the teeth and jaws. The aim of the management of bruxism should be to control or reduce the level of activity where possible. A variety of treatment strategies have been employed to achieve this including hypnosis, occlusal equilibration, splint therapy, physiotherapy and acupuncture. A more recent approach is the use of biofeedback. Nineteen consecutive patients were recruited from the temporomandibular joint dysfunction (TMD) clinic at Manchester Dental Hospital, all of whom were known bruxists. They were supplied with the Grindcare® device (Medotech) and instructed to wear it every night over the five-week observation period. By monitoring electromyographic (EMG) muscle activity, the device is able to emit low-voltage electrical impulses as it senses a clenching or grinding episode, bringing about muscle relaxation. Eleven of the nineteen patients (58%) reported a major reduction in the occurrence of headaches and discomfort of the masticatory muscles on waking. Female and younger subjects responded more favourably than male and older subjects respectively. The use of biofeedback could reduce the level of parafunctional activity and bring about meaningful symptomatic improvement. No adverse effects occurred throughout the study period.

Effect of trazodone on sleep bruxism in children and adolescents 6-18 years of age, a pilot study

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Fereshteh Shakibaei

2008-02-01

Full Text Available

• BACKGROUND: Sleep bruxism is a common sleep disorder with unclear etiology and no definitive treatment. Recent
• suggested medications are not often practically used due to their numerous limitations. Based on the fact that sleep bruxism occurs most often in the second stage of non-REM sleep, this study aimed to assess the effect of trazodone on sleep bruxism.
  
• METHODS: This pilot study was conducted as a before-after design on 28 children and adolescents with 6-18 years of age suffering from sleep bruxism referring by children and adolescents mental health clinic, children dental specialists and pediatricians. The treatment started with 0.5mg/kg/day. In non-responders, it was weekly added by 0.5 mg/kg/day (with optimum of 2 mg/kg/day. Frequency of bruxism and related morning face/jaw pain were assessed daily from two weeks before (baseline to four weeks after starting the intervention by the parents/roommate.
• RESULTS: Findings showed a significant reduction in the frequency of both bruxism and related morning pain from baseline to the 2nd and the 4th weeks of the intervention (P<0.001. Minor side effects such as drowsiness, nausea and dry mouth were seen among approximately one-third of the patients. These side effects were self-limited and tolerable.
• CONCLUSIONS: Trazodone could be effective in reducing the frequency of sleep bruxism and its related morning face/jaw pain. Well-designed placebo-controlled trials are needed to confirm the results.
• KEY WORDS: Sleep bruxism, trazodone, teeth clenching, teeth grinding.

Current Treatments of Bruxism

OpenAIRE

Guaita, Marc; H?gl, Birgit

2016-01-01

Opinion statement Despite numerous case reports, the evidence for treatment of bruxism is still low. Different treatment modalities (behavioral techniques, intraoral devices, medications, and contingent electrical stimulation) have been applied. A clinical evaluation is needed to differentiate between awake bruxism and sleep bruxism and rule out any medical disorder or medication that could be behind its appearance (secondary bruxism). A polysomnography is required only in a few cases of slee...

Sleep bruxism, awake bruxism and sleep quality among Brazilian dental students: a cross-sectional study.

Science.gov (United States)

Serra-Negra, Júnia Maria; Scarpelli, Ana Carolina; Tirsa-Costa, Débora; Guimarães, Flávia Helena; Pordeus, Isabela Almeida; Paiva, Saul Martins

2014-01-01

The aim of the study was to evaluate the association of sleep bruxism, awake bruxism and sleep quality among dental students of the Federal University of Minas Gerais, Belo Horizonte, Brazil. A cross-sectional study was performed including 183 Brazilian dental students aged from 17 to 46 years old. The complete course curriculum consists of 9 semesters. Students enrolled in the first semester, the middle semester and the final semester of the course participated in the survey. The PSQI-BR (the Brazilian version of the Pittsburgh Sleep Questionnaire Index) was used for data collection. The PSQI-BR was distributed during lecture classes. Sleep bruxism and awake bruxism diagnosis was based on self-reported data. Descriptive analysis, Kruskal-Wallis, Mann-Whitney and Poisson regression with robust estimator were the statistical tests used. Sleep bruxism prevalence was 21.5% and awake bruxism prevalence was 36.5%. Sleep duration components were associated with sleep bruxism (PR=1.540; 95% CI: 1.00-2.37) and awake bruxism (PR=1.344; 95% CI: 1,008-1,790). There was an association between awake bruxism and habitual sleep efficiency component (PR=1.323; 95% CI: 1.03-1.70). Sleep disturbance component and awake bruxism were associated (PR=1.533; 95% CI: 1.03-2.27). Poor sleep quality was an important factor among dental students, who reported sleep bruxism as well as among those who presented awake bruxism.

OCCLUSION AND ARTICULATION IN BRUXISM AND BRUXOMANIA INVESTIGATED WITH THE SYSTEM T-SCAN III.

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Mariana Dimova

2014-11-01

Full Text Available Aim: To be analyzed common features of occlusal relationships in patients with bruxism and bruxomania at maximum intercuspation (MIP and eccentric jaw movements. Materials and Methods: 30 patients (22 women and 8 men, mean aged of 42,8 ± 13,3 with bruxism and/or bruxomania are examined with the system T-Scan III. Sequence of records is - at maximum intercuspation (MIP; in manual leading to central relation and in eccentric jaw movements. In the same sequence is investigated control group - 30 people (15 women and 15 men aged between 21 and 45 who didn’t have bruxism and/or bruxomania and dentition is preserved. Results: In the control group 85% of cases there is a balance of forces in both halves of the dental arch. In patients with bruxism is established uneven distribution of forces in MIP and articulation blockages (95%. There are three major reasons that impede spontaneous bilateral closing - force outliers (93% of cases; low force outliers (82% and presence of interceptive contacts and sliding occurring in the beginning of occlusion time until MIP (in all patients. Conclusions: In order to achieve a balanced occlusion in patients with bruxism and/or bruxomania required are correct diagnosis, registration and removal of preliminary contacts, articulation blockages and infraocclusion. Occlusal analysis is objective and an indicator of subsequent treatment only when it is a combination of clinical, instrumental and computerized occlusal analysis.

BRUXISM, PERLUKAH DIRAWAT? (TINJAUAN PUSTAKA

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Laura Susanti Himawan

2015-08-01

Full Text Available Every dentist knows about bruxism. However, the etiology, the treatment, and the relationship between bruxism and temporomandibular disorders (TMD are still unknown and controversional. Bruxism can happen to all ages, from children (15% of all children to adults (96% of all adults, male and female. Given the data, what can a dentist do to help the patient with bruxism? The various clinical signs that can be found in these patients are excessive tooth wear, muscle and joint fatigue, headache, tooth sensitivity or mobility, fractures of teeth and restorations, as well as TMD symptoms. Currently no method can permanently eliminate bruxism, but there are several ways to help patients with symptoms caused by parafunctions. Two categories of bruxism are bruxism withous symptoms and bruxism with symptoms that lead to temporomandibular disorders. To make the patient aware of the destructive parafunctional activities, self-monitoring, biofeedback, medications, occlusal adjustment and fabricating a splint can reduce the unfavorable consequences of bruxism. Although they usually do not stop it. Periodical control is advisable.

Sleep bruxism possibly triggered by multiple sclerosis attacks and treated successfully with botulinum toxin: Report of three cases.

Science.gov (United States)

Sevim, Serhan; Kaleağası, Hakan; Fidancı, Halit

2015-09-01

Sleep bruxism refers to a nocturnal parafunctional activity including the clenching, grinding or gnashing of teeth. While most of the nocturnal bruxism cases seen in the general population are apparently idiopathic, it has been reported to be associated with a range of neurological diseases such as Huntington's disease, cranio-cervical dystonia and post-anoxic brain damage, but not multiple sclerosis (MS). We describe three cases of MS patients who have had moderate to severe complaints of bruxism in the two weeks following their relevant MS attacks. None of the three patients had a diagnosis of bruxism prior to her attack. The diagnosis was confirmed in one out of three by a polysomnography. One patient did not have any complaints related to bruxism previous to her attack, whereas two had mild and infrequent complaints. The symptoms of the relevant attacks were left hemihypesthesia in all and hemiparesis in two. None of the patients had spasticity that could result in severe teeth clenching. All three patients presented with morning headaches and jaw pain or tightness and were treated successfully with botulinum toxin (Btx) injections applied to their masseter and temporalis muscles. The cause of bruxism is controversial but lesions of the cortico-basalganglia-thalamo-cotrical loops are thought to be most likely. However, acute or chronic lesions in those pathways were not demonstrated in the 3 patients. It is feasible that they had normal appearing white matter interruptions in their cortico-basalganglia-thalamocortical loops along with their relevant attack. Copyright © 2015 Elsevier B.V. All rights reserved.

Incidence of bruxism in TMD population.

Science.gov (United States)

Chandwani, Briesh; Ceneviz, Caroline; Mehta, Noshir; Scrivani, Steven

2011-01-01

The objective of the study presented here was to examine the incidence of bruxism in patients suffering from temporomandibular disorders. Two cohorts of patients suffering from temporomandibular disorders were evaluated. One group, composed of 163 patients, was asked specifically about the occurrence of bruxism, while the other group, composed of 200 patients, was not specifically asked about bruxism (self-reporting). The incidence of bruxism was only 20.5% for the group that only self-reported bruxism, while the incidence was 65% when asked specifically about bruxism. It is critical to ask specifically about bruxism. Patients are more likely to report bruxism when asked specifically about it. It is important to incorporate this as part of a TMD evaluation.

Botulinum toxin in bruxism treatment

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Piotr Piech

2017-07-01

Full Text Available Introduction: Bruxism is defined as abnormal, fixed, unconscious chewing organ function, deviating qualitatively and quantitatively from normal function. Another definition speaks of motor dysfunction in the mouth, characterized by grinding and clenching of the teeth, occurring during sleep. The etiology of this disorder has not been explained until now, but it is believed to be related to localized, mental, nervous and neurotransmitter disorders. Purpose: The aim of the study is to review literature and knowledge about the use of botulinum toxin in the treatment of bruxism. Methods of treatment: The patient reports to the physician usually after a distressing, difficult to locate pain. The basis for proper treatment is to detect parafunctions and to make the patient aware of their existence. Diagnostic symptoms include dentinal lesions, recesses, enamel cracks and abfractive cavities, as well as changes in the mucosal area of the cheeks. Treatment begins with the use of an occlusive therapy to relax muscles, reduce parafunction and relieve pain. In the form of severe pain, NSAIDs are introduced and, if necessary, anxiolytics, sedatives and antidepressants. In the absence of response to the treatment used, botulinum toxin type A injections are used. The dose of the agent depends on the initial muscle tone and the effect of decrease in its activity is maintained for 4 to 6 months. Conclusions: The use of botulinum toxin makes it possible to selectively exclude overactive muscles, which is a great advantage over other techniques. An additional benefit of this therapy is achieved good cosmetic effect, reversible effect and minimal amount of side effects.

The clinical management of awake bruxism.

Science.gov (United States)

Goldstein, Ronald E; Auclair Clark, Wendy

2017-06-01

Awake bruxism is a common clinical condition that often goes undetected, often leading to pain or damaged teeth and restorations. The authors searched electronic databases regarding the treatment and effects of awake bruxism compared with those of sleep bruxism. The authors used the search terms diurnal bruxism and oral parafunction. The authors combined information from relevant literature with clinical experience to establish a recommended protocol for diagnosis and treatment. The authors found articles regarding the diagnosis and treatment of bruxism. The authors combined information from the articles with a review of clinical cases to establish a treatment protocol for awake bruxism. Literature and clinical experience indicate a lack of patient awareness and, thus, underreporting of awake bruxism. As a result, myriad dental consequences can occur from bruxism. The authors propose a need for increased awareness, for both patients and professionals, particularly of the number of conditions related to awake bruxism. Clinicians should look for clinical signs and symptoms of awake bruxism and use minimally invasive treatment modalities. Copyright © 2017 American Dental Association. Published by Elsevier Inc. All rights reserved.

Novel System for Bite-Force Sensing and Monitoring Based on Magnetic Near Field Communication

Directory of Open Access Journals (Sweden)

Jesús Sanz Maudes

2012-08-01

Full Text Available Intraoral devices for bite-force sensing have several applications in odontology and maxillofacial surgery, as bite-force measurements provide additional information to help understand the characteristics of bruxism disorders and can also be of help for the evaluation of post-surgical evolution and for comparison of alternative treatments. A new system for measuring human bite forces is proposed in this work. This system has future applications for the monitoring of bruxism events and as a complement for its conventional diagnosis. Bruxism is a pathology consisting of grinding or tight clenching of the upper and lower teeth, which leads to several problems such as lesions to the teeth, headaches, orofacial pain and important disorders of the temporomandibular joint. The prototype uses a magnetic field communication scheme similar to low-frequency radio frequency identification (RFID technology (NFC. The reader generates a low-frequency magnetic field that is used as the information carrier and powers the sensor. The system is notable because it uses an intra-mouth passive sensor and an external interrogator, which remotely records and processes information regarding a patient’s dental activity. This permits a quantitative assessment of bite-force, without requiring intra-mouth batteries, and can provide supplementary information to polysomnographic recordings, current most adequate early diagnostic method, so as to initiate corrective actions before irreversible dental wear appears. In addition to describing the system’s operational principles and the manufacture of personalized prototypes, this report will also demonstrate the feasibility of the system and results from the first in vitro and in vivo trials.

Peran 'Oral Splint' pada Bruxisme

Directory of Open Access Journals (Sweden)

Antonia Tanzil

2013-07-01

Full Text Available Oral splints have been frequently used in the treatment of bruxism to protect teeth and periodontium from damage, but the mechanism of action and efficacy of oral splints remain controversial. It has been suggested that they can be used to treat bruxism, based on the assumption that the device can eliminate or remove occlusal interference. Currently there are no reliable data to support the assumption of occlusion as an etiologic factor for bruxism, because several other factors have a role in bruxism, such as psychiatric, neurological and systemic disorders. In this paper, the mechanism of action and efficacy of oral splints in bruxism are discussed. Conclusions: although oral splint may be beneficial in protecting the dentition, the efficacy of this device in reducing bruxism is still not confirmed. There are several aspects that would support the broad usage of oral splints in the treatment of bruxism, but there are also limitations associated with each of these aspects. In conclusion, oral splints can be considered as useful adjuncts in the management of sleep bruxism but not as a definitive treatment.DOI: 10.14693/jdi.v15i1.82

Bruxism: Conceptual discussion and review

Science.gov (United States)

Murali, R. V.; Rangarajan, Priyadarshni; Mounissamy, Anjana

2015-01-01

Bruxism is commonly considered a detrimental motor activity, potentially causing overload of the stomatognathic structures. The etiology of bruxism is unclear, but the condition has been associated with stress, occlusal disorders, allergies and sleep positioning. Due to its nonspecific pathology, bruxism may be difficult to diagnose. Unfortunately, very little data exists on the subject of a cause-and-effect relationship of bruxism to the point that expert opinions and cautionary approaches are still considered the best available sources for suggesting good practice indicators. The present paper reviewed current concepts on bruxism, etiology, diagnosis and management, underlining its effects on dental structures in an attempt to provide clinically useful suggestions based on scientifically sound data. PMID:26015729

Chewing over bruxism

NARCIS (Netherlands)

Lobbezoo, F.

2014-01-01

Bruxism has been studied increasingly over the past decades. Nevertheless, many aspects of this disorder are still unclear. In this article, a concise overview is provided on the current insights into sleep and awake bruxism, especially related to its definition, epidemiology, etiology,

Numerical Simulation of a Grinding Process for the Spatial Work-pieces: a Model of the Workpiece and Grinding Wheel

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I. A. Kiselev

2015-01-01

Full Text Available The paper describes a spatial grinding dynamics mathematical model. This model includes a grinding wheel dynamics model, a work-piece dynamics model, and a numerical algorithm of geometric modeling as well. The geometric modeling algorithm is based on the Z-buffer method with author’s modifications. This algorithm allows us to simulate the formation of a new workpiece surface when removing material and as well as to determine the cutting layer thickness for each abrasive grain of the grinding wheel. The use of the surface cell bilinear approximation and the simultaneous use of multiple projection directions are the special features of the algorithm. These features improve modeling quality of machined surface. The grinding wheel model is represented as cutting micro-edges (grains set. Abrasive grains are randomly distributed on the wheel outer surface. Grains size, shape, wheel structure and graininess are taken into account. To determine the uncut chip thickness, which is cut off by each grain of the grinding wheel is used the algorithm, which finds intersection point of uncut work-piece surface with radial ray passing through the grain cutting edge. Grinding forces for each grain are defined based on the cutting layer thickness value using the phenomenological models described in the literature. Using transformations described in the article, grinding forces determined for each grain are reduced to the total grinding force, which acts on the tool and machined work-piece in the appropriate coordinate systems. Work-piece dynamics is modeled with the help of the finite element method using quadratic tetrahedral elements. The described model of spatial grinding dynamics makes it possible to evaluate the level of vibration and grinding forces, as well as the shape errors and surface quality of machined work-piece.

Risk factors for bruxism among Croatian navy employees.

Science.gov (United States)

Alajbeg, I Z; Zuvela, A; Tarle, Z

2012-09-01

The aim of the study was to evaluate the relationship between bruxism, and sociodemographic parameters, symptoms of temporomandibular disorders (TMD), personality and war experience among Croatian navy employees. The sample included 1092 subjects, aged 20-60 years (mean age 37·06 ± 7·85). An individual's bruxism status was based on clinical oral examination and participants' report of bruxism. Subjects with bruxism index values ≥ 90th percentile were included in severe bruxism group (n = 111), and those with scores below 90th percentile were labelled as negligible bruxism group (n = 981). No differences were found in gender distribution between the two groups. The proportion of military personnel presenting with bruxism is double the proportion of administrative employees with bruxism. A total of 23·34% subjects in negligible bruxism group and 48·65% in severe bruxism group participated in the war. Subjects in severe bruxism group presented more TMD-related signs and symptoms than those in negligible bruxism group. Higher prevalence of neuroticism and psychoticism was found in severe bruxism group. According to logistic regression, the probability of severe bruxism was significantly associated with marital status [Odds ratio (OR) 6·859, 95% confidence interval (CI) 3·869-12·158 P bruxism than non-smokers. Subjects who participated in war were more represented in severe bruxism group. Further studies, including other potential risk factors, are required to clarify these relationships. © 2012 Blackwell Publishing Ltd.

Evaluation of a Proton Pump Inhibitor for Sleep Bruxism: A Randomized Clinical Trial.

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Ohmure, H; Kanematsu-Hashimoto, K; Nagayama, K; Taguchi, H; Ido, A; Tominaga, K; Arakawa, T; Miyawaki, S

2016-12-01

Bruxism is a repetitive jaw-muscle activity characterized by clenching or grinding of the teeth and/or bracing or thrusting of the mandible. Recent advances have clarified the relationship between gastroesophageal reflux and sleep bruxism (SB). However, the influence of pharmacological elimination of gastric acid secretion on SB has not been confirmed. The authors aimed to assess the efficacy of a proton pump inhibitor (PPI) on SB and to examine the gastrointestinal (GI) symptoms and endoscopic findings of the upper GI tract in SB patients. The authors performed a randomized double-blind placebo-controlled crossover study at Kagoshima University Hospital. Twelve patients with polysomnography (PSG)-diagnosed SB underwent an assessment of GI symptoms using the frequency scale for the symptoms of gastroesophageal reflux disease (FSSG) and esophagogastroduodenoscopy. At baseline (i.e., before interventions), the mean frequencies of electromyography (EMG) bursts and rhythmic masticatory muscle activity (RMMA) episodes were 65.4 ± 49.0 bursts/h and 7.0 ± 4.8 episodes/h, respectively, and at least 1 RMMA episode with grinding noise was confirmed in all participants. The mean FSSG score was 8.4 ± 5.6, and 41.7% of patients were diagnosed with gastroesophageal reflux disease. Mild reflux esophagitis was confirmed in 6 patients. PSG, including EMG of the left masseter muscle and audio-video recording, was performed on days 4 and 5 of administration of 10 mg of the PPI (rabeprazole) or placebo. PPI administration yielded a significant reduction in the frequency of EMG bursts, RMMA episodes, and grinding noise. No significant differences were observed regarding the swallowing events and sleep variables. Since the clinical application of PPI for SB treatment should remain on hold at present, the results of this trial highlight the potential application of pharmacological gastroesophageal reflux disease treatment for SB patients. Larger scale studies are warranted to

Sleep bruxism. Conceptual review and update.

Science.gov (United States)

de la Hoz-Aizpurua, José-Luis; Díaz-Alonso, Esperanza; LaTouche-Arbizu, Roy; Mesa-Jiménez, Juan

2011-03-01

Sleep bruxism (SB) is a parafunctional oromotor habit that can sometimes pose a threat to the integrity of the structures of the masticatory system if the magnitude and direction of the forces exerted exceed the system 's adaptive capacity. Over the years science has tried to provide a consistent explanation of the etiopathogenesis and physiopathology of SB, although the pathophysiological mechanisms are even now not yet fully understood. There is at present no specific, effective treatment to eliminate the habit of bruxism permanently. There are only palliative therapeutic alternatives steered at preventing the pathological effects of SB on the stomatognathic system and alleviating the negative clinical consequences of the habit. The objective of this article is to review and update the fundamental scientific concepts of SB and to furnish an approach to the main types of therapy used, based on the scientific literature.

Relationships between craniofacial pain and bruxism.

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Svensson, P; Jadidi, F; Arima, T; Baad-Hansen, L; Sessle, B J

2008-07-01

A still commonly held view in the literature and clinical practice is that bruxism causes pain because of overloading of the musculoskeletal tissue and craniofacial pain, on the other hand, triggers more bruxism. Furthermore, it is often believed that there is a dose-response gradient so that more bruxism (intensity, duration) leads to more overloading and pain. Provided the existence of efficient techniques to treat bruxism, it would be straightforward in such a simple system to target bruxism as the cause of pain and hence treat the pain. Of course, human biological systems are much more complex and therefore, it is no surprise that the relationship between bruxism and pain is far from being simple or even linear. Indeed, there are unexpected relationships, which complicate the establishment of adequate explanatory models. Part of the reason is the complexity of the bruxism in itself, which presents significant challenges related to operationalized criteria and diagnostic tools and underlying pathophysiology issues, which have been dealt with in other reviews in this issue. However, another important reason is the multifaceted nature of craniofacial pain. This review will address our current understanding of classification issues, epidemiology and neurobiological mechanisms of craniofacial pain. Experimental models of bruxism may help to further the understanding of the relationship between craniofacial pain and bruxism in addition to insights from intervention studies. The review will enable clinicians to understand the reasons why simple cause-effect relationships between bruxism and craniofacial pain are inadequate and the current implications for management of craniofacial pain.

Dental wear caused by association between bruxism and gastroesophageal reflux disease: a rehabilitation report

Directory of Open Access Journals (Sweden)

Naila Aparecida de Godoi Machado

2007-08-01

Full Text Available Bruxism is a pathological activity of the stomatognathic system that involves tooth grinding and clenching during parafunctional jaw movements. Clinical signs of bruxism are mostly related to dental wear and muscular and joint discomforts, but a large number of etiological factors can be listed, as local, systemic, psychological and hereditary factors. The association between bruxism, feeding and smoking habits and digestive disorders may lead to serious consequences to dental and related structures, involving dental alterations (wear, fractures and cracks, periodontal signs (gingival recession and tooth mobility and muscle-joint sensivity, demanding a multidisciplinary treatment plan. This paper presents a case report in which bruxism associated with acid feeding, smoking habit and episodes of gastric reflow caused severe tooth wear and great muscular discomfort with daily headache episodes. From the diagnosis, a multidisciplinary treatment plan was established. The initial treatment approach consisted of medical follow up with counseling on diet and smoking habits and management of the gastric disorders. This was followed by the installation of an interocclusal acrylic device in centric relation of occlusion (CRO for reestablishment of the occlusal stability, vertical dimension of occlusion, anterior guides and return to normal muscle activity (90-day use approximately. After remission of initial symptoms, oral rehabilitation was implemented in CRO by means of full resin composite restorations and new interocclusal device for protection of restorations. Satisfactory esthetics, improved function and occlusal stability were obtained after oral rehabilitation. The patient has attended annual follow-ups for the past 2 years. The multidisciplinary treatment seems to be the key for a successful rehabilitation of severe cases of dental wear involving the association of different health disorders.

Dental wear caused by association between bruxism and gastroesophageal reflux disease: a rehabilitation report.

Science.gov (United States)

Machado, Naila Aparecida de Godoi; Fonseca, Rodrigo Borges; Branco, Carolina Assaf; Barbosa, Gustavo Augusto Seabra; Fernandes Neto, Alfredo Júlio; Soares, Carlos José

2007-08-01

Bruxism is a pathological activity of the stomatognathic system that involves tooth grinding and clenching during parafunctional jaw movements. Clinical signs of bruxism are mostly related to dental wear and muscular and joint discomforts, but a large number of etiological factors can be listed, as local, systemic, psychological and hereditary factors. The association between bruxism, feeding and smoking habits and digestive disorders may lead to serious consequences to dental and related structures, involving dental alterations (wear, fractures and cracks), periodontal signs (gingival recession and tooth mobility) and muscle-joint sensitivity, demanding a multidisciplinary treatment plan. This paper presents a case report in which bruxism associated with acid feeding, smoking habit and episodes of gastric reflow caused severe tooth wear and great muscular discomfort with daily headache episodes. From the diagnosis, a multidisciplinary treatment plan was established. The initial treatment approach consisted of medical follow up with counseling on diet and smoking habits and management of the gastric disorders. This was followed by the installation of an interocclusal acrylic device in centric relation of occlusion (CRO) for reestablishment of the occlusal stability, vertical dimension of occlusion, anterior guides and return to normal muscle activity (90-day use approximately). After remission of initial symptoms, oral rehabilitation was implemented in CRO by means of full resin composite restorations and new interocclusal device for protection of restorations. Satisfactory esthetics, improved function and occlusal stability were obtained after oral rehabilitation. The patient has attended annual follow-ups for the past 2 years. The multidisciplinary treatment seems to be the key for a successful rehabilitation of severe cases of dental wear involving the association of different health disorders.

Effectiveness of two physical therapy interventions, relative to dental treatment in individuals with bruxism: study protocol of a randomized clinical trial.

Science.gov (United States)

Santos Miotto Amorim, Cinthia; Firsoff, Eliete Ferreira Osses; Vieira, Glauco Fioranelli; Costa, Jecilene Rosana; Marques, Amélia Pasqual

2014-01-07

Bruxism is a parafunctional habit characterized by grinding and/or clenching of the teeth. It may happen while awake (awake bruxism) or while sleeping (sleep bruxism). In adults, the prevalence is 20% for the awake bruxism and 8% for the sleep bruxism. Peripheral, central, and psychosocial factors influence the disorder, which may predispose to pain in the masticatory muscles and neck, headache, decreased pain thresholds in the masticatory and cervical muscles, limitation mandibular range of motion, sleep disorders, stress, anxiety, depression, and overall impairment of oral health. The aim of this study is to compare two distinct physical therapy interventions with dental treatment in pain, mandibular range of motion, sleep quality, anxiety, stress, depression, and oral health in individuals with bruxism. Participants will be randomized into one of three groups: Group 1 (n=24) intervention will consist of massage and stretching exercises; Group 2 (n=24) will consist of relaxation and imagination therapies; and Group 3 (n=24) will receive dental treatment. The evaluations will be performed at baseline, immediately after treatment, and at 2-month follow-up. Pain intensity will be assessed using the visual analogical scale, while pain thresholds will be determined using dolorimetry. Mandibular range of motion will be assessed using digital pachymeter. Sleep quality will be assessed by the Pittsburgh Sleep Quality Index, anxiety by the State-Trait Anxiety Inventory, stress by the Perceived Stress Scale-10, depression by the Beck Depression Inventory, and oral health will be assessed using the Oral Health Impact Profile--14. Significance level will be determined at the 5% level. This project describes the randomization method that will be used to compare two physical therapy interventions with dental treatment in the management of pain, mandibular range of motion, sleep quality, anxiety, stress, depression, and oral health in individuals with bruxism. The study will

Bruxism in craniocervical dystonia: a prospective study.

Science.gov (United States)

Borie, Laetitia; Langbour, Nicolas; Guehl, Dominique; Burbaud, Pierre; Ella, Bruno

2016-09-01

Bruxism pathophysiology remains unclear, and its occurrence has been poorly investigated in movement disorders. The aim of this study was to compare the frequency of bruxism in patients with craniocervical dystonia vs. normal controls and to determine its associated clinical features. This is a prospective-control study. A total of 114 dystonic subjects (45 facial dystonia, 69 cervical dystonia) and 182 controls were included. Bruxism was diagnosed using a hetero-questionnaire and a clinical examination performed by trained dentists. Occurrence of bruxism was compared between the different study populations. A binomial logistic regression analysis was used to determine which clinical features influenced bruxism occurrence in each population. The frequency of bruxism was significantly higher in the dystonic group than in normal controls but there was no difference between facial and cervical dystonia. It was also higher in women than in men. Bruxism features were similar between normal controls and dystonic patients except for a higher score of temporomandibular jaw pain in the dystonic group. The higher frequency of bruxism in dystonic patients suggests that bruxism is increased in patients with basal ganglia dysfunction but that its nature does not differ from that seen in bruxers from the normal population.

Evaluation of muscle activity, bite force and salivary cortisol in children with bruxism before and after low level laser applied to acupoints: study protocol for a randomised controlled trial.

Science.gov (United States)

Salgueiro, Mônica da Consolação Canuto; Bortoletto, Carolina Carvalho; Horliana, Anna Carolina RattoTempestini; Mota, Ana Carolina Costa; Motta, Lara Jansiski; Motta, Pamella de Barros; MesquitaFerrari, Raquel Agnelli; Fernandes, Kristianne Porta Santos; Bussadori, Sandra Kalil

2017-08-08

Bruxism is a repetitive activity that causes tooth wear, audible sounds, and discomfort. Preventive measures have been studied for conditions that can exert a negative influence on physiological development in children. Low-level laser therapy administered over acupoints is an effective, painless, low-cost treatment option that has achieved good results. Thus, the aim of the proposed study is to evaluate changes in muscle activity, bite force and salivary cortisol in children with bruxism after the application of low-level laser to accupoints. The children will be randomly allocated to four groups of 19 individuals: G1 - low-level laser; G2 - occlusal splint; G3 - placebo laser; and G4 - control (without bruxism). The BTS TMJOINT electromyography will be used to determine muscle activity and a digital gnathodynamometer will be used to measure bite force. Salivary cortisol will be analysed at baseline as well as one and six months after treatment. Two-way ANOVA will be employed and complemented by Tukey's test. Bruxism is a repetitive activity of the masticatory muscles that can have negative consequences if not treated, such as tooth wear, noises, discomfort and anxiety. Thus, control and treatment measures should be taken. Although low-level laser therapy over acupoints has been indicated for children, the effects of this treatment modality have not yet been studied. NCT02757261 on 8 April 2016. This study protocol received a grant from the Brazilian fostering agency São Paulo Research Foundation (FAPESP: #2015/24731-0).

The phenotype, psychotype and genotype of bruxism

Science.gov (United States)

Cruz-Fierro, Norma; Martínez-Fierro, Margarita; Cerda-Flores, Ricardo M.; Gómez-Govea, Mayra A.; Delgado-Enciso, Iván; Martínez-De-Villarreal, Laura E.; González-Ramírez, Mónica T.; Rodríguez-Sánchez, Irám Pablo

2018-01-01

Bruxism is a jaw muscle activity that involves physio-pathological, psycho-social, hereditary and genetic factors. The purpose of this study was to determine the associations between self-reported bruxism, anxiety, and neuroticism personality trait with the rs6313 polymorphism in the gene HTR2A. A sample of 171 subjects of both sexes (14–53 years of age) was included. The control group (group 1, n=60) exhibited no signs or symptoms of bruxism. The case group had signs and symptoms of bruxism (n=112) and was subdivided into group 2, bruxism during sleep (n=22); group 3, awake bruxism (n=44); and group 4 combined bruxism (n=46). As diagnostic tools, the Self-Reported Bruxism Questionnaire (SBQ), the Beck Anxiety Inventory (BAI) and the Eysenck Personality Questionnaire Revised-Abbreviated (EPQR-A) were used. HTR2A (rs6313) SNPs were determined by qPCR for all the participants. The packages SPSS, maxLik and EPI-INFO were used for data analysis. The combined bruxism group reported higher scores in bruxism symptoms, mean = 32.21; anxiety symptoms, mean = 14.80; and neuroticism, mean = 3.26. Combined bruxism was associated with a higher degree of neuroticism (OR=15.0; CI 1.52–148.32) and anxiety in grade 3-moderate (OR=3.56; CI 1.27–10.03), and grade 4-severe (OR=8.40; CI 1.45–48.61), as determined using EPISODE computer software. Genotypic homogeneity analysis revealed no significant differences in allele frequency (P=0.612) among the four groups. The population was in Hardy-Weinberg equilibrium (maxLik package). In conclusion, the three instruments confirm traits of bruxism, anxiety and neuroticism in individuals with bruxism. These data were ratified when the sample was divided by genotypic homogeneity. On the other hand, there was no significant difference between the groups in the SNPs rs6313 from the HTR2A gene. PMID:29599979

Methadone treatment, bruxism, and temporomandibular disorders among male prisoners.

Science.gov (United States)

Enguelberg-Gabbay, Judith V; Schapir, Lior; Israeli, Yair; Hermesh, Haggai; Weizman, Abraham; Winocur, Ephraim

2016-06-01

There is little information on bruxism related to illicit drug use. Prolonged drug use may damage the stomatognathic system via oral motor overactivity. The aim of the present study was to compare the rates of bruxism and temporomandibular disorders (TMDs) between prisoners with and without drug-use disorders, to evaluate the association between methadone treatment and bruxism and to assess the possible relationship between bruxism and pain. The sample included 152 male prisoners, 69 of whom were drug users maintained on methadone. All prisoners were examined by an experienced dentist and completed a questionnaire on their oral habits, with the aim of detecting signs or symptoms of TMD and/or bruxism. Additional data were collected from medical files. The prevalence of sleep bruxism and awake bruxism, but not of TMDs, was significantly higher among drug-user than non-drug user prisoners (52.2% vs. 34.9% for sleep bruxism, 59.7% vs. 30.1% for awake bruxism, and 46.3% vs. 25.6% for TMDs, respectively). Participants with awake bruxism were statistically more sensitive to muscle palpation compared with participants with sleep bruxism [rating scores (mean ± SD): 0.32 ± 0.21 vs. 0.19 ± 0.28, respectively]. An association was found between sleep bruxism and awake bruxism. It seems that there is a direct or an indirect association between methadone maintenance treatment and sleep bruxism or awake bruxism in male prisoners. © 2016 Eur J Oral Sci.

Treatment of bruxism in children: a systematic review.

Science.gov (United States)

Restrepo, Claudia; Gómez, Sandra; Manrique, Ruben

2009-01-01

To conduct a systematic review to assess and analyze the scientific evidence about the available therapies for bruxism in children. The literature was searched using Medline, PubMed, Ovid, Biomed Central, EBSCOhost, ISI, Cochrane Library, Embase, LILACS, Scielo, Scirus, the Internet at large, and databases of universities from March 1985 to the end of September 2007. Studies had to be intervention studies for bruxism in children, and the children included in the studies had to be 3 to 10 years old. From 52 records found, 2 fulfilled the inclusion criteria. In 1 study, bruxism was treated by widening the upper airway through adenoidectomy, and the other study proposed to treat bruxism in children with psychologic techniques. When analyzed, the 2 considered studies did not fully accomplish the requirements to treat the etiology of bruxism in children. The available literature does not provide adequate support to treat bruxism in children, as the diagnosis methods in the studies are insufficient and are not comparable to confirm the presence of bruxism. Very few studies about therapies for bruxism in children meet the quality criteria required for the evidence-based practice. Treatment for bruxism in children requires further study.

A study of grinding characteristic of ferrule

International Nuclear Information System (INIS)

Lee, S. W.; Choi, H. Z.; Choi, Y. J.; Ahn, G. J.

2003-01-01

As recently optical communication industry is developed, request of optical communication part is increased. Ferrule is very important part which determines transmission efficiency and quality of information in the optical communication part. Most of ferrule processes are grinding which request high processing precision. Particularly, concentricity and cylindricity of inner and outer diameter is very important. The co-axle grinding process of ferrule is to make its concentricity all of uniform before centerless grinding. Surface integrity of ferrule is affected by kind of grinding wheels, grinding conditions, and characteristic of workpiece and equipment. In this study, surface integrity of workpiece according to change of grinding wheel speed, feed rate, regulating wheel speed and grinding force is investigate to improve the concentricity and roundness of ferrule from many experiments

Experimental verification of nanoparticle jet minimum quantity lubrication effectiveness in grinding

International Nuclear Information System (INIS)

Jia, Dongzhou; Li, Changhe; Zhang, Dongkun; Zhang, Yanbin; Zhang, Xiaowei

2014-01-01

In our experiment, K-P36 precision numerical control surface grinder was used for dry grinding, minimum quantity lubrication (MQL) grinding, nanoparticle jet MQL grinding, and traditional flood grinding of hardened 45 steel. A three-dimensional dynamometer was used to measure grinding force in the experiment. In this research, experiments were conducted to measure and calculate specific tangential grinding force, frictional coefficient, and specific grinding energy, thus verifying the lubrication performance of nanoparticles in surface grinding. Findings present that compared with dry grinding, the specific tangential grinding force of MQL grinding, nanoparticle jet MQL grinding, and flood grinding decreased by 45.88, 62.34, and 69.33 %, respectively. Their frictional coefficient was reduced by 11.22, 29.21, and 32.18 %, and the specific grinding energy declined by 45.89, 62.34, and 69.45 %, respectively. Nanoparticle jet MQL presented ideal lubrication effectiveness, which was attributed to the friction oil film with strong antifriction and anti-wear features formed by nanoparticles on the grinding wheel/workpiece interface. Moreover, lubricating properties of nanoparticles of the same size (50 nm) but different types were verified through experimentation. In our experiment, ZrO 2 nanoparticles, polycrystal diamond (PCD) nanoparticles, and MoS 2 nanoparticles were used in the comparison of nanoparticle jet MQL grinding. The experimental results manifest that MoS 2 nanoparticles exhibited the optimal lubricating effectiveness, followed by PCD nanoparticles. Our research also integrated the properties of different nanoparticles to analyze the lubrication mechanisms of different nanoparticles. The experiment further verified the impact of nanoparticle concentration on the effectiveness of nanoparticle jet MQL in grinding. The experimental results demonstrate that when the nanoparticle mass fraction was 6 %, the minimum specific tangential grinding force

Current Concepts of Bruxism.

Science.gov (United States)

Manfredini, Daniele; Serra-Negra, Junia; Carboncini, Fabio; Lobbezoo, Frank

Bruxism is a common phenomenon, and emerging evidence suggests that biologic, psychologic, and exogenous factors have greater involvement than morphologic factors in its etiology. Diagnosis should adopt the grading system of possible, probable, and definite. In children, it could be a warning sign of certain psychologic disorders. The proposed mechanism for the bruxism-pain relationship at the individual level is that stress sensitivity and anxious personality traits may be responsible for bruxism activities that may lead to temporomandibular pain, which in turn is modulated by psychosocial factors. A multiple-P (plates, pep talk, psychology, pills) approach involving reversible treatments is recommended, and adult prosthodontic management should be based on a common-sense cautionary approach.

Metastable structure formation during high velocity grinding

International Nuclear Information System (INIS)

Samarin, A.N.; Klyuev, M.M.

1984-01-01

Metastable structures in surface layers of samples are; investigated during force high-velocity abrasive grinding. Samples of martensitic (40Kh13), austenitic (12Kh18N10T), ferritic (05Kh23Yu5) steels and some alloys, in particular KhN77TYuR (EhI437B), were grinded for one pass at treatment depth from 0.17 up to 2.6 mm. It is established that processes of homogenizing, recrystallization and coagulation are; developed during force high-velocity grinding along with polymorphic transformations in the zone of thermomechanical effect, that leads to changes of physical and mechanical properties of the surface

Bruxism defined and graded: an international consensus

NARCIS (Netherlands)

Lobbezoo, F.; Ahlberg, J.; Glaros, A.G.; Kato, T.; Koyano, K.; Lavigne, G.J.; de Leeuw, R.; Manfredini, D.; Svensson, P.; Winocur, E.

2013-01-01

To date, there is no consensus about the definition and diagnostic grading of bruxism. A written consensus discussion was held among an international group of bruxism experts as to formulate a definition of bruxism and to suggest a grading system for its operationalisation. The expert group defined

Sleep bruxism. Conceptual review and update

OpenAIRE

Hoz Aizpurua, José Luis de la; Díaz Alonso, Esperanza; LaTouche Arbizu, Roy; Mesa Jiménez, Juan

2011-01-01

Sleep bruxism (SB) is a parafunctional oromotor habit that can sometimes pose a threat to the integrity of the structures of the masticatory system if the magnitude and direction of the forces exerted exceed the system?s adaptive capacity. Over the years science has tried to provide a consistent explanation of the etiopathogenesis and physiopathology of SB, although the pathophysiological mechanisms are even now not yet fully understood. There is at present no specific, effective treatme...

Perceived stress and bruxism in university students.

Science.gov (United States)

Cavallo, Pierpaolo; Carpinelli, Luna; Savarese, Giulia

2016-12-21

Many studies have shown the correlation between bruxism and stress that affects the quality of life of university students. The present study highlights this correlation-for the first time-in a group of university students in Italy. We have investigated the prevalence of awake and asleep bruxism and its correlation with perceived stress in a group of 278 Italian undergraduate students (117 M). A self report questionnaire was constructed using a socio-demographic test, the Perceived Stress Scale (PSS) and the item n. 8 of the Fonseca Questionnaire for presence of bruxism. The perceived stress score using PSS-10 scale was 32.2 (SD 4.6, 95% CL 31.6-32.7) for all the subjects, with significant gender difference: M = 31.2 and F = 32.9 (P = 0.0019). The prevalence for awake bruxism was 37.9% (F = 40.8%; M = 34.2%,), while for sleep bruxism was 31.8% (F = 33.3%; M = 29.1%), both without significant gender difference. A positive correlation, with significant concordance and dependence, between stress score and awake bruxism was present for male students only. University students showed higher bruxism and stress levels compared to the general population, with higher stress for females, but, even if female students show higher stress, a correlation between stress and bruxism exists only for male gender. Further studies should be performed.

Are bruxism and the bite causally related?

Science.gov (United States)

Lobbezoo, F; Ahlberg, J; Manfredini, D; Winocur, E

2012-07-01

In the dental profession, the belief that bruxism and dental (mal-)occlusion ('the bite') are causally related is widespread. The aim of this review was to critically assess the available literature on this topic. A PubMed search of the English-language literature, using the query 'Bruxism [Majr] AND (Dental Occlusion [Majr] OR Malocclusion [Majr])', yielded 93 articles, of which 46 papers were finally included in the present review*. Part of the included publications dealt with the possible associations between bruxism and aspects of occlusion, from which it was concluded that neither for occlusal interferences nor for factors related to the anatomy of the oro-facial skeleton, there is any evidence available that they are involved in the aetiology of bruxism. Instead, there is a growing awareness of other factors (viz. psychosocial and behavioural ones) being important in the aetiology of bruxism. Another part of the included papers assessed the possible mediating role of occlusion between bruxism and its purported consequences (e.g. tooth wear, loss of periodontal tissues, and temporomandibular pain and dysfunction). Even though most dentists agree that bruxism may have several adverse effects on the masticatory system, for none of these purported adverse effects, evidence for a mediating role of occlusion and articulation has been found to date. Hence, based on this review, it should be concluded that to date, there is no evidence whatsoever for a causal relationship between bruxism and the bite. © 2012 Blackwell Publishing Ltd.

Sleep bruxism: an updated review of an old problem.

Science.gov (United States)

Castrillon, Eduardo E; Ou, Keng-Liang; Wang, Kelun; Zhang, Jinglu; Zhou, Xinwen; Svensson, Peter

2016-07-01

Objective To provide an update on what is known about bruxism and some of the major clinical highlights derived from new insights into this old problem in dentistry. Materials and methods A selective, non-systematic but critical review of the available scientific literature was performed. Results There are two main different types of bruxism, which are related to different circadian periods (sleep and awake bruxism) that may differ in terms of pathophysiology, but they share some common signs and symptoms. Approximately one out of 10 adult individuals may suffer from bruxism, but not all bruxers may need treatment. Bruxism is complicated to diagnose in the clinic and self-report of bruxism may not necessarily reflect the true presence of jaw muscle activity. Better understanding has been acquired of bruxism relationships with sleep stages, arousal responses and autonomic function with the help of polysomnography and controlled sleep studies. Meanwhile, there is still much more to learn about awake bruxism. With the available scientific knowledge it is possible to systematically assess the effects of bruxism and its potential risk factors for oral and general health. Moreover, we can be aware of the realistic possibilities to manage/treat the patient suffering from bruxism. Conclusion Bruxism is a parafunctional activity involving the masticatory muscles and probably it is as old as human mankind. Different ways have been proposed to define, diagnose, assess the impact and consequences, understand the pathophysiology and treat or manage bruxism. Despite the vast research efforts made in this field, there are still significant gaps in our knowledge.

Drugs and bruxism: a critical review.

Science.gov (United States)

Winocur, Ephraim; Gavish, Anat; Voikovitch, Michal; Emodi-Perlman, Alona; Eli, Ilana

2003-01-01

Bruxism associated with drugs can be destructive, resulting in severe consequences to health that include destruction of tooth structure, irreversible harm to the temporomandibular joint, severe myofascial pain, and muscle contraction headache. However, reports concerning a possible association between bruxism and various pharmacologic drugs are scarce and mostly anecdotal. The purpose of this article was to review the existing literature concerning the exacerbating or ameliorating effect of drugs on bruxism in humans. A search of the MEDLINE, EMBASE, and PsicINFO databases from 1982 to 2001 was conducted, and the term bruxism and one of the following terms were used: drugs, medicine(s), pharmaceutical, movement disorders, akathisia, dyskinesia, dystonia, central or autonomic nervous system, dopamine, serotonin, and GABA. Furthermore, a search using the term bruxism was carried out on the weekly journal Reactions, which deals with side effects of drugs. Several chemical terms were searched separately (e.g., caffeine, nicotine). Relevant information was also derived from reference lists of the retrieved publications. The search yielded complex information referring to the association between bruxism and dopamine-related drugs, antidepressant drugs, sedative and anxiolytic drugs, and drugs of abuse. There is insufficient evidence-based data to draw definite conclusions concerning the effects of various drugs on bruxism. Although certain substances related to the dopaminergic, serotonergic, and adrenergic systems suppress or exacerbate bruxist activity in humans and animals, the literature is still controversial, and based mostly on anecdotal case reports. More controlled, evidence-based research on this under-explored subject is needed.

Bruxism and associated factors among Dutch adolescents.

Science.gov (United States)

van Selms, Maurits K A; Visscher, Corine M; Naeije, Machiel; Lobbezoo, Frank

2013-08-01

To assess the prevalence rates of self-reported sleep bruxism and awake bruxism and their associations with several demographical, exogenous, and psychosocial factors among Dutch adolescents. In a cross-sectional questionnaire survey, 4285 questionnaires were completed, with an about equal gender distribution and with ages ranging from 10 to 22 years. In the group of 4235 12- to 18-year-old adolescents, sleep bruxism had a reported prevalence of 14.8% and awake bruxism of 8.7%. Logistic regression analyses revealed that sleep bruxism was associated with female gender [OR = 1.49 (95% CI = 1.23-1.81)], pain or tense feeling in the jaws upon awakening in the morning [OR = 1.47 (95% CI = 1.17-1.86)], clicking joint sounds [OR = 1.31 (95% CI = 1.03-1.65)], stress [OR = 1.25 (95% CI = 1.00-1.55)], and depressive mood [OR = 1.35 (95% CI = 1.10-1.65)]. Awake bruxism was associated with orofacial pain [OR = 1.49 (95% CI = 1.16-1.91)], clicking joint sounds [OR = 1.50 (95% CI = 1.13-1.98)], scraping joint sounds [OR = 2.03 (95% CI = 1.21-3.37)], stress [OR = 1.36 (95% CI = 1.03-1.78)], depressive mood [OR = 1.82 (95% CI = 1.42-2.35)], and smoking [OR = 1.42 (95% CI = 1.06-1.89)]. Sleep bruxism and awake bruxism are common conditions among Dutch adolescents, with self-reported prevalence rates that are slightly higher than those derived from most large-scale studies on adults. Several predictor variables were found to be exclusively associated with either form of bruxism, corroborating the common suggestion that both circadian manifestations are, at least in part, different entities. © 2012 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Bruxism and prosthetic treatment: a critical review.

Science.gov (United States)

Johansson, Anders; Omar, Ridwaan; Carlsson, Gunnar E

2011-07-01

Based on the findings from available research on bruxism and prosthetic treatment published in the dental literature, an attempt was made to draw conclusions about the existence of a possible relationship between the two, and its clinical relevance. MEDLINE/PubMed searches were conducted using the terms 'bruxism' and 'prosthetic treatment', as well as combinations of these and related terms. The few studies judged to be relevant were critically reviewed, in addition to papers found during an additional manual search of reference lists within selected articles. Bruxism is a common parafunctional habit, occurring both during sleep and wakefulness. Usually it causes few serious effects, but can do so in some patients. The etiology is multifactorial. There is no known treatment to stop bruxism, including prosthetic treatment. The role of bruxism in the process of tooth wear is unclear, but it is not considered a major cause. As informed by the present critical review, the relationship between bruxism and prosthetic treatment is one that relates mainly to the effect of the former on the latter. Bruxism may be included among the risk factors, and is associated with increased mechanical and/or technical complications in prosthodontic rehabilitation, although it seems not to affect implant survival. When prosthetic intervention is indicated in a patient with bruxism, efforts should be made to reduce the effects of likely heavy occlusal loading on all the components that contribute to prosthetic structural integrity. Failure to do so may indicate earlier failure than is the norm. Copyright © 2011 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

The two main theories on dental bruxism.

Science.gov (United States)

Behr, Michael; Hahnel, Sebastian; Faltermeier, Andreas; Bürgers, Ralf; Kolbeck, Carola; Handel, Gerhard; Proff, Peter

2012-03-20

Bruxism is characterized by non-functional contact of mandibular and maxillary teeth resulting in clenching or grating of teeth. Theories on factors causing bruxism are a matter of controversy in current literature. The dental profession has predominantly viewed peripheral local morphological disorders, such as malocclusion, as the cause of clenching and gnashing. This etiological model is based on the theory that occlusal maladjustment results in reduced masticatory muscle tone. In the absence of occlusal equilibration, motor neuron activity of masticatory muscles is triggered by periodontal receptors. The second theory assumes that central disturbances in the area of the basal ganglia are the main cause of bruxism. An imbalance in the circuit processing of the basal ganglia is supposed to be responsible for muscle hyperactivity during nocturnal dyskinesia such as bruxism. Some authors assume that bruxism constitutes sleep-related parafunctional activity (parasomnia). A recent model, which may explain the potential imbalance of the basal ganglia, is neuroplasticity. Neural plasticity is based on the ability of synapses to change the way they work. Activation of neural plasticity can change the relationship between inhibitory and excitatory neurons. It seems obvious that bruxism is not a symptom specific to just one disease. Many forms (and causes) of bruxism may exist simultaneously, as, for example, peripheral or central forms. Copyright © 2011 Elsevier GmbH. All rights reserved.

Medical image of the week: sleep bruxism

Directory of Open Access Journals (Sweden)

Bartell J

2015-03-01

Full Text Available No abstract available. Article truncated at 150 words. A 42 year-old man with a past medical history of insomnia, post-traumatic stress disorder, depression and both migraine and tension headaches was referred for an overnight sleep study. He had presented to the sleep clinic with symptoms of obstructive sleep apnea. Medications included sumatriptan, amitryptiline, sertraline, and trazodone. His sleep study showed: sleep efficiency of 58.2%, apnea-hypopnea index of 33 events per hour, and arousal index of 14.5/hr. Periodic limb movement index was 29.2/hr. The time spent in the sleep stages included N1 (3.6%, N2 (72.5%, N3 (12.9%, and REM (10.9%. Figure 1 is representative of the several brief waveforms seen on his EEG and chin EMG. Sleep bruxism (SB is a type of sleep-related movement disorder that is characterized by involuntary masticatory muscle contraction resulting in grinding and clenching of the teeth and typically associated with arousals from sleep (1,2. The American academy of sleep medicine (AASM criteria for ...

Validity of self-reported sleep bruxism among myofascial temporomandibular disorder patients and controls.

Science.gov (United States)

Raphael, K G; Janal, M N; Sirois, D A; Dubrovsky, B; Klausner, J J; Krieger, A C; Lavigne, G J

2015-10-01

Sleep bruxism (SB), primarily involving rhythmic grinding of the teeth during sleep, has been advanced as a causal or maintenance factor for a variety of oro-facial problems, including temporomandibular disorders (TMD). As laboratory polysomnographic (PSG) assessment is extremely expensive and time-consuming, most research testing this belief has relied on patient self-report of SB. The current case-control study examined the accuracy of those self-reports relative to laboratory-based PSG assessment of SB in a large sample of women suffering from chronic myofascial TMD (n = 124) and a demographically matched control group without TMD (n = 46). A clinical research coordinator administered a structured questionnaire to assess self-reported SB. Participants then spent two consecutive nights in a sleep laboratory. Audiovisual and electromyographic data from the second night were scored to assess whether participants met criteria for the presence of 2 or more (2+) rhythmic masticatory muscle activity episodes accompanied by grinding sounds, moderate SB, or severe SB, using previously validated research scoring standards. Contingency tables were constructed to assess positive and negative predictive values, sensitivity and specificity, and 95% confidence intervals surrounding the point estimates. Results showed that self-report significantly predicted 2+ grinding sounds during sleep for TMD cases. However, self-reported SB failed to significantly predict the presence or absence of either moderate or severe SB as assessed by PSG, for both cases and controls. These data show that self-report of tooth grinding awareness is highly unlikely to be a valid indicator of true SB. Studies relying on self-report to assess SB must be viewed with extreme caution. © 2015 John Wiley & Sons Ltd.

PENGARUH BRUXISM TERHADAP PERUBAHAN MORFOLOGI GIGI PERMANEN

OpenAIRE

TAMRIL, RUDIN

2014-01-01

2014 Bruxism merupakan kebiasaan buruk menggerindingkan atau clenching gigi geligi pada saat tidur dalam keadaan sadar maupun tidak sadar dan terjadi pada hampir semua manusia diseluruh dunia, mulai dari anak-anak hingga dewasa. bruxism sangat erat kaitannya dengan perubahan morfologi gigi karena berhubungan dengan pengikisan permukaan gigi terutama pada bagian oklusal. Tujuan dari penelitaian ini adalah untuk mengetahui pengaruh bruxism terhada...

A study of the temporomandibular joint during bruxism

OpenAIRE

Commisso Cuñarro, María Soledad; Martínez Reina, Francisco Javier; Mayo Nuñez, Juana María

2014-01-01

A finite element model of the temporomandibular joint (TMJ) and the human mandible was fabricated to study the effect of abnormal loading, such as awake and asleep bruxism, on the articular disc. A quasilinear viscoelastic model was used to simulate the behaviour of the disc. The viscoelastic nature of this tissue is shown to be an important factor when sustained (awake bruxism) or cyclic loading (sleep bruxism) is simulated. From the comparison of the two types of bruxism, it was seen that s...

Experimental Setup for Diamond Grinding Using Electrochemical InProcess Controlled Dressing (ECD of Grinding Wheel

Directory of Open Access Journals (Sweden)

M. A. Shavva

2014-01-01

is no insulating layer formed. The oxides are washed out by electrolyte flow. The method provides a constant escape of abrasive grain. The grain escape reaches 100-120% of average diameter.Adaptation of ECD on conventional grinding machine is performed. For this, the copper electrode is mounted to the grinding wheel. The electrolyte circulates in the gap between the wheel and electrode. The control system for the normal and tangential forces of process is also used during the adaptation.The enterprise VNIIINSTRUMENT has designed a special experimental stand for diamond grinding. At this stand the ECD-dressing of diamond wheel with metal bond is implemented. This machine consists of a longitudinal support and a cross slide. Spindle of grinding wheel is set on the longitudinal support. A rotating speed of this spindle is about 50-3000 rev/min. A spindle of work piece is set on the cross slide. A rotating speed of this spindle is about 10-1000 rev/min.The copper electrode is mounted on the spindle of grinding wheel. An area of electrode surface is 1/3 of the wheel area. The gap between the grinding wheel and electrode is about 0.3 mm. The electrolyte is placed in the gap.The electrode is anode and the grinding wheel is cathode. Wheel and electrode are connected to the direct current source. When switching on the power source, the process of electrolysis begins. A bond of the wheel is oxidized and washed out. Waste of dressing is carried away with electrolyte.The electrolyte leaves the zone of cutting. Next, the liquid gets into a special trough. Thereafter, the electrolyte enters the filter unit to have three steps of purification. The purified liquid is supplied to the pump, and then again enters the cutting zone.ECD provides a large escape abrasive grain out of bond. It ensures that the cutting force is constant. The constant cutting force ensures the surface finish consistency, decreased surface roughness, and improved accuracy of work piece form.Due to ECD, space

Factors associated with bruxism in children with developmental disabilities.

Science.gov (United States)

Souza, Valeska Aparecida Fernandes; Abreu, Mauro Henrique Nogueira Guimarães; Resende, Vera Lúcia Silva; Castilho, Lia Silva

2015-01-01

The aim of the present study was to investigate factors associated with bruxism in children aged from 1 to 13 years with developmental disabilities. A total of 389 dental records were examined. The bruxism analyzed was determined based on parental reports. The following variables were also analyzed: gender, age, International Code of Diseases (ICD), mouth breathing, history of gastroesophageal reflux, use of psychotropic drugs, gingival status, reports of xerostomia, hyperkinesis, pacifier use, thumb sucking and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without bruxism. Variables with a p-value bruxism than males. Individuals with gastroesophageal reflux had a 2.28-fold (95%CI: 1.03 to 5.02) greater chance of exhibiting bruxism. Individuals with reported involuntary movements had a 2.24-fold (95%CI: 1.19 to 4.24) greater chance of exhibiting bruxism than those without such movements. Exhibiting involuntary movements, the male gender and gastroesophageal reflux are factors associated with bruxism in children with developmental disabilities.

To see bruxism: a functional MRI study.

Science.gov (United States)

Yılmaz, S

2015-01-01

Since the pathophysiology of bruxism is not clearly understood, there exists no possible treatment. The aim of this study is to investigate the cerebral activation differences between healthy subjects and patients with bruxism on behalf of possible aetiological factors. 12 healthy subjects and 12 patients with bruxism, a total of 24 right-handed female subjects (aged 20-27 years) were examined using functional MRI during tooth-clenching and resting tasks. Imaging was performed with 3.0-T MRI scanner with a 32-channel head coil. Differences in regional brain activity between patients with bruxism and healthy subjects (control group) were observed with BrainVoyager QX 2.8 (Brain Innovation, Maastricht, Netherlands) statistical data analysis program. Activation maps were created using the general linear model: single study and multistudy multisubject for statistical group analysis. This protocol was approved by the ethics committee of medical faculty of Kirikkale University, Turkey (02/04), based on the guidelines set forth in the Declaration of Helsinki. The group analysis revealed a statistically significant increase in blood oxygenation level-dependent signal of three clusters in the control group (pbruxism. Our findings indicate that there was a decrease of cortical activation pattern in patients with bruxism in clenching tasks. This indicates decreased blood flow and activation in regional neuronal activity. Bruxism, as an oral motor disorder concerns dentistry, neurology and psychiatry. These results might improve the understanding and physiological handling of sleep bruxism.

Lab-scale roller table mill for investigating the grinding behaviour of coal

Energy Technology Data Exchange (ETDEWEB)

Werner, V.; Zelkowski, J.; Schoenert, K. [Inst. for Energy Process Engineering and Fuel Technology and Inst. of Mineral Processing, Univ. Clausthal, Clausthal-Zellerfeld (Germany)

1999-11-01

The test mill is equipped with one roller. The material bed can be discharged completely after overroling. Grinding force, torque and gap width are measured. Cycle tests with three coals have been performed for simulating a closed circuit process. The grinding behaviour is characterized by the following relations: compaction of the particle bed and specific power draft vs. specific grinding force, production of fine material (dust), circuit factor, specific surface of the dust and specific work-input of the grinding circuit vs. specific power draft. (orig.)

Management of bruxism-induced complications in removable partial denture wearers using specially designed dentures: a clinical report.

Science.gov (United States)

Baba, Kazuyoshi; Aridome, Kumiko; Pallegama, Ranjith Wasantha

2008-01-01

In patients with a limited number of remaining teeth, bruxism force can be destructive for both the remaining teeth and periodontal structures. This paper reports the successful management of four such patients with severe sleep bruxism, using conventional removable partial dentures and specially designed, splint-like removable partial dentures called a night denture. The night denture was fabricated in two different designs, which depended upon the pattern of the remaining tooth contacts. The patients were followed up for 2-6 years using a night denture in either of the two designs. Within the limitations of these four reports of clinical cases, the night denture appeared to be effective in managing the problems related to sleep bruxism.

Botulinum toxin for the treatment of bruxism.

Science.gov (United States)

Tinastepe, Neslihan; Küçük, Burcu Bal; Oral, Koray

2015-10-01

Botulinum toxin, the most potent biological toxin, has been shown to be effective for a variety of disorders in several medical conditions, when used both therapeutically and cosmetically. In recent years, there has been a rising trend in the use of this pharmacological agent to control bruxing activity, despite its reported adverse effects. The aim of this review was to provide a brief overview to clarify the underlying essential ideas for the use of botulinum toxin in bruxism based on available scientific papers. An electronic literature search was performed to identify publications related to botulinum toxin and its use for bruxism in PubMed. Hand searching of relevant articles was also made to identify additional studies. Of the eleven identified studies, only two were randomized controlled trials, compared with the effectiveness of botulinum toxins on the reduction in the frequency of bruxism events and myofascial pain after injection. The authors of these studies concluded that botulinum toxin could be used as an effective treatment for reducing nocturnal bruxism and myofascial pain in patients with bruxism. Evidence-based research was limited on this topic. More randomized controlled studies are needed to confirm that botulinum toxin is safe and reliable for routine clinical use in bruxism.

Neurobiological mechanisms involved in sleep bruxism.

Science.gov (United States)

Lavigne, G J; Kato, T; Kolta, A; Sessle, B J

2003-01-01

Sleep bruxism (SB) is reported by 8% of the adult population and is mainly associated with rhythmic masticatory muscle activity (RMMA) characterized by repetitive jaw muscle contractions (3 bursts or more at a frequency of 1 Hz). The consequences of SB may include tooth destruction, jaw pain, headaches, or the limitation of mandibular movement, as well as tooth-grinding sounds that disrupt the sleep of bed partners. SB is probably an extreme manifestation of a masticatory muscle activity occurring during the sleep of most normal subjects, since RMMA is observed in 60% of normal sleepers in the absence of grinding sounds. The pathophysiology of SB is becoming clearer, and there is an abundance of evidence outlining the neurophysiology and neurochemistry of rhythmic jaw movements (RJM) in relation to chewing, swallowing, and breathing. The sleep literature provides much evidence describing the mechanisms involved in the reduction of muscle tone, from sleep onset to the atonia that characterizes rapid eye movement (REM) sleep. Several brainstem structures (e.g., reticular pontis oralis, pontis caudalis, parvocellularis) and neurochemicals (e.g., serotonin, dopamine, gamma aminobutyric acid [GABA], noradrenaline) are involved in both the genesis of RJM and the modulation of muscle tone during sleep. It remains unknown why a high percentage of normal subjects present RMMA during sleep and why this activity is three times more frequent and higher in amplitude in SB patients. It is also unclear why RMMA during sleep is characterized by co-activation of both jaw-opening and jaw-closing muscles instead of the alternating jaw-opening and jaw-closing muscle activity pattern typical of chewing. The final section of this review proposes that RMMA during sleep has a role in lubricating the upper alimentary tract and increasing airway patency. The review concludes with an outline of questions for future research.

The Study on Grinding Ratio in Form Grinding with White Fused Alumina (WA) Grinding Wheels

Science.gov (United States)

Junming, Wang; Jiong, Wang; Deyuan, Lou

2018-03-01

The study is carried out based on an experiment of form grinding spur rack with white fused alumina (WA) grinding wheels. In the experiment, SOV-3020A type tri-axial image mapper is utilized to measure the profile of the tooth space in the rack, and the curve equations between the sectional area of the tooth space and the tooth sequence under different grinding depths are established by nonlinear curve regress using software of origin8.0. Then, it deduces the prediction equations for current grinding ratio and cumulative grinding ratio under different grinding depths. The result shows that the grinding ratio is exponential decline relationship with the increase of the number of the tooth to be ground under the same grinding depth, and the decline speed is fast in the initial stage. With the increase of grinding depth, the grinding ratio increases gradually. The cumulative grinding ratio is about twice as high as the current grinding ratio. Thus, large grinding depth is generally used in rough grinding to improve grinding efficiency.

Workpiece Temperature Variations During Flat Peripheral Grinding

Science.gov (United States)

Smirnov, Vitalii A.; Repko, Aleksandr V.

2018-06-01

The paper presents the results of researches of temperature variations during flat peripheral grinding. It is shown that the temperature variations of the workpiece can reach 25...30% of the average values, which can lead to some thermal defects. A nonlinear two-dimensional thermophysical grinding model is suggested. It takes into account local changes in the cutting conditions: the fluctuation of the cut layer and the cutting force, the thermal impact of the cutting grains, and the presence of surface cavities in the intermittent wheel. For the numerical solution of the problem, the method of finite differences is adapted. Researches of the method stability and convergence are made, taking into account the specific nature of the problem. A high accuracy of the approximation of the boundary conditions and the nonlinear heat equation is provided. An experimental verification of the proposed thermophysical model was carried out with the use of installation for simultaneous measurement of the grinding force and temperature. It is shown that the discrepancy between the theoretical and experimental values of the grinding temperature does not exceed 5%. The proposed thermophysical model makes it possible to predict with high accuracy the temperature variations during grinding by the wheel periphery.

Improving the plunge grinding technology efficiency through a rigid scheme use

Directory of Open Access Journals (Sweden)

І. О. Рябенков

2016-07-01

Full Text Available Theoretical bases of grinding technology researches results form the basis of this work. It has been shown that grinding efficiency increase can be achieved through the use of new kinematic grinding schemes and progressive designs of abrasive tools. However, not enough attention is paid to the calculation of the main technological machining parameters with due regard to separate processes of cutting and friction at grinding, thus restricting the effective application of these kinematic grinding schemes and scientifically grounded selection of optimal processing conditions. In this paper a mathematical model has been developed for determining the material removal rate and cutting force at plunge grinding, what made it possible to substantiate reducing the power strength at grinding and to increase productivity. Calculations revealed that the cutting force at plunge grinding is conditioned by the disk bond friction against the material being processed, the intensity of which in the course of processing time increases proportionally due to an increase of elastic movements in the technological system. Proceeding from these results the optimum grinding conditions based on the use of the abrasive disk that works under self-sharpening conditions, thus eliminating the disk bond friction against the material being processed, have been grounded. In this case, the abrasive disk provides complete removal of the processed material supplied to the cutting zone at the nominal speed of a workpiece movement. Also the ability to reduce cutting forces through the increase of the disk speed and the workpiece speed ratio has been shown

Portable EMG devices, Biofeedback and Contingent Electrical Stimulation applications in Bruxism

DEFF Research Database (Denmark)

Castrillon, Eduardo

Portable EMG devices, Biofeedback and Contingent Electrical Stimulation applications in Bruxism Eduardo Enrique, Castrillon Watanabe, DDS, MSc, PhD Section of Orofacial Pain and Jaw Function, Department of Dentistry, Aarhus University, Aarhus, Denmark; Scandinavian Center for Orofacial Neuroscience...... Summary: Bruxism is a parafunctional activity, which involves the masticatory muscles and probably it is as old as human mankind. Different methods such as portable EMG devices have been proposed to diagnose and understand the pathophysiology of bruxism. Biofeedback / contingent electrical stimulation...... characteristics make it complicated to assess bruxism using portable EMG devices. The possibility to assess bruxism like EMG activity on a portable device made it possible to use biofeedback and CES approaches in order to treat / manage bruxism. The available scientific information about CES effects on bruxism...

Bruxism and oral parafunctional hyperactivity in social phobia outpatients.

Science.gov (United States)

Hermesh, H; Schapir, L; Marom, S; Skopski, R; Barnea, E; Weizman, A; Winocur, E

2015-02-01

Anxiety and selective serotonin reuptake inhibitors (SSRIs) are considered aggravating factors for bruxism. We examined the influence of anxiety, depression and SSRI on bruxism in social phobia (SP). Twenty-three drug naïve, 17 SSRI-treated SP patients and 33 healthy controls underwent a psychiatric assessment and completed Leibowitz Social Anxiety Scale and Beck Depression Inventory. Oral parafunctional activity (PF) was evaluated by TM-dental examination and by a questionnaire. Drug- naïve and SSRI-treated SP patients did not differ on demographic and clinical measures. Awake bruxism, 'JAW PLAY' and at least one PF were more prevalent in SP than in controls. Severity of SP predicted the presence of PF. SP, but not depression, was associated with higher risk of oral PF and awake bruxism. Chronic SSRI treatment of SP did not affect sleep and awake bruxism. Dental and anxiety screening may improve the prognosis psychiatric and dental patients. Effective treatment of SP may mitigate bruxism. © 2014 John Wiley & Sons Ltd.

A study of the temporomandibular joint during bruxism.

Science.gov (United States)

Commisso, María S; Martínez-Reina, Javier; Mayo, Juana

2014-06-01

A finite element model of the temporomandibular joint (TMJ) and the human mandible was fabricated to study the effect of abnormal loading, such as awake and asleep bruxism, on the articular disc. A quasilinear viscoelastic model was used to simulate the behaviour of the disc. The viscoelastic nature of this tissue is shown to be an important factor when sustained (awake bruxism) or cyclic loading (sleep bruxism) is simulated. From the comparison of the two types of bruxism, it was seen that sustained clenching is the most detrimental activity for the TMJ disc, producing an overload that could lead to severe damage of this tissue.

Control of grinding polygonal surfaces

Directory of Open Access Journals (Sweden)

Юрій Володимирович Петраков

2017-12-01

Full Text Available Grinding of non-round surfaces, in particular polygonal surfaces of dies, is characterized by substantial non stationary. At different sections of the profile, the change in the main characteristic (Material Removal Rate – MRR process reaches tens of times. To stabilize the grinding process, it is recommended to control the spindle speed of the workpiece CNC grinding machine. Created software that allows to design the control program on the basis of mathematical model of the system. The determination of MRR is realized automatically in the simulation of the grinding process which uses the algorithm developed for solving problems in geometric interaction of the workpiece and the wheel. In forming the control program is possible takes into account the limitations on the maximum circumferential force of cutting, and the maximum allowable acceleration of the machine spindle. Practice has shown that full stabilization is not obtained, even though the performance is increased more than 2 times, while ensuring the quality of the surface. The developed block diagram of the grinding process can serve as a basis for further improvement in the solution of dynamic problems.

Prevalence of sleep bruxism and awake bruxism in different chronotype profiles: Hypothesis of an association.

Science.gov (United States)

Serra-Negra, J M; Lobbezoo, F; Martins, C C; Stellini, E; Manfredini, D

2017-04-01

Sleep (SB) and awake bruxism (AB) recognize a multifactorial etiology and have a relationship with several psychological factors. Psychological disorders have recently been associated also with the chronotype, which is the propensity for an individual to be especially active at a particular time during a 24-h period. Based on the chronotype, the two extreme profiles are morningness and eveningness individuals. Due to the relationship that both the chronotype and bruxism have with psychological factors and the fact that performing tasks not compatible with chronotype can trigger stress, this review presents the hypothesis that the prevalence of SB and AB can differ with the various chronotype profiles. New perspectives for the study of bruxism etiology may emerge from investigations on the topic. Copyright © 2017 Elsevier Ltd. All rights reserved.

Community based study of sleep bruxism during early childhood

Science.gov (United States)

Insana, Salvatore P.; Gozal, David; McNeil, Daniel W.; Montgomery-Downs, Hawley E.

2012-01-01

Objectives The aims for this study were to determine the prevalence of sleep-bruxism among young children, explore child behavior problems that may be associated with sleep-bruxism, and identify relations among sleep-bruxism, health problems, and neurocognitive performance. Methods The current study was a retrospective analysis of parent report surveys, and behavioral and neurocognitive assessments. Parents of 1953 preschool and 2888 first grade children indicated their child’s frequency of bruxism during sleep. A subsample of preschool children (n = 249) had additional behavioral, as well as neurocognitive assessments. Among the subsample, parents also reported on their child’s health, and completed the Child Behavioral Checklist; children were administered the Differential Ability Scales, and Pre-Reading Abilities subtests of the Developmental Neuropsychological Assessment. Results 36.8% of preschoolers and 49.6% of first graders were reported to brux ≥ 1 time per week. Among the preschool subsample, bruxing was independently associated with increased internalizing behaviors (β = .17). Bruxism was also associated with increased health problems (β = .19), and increased health problems were associated with decreased neurocognitive performance (β = .22). Conclusions The prevalence of sleep-bruxism was high. A dynamic and potentially clinically relevant relation exists among sleep-bruxism, internalizing behaviors, health, and neurocognition. Pediatric sleep-bruxism may serve as a sentinel marker for possible adverse health conditions, and signal a need for early intervention. These results support the need for an interdisciplinary approach to pediatric sleep medicine, dentistry, and psychology. PMID:23219144

Experiment research on grind-hardening of AISI5140 steel based on thermal copensation

Energy Technology Data Exchange (ETDEWEB)

Huang, Xiang Ming; Ren, Ying Hui; Zheng, Bo; Zhou, Zhixiong [College of Mechanical and Vehicle Engineering, Hunan University, Changsha, Hunan (China); Deng, Zhao Hui [Key Laboratory for High Efficiency and Precision Machining of Difficult-to-Cut Material of Hunan Province, Hunan (China)

2016-08-15

The grind-hardening process utilizes the heat generated to induce martensitic phase transformation. However, the maximum achievable harden layer depth is limited due to high grinding forces, and the tensile residual stress appears on the ground surface in the grind-hardening process. This paper proposes a new grind-hardening technology using thermal compensation. The workpiece of AISI5140 steel is preheated by electric resistance heating, and ground under the condition of the workpiece temperature 25°C, 120°C, 180°C and 240°C. The grinding force, harden layer depth and surface quality including residual stress on ground surface, surface roughness and micro-hardness are investigated. The experimental results show that a deep harden layer with a fine grain martensite can be obtained with the thermal compensation. The ground workpiece surface produces a certain compressive residual stress, and the residual compressive stress value increases with preheating temperature. As the preheating temperature increases, grinding force slightly decreases, while there is slightly increment of surface roughness. Compared with the conventional grind-hardening process, both the harden layer depth and residual stress distribution are significantly improved.

Factors associated with bruxism in children with developmental disabilities

Directory of Open Access Journals (Sweden)

Valeska Aparecida Fernandes SOUZA

2015-01-01

Full Text Available The aim of the present study was to investigate factors associated with bruxism in children aged from 1 to 13 years with developmental disabilities. A total of 389 dental records were examined. The bruxism analyzed was determined based on parental reports. The following variables were also analyzed: gender, age, International Code of Diseases (ICD, mouth breathing, history of gastroesophageal reflux, use of psychotropic drugs, gingival status, reports of xerostomia, hyperkinesis, pacifier use, thumb sucking and involuntary movements. For the purposes of analysis, the individuals were categorized as being with and without bruxism. Variables with a p-value < 0.25 in the bivariate analysis were incorporated into the logistic regression models. Females had a 0.44-fold (95%CI: 0.25 to 0.78 greater chance of exhibiting bruxism than males. Individuals with gastroesophageal reflux had a 2.28-fold (95%CI: 1.03 to 5.02 greater chance of exhibiting bruxism. Individuals with reported involuntary movements had a 2.24-fold (95%CI: 1.19 to 4.24 greater chance of exhibiting bruxism than those without such movements. Exhibiting involuntary movements, the male gender and gastroesophageal reflux are factors associated with bruxism in children with developmental disabilities.

Bruxism and associated factors among Dutch adolescents

NARCIS (Netherlands)

van Selms, M.K.A.; Visscher, C.M.; Naeije, M.; Lobbezoo, F.

2013-01-01

Objectives To assess the prevalence rates of self-reported sleep bruxism and awake bruxism and their associations with several demographical, exogenous, and psychosocial factors among Dutch adolescents. Methods In a cross-sectional questionnaire survey, 4285 questionnaires were completed, with an

The influence of grinding oil viscosity on grinding heat and burn damage in creep-feed grinding{copyright}

Energy Technology Data Exchange (ETDEWEB)

Zhen-Change Liu [Shandong Univ. of Technology, Jinan (China); Abe, Satoshi; Noda, Masahiro [Yushiro Chemical Industry Co. Ltd., Kanagawa (Japan)

1995-08-01

Grinding oils are widely used in precision grinding, such as tool grinding, thread grinding and gear grinding, during which processes grinding burn is the most prevalent damage affecting the integrity of ground surface. This paper discusses the influence of oil viscosity on grinding heat and burn damage in creep-feed-grinding. Experimental results indicated that, under lighter grinding conditions, the effects of oil viscosity was not observed, but under heavy grinding conditions grinding burn occurred when using low viscosity oil. When the viscosity of the oil was increased, grinding heat and burn damage tended to be reduced. As the viscosity was increased to a certain level, grinding burn reduction, by further increasing the viscosity, became less while other problems such as much higher oil pump noise and reduced oil flow occurred. It is clear that a viscosity limit exists for given grinding conditions. 5 refs., 4 figs., 3 tabs.

Numerical Simulation of a Grinding Process Model for the Spatial Work-pieces: Development of Modeling Techniques

Directory of Open Access Journals (Sweden)

S. A. Voronov

2015-01-01

Full Text Available The article presents a literature review in simulation of grinding processes. It takes into consideration the statistical, energy based, and imitation approaches to simulation of grinding forces. Main stages of interaction between abrasive grains and machined surface are shown. The article describes main approaches to the geometry modeling of forming new surfaces when grinding. The review of approaches to the chip and pile up effect numerical modeling is shown. Advantages and disadvantages of grain-to-surface interaction by means of finite element method and molecular dynamics method are considered. The article points out that it is necessary to take into consideration the system dynamics and its effect on the finished surface. Structure of the complex imitation model of grinding process dynamics for flexible work-pieces with spatial surface geometry is proposed from the literature review. The proposed model of spatial grinding includes the model of work-piece dynamics, model of grinding wheel dynamics, phenomenological model of grinding forces based on 3D geometry modeling algorithm. Model gives the following results for spatial grinding process: vibration of machining part and grinding wheel, machined surface geometry, static deflection of the surface and grinding forces under various cutting conditions.

Psychopathological profile of patients with different forms of bruxism.

Science.gov (United States)

Bayar, Gurkan Rasit; Tutuncu, Recep; Acikel, Cengizhan

2012-02-01

The aim of the current study was to evaluate the prevalence of psychopathological symptoms in patients who self-reported different forms of bruxism by means of clinical and anamnestic diagnostic criteria. Eighty-five participants were divided into four groups as sleep bruxers (12), awake bruxers (24), sleep-awake bruxers (33), and non-bruxers (16). A self-report symptom inventory questionnaire (Symptom Checklist-90-Revised (SCL-90-R)) was filled out by all groups to determine their psychopathological symptoms. As regards mean psychopathological scores, patients with sleep-awake bruxism endorsed the highest scores. In addition, patients with awake bruxism showed higher scores than patients with sleep bruxism and non-bruxism in most SCL-90-R subscales. Kruskal-Wallis test revealed significant differences between groups in any of the SCL-90-R subscales, except for the psychoticism subscale. Mann-Whitney test followed by Bonferroni's test correction between non-bruxer and sleep-awake bruxer groups revealed significant differences in depression, anxiety, hostility, phobic anxiety, paranoid ideation, global severity index, positive symptom distress index, and positive symptom total in all SCL-90-R subscales. Statistical analysis of our study showed that differences between groups were significant in all SCL-90-R subscales except for the psychoticism subscale. Better distinction of bruxism forms may help to develop new treatment strategies for bruxism disorder.

Efficacy of botulinum toxins on bruxism: an evidence-based review.

Science.gov (United States)

Long, Hu; Liao, Zhengyu; Wang, Yan; Liao, Lina; Lai, Wenli

2012-02-01

The objective of this study was to assess the efficacy of botulinum toxins on bruxism. Electronic databases (PubMed, Embase and Science Citation Index), websites (Cochrane Central Register of Controlled Trials and ClinicalTrials.gov) and the literature database of SIGLE (System for Information on Grey Literature in Europe) were searched from January 1990 to April 2011 for randomised controlled trials or nonrandomised studies assessing the efficacy of botulinum toxins on bruxism. There was no language restriction. Through a predefined search strategy, we retrieved 28 studies from PubMed, 94 from Embase, 60 from the Science Citation Index, two ongoing clinical trials and two from the Cochrane Central Register of Controlled Trials. Of these, only four studies met our inclusion criteria and were finally included. Of the four included studies, two were randomised controlled trials and two were controlled before-and-after studies. These studies showed that botulinum toxin injections can reduce the frequency of bruxism events, decrease bruxism-induced pain levels and satisfy patients' self-assessment with regard to the effectiveness of botulinum toxins on bruxism. In comparison with oral splint, botulinum toxins are equally effective on bruxism. Furthermore, botulinum toxin injections at a dosage of bruxism and are safe to use. Therefore, they can be used clinically for otherwise healthy patients with bruxism. © 2012 FDI World Dental Federation.

Self-Reported Bruxism and Symptoms of Temporomandibular Disorders in Finnish University Students.

Science.gov (United States)

Huhtela, Outi S; Näpänkangas, Ritva; Joensuu, Tiina; Raustia, Aune; Kunttu, Kristina; Sipilä, Kirsi

2016-01-01

To evaluate the prevalence of self-reported bruxism and symptoms of temporomandibular disorders (TMD) and to investigate their association in academic and applied science university students in Finland. The data were gathered from 4,403 Finnish students included in the Finnish Student Health Survey 2012. The comprehensive questionnaire included five questions concerning bruxism and TMD symptoms. Bivariate associations between self-reported bruxism and TMD symptoms were evaluated using chi-square tests, and logistic regression model was used with age and gender as factors. Sleep bruxism was reported by 21.0% of women and by 12.5% of men, awake bruxism by 2.0% of women and by 2.8% of men, and both sleep and awake bruxism by 7.2% of women and by 3.2% of men. TMD pain was reported by 25.9% of women and by 11.4% of men and temporomandibular joint (TMJ) pain on jaw movement by 9.6% of women and by 4.2% of men. Report of sleep bruxism increased the risk for all TMD symptoms in both genders. Among women, report of awake bruxism increased the risk for TMD pain and TMJ pain on jaw movement. Reporting stress as a perpetuating factor for TMD pain increased the risk for both sleep and awake bruxism in both genders. The logistic regression analysis (including age and gender) showed that report of sleep bruxism and/or awake bruxism was associated with TMD pain (Odds Ratio [OR] = 5.71; 95% confidence interval [CI] = 4.86-6.70), TMJ pain on jaw movement (OR = 4.49; 95% CI = 3.54-5.69), and TMJ locking (OR = 2.98; 95% CI = 2.17-4.10). Bruxism and TMD symptoms are frequent in Finnish university students. Self-reported bruxism is associated with TMD symptoms, confirming earlier findings.

Twyman effect mechanics in grinding and microgrinding.

Science.gov (United States)

Lambropoulos, J C; Xu, S; Fang, T; Golini, D

1996-10-01

In the Twyman effect (1905), when one side of a thin plate with both sides polished is ground, the plate bends: The ground side becomes convex and is in a state of compressive residual stress, described in terms of force per unit length (Newtons per meter) induced by grinding, the stress (Newtons per square meter) induced by grinding, and the depth of the compressive layer (micrometers). We describe and correlate experiments on optical glasses from the literature in conditions of loose abrasive grinding (lapping at fixed nominal pressure, with abrasives 4-400 μm in size) and deterministic microgrinding experiments (at a fixed infeed rate) conducted at the Center for Optics Manufacturing with bound diamond abrasive tools (with a diamond size of 3-40 μm, embedded in metallic bond) and loose abrasive microgrinding (abrasives of less than 3 μm in size). In brittle grinding conditions, the grinding force and the depth of the compressive layer correlate well with glass mechanical properties describing the fracture process, such as indentation crack size. The maximum surface residual compressive stress decreases, and the depth of the compressive layer increases with increasing abrasive size. In lapping conditions the depth of the abrasive grain penetration into the glass surface scales with the surface roughness, and both are determined primarily by glass hardness and secondarily by Young's modulus for various abrasive sizes and coolants. In the limit of small abrasive size (ductile-mode grinding), the maximum surface compressive stress achieved is near the yield stress of the glass, in agreement with finite-element simulations of indentation in elastic-plastic solids.

The effect of hydroxyzine on treating bruxism of 2- to 14-year-old children admitted to the clinic of Bandar Abbas Children Hospital in 2013-2014.

Science.gov (United States)

Rahmati, M; Moayedi, A; Zakery Shahvari, S; Golmirzaei, J; Zahirinea, M; Abbasi, B

2015-01-01

Introduction. Bruxism is to press or grind teeth against each other in non-physiologic cases, when an individual does not swallow or chew. If not treated, teeth problems, stress, mental disorders, frequent night waking, and headache is expected. This research aimed to study the effect of hydroxyzine on treating bruxism of 2- to 14-year-old children admitted to the clinic of Bandar Abbas Children Hospital. Methodology. In this clinical trial, 143 children with the ages between 4-12 years were admitted to the Children Hospital and were divided randomly into test and control groups. The test group consisted of 88 hydroxyzine-treated children and the control group consisted of 55 children who used hot towels. Both groups were examined in some stages including the pre-test stages or the stage before starting treatments at two, four, and six weeks and four months after stopping the treatment. The effects of each treatment on reducing bruxism symptoms were assessed by a questionnaire. The data were analyzed by using SPSS in descriptive statistics, t-test, and ANOVA. Results. As far as bruxism severity was concerned, the results showed a significant difference between the test group members who received hydroxyzine and the control group members who received no medication. T-test results showed a statistically significant difference between the test and the control groups in the second post-test (four weeks later) (p. value ≤ 0.05). Mean of the scores of bruxism severity in the test group has changed significantly in the post-test (at two weeks, four weeks, and six weeks later) as compared to the pre-test. Whereas, as far as the response to the treatment, no significant difference was recorded between the control group and the test group 4 weeks after the treatment. Discussion. The results showed that prescribing hydroxyzine for 4 weeks had a considerable effect in diminishing bruxism severity between the test groups.

Co-contraction behaviour of masticatory and neck muscles during tooth grinding.

Science.gov (United States)

Giannakopoulos, N N; Schindler, H J; Hellmann, D

2018-07-01

The objective of this study was to analyse the co-contraction behaviour of jaw and neck muscles during force-controlled experimental grinding in the supine position. Twelve symptom-free subjects were enrolled in the experimental study. Electromyographic (EMG) activity of semispinalis capitis, splenius capitis and levator scapulae muscles was recorded bilaterally with intramuscular fine-wire electrodes, whereas that of sternocleidomastoideus, infrahyoidal, suprahyoidal, masseter and anterior temporalis muscles were registered with surface electrodes. EMG and force measurements were performed during tasks simulating tooth grinding on custom-made intraoral metal splints. The mean EMG activity normalised by maximum voluntary contraction (% MVC) of each of the neck muscles studied during grinding was analysed and compared with previous data from jaw clenching at identical force (100 N) and (supine) position. The occurrence of low-level, long-lasting tonic activation (LLTA) of motor units was also documented. The mean three-dimensional force vector of the grinding forces was 106 ± 74 N. In the frontal plane, the incline to the midsagittal plane ranged between 10° and 15°. In the midsagittal plane, the incline to the frontal plane was negligibly small. Posterior neck muscle activity during grinding ranged between 4.5% and 12% MVC and during clenching with 100 N between 1.8% and 9.9% MVC. Masticatory muscle activity during grinding ranged between 17% and 21% MVC for contralateral masseter and ipsilateral temporalis and between 4% and 6.5% for ipsilateral masseter and contralateral temporalis. LLTA had an average duration of 195 ± 10 seconds. The findings from this study do not support pathophysiological muscle chain theories postulating simple biomechanical coupling of neck and jaw muscles. Co-contractions of neck and masticatory muscles may instead occur as a result of complex neurophysiological interactions. © 2018 John Wiley & Sons Ltd.

Association between nocturnal bruxism and gastroesophageal reflux.

Science.gov (United States)

Miyawaki, Shouichi; Tanimoto, Yuko; Araki, Yoshiko; Katayama, Akira; Fujii, Akihito; Takano-Yamamoto, Teruko

2003-11-01

To examine the relationship between nocturnal bruxism and gastroesophageal reflux. Controlled descriptive study and double-blind, placebo-controlled, clinical study. Portable pH monitoring, electromyography, and audio-video recordings were conducted during the night in the subjects' home. Ten patients with bruxism and 10 normal subjects were matched for height, weight, age, and sex. They did not have symptoms of gastroesophageal reflux disease. Medication with a proton pump inhibitor (ie, a gastric-acid-inhibiting drug). The bruxism group showed a significantly higher frequency of nocturnal rhythmic masticatory muscle activity (RMMA) episodes (mean +/- SD: 6.7 +/- 2.2 times per hour) and a higher frequency and percentage of time of gastroesophageal reflux episodes with a pH less than 4.0 and 5.0 (0.5 +/- 0.9 and 3.6 +/- 1.6 times per hour and 1.3% +/- 2.5% and 7.4% +/- 12.6%, respectively) than the control group (RMMA episodes: 2.4 +/- 0.9 times per hour; gastroesophageal reflux episodes: 0.0 +/- 0.0 and 0.1 +/- 0.3 times per hour and 0.0% +/- 0.0% and 0.0% +/- 0.0%, respectively). In the bruxism group, 100% of the gastroesophageal reflux episodes with a pH less than 3.0 and 4.0 included both an RMMA episode and an electromyographic burst, the duration of which was approximately 0.5 to 1.0 seconds, probably representing swallowing of saliva. The majority of gastroesophageal reflux episodes with a pH of 4.0 to 5.0 also included both an RMMA episode and an electromyographic burst in the control and bruxism groups (100% +/- 0.0% vs 70.7% +/- 16.5%), again probably due to swallowing of saliva. The remaining minority of gastroesophageal reflux episodes with a pH of 4.0 to 5.0 contained only an electromyographic burst (swallowing of saliva). The frequency of RMMA episodes after the release of the medication from the proton pump inhibitor, which increased the gastric and esophageal pH, was significantly lower than that after administration of the placebo in the control

Are bruxism and the bite causally related?

NARCIS (Netherlands)

Lobbezoo, F.; Ahlberg, J.; Manfredini, D.; Winocur, E.

2012-01-01

In the dental profession, the belief that bruxism and dental (mal-)occlusion (‘the bite’) are causally related is widespread. The aim of this review was to critically assess the available literature on this topic. A PubMed search of the English-language literature, using the query ‘Bruxism [Majr

Technics study on high accuracy crush dressing and sharpening of diamond grinding wheel

Science.gov (United States)

Jia, Yunhai; Lu, Xuejun; Li, Jiangang; Zhu, Lixin; Song, Yingjie

2011-05-01

Mechanical grinding of artificial diamond grinding wheel was traditional wheel dressing process. The rotate speed and infeed depth of tool wheel were main technics parameters. The suitable technics parameters of metals-bonded diamond grinding wheel and resin-bonded diamond grinding wheel high accuracy crush dressing were obtained by a mount of experiment in super-hard material wheel dressing grind machine and by analysis of grinding force. In the same time, the effect of machine sharpening and sprinkle granule sharpening was contrasted. These analyses and lots of experiments had extent instruction significance to artificial diamond grinding wheel accuracy crush dressing.

Grinding as a method of meat texture evaluation.

Science.gov (United States)

Kenmegne Kamdem, A T; Hardy, J

1995-01-01

An electric grinder equipped with a torque/speed sensor was used to evaluate maximum grinding torque (T(max)) and total energy (TE) necessary to grind 150 g of uncooked meat. Texture profile analysis (TPA), relaxation and cutting tests were carried out and sample compositions were also determined. The degree of dependence between grinding, TPA, relaxation, cutting parameters and sample composition was checked. Results showed that grinding parameters (T(max) and TE) correlated better with TPA, relaxation and cutting parameters than with composition. In particular correlation coefficient of -0·92, -0·92 and 0·97 were obtained, respectively, between T(max) and relaxation percentage (%R), T(max) and destructuring coefficient at 25% conmpression (De(25)) and between T(max) and maximum cutting force (F(c)).

Influence of bruxism on survival of porcelain laminate veneers.

Science.gov (United States)

Granell-Ruíz, Maria; Agustín-Panadero, Rubén; Fons-Font, Antonio; Román-Rodríguez, Juan-Luis; Solá-Ruíz, María-Fernanda

2014-09-01

This study aims to determine whether bruxism and the use of occlusal splints affect the survival of porcelain laminate veneers in patients treated with this technique. Restorations were made in 70 patients, including 30 patients with some type of parafunctional habit. A total of 323 veneers were placed, 170 in patients with bruxism activity, and the remaining 153 in patients without it. A clinical examination determined the presence or absence of ceramic failure (cracks, fractures and debonding) of the restorations; these incidents were analyzed for association with bruxism and the use of splints. Analysis of the ceramic failures showed that of the 13 fractures and 29 debonding that were present in our study, 8 fractures and 22 debonding were related to the presence of bruxism. Porcelain laminate veneers are a predictable treatment option that provides excellent results, recognizing a higher risk of failure in patients with bruxism activity. The use of occlusal splints reduces the risk of fractures.

Different association between specific manifestations of bruxism and temporomandibular disorder pain.

Science.gov (United States)

Berger, Marcin; Szalewski, Leszek; Szkutnik, Jacek; Ginszt, Michał; Ginszt, Apolinary

A growing body of evidence suggests that bruxism exists in two separate manifestations. However, little is known about the association between specific manifestations of bruxism and temporomandibular disorder (TMD) pain. The aim of our study was to analyze the association between TMD pain and specific diagnoses of bruxism (sleep, awake, and mixed diagnosis of sleep and awake bruxism). 508 adult patients (296 women and 212 men), aged between 18 and 64 years (mean age 34±12 years), attending to a clinic for general dental treatment. Patients were asked to fill an anonymous questionnaire, consisting of three questions, verifying the presence of TMD pain and two forms of bruxism. All questions were based on the Polish version of the Research Diagnostic Criteria for Temporomandibular Disorders patient history questionnaire. Cross tabulation was done, and χ 2 was used as a test of significance to find the association between the variables. Awake bruxism was associated with TMD pain only in men (χ 2 =7.746, pbruxism was associated with TMD pain in both women (χ 2 =10.486, pbruxism and TMD pain. Gender-related differences in the presence of all bruxism diagnoses were also statistically insignificant. Interaction between sleep and awake bruxism may increase the risk for TMD pain. We suggest considering concomitance as a confounder, when studying sleep or awake bruxism. Copyright © 2016 Polish Neurological Society. Published by Elsevier Urban & Partner Sp. z o.o. All rights reserved.

Lifestyle and oral facial disorders associated with sleep bruxism in children.

Science.gov (United States)

Alencar, Nashalie Andrade de; Fernandes, Alline Birra Nolasco; Souza, Margareth Maria Gomes de; Luiz, Ronir Raggio; Fonseca-Gonçalves, Andréa; Maia, Lucianne Cople

2017-05-01

The aim of the study was to investigate the routine, sleep history, and orofacial disorders associated with children aged 3-7 years with nocturnal bruxism. Children (n = 66) were divided into groups of parent reported nocturnal bruxism (n = 34) and those without the disorder (n = 32). Data about the child's routine during the day, during sleep and awakening, headache frequency, temporomandibular joint (TMJ), and hearing impairments were obtained through interviews with parents/caregivers. Electromyography examination was used to assess the activity of facial muscles. Multiple logistic regression (MLR), chi-square test, and t-test analyses were performed. MLR revealed association of nightmares (p = 0.002; OR = 18.09) and snoring (p = 0.013; OR = 0.14) with bruxism. Variables related to awakening revealed an association with bruxism (p bruxism) reported more complaints of orofacial pain, facial appearance, and headache occurrence (p  0.05). Nightmares and snoring are associated with nocturnal bruxism in children. Bruxism in children elicits consequences such as headache, orofacial pain, and pain related to awakening.

Temporomandibular disorders, sleep bruxism, and primary headaches are mutually associated.

Science.gov (United States)

Fernandes, Giovana; Franco, Ana Lúcia; Gonçalves, Daniela Aparecida; Speciali, José Geraldo; Bigal, Marcelo Eduardo; Camparis, Cinara Maria

2013-01-01

To investigate the association among temporomandibular disorders (TMD), sleep bruxism, and primary headaches, assessing the risk of occurrence of primary headaches in patients with or without painful TMD and sleep bruxism. The sample consisted of 301 individuals (253 women and 48 men) with ages varying from 18 to 76 years old (average age of 37.5 years). The Research Diagnostic Criteria for Temporomandibular Disorders were used to classify TMD. Sleep bruxism was diagnosed by clinical criteria proposed by the American Academy of Sleep Medicine, and primary headaches were diagnosed according to the International Classification of Headache Disorders-II. Data were analyzed by chi-square and odds ratio tests with a 95% confidence interval, and the significance level adopted was .05. An association was found among painful TMD, migraine, and tension-type headache (P headache (3.7; 1.59-8.75). With regard to sleep bruxism, the association was significant only for chronic migraine (3.8; 1.83-7.84). When the sample was stratified by the presence of sleep bruxism and painful TMD, only the presence of sleep bruxism did not increase the risk for any type of headache. The presence of painful TMD without sleep bruxism significantly increased the risk in particular for chronic migraine (30.1; 3.58-252.81), followed by episodic migraine (3.7; 1.46-9.16). The association between painful TMD and sleep bruxism significantly increased the risk for chronic migraine (87.1; 10.79-702.18), followed by episodic migraine (6.7; 2.79-15.98) and episodic tension-type headache (3.8; 1.38-10.69). The association of sleep bruxism and painful TMD greatly increased the risk for episodic migraine, episodic tension-type headache, and especially for chronic migraine.

Epidemiology of bruxism in adults: a systematic review of the literature.

Science.gov (United States)

Manfredini, Daniele; Winocur, Ephraim; Guarda-Nardini, Luca; Paesani, Daniel; Lobbezoo, Frank

2013-01-01

To perform a systematic review of the literature dealing with the prevalence of bruxism in adult populations. A systematic search of the medical literature was performed to identify all peer-reviewed English-language papers dealing with the prevalence assessment of either awake or sleep bruxism at the general population level by the adoption of questionnaires, clinical assessments, and polysomnographic (PSG) or electromyographic (EMG) recordings. Quality assessment of the reviewed papers was performed according to the Methodological evaluation of Observational REsearch (MORE) checklist, which enables the identification of flaws in the external and internal validity. Cut-off criteria for an acceptable external validity were established to select studies for the discussion of prevalence data. For each included study, the sample features, diagnostic strategy, and prevalence of bruxism in relation to age, sex, and circadian rhythm, if available, were recorded. Thirty-five publications were included in the review. Several methodological problems limited the external validity of findings in most studies, and prevalence data extraction was performed only on seven papers. Of those, only one paper had a flaw less external validity, whilst internal validity was low in all the selected papers due to their self-reported bruxism diagnosis alone, mainly based on only one or two questionnaire items. No epidemiologic data were available from studies adopting other diagnostic strategies (eg, PSG, EMG). Generically identified "bruxism" was assessed in two studies reporting an 8% to 31.4% prevalence, awake bruxism was investigated in two studies describing a 22.1% to 31% prevalence, and prevalence of sleep bruxism was found to be more consistent across the three studies investigating the report of "frequent" bruxism (12.8% ± 3.1%). Bruxism activities were found to be unrelated to sex, and a decrease with age was described in elderly people. The present systematic review described

An experimental assessment on the performance of different lubrication techniques in grinding of Inconel 751.

Science.gov (United States)

Balan, A S S; Vijayaraghavan, L; Krishnamurthy, R; Kuppan, P; Oyyaravelu, R

2016-09-01

The application of emulsion for combined heat extraction and lubrication requires continuous monitoring of the quality of emulsion to sustain a desired grinding environment; this is applicable to other grinding fluids as well. Thus to sustain a controlled grinding environment, it is necessary to adopt an effectively lubricated wheel-work interface. The current study was undertaken to assess experimentally the ​ effects of different grinding environments such as dry, minimum quantity lubrication (MQL) and Cryo-MQL on performance, such as grinding force, temperature, surface roughness and chip morphology on Inconel 751, a higher heat resistance material posing thermal problems and wheel loading. The results show that grinding with the combination of both liquid nitrogen (LN2) and MQL lowers temperature, cutting forces, and surface roughness as compared with MQL and dry grinding. Specific cutting energy is widely used as an inverse measure of process efficiency in machining. It is found from the results that specific cutting energy of Cryo-MQL assisted grinding is 50-65% lower than conventional dry grinding. The grindability of Inconel 751 superalloy can be enhanced with Cryo-MQL condition.

Grinding temperature and energy ratio coefficient in MQL grinding of high-temperature nickel-base alloy by using different vegetable oils as base oil

OpenAIRE

Li Benkai; Li Changhe; Zhang Yanbin; Wang Yaogang; Jia Dongzhou; Yang Min

2016-01-01

Vegetable oil can be used as a base oil in minimal quantity of lubrication (MQL). This study compared the performances of MQL grinding by using castor oil, soybean oil, rapeseed oil, corn oil, sunflower oil, peanut oil, and palm oil as base oils. A K-P36 numerical-control precision surface grinder was used to perform plain grinding on a workpiece material with a high-temperature nickel base alloy. A YDM–III 99 three-dimensional dynamometer was used to measure grinding force, and a clip-type t...

Familial aggregation of anxiety associated with bruxism

Directory of Open Access Journals (Sweden)

David Gorski

2015-07-01

Practical Implications: Anxiety disorders are highly related to suicidal behaviors, particularly in children and adolescents. Additionally, awaken bruxism can often serve as an indicator of anxiety or stress. By recognizing bruxism as a possible manifestation of psychological distress, the dental practitioner may be able to direct patients to life-saving services like psychologists and crisis hotlines when appropriate.

Bruxism: Is There an Indication for Muscle-Stretching Exercises?

Science.gov (United States)

Gouw, Simone; de Wijer, Anton; Creugers, Nico Hj; Kalaykova, Stanimira I

Bruxism is a common phenomenon involving repetitive activation of the masticatory muscles. Muscle-stretching exercises are a recommended part of several international guidelines for musculoskeletal disorders and may be effective in management of the jaw muscle activity that gives rise to bruxism. However, most studies of muscle-stretching exercises have mainly focused on their influence on performance (eg, range of motion, coordination, and muscle strength) of the limb or trunk muscles of healthy individuals or individuals with sports-related injuries. Very few have investigated stretching of the human masticatory muscles and none muscle-stretching exercises in the management of (sleep) bruxism. This article reviews the literature on muscle-stretching exercises and their potential role in the management of sleep bruxism or its consequences in the musculoskeletal system.

Correlation between occlusion and cervical posture in patients with bruxism.

Science.gov (United States)

Cesar, Guilherme Manna; Tosato, Juliana de Paiva; Biasotto-Gonzalez, Daniela Ap

2006-08-01

The goal of this study was to evaluate head and neck posture in the rest position of patients with bruxism and patients without temporomandibular disorder signs or symptoms to further relate them with Angle's class of malocclusion. Fifty-six volunteers participated in this study, ages 18 to 27 years with an average age of 22.5 years. They were divided into 2 groups: Group B--28 subjects with parafunctions (teeth grinding or clenching); and Group C--28 subjects without parafunctional habits (control group). All participants were photographed, and their pictures were analyzed and compared with the software Alcimagem (Instrumental Concept and Movement Analysis Laboratory, Uberlândia, Minas Gerais, Brazil). The results demonstrated that variation of angular values did not present statistical difference for the studied groups. Regarding Angle's class of malocclusion, class I was predominant in Group C, and classes II and III were predominant in Group B. The mental-sternal angle calculated did not present statistical significance between the groups; however, there was a greater variation between the smaller angle and the higher angle in Group B, contrary to Group C.

Relation between bruxism and dental implants

OpenAIRE

TORCATO,Leonardo Bueno; ZUIM,Paulo Renato Junqueira; BRANDINI,Daniela Atili; FALCÓN-ANTENUCCI,Rosse Mary

2014-01-01

OBJECTIVE: The aim of this study was to gather information and discuss the predictability of implant-supported prostheses in patients with bruxism by performing a literature review.METHODS: In order to select the studies included in this review, a detailed search was performed in PubMed and Medlinedatabases, using the following key words: bruxism, dental implants, implant supported prosthesis, and dental restoration failure. Items that were included are: case reports, randomized controlled tr...

Sleep bruxism and myofascial temporomandibular disorders

Science.gov (United States)

Raphael, Karen G.; Sirois, David A.; Janal, Malvin N.; Wigren, Pia E.; Dubrovsky, Boris; Nemelivsky, Lena V.; Klausner, Jack J.; Krieger, Ana C.; Lavigne, Gilles J.

2015-01-01

Background Many dentists believe that sleep bruxism (SB) is a pathogenic factor in myofascial temporomandibular disorder (TMD), but almost all supportive data rely on patients’ self-reports rather than on direct observation. Methods The authors administered a structured self-report interview to determine whether a large and well-characterized sample of patients with myofascial TMD (124 women) experienced SB more often than did matched control participants (46 women). The authors then used data from a two-night laboratory-based polysomnographic (PSG) study to determine whether the case participants exhibited more SB than the control participants. Results The results of independent sample t tests and χ2 analyses showed that, although self-reported rates of SB were significantly higher in case participants (55.3 percent) than in control participants (15.2 percent), PSG-based measures showed much lower and statistically similar rates of SB in the two groups (9.7 percent and 10.9 percent, respectively). Grinding noises were common in both case participants (59.7 percent) and control participants (78.3 percent). Conclusions Most case participants did not exhibit SB, and the common belief that SB is a sufficient explanation for myofascial TMD should be abandoned. Clinical Implications Although other reasons to consider treating SB may exist, misplaced concern about SB’s sustaining or exacerbating a chronic myofascial TMD condition should not be used to justify SB treatment. PMID:23115152

Effects of sleep bruxism on functional and occlusal parameters: a prospective controlled investigation

Science.gov (United States)

Alicia Ommerborn, Michelle; Giraki, Maria; Schneider, Christine; Michael Fuck, Lars; Handschel, Jörg; Franz, Matthias; Hans-Michael Raab, Wolfgang; Schäfer, Ralf

2012-01-01

This study was conducted to verify the results of a preceding retrospective pilot study by means of a prospective controlled investigation including a larger sample size. Therefore, the aim of this clinical investigation was to analyze the relationship between sleep bruxism and several functional and occlusal parameters. The null hypothesis of this study was that there would be no differences among sleep bruxism subjects and non-sleep bruxism controls regarding several functional and occlusal parameters. Fifty-eight sleep bruxism subjects and 31 controls participated in this study. The diagnosis sleep bruxism was based on clinical criteria of the American Academy of Sleep Medicine. Sixteen functional and occlusal parameters were recorded clinically or from dental study casts. Similar to the recently published retrospective pilot study, with a mean slide of 0.77 mm (s.d., 0.69 mm) in the sleep bruxism group and a mean slide of 0.4 mm (s.d., 0.57 mm) in the control group, the evaluation of the mean comparison between the two groups demonstrated a larger slide from centric occlusion to maximum intercuspation in sleep bruxism subjects (Mann–Whitney U-test; P=0.008). However, following Bonferroni adjustment, none of the 16 occlusal and functional variables differed significantly between the sleep bruxism subjects and the non-sleep bruxism controls. The present study shows that the occlusal and functional parameters evaluated do not differ between sleep bruxism subjects and non-sleep bruxism subjects. However, as the literature reveals a possible association between bruxism and certain subgroups of temporomandibular disorders, it appears advisable to incorporate the individual adaptive capacity of the stomatognathic system into future investigations. PMID:22935746

Effects of sleep bruxism on functional and occlusal parameters: a prospective controlled investigation.

Science.gov (United States)

Ommerborn, Michelle Alicia; Giraki, Maria; Schneider, Christine; Fuck, Lars Michael; Handschel, Jörg; Franz, Matthias; Hans-Michael Raab, Wolfgang; Schäfer, Ralf

2012-09-01

This study was conducted to verify the results of a preceding retrospective pilot study by means of a prospective controlled investigation including a larger sample size. Therefore, the aim of this clinical investigation was to analyze the relationship between sleep bruxism and several functional and occlusal parameters. The null hypothesis of this study was that there would be no differences among sleep bruxism subjects and non-sleep bruxism controls regarding several functional and occlusal parameters. Fifty-eight sleep bruxism subjects and 31 controls participated in this study. The diagnosis sleep bruxism was based on clinical criteria of the American Academy of Sleep Medicine. Sixteen functional and occlusal parameters were recorded clinically or from dental study casts. Similar to the recently published retrospective pilot study, with a mean slide of 0.77 mm (s.d., 0.69 mm) in the sleep bruxism group and a mean slide of 0.4 mm (s.d., 0.57 mm) in the control group, the evaluation of the mean comparison between the two groups demonstrated a larger slide from centric occlusion to maximum intercuspation in sleep bruxism subjects (Mann-Whitney U-test; P=0.008). However, following Bonferroni adjustment, none of the 16 occlusal and functional variables differed significantly between the sleep bruxism subjects and the non-sleep bruxism controls. The present study shows that the occlusal and functional parameters evaluated do not differ between sleep bruxism subjects and non-sleep bruxism subjects. However, as the literature reveals a possible association between bruxism and certain subgroups of temporomandibular disorders, it appears advisable to incorporate the individual adaptive capacity of the stomatognathic system into future investigations.

Association among stress, personality traits, and sleep bruxism in children.

Science.gov (United States)

Serra-Negra, Junia M; Paiva, Saul M; Flores-Mendoza, Carmen E; Ramos-Jorge, Maria L; Pordeus, Isabela A

2012-01-01

The purpose of this study was to determine the association among stress levels, personality traits, and sleep bruxism in children. A population-based case control study (proportion=1:2) was conducted involving 120 7- to 11-year-olds with sleep bruxism and 240 children without sleep bruxism. The sample was randomly selected from schools in Belo Horizonte, Minas Gerais, Brazil. The following instruments were used for data collection: questionnaire administered to parents; child stress scale; and neuroticism and responsibility scales of the big five questionnaire for children. Psychological tests were administered and evaluated by psychologists. Sleep bruxism was diagnosed from parents' reports. The chi-square test, as well as binary and multivariate logistic regression, was applied for statistical analysis. In the adjusted logistic model, children with a high level of stress, due to psychological reactions (odds ratio=1.8; confidence interval=1.1-2.9) and a high sense of responsibility (OR=1.6; CI=1.0-2.5) vs those with low levels of these psychological traits, presented a nearly 2-fold greater chance of exhibiting the habit of sleep bruxism. High levels of stress and responsibility are key factors in the development of sleep bruxism among children.

The Influence of Wet Dressing of Grinding Wheel on the Grinding Performance

OpenAIRE

重松, 日出見; 冨田, 進

1989-01-01

Experiments on the relation between the form of working plane of grinding wheel which was formed by dressing, and the grinding performance of working plane of grinding wheel in the early stage of grinding, were carried out supplying the same grinding fluid in dressing time and grinding time. As a result, it was found that the difference of the action or the effect of grinding fluids on the working plane of grinding fluid were related to the grinding performance in the early stage of grinding....

Grinding behavior and surface appearance of (TiCp + TiBw/Ti-6Al-4V titanium matrix composites

Directory of Open Access Journals (Sweden)

Ding Wenfeng

2014-10-01

Full Text Available (TiCp + TiBw/Ti-6Al-4V titanium matrix composites (PTMCs have broad application prospects in the aviation and nuclear field. However, it is a typical difficult-to-cut material due to high hardness of the reinforcements, high strength and low thermal conductivity of Ti-6Al-4V alloy matrix. Grinding experiments with vitrified CBN wheels were conducted to analyze comparatively the grinding performance of PTMCs and Ti-6Al-4V alloy. Grinding force and force ratios, specific grinding energy, grinding temperature, surface roughness, ground surface appearance were discussed. The results show that the normal grinding force and the force ratios of PTMCs are much larger than that of Ti-6Al-4V alloy. Low depth of cut and high workpiece speed are generally beneficial to achieve the precision ground surface for PTMCs. The hard reinforcements of PTMCs are mainly removed in the ductile mode during grinding. However, the removal phenomenon of the reinforcements due to brittle fracture still exists, which contributes to the lower specific grinding energy and grinding temperature of PTMCs than Ti-6Al-4V alloy.

Grind hardening process

CERN Document Server

Salonitis, Konstantinos

2015-01-01

This book presents the grind-hardening process and the main studies published since it was introduced in 1990s.  The modelling of the various aspects of the process, such as the process forces, temperature profile developed, hardness profiles, residual stresses etc. are described in detail. The book is of interest to the research community working with mathematical modeling and optimization of manufacturing processes.

An experimental assessment on the performance of different lubrication techniques in grinding of Inconel 751

Directory of Open Access Journals (Sweden)

A.S.S. Balan

2016-09-01

Full Text Available The application of emulsion for combined heat extraction and lubrication requires continuous monitoring of the quality of emulsion to sustain a desired grinding environment; this is applicable to other grinding fluids as well. Thus to sustain a controlled grinding environment, it is necessary to adopt an effectively lubricated wheel-work interface. The current study was undertaken to assess experimentally the ​ effects of different grinding environments such as dry, minimum quantity lubrication (MQL and Cryo-MQL on performance, such as grinding force, temperature, surface roughness and chip morphology on Inconel 751, a higher heat resistance material posing thermal problems and wheel loading. The results show that grinding with the combination of both liquid nitrogen (LN2 and MQL lowers temperature, cutting forces, and surface roughness as compared with MQL and dry grinding. Specific cutting energy is widely used as an inverse measure of process efficiency in machining. It is found from the results that specific cutting energy of Cryo-MQL assisted grinding is 50–65% lower than conventional dry grinding. The grindability of Inconel 751 superalloy can be enhanced with Cryo-MQL condition.

Do bruxism and temporomandibular disorders have a cause-and-effect relationship?

Science.gov (United States)

Lobbezoo, F; Lavigne, G J

1997-01-01

Controversy continues to exist over the putative role of bruxism in the etiology of temporomandibular disorders. A commonly held concept is that bruxism leads to signs and symptoms characteristic of one or more of the subdiagnoses of temporomandibular disorders, while another hypothesis suggests that bruxism is a temporomandibular disorder itself that sometimes coexists with other forms of temporomandibular disorders. Following a thorough review of the literature in this article, it is concluded that the relationship between bruxism and temporomandibular disorders is still unclear. Future research should examine longitudinal epidemiologic and clinical/experimental data to establish or refute a cause-and-effect relationship. In doing so, the existence of various sub-groups of temporomandibular disorders should be taken into account, and sleep-related bruxism should be discriminated from its daytime variant.

Clinical significance of sleep bruxism on several occlusal and functional parameters.

Science.gov (United States)

Ommerborn, Michelle A; Giraki, Maria; Schneider, Christine; Fuck, Lars Michael; Zimmer, Stefan; Franz, Matthias; Raab, Wolfgang Hans-michael; Schaefer, Ralf

2010-10-01

The aim of this study was to evaluate the association between various functional and occlusal parameters and sleep bruxism. Thirty-nine (39) sleep bruxism patients and 30 controls participated in this investigation. The assessment of sleep bruxism was performed using the Bruxcore Bruxism-Monitoring Device (BBMD) combined with a new computer-based analyzing method. Sixteen functional and/or occlusal parameters were recorded. With a mean slide of 0.95 mm in the sleep bruxism group and a mean slide of 0.42 mm in the control group (Mann Whitney U test; p<0.003), results solely demonstrated a significant group difference regarding the length of a slide from centric occlusion to maximum intercuspation. The results suggest that the slightly pronounced slide could be of clinical importance in the development of increased wear facets in patients with current sleep bruxism activity. Following further evaluation including polysomnographic recordings, the BBMD combined with this new analyzing technique seems to be a clinically feasible instrument that allows the practitioner to quantify abrasion over a short period.

Mother's Work Status on Children's Bruxism in a Subset of Saudi Population

Science.gov (United States)

Alouda, Rana; Alshehri, Maram; Alnaghmoosh, Shoog; Shafique, Maryam; Al-Khudhairy, May Wathiq

2017-01-01

Aims and Objectives: The aims and objectives of this study were to determine if an association exists between mothers work status and her children's incidence of bruxism and habits related to bruxism. Materials and Methods: A cross-sectional study was conducted through data collection of a questionnaire answered by 561 mothers’ about their working status and their child's habits and behaviors. The survey consisted of 5 parts with a total of 34 questions: mother's information, child's behavior, child's sleeping pattern, mother's knowledge about bruxism, and child's medical history. Odds ratios, Chi-square, and their corresponding 95% confidence intervals are reported. Statistical significance was set at P ≤ 0.05. Results: The work status of the mother was not statistically significant in increasing the incidence of a child to have bruxism. However, this study clearly elucidates that 7 of the 15 habits correlate significantly with a status of bruxism. According to this sample, a child, that is, reported to be aggressive is more than twice as likely to have nocturnal bruxism. Likewise, any child that bites their nails, complains of headaches, drools in their sleep, snores, complains of muscle cramps, and colic is more than twice as likely to be a nocturnal bruxer than a child that does not have these habits. Conclusion: The prevalence of children's bruxism in this convenient sample was 34.5% (n = 141). The concerning habits related to bruxism can serve the pediatric dentist, general dentist, general practitioner, and primary care provider of children having these red flags as indicators of bruxism. It is imperative that parents of these children be made aware these habits that may occur together, alone or even simultaneously with bruxism. PMID:29285473

Bruxism: is it a new sign of the cardiovascular diseases?

Science.gov (United States)

Atilgan, Z; Buyukkaya, R; Yaman, F; Tekbas, G; Atilgan, S; Gunay, A; Palanci, Y; Guven, S

2011-12-01

To determine the relationship between bruxism and cardiovascular diseases. 120 patients who referred to the Dentistry Faculty with the complaint of bruxism were selected. All patients gave informed consent for participation in the study. All of the patients were examined and bruxism was classified. And also these were examined by B-mode ultrasound to measure the Intima Media Thickness (IMT) at the far wall of the common carotid artery. A wide range of vascular risk factors including age, gender, body mass index, and previous history were surveyed. Spearman correlation analysis was performed to ascertain quantitative comparison, Mann-Whitney U and Kruskal-Wallis test were used for comparison of means There were 66 (55%) male and 54 (45%) female patients, with a female to male ratio of 1/1.2. The mean age was 35.6 +/- 1,25 years (range 18-65 years). In the analysis of bruxism classification and IMT there was a statistical significance between bruxism classification subgroup 1, 2, 3 and IMT. There was no statistical significance between bruxism classification Subgroup 4 and IMT due to the small number of the patients (n = 12). Stressful situations can cause both bruxism and cardiovascular disease such as coronary artery diseases, hypertension, arrhythmias, cardiomyopathy. The statistical analysis supported this hypothesis. However, we need to new studies with large number of samples to confirm this hypothesis. Clearly, future studies in this field will need to take into consideration the influence of the following variables: age, use of medication or drugs, smoking habits, and other sleep disorders.

High-speed, low-damage grinding of advanced ceramics Phase 1. Final report

Energy Technology Data Exchange (ETDEWEB)

Kovach, J.A. [Eaton Corp., Willoughby Hills, OH (United States). Mfg. Technologies Center; Malkin, S. [Univ. of Massachusetts (United States)

1995-03-01

In manufacture of structural ceramic components, grinding costs can comprise up to 80% of the entire manufacturing cost. Most of these costs arise from the conventional multi-step grinding process with numerous grinding wheels and additional capital equipment, perishable dressing tools, and labor. In an attempt to reduce structural ceramic grinding costs, a feasibility investigation was undertaken to develop a single step, roughing-finishing process suitable for producing high-quality silicon nitride ceramic parts at high material removal rates at lower cost than traditional, multi-stage grinding. This feasibility study employed combined use of laboratory grinding tests, mathematical grinding models, and characterization of resultant material surface condition. More specifically, this Phase 1 final report provides a technical overview of High-Speed, Low-Damage (HSLD) ceramic grinding and the conditions necessary to achieve the small grain depths of cut necessary for low damage grinding while operating at relatively high material removal rates. Particular issues addressed include determining effects of wheel speed and material removal rate on resulting mode of material removal (ductile or brittle fracture), limiting grinding forces, calculation of approximate grinding zone temperatures developed during HSLD grinding, and developing the experimental systems necessary for determining HSLD grinding energy partition relationships. In addition, practical considerations for production utilization of the HSLD process are also discussed.

Grinding assembly, grinding apparatus, weld joint defect repair system, and methods

Science.gov (United States)

Larsen, Eric D.; Watkins, Arthur D.; Bitsoi, Rodney J.; Pace, David P.

2005-09-27

A grinding assembly for grinding a weld joint of a workpiece includes a grinder apparatus, a grinder apparatus includes a grinding wheel configured to grind the weld joint, a member configured to receive the grinding wheel, the member being configured to be removably attached to the grinder apparatus, and a sensor assembly configured to detect a contact between the grinding wheel and the workpiece. The grinding assembly also includes a processing circuitry in communication with the grinder apparatus and configured to control operations of the grinder apparatus, the processing circuitry configured to receive weld defect information of the weld joint from an inspection assembly to create a contour grinding profile to grind the weld joint in a predetermined shape based on the received weld defect information, and a manipulator having an end configured to carry the grinder apparatus, the manipulator further configured to operate in multiple dimensions.

Occlusal factors are not related to self-reported bruxism.

Science.gov (United States)

Manfredini, Daniele; Visscher, Corine M; Guarda-Nardini, Luca; Lobbezoo, Frank

2012-01-01

To estimate the contribution of various occlusal features of the natural dentition that may identify self-reported bruxers compared to nonbruxers. Two age- and sex-matched groups of self-reported bruxers (n = 67) and self-reported nonbruxers (n = 75) took part in the study. For each patient, the following occlusal features were clinically assessed: retruded contact position (RCP) to intercuspal contact position (ICP) slide length ( 4 mm, a deep bite), horizontal overlap (> 4 mm was considered a large horizontal overlap), incisor dental midline discrepancy (bruxism (dependent variable). Accuracy values to predict self-reported bruxism were unacceptable for all occlusal variables. The only variable remaining in the final regression model was laterotrusive interferences (P = .030). The percentage of explained variance for bruxism by the final multiple regression model was 4.6%. This model including only one occlusal factor showed low positive (58.1%) and negative predictive values (59.7%), thus showing a poor accuracy to predict the presence of self-reported bruxism (59.2%). This investigation suggested that the contribution of occlusion to the differentiation between bruxers and nonbruxers is negligible. This finding supports theories that advocate a much diminished role for peripheral anatomical-structural factors in the pathogenesis of bruxism.

Childhood bruxism: Related factors and impact on oral health-related quality of life.

Science.gov (United States)

Antunes, Lívia Azeredo Alves; Castilho, Thuanny; Marinho, Marcello; Fraga, Renato Silva; Antunes, Leonardo Santos

2016-01-01

This study aimed to assess childhood bruxism relating associated factors and the bruxism's impact on oral health-related quality of life (OHRQoL). A case-control study was performed with 3- to 6-year-old children obtained from public preschools in Brazil. The case and control groups had 21 and 40 children, respectively. Associations between bruxism and respiratory problems (p = 0.04, OR: 0.33, CI: 0.09 to 1.14), dental wear (p 0.05). The association between presence and absence of impact with bruxism or other variables showed no statistical relationship (p > 0.05). It could be concluded that childhood bruxism is related to respiratory problems, dental wear, dental caries, and malocclusion. Despite being a topic that demands special care in dentistry, bruxism does not significantly affect the OHRQoL. © 2015 Special Care Dentistry Association and Wiley Periodicals, Inc.

Self-reported bruxism mirrors anxiety and stress in adults

NARCIS (Netherlands)

Ahlberg, J.; Lobbezoo, F.; Ahlberg, K.; Manfredini, D.; Hublin, C.; Sinisalo, J.; Könönen, M.; Savolainen, A.

2013-01-01

Objectives: The aims were to analyze whether the levels of self-reported bruxism and anxiety associate among otherwise healthy subjects, and to investigate the independent effects of anxiety and stress experience on the probability of self-reported bruxism. Study Design: As part of a study on

Role of psychosocial factors in the etiology of bruxism

NARCIS (Netherlands)

Manfredini, D.; Lobbezoo, F.

2009-01-01

AIMS: To summarize literature data about the role of psychosocial factors in the etiology of bruxism. METHODS: A systematic search in the National Library of Medicine's PubMed Database was performed to identify all peer-reviewed papers in the English literature dealing with the bruxism-psychosocial

Tool grinding machine

Science.gov (United States)

Dial, Sr., Charles E.

1980-01-01

The present invention relates to an improved tool grinding mechanism for grinding single point diamond cutting tools to precise roundness and radius specifications. The present invention utilizes a tool holder which is longitudinally displaced with respect to the remainder of the grinding system due to contact of the tool with the grinding surface with this displacement being monitored so that any variation in the grinding of the cutting surface such as caused by crystal orientation or tool thickness may be compensated for during the grinding operation to assure the attainment of the desired cutting tool face specifications.

Grinding in lead-zinc concentrator Sasa – choice between different grinding media

OpenAIRE

Krstev, Boris

2004-01-01

In this paper will be present result obtained from investigation in the grinding circuit of the lead-zinc concentrator Sasa,using differen grindng media: • Litzkhun-Niederwipper Forged Steel grinding balls; • GSI LUCCHINI Moly-Cop Forged Steel grinding balls; • Cast steel grinding balls from Ukraina and Bulgaria; In the same time will be shown comparation between obtained parameters using different grinding balls specially: • Capacity of the grinding mill; • Particle size; ...

Crush Grinding

International Nuclear Information System (INIS)

Nguyen, T.Q.

2005-01-01

Crush Grinding is a special process used at the Kansas City Plant to finish stem sections of reservoir products. In this process, a precise profile of the desired product is formed on a tungsten carbide roll. This roll slowly transfers a mirror image of the profile onto the grinding surface of a wheel. The transfer rate of the profile is between 0.001 and 0.010 inches per minute. Crush grinding is desirable since it provides consistent surface finishes and thin walls at a high production rate. In addition, it generates very sharp fillet radii. However, crush grinding is a complex process since many variables affect the final product. Therefore, the process requires more attention and knowledge beyond basic metal removal practices. While the Kansas City Plant began using these machines in 1995, a formal study regarding crush grinding has not been conducted there. In addition, very little literature is available in the grinding industry regarding this process. As a result, new engineers at the Kansas City Plant must learn the process through trial and error. The purpose of this document is to address this literature deficit while specifically promoting a better understanding of the stem crush grinding process at the Kansas City Plant.

Elements of implant-supported rehabilitation planning in patients with bruxism.

Science.gov (United States)

Sarmento, Hugo Ramalho; Dantas, Raquel Venâncio Fernandes; Pereira-Cenci, Tatiana; Faot, Fernanda

2012-11-01

The rehabilitation of partial or completely edentulous patients with implant-supported prostheses has been widely used, achieving high success rates. However, many studies consider the presence of bruxism as a contraindication for this treatment modality. The purpose of this study was to revise the literature and identify risk factors in implant-supported rehabilitation planning in subjects with bruxism. Available literature was searched through Medline, with no time limit, including only studies in English. Topics discussed were etiology of bruxism and its implications on dental implants, biomechanical considerations regarding the overload on dental implants, and methods to prevent the occurrence of overloads in implant-supported prostheses. The rehabilitation of bruxers using implant-supported prostheses, using implants with adequate length and diameter, as well as proper positioning seems to be a reliable treatment, with reduced risks of failure. Bruxism control through the use of a nightguard by rigid occlusal stabilization appliance relieved in the region of implants is highly indicated. Although it is clear that implant-supported rehabilitation of patients with bruxism requires adequate planning and follow-up, well-designed randomized controlled trials are needed to provide reliable evidence on the long-term success of this treatment modality.

Symptoms in different severity degrees of bruxism: a cross-sectional study

OpenAIRE

Amorim, Cinthia Santos Miotto; Vieira, Glauco Fioranelli; Firsoff, Eliete Ferreira Osses; Frutuoso, Jecilene Rosana Costa; Puliti, Elizabeth; Marques, Amélia Pasqual

2016-01-01

ABSTRACT Objective: The aim of the present study was to evaluate symptoms of the muscle pain, sleep quality, oral health, anxiety, stress and depression in individuals with different severity degrees of bruxism. Methods: Seventy-two individuals with bruxism were enrolled in the study, classified into: moderate (n=25) and severe (n=47) bruxism. Pain intensity was assessed using the Visual Analogical Scale, pain threshold with algometer, sleep quality by the Pittsburgh Sleep Quality Index, ...

Biofeedback treatment for sleep bruxism: a systematic review.

Science.gov (United States)

Wang, Lu-Fei; Long, Hu; Deng, Meng; Xu, Hui; Fang, Jie; Fan, Yi; Bai, Ding; Han, Xiang-Long

2014-05-01

The aim of this systematic review was to evaluate the efficacy of any biofeedback treatment on sleep bruxism. We searched the Cochrane Central Register of Controlled Trials, MEDLINE, Embase, ISI Web of Science, System for Information on Grey Literature in Europe, Chinese Biomedical Literature Database, and PsycINFO up to October 2012 for randomized controlled trials and controlled clinical trials involving biofeedback treatment for sleep bruxism. Reference lists of relevant studies were hand searched. Quality assessment and data extraction were performed by two reviewers independently. Seven eligible studies involving 240 participants were finally included. Three of them had moderate risk of bias, and four had high risk of bias. In an electromyographic-measured sleep bruxism episode, meta-analysis showed no significant difference between contingent electrical stimulation and blank control (95% confidence interval = -12.33, 3.38, P = 0.26). Moreover, five studies reported electromyographic activity index. Due to the diversity of biofeedback modalities (auditory, electrical, and visual stimulus) and controls (splint, occlusal adjustment, etc.), these data were unable to be pooled, so only qualitative description was provided. In the current stage, there is no powerful evidence to support the use of biofeedback technology on sleep bruxism treatment. Contingent electrical stimulation which is defined as a kind of biofeedback modality shows no effect on reducing sleep bruxism episode compared with the no-treatment group. Although many studies support the efficacy of biofeedback treatment, more large sample-sized randomized controlled trials which adopt uniform outcome index are necessitated to verify its application.

Grinding, Machining Morphological Studies on C/SiC Composites

Science.gov (United States)

Xiao, Chun-fang; Han, Bing

2018-05-01

C/SiC composite is a typical material difficult to machine. It is hard and brittle. In machining, the cutting force is large, the material removal rate is low, the edge is prone to collapse, and the tool wear is serious. In this paper, the grinding of C/Si composites material along the direction of fiber distribution is studied respectively. The surface microstructure and mechanical properties of C/SiC composites processed by ultrasonic machining were evaluated. The change of surface quality with the change of processing parameters has also been studied. By comparing the performances of conventional grinding and ultrasonic grinding, the surface roughness and functional characteristics of the material can be improved by optimizing the processing parameters.

Study of the relationship of psychosocial disorders to bruxism in adolescents

OpenAIRE

Katayoun E; Sima F; Naser V; Anahita D

2008-01-01

Background and Aim: Bruxism has been defined as a diurnal or nocturnal parafunctional habit. Etiology of bruxism has remained controversial and some investigators believe that psychological factors may play a major role in promoting and perpetuating this habit. The aim of this case-control study was to assess the existence of an association between bruxism and psychosocial disorders in adolescents., Participants were chosen among 114, 12-14 year old students (girls). They were divided into t...

Bruxism Is Associated With Nicotine Dependence: A Nationwide Finnish Twin Cohort Study

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Ahlberg, J.; Hublin, C.; Broms, U.; Madden, P. A. F.; Könönen, M.; Koskenvuo, M.; Lobbezoo, F.; Kaprio, J.

2010-01-01

Objectives: To investigate the association of smoking with bruxism while controlling for genetic and environmental factors using a co-twin-control design. Especially, the role of nicotine dependence was studied in this context. Methods: The material derives from the Finnish Twin Cohort consisting of 12,502 twin individuals who responded to a questionnaire in 1990 (response rate of 77%). All were born in 1930–1957, the mean age being 44 years. The questionnaire covered 103 multiple choice questions, 7 dealing with tobacco use and 22 with sleep and vigilance matters, including perceived bruxism. In addition, a subsample derived from the Nicotine Addiction Genetics Finland Study containing 445 twin individuals was studied. Results: In age- and gender-controlled multinomial logistic regression, both monthly and rarely reported bruxism associated with both current cigarette smoking (odds ratio [OR] = 1.74 and 1.64) and former cigarette smoking (OR = 1.64 and 1.47). Weekly bruxism associated with current smoking (OR = 2.85). Current smokers smoking 20 or more cigarettes a day reported weekly bruxism more likely (OR = 1.61–1.97) than those smoking less. Among twin pairs (N = 142) in which one twin was a weekly bruxer and the cotwin a never bruxer, there were 13 monozygotic pairs in which one twin was a current smoker and the other twin was not. In all cases, the bruxer was the smoker (p = .0003). Nicotine dependence associated significantly with bruxism. Conclusions: Our twin study provides novel evidence for a possible causal link between tobacco use and bruxism among middle-aged adults. Nicotine dependence may be a significant predisposing factor for bruxism. PMID:21041838

Evaluation of the association of bruxism, psychosocial and sociodemographic factors in preschoolers.

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Gomes, Monalisa Cesarino; Neves, Érick Tássio; Perazzo, Matheus França; Souza, Emilly Gabrielle Carlos de; Serra-Negra, Júnia Maria; Paiva, Saul Martins; Granville-Garcia, Ana Flávia

2018-02-05

The aim of the present study was to evaluate factors associated with sleep bruxism in five-year-old preschool children. A preschool-based cross-sectional study was conducted with 761 pairs of children and their parents/caregivers. Sleep bruxism was diagnosed using a questionnaire administered to the parents/caregivers, who also answered questionnaires addressing sociodemographic data and parent's/caregiver's sense of coherence. Clinical oral evaluations of the children to determine dental caries, traumatic dental injuries, malocclusion and tooth wear were performed by two researchers who had undergone a training exercise (interexaminer Kappa: 0.70 to 0.91; intraexaminer Kappa: 0.81 to 1.00). Descriptive analysis and logistic regression for complex samples were carried out (α = 5%). The prevalence of sleep bruxism among the preschool children was 26.9%. The multivariate analysis revealed that bruxism was associated with poor sleep quality (OR = 2.93; 95 CI: 1.52-5.65) and tooth wear (OR = 2.34; 95%CI: 1.39-3.96). In the present study, sleep bruxism among preschool children was associated with tooth wear and poor sleep quality of the child. In contrast, psychosocial aspects (sense of coherence) were not associated with sleep bruxism.

Prevalence of Bruxism among Mexican Children with Down Syndrome

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Lopez-Perez, Ruben; Lopez-Morales, Patricia; Borges-Yanez, S. Aida; Maupome, Gerardo; Pares-Vidrio, Gustavo

2007-01-01

This study sought to determine the prevalence of bruxism in a Mexican community of children with Down syndrome, and to evaluate bruxism's relationship with age, sex, intellectual disability level, and type of chromosomal abnormality of trisomy 21. Using a cross-sectional design, 57 boys and girls (3 to 14 years old) were examined. Three approaches…

Associations of sleep bruxism with age, sleep apnea, and daytime problematic behaviors in children.

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Tachibana, M; Kato, T; Kato-Nishimura, K; Matsuzawa, S; Mohri, I; Taniike, M

2016-09-01

The aims of this study were to investigate the prevalence of sleep bruxism in children in Japan, and its relationships with sleep-related factors and daytime problematic behavior. Guardians of 6023 children aged 2-12 years completed the Japanese Sleep Questionnaire. Multiple regression analysis and structural equation modeling were performed. Sleep bruxism was reported in 21.0% children (n = 1263): the prevalence was highest in the age group of 5-7 years (27.4%). Multiple regression analysis showed that sleep bruxism had significant correlations with age 5-7 years (OR: 1.72; P bruxism had a significant but weak direct effect on daytime problematic behavior, while sleep bruxism significantly correlated with obstructive sleep apnea, which had a higher direct effect on daytime problematic behavior. Sleep bruxism was reported in 21.0% of Japanese children and had independent relationships with age, movements during sleep, and snoring. A comorbidity of sleep-disordered breathing might be related to daytime problematic behavior in children with sleep bruxism. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Over-the-counter (OTC) bruxism splints available on the Internet

NARCIS (Netherlands)

Wassell, R.W.; Verhees, L.; Lawrence, K.; Davies, S.; Lobbezoo, F.

2014-01-01

Background Some individuals may now be bypassing their dentists for treatment of bruxism. Self-diagnosed, self-adjusted and self-monitored consumers can access over-the-counter (OTC) bruxism splints via the Internet. While some may regard this market as benefiting consumers there are potential

Analysis of grinding of superalloys and ceramics for off-line process optimization

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Sathyanarayanan, G.

The present study has compared the performances of resinoid, vitrified, and electroplated CBN wheels in creep feed grinding of M42 and D2 tool steels. Responses such as a specific energy, normal and tangential forces, and surface roughness were used as measures of performance. It was found that creep feed grinding with resinoid, vitrified, and electroplated CBN wheels has its own advantages, but no single wheel could provide good finish, lower specific energy, and high material removal rates simultaneously. To optimize the CBN grinding with different bonded wheels, a Multiple Criteria Decision Making (MCDM) methodology was used. Creep feed grinding of superalloys, Ti-6Al-4V and Inconel 718, has been modeled by utilizing neural networks to optimize the grinding process. A parallel effort was directed at creep feed grinding of alumina ceramics with diamond wheels to investigate the influence of process variables on responses based on experimental results and statistical analysis. The conflicting influence of variables was observed. This led to the formulation of ceramic grinding process as a multi-objective nonlinear mixed integer problem.

Conduit grinding apparatus

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Nachbar, Henry D.; Korytkowski, Alfred S.

1991-01-01

A grinding apparatus for grinding the interior portion of a valve stem receiving area of a valve. The apparatus comprises a faceplate, a plurality of cams mounted to an interior face of the faceplate, a locking bolt to lock the faceplate at a predetermined position on the valve, a movable grinder and a guide tube for positioning an optical viewer proximate the area to be grinded. The apparatus can either be rotated about the valve for grinding an area of the inner diameter of a valve stem receiving area or locked at a predetermined position to grind a specific point in the receiving area.

The Effect of Wood Alignment on Wood Grinding – Part 1: Properties of Pulp and Fines Revealed in the Grinding Mechanism

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Erkki Tapani Saharinen

2016-03-01

Full Text Available In industrial wood grinding, logs are pressed against a rotating stone, with the logs and fiber axis parallel to the axis of the stone. The objective of this study is to clarify how the wood alignment affects the process and pulp properties. In this research, wood blocks were fed into a laboratory grinder with various alignments in relation to the surface of the grinding stone. The effects of the alignment on the properties of the pulp and the amount and quality of fines were measured. A grinding mechanism was proposed. The results show that the pulp quality is very sensitive to the angle between the stone surface and the log. In gentle refining, the fiber structure is loosened by fatigue before it is bent on the surface; pressure pulses produce fibrillar material, and fibers develop toward having good bonding ability. In forced grinding, the process is “violent”, and the fiber wears and becomes crushed immediately on the surface into small particles with low bonding ability.

Are there associations between sleep bruxism, chronic stress, and sleep quality?

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Ohlmann, Brigitte; Bömicke, Wolfgang; Habibi, Yasamin; Rammelsberg, Peter; Schmitter, Marc

2018-07-01

The purpose of this study was to identify associations between definite sleep bruxism, as defined by the American academy of sleep medicine, and chronic stress and sleep quality. Sleep bruxism was determined by use of questionnaires, assessment of clinical symptoms, and recording of electromyographic and electrocardiographic data (recorded by the Bruxoff ® device). The study included 67 participants. Of these, 38 were identified as bruxers and 29 as non-bruxers. The 38 bruxers were further classified as 17 moderate and 21 intense bruxers. Self-reported stress and self-reported sleep quality were determined by use of the validated questionnaires "Trier Inventory for the Assessment of Chronic Stress" (TICS) and the "Pittsburgh Sleep Quality Index" (PSQI). No statistically significant association was found between sleep bruxism and self-reported stress or sleep quality. However, a significant association between specific items of chronic stress and poor sleep quality was identified. The results of this study indicate an association between subjective sleep quality and subjective chronic stress, irrespective of the presence or absence of sleep bruxism. Chronic stress and sleep quality do not seem to be associated with sleep bruxism. (clinical trial no. NCT03039985). Copyright © 2018 Elsevier Ltd. All rights reserved.

Bruxism and health related quality of life in southern Italy's prison inmates.

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Cavallo, P; Savarese, G; Carpinelli, L

2014-06-01

The aim of this study was to determine the prevalence of self-assessed bruxism, the level of Health Related Quality of Life (HRQoL) and their relationship in a group of male inmates. BASIC RESEARCH DESIGN, SETTING: The present study was cross-sectional, its setting was two penal institutions in Italy. A sample of 280 male prisoners (mean age 39.7 years). Due to the very small number of female prisoners, it was not possible to study both genders. Subjects were administered a questionnaire with items investigating demographic data, self-assessed bruxism and HRQoL using EuroQoL EQ-5D instrument. Bruxism was present in 29.7% of inmates. Results for EQ-5D (in brackets are data for the general population age and gender matched) were: EQ-index 1.3 (0.8), EQ-VAS 62 (80). Percentage reporting a problem for each dimension: Mobility (MO): 7.5 (9.6), Self Care (SC): 6.1 (4.3), Usual Activities (UA): 17.9 (10.1), Pain/discomfort (PD): 43.9 (40.8), Anxiety/depression (AD): 54.6 (31.9). There was a strong correlation between bruxism and EQ-index, showing concordance and dependence and, as expected, discordance and dependence between bruxism and EQ-VAS. Bruxism prevalence is higher and HRQoL is worse in the prison population than in the general population; the presence of bruxism is correlated with lower HRQoL levels, and correlation is stronger for subjects at first prison experience and for higher education levels, thus suggesting higher effect of stress on these subjects.

Optimization of the dressing parameters in cylindrical grinding based on a generalized utility function

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Aleksandrova, Irina

2016-01-01

The existing studies, concerning the dressing process, focus on the major influence of the dressing conditions on the grinding response variables. However, the choice of the dressing conditions is often made, based on the experience of the qualified staff or using data from reference books. The optimal dressing parameters, which are only valid for the particular methods and dressing and grinding conditions, are also used. The paper presents a methodology for optimization of the dressing parameters in cylindrical grinding. The generalized utility function has been chosen as an optimization parameter. It is a complex indicator determining the economic, dynamic and manufacturing characteristics of the grinding process. The developed methodology is implemented for the dressing of aluminium oxide grinding wheels by using experimental diamond roller dressers with different grit sizes made of medium- and high-strength synthetic diamonds type ??32 and ??80. To solve the optimization problem, a model of the generalized utility function is created which reflects the complex impact of dressing parameters. The model is built based on the results from the conducted complex study and modeling of the grinding wheel lifetime, cutting ability, production rate and cutting forces during grinding. They are closely related to the dressing conditions (dressing speed ratio, radial in-feed of the diamond roller dresser and dress-out time), the diamond roller dresser grit size/grinding wheel grit size ratio, the type of synthetic diamonds and the direction of dressing. Some dressing parameters are determined for which the generalized utility function has a maximum and which guarantee an optimum combination of the following: the lifetime and cutting ability of the abrasive wheels, the tangential cutting force magnitude and the production rate of the grinding process. The results obtained prove the possibility of control and optimization of grinding by selecting particular dressing

Bruxism: its multiple causes and its effects on dental implants - an updated review.

Science.gov (United States)

Lobbezoo, F; Van Der Zaag, J; Naeije, M

2006-04-01

There is a growing interest in bruxism, as evidenced by the rapidly increasing number of papers about this subject during the past 5 years. The aim of the present review was to provide an update of two previous reviews from our department (one about the aetiology of bruxism and the other about the possible role of this movement disorder in the failure of dental implants) and to describe the details of the literature search strategies used, thus enabling the readers to judge the completeness of the review. Most studies that were published about the etiology during the past 5 years corroborate the previously drawn conclusions. Similarly, the update of the review about the possible causal relationship between bruxism and implant failure reveals no new points of view. Thus, there is no reason to assume otherwise than that bruxism is mainly regulated centrally, not peripherally, and that there is still insufficient evidence to support or refute a causal relationship between bruxism and implant failure. This illustrates that there is a vast need for well-designed studies to study both the aetiology of bruxism and its purported relationship with implant failure.

Improved tool grinding machine

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Dial, C.E. Sr.

The present invention relates to an improved tool grinding mechanism for grinding single point diamond cutting tools to precise roundness and radius specifications. The present invention utilizes a tool holder which is longitudinally displaced with respect to the remainder of the grinding system due to contact of the tool with the grinding surface with this displacement being monitored so that any variation in the grinding of the cutting surface such as caused by crystal orientation or tool thicknesses may be compensated for during the grinding operation to assure the attainment of the desired cutting tool face specifications.

Specific grinding energy and surface roughness of nanoparticle jet minimum quantity lubrication in grinding

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Zhang Dongkun

2015-04-01

Full Text Available Nanoparticles with the anti-wear and friction reducing features were applied as cooling lubricant in the grinding fluid. Dry grinding, flood grinding, minimal quantity of lubrication (MQL, and nanoparticle jet MQL were used in the grinding experiments. The specific grinding energy of dry grinding, flood grinding and MQL were 84, 29.8, 45.5 J/mm3, respectively. The specific grinding energy significantly decreased to 32.7 J/mm3 in nanoparticle MQL. Compared with dry grinding, the surface roughness values of flood grinding, MQL, and nanoparticle jet MQL were significantly reduced with the surface topography profile values reduced by 11%, 2.5%, and 10%, respectively, and the ten point height of microcosmic unflatness values reduced by 1.5%, 0.5%, and 1.3%, respectively. These results verified the satisfactory lubrication effects of nanoparticle MQL. MoS2, carbon nanotube (CNT, and ZrO2 nanoparticles were also added in the grinding fluid of nanoparticle jet MQL to analyze their grinding surface lubrication effects. The specific grinding energy of MoS2 nanoparticle was only 32.7 J/mm3, which was 8.22% and 10.39% lower than those of the other two nanoparticles. Moreover, the surface roughness of workpiece was also smaller with MoS2 nanoparticle, which indicated its remarkable lubrication effects. Furthermore, the role of MoS2 particles in the grinding surface lubrication at different nanoparticle volume concentrations was analyzed. MoS2 volume concentrations of 1%, 2%, and 3% were used. Experimental results revealed that the specific grinding energy and the workpiece surface roughness initially increased and then decreased as MoS2 nanoparticle volume concentration increased. Satisfactory grinding surface lubrication effects were obtained with 2% MoS2 nanoparticle volume concentration.

Is bruxism a disorder or a behaviour? Rethinking the international consensus on defining and grading of bruxism.

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Raphael, K G; Santiago, V; Lobbezoo, F

2016-10-01

Inspired by the international consensus on defining and grading of bruxism (Lobbezoo F, Ahlberg J, Glaros AG, Kato T, Koyano K, Lavigne GJ et al. J Oral Rehabil. 2013;40:2), this commentary examines its contribution and underlying assumptions for defining sleep bruxism (SB). The consensus' parsimonious redefinition of bruxism as a behaviour is an advance, but we explore an implied question: might SB be more than behaviour? Behaviours do not inherently require clinical treatment, making the consensus-proposed 'diagnostic grading system' inappropriate. However, diagnostic grading might be useful, if SB were considered a disorder. Therefore, to fully appreciate the contribution of the consensus statement, we first consider standards and evidence for determining whether SB is a disorder characterised by harmful dysfunction or a risk factor increasing probability of a disorder. Second, the strengths and weaknesses of the consensus statement's proposed 'diagnostic grading system' are examined. The strongest evidence-to-date does not support SB as disorder as implied by 'diagnosis'. Behaviour alone is not diagnosed; disorders are. Considered even as a grading system of behaviour, the proposed system is weakened by poor sensitivity of self-report for direct polysomnographic (PSG)-classified SB and poor associations between clinical judgments of SB and portable PSG; reliance on dichotomised reports; and failure to consider SB behaviour on a continuum, measurable and definable through valid behavioural observation. To date, evidence for validity of self-report or clinician report in placing SB behaviour on a continuum is lacking, raising concerns about their potential utility in any bruxism behavioural grading system, and handicapping future study of whether SB may be a useful risk factor for, or itself a disorder requiring treatment. © 2016 John Wiley & Sons Ltd.

Self-reported bruxism mirrors anxiety and stress in adults.

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Ahlberg, Jari; Lobbezoo, Frank; Ahlberg, Kristiina; Manfredini, Daniele; Hublin, Christer; Sinisalo, Juha; Könönen, Mauno; Savolainen, Aslak

2013-01-01

The aims were to analyze whether the levels of self-reported bruxism and anxiety associate among otherwise healthy subjects, and to investigate the independent effects of anxiety and stress experience on the probability of self-reported bruxism. As part of a study on irregular shift work, a questionnaire was mailed to all employees of the Finnish Broadcasting Company with irregular shift work (number of subjects: n=750) and to an equal number of randomly selected employees in the same company with regular eight-hour daytime work. The response rates were 82.3% (56.6 % men) and 34.3 % (46.7 % men), respectively. Among the 874 respondents, those aware of more frequent bruxism reported significantly more severe anxiety (pbruxism and psychological states such as anxiety or stress may be related in working age subjects.

Implant rehabilitation in bruxism patient

Science.gov (United States)

Goiato, Marcelo Coelho; Sonego, Mariana Vilela; dos Santos, Daniela Micheline; da Silva, Emily Vivianne Freitas

2014-01-01

A white female patient presented to the university clinic to obtain implant retained prostheses. She had an edentulous maxillary jaw and presented three teeth with poor prognosis (33, 34 and 43). The alveolar bone and the surrounding tissues were healthy. The patient did not report any relevant medical history contraindicating routine dental treatment or implant surgery, but self-reported a dental history of asymptomatic nocturnal bruxism. The treatment plan was set and two Branemark protocols supported by six implants in each arch were installed after a 6-month healing period. A soft occlusal splint was made due to the patient's history of bruxism, and the lack of its use by the patient resulted in an acrylic fracture. The prosthesis was repaired and the importance of using the occlusal splint was restated. In the 4-year follow-up no fractures were reported. PMID:24907215

The Effects of Wear upon the Axial Profile of a Grinding Wheel in the Construction of Innovative Grinding Wheels for Internal Cylindrical Grinding

OpenAIRE

Nadolny, K.; Słowiński, B.

2011-01-01

The article describes the effects of wear upon the axial profile of a grinding wheel in the axial cylindrical grinding processes. This mechanism was used to develop a grinding wheel with zone diversified structure made of microcrystalline sintered corundum abrasive grains and vitrifies bond. Such a grinding wheel is characterized by the conical rough grinding zone that is made by grains of a relatively large size, and a cylindrical finish grinding zone with grains of a smaller size and can be...

Headache secondary to sleep-related bruxism: A case with polysomnographic findings

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Sourav Das

2015-01-01

Full Text Available Sleep-related bruxism may present with headache. However, in clinical practice it may be difficult to differentiate from other causes of headache, especially in subjects with substance abuse. We are presenting a case of sleep-related bruxism that presented with headache and sleep-related symptoms in the presence of substance abuse. Polysomnography was used to ascertain cause of headache. How the other possible causes of headache ruled out is also discussed in report. In short, Sleep-related bruxism can cause headache that is worse in the morning. It is associated with poor quality sleep.

Topical review: sleep bruxism, headaches, and sleep-disordered breathing in children and adolescents.

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Carra, Maria Clotilde; Bruni, Olivero; Huynh, Nelly

2012-01-01

Sleep bruxism, a well-known burden for dentists, is commonly observed in pediatric populations. Dentists are responsible for the detection and prevention of the detrimental consequences on the stomatognathic system that may occur in some patients with sleep bruxism. However, sleep bruxism is much more than tooth wear, since it is frequently associated with orofacial pain, headaches, and other more severe sleep disorders, such as sleep-disordered breathing. Although the mechanisms underlying the possible interactions among sleep bruxism, headaches, and sleep-disordered breathing need further research, these conditions are often concomitant. A literature search was performed to identify relevant publications related to the topic, which have been integrated in this topical review. The aim of this article was to provide a brief overview on sleep bruxism, headaches, and sleep-disordered breathing in pediatric patients and to promote a multispecialist approach (including dentists, sleep specialist physicians, and psychologists) in the diagnosis and management of these frequently associated disorders.

Treatment of chronic pain associated with nocturnal bruxism with botulinum toxin. A prospective and randomized clinical study

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Al-Wayli, Hessa

2017-01-01

Background To evaluate the role of botulinum toxin type A (BTX-A) in the treatment of pain associated with nocturnal bruxism. Material and Methods Fifty subjects reporting nocturnal bruxism were recruited for a randomized clinical trial. Twenty five bruxers were injected with botulinum toxin in both masseters, and twenty five were treated with traditional methods of treating bruxism. Patients were evaluated at 3rd week, 2nd and 6th month and one year after injection and then used to calculate bruxism events. Bruxism symptoms were investigated using questionnaires. Results Mean pain score due to Bruxism events in the masseter muscle decreased significantly in the botulinum toxin injection group A (P =0.000, highly significant). However, in the conventional treatment group, mean pain score does not show improvement with time (p>0.05). Conclusions Our results suggest that botulinum toxin injection reduced the mean pain score and number of bruxism events, most likely by decreasing the muscle activity of masseter rather than affecting the central nervous system. Key words:Temporomandibular pain, nocturnal bruxism, botulinum toxin. PMID:28149474

Grinding performance evaluation of porous composite-bonded CBN wheels for Inconel 718

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Chen Zhenzhen

2014-08-01

Full Text Available For high-efficiency grinding of difficult-to-cut materials such as titanium and nickel alloys, a high porosity is expected and also a sufficient mechanical strength to satisfy the function. However, the porosity increase is a disadvantage to the mechanical strength. As a promising pore forming agent, alumina bubbles are firstly induced into the abrasive layer to fabricate porous cubic boron nitride (CBN wheels. When the wheel porosity reaches 45%, the bending strength is still high up to 50 MPa with modified orderly pore distribution. A porous CBN wheel was fabricated with a total porosity around 30%. The grinding performance of the porous composite-bonded CBN wheel was evaluated in terms of specific force, specific grinding energy, and grinding temperature, which were better than those of the vitrified one under the same grinding conditions. Compared to the vitrified CBN wheel, clear straight cutting grooves and less chip adhesion are observed on the ground surface and there is also no extensive loading on the wheel surface after grinding.

Influence of bruxism on the indication and follow-up of rehabilitations with dental implants

OpenAIRE

Menine, Cynthia Weiss; Martin, Juliana Maria Habith; Berejuk, Halina Massignan; Sartori, Ivete Aparecida de Mattias

2015-01-01

AIM: The objective of this study was to report a clinical case highlighting the main recommendations of the literature to minimize forces applied on implants. MATERIAL AND METHODS: A decision was made to increase the number and size of implants installed. Screwed and cemented prostheses were used, combined with an occlusal bruxism night guard. RESULTS: Four months after the prosthesis installation, no biological or biomechanical complications were encountered. CONCLUSION: There are cases of p...

Use of electromyographic and electrocardiographic signals to detect sleep bruxism episodes in a natural environment.

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Castroflorio, Tommaso; Mesin, Luca; Tartaglia, Gianluca Martino; Sforza, Chiarella; Farina, Dario

2013-11-01

Diagnosis of bruxism is difficult since not all contractions of masticatory muscles during sleeping are bruxism episodes. In this paper, we propose the use of both EMG and ECG signals for the detection of sleep bruxism. Data have been acquired from 21 healthy volunteers and 21 sleep bruxers. The masseter surface EMGs were detected with bipolar concentric electrodes and the ECG with monopolar electrodes located on the clavicular regions. Recordings were made at the subjects' homes during sleeping. Bruxism episodes were automatically detected as characterized by masseter EMG amplitude greater than 10% of the maximum and heart rate increasing by more than 25% with respect to baseline within 1 s before the increase in EMG amplitude above the 10% threshold. Furthermore, the subjects were classified as bruxers and nonbruxers by a neural network. The number of bruxism episodes per night was 24.6 ± 8.4 for bruxers and 4.3 ± 4.5 for controls ( P bruxism.

Management of sleep bruxism in adults: a qualitative systematic literature review

NARCIS (Netherlands)

Manfredini, D.; Ahlberg, J.; Winocur, E.; Lobbezoo, F.

2015-01-01

This paper updates the bruxism management review published by Lobbezoo et al. in 2008 (J Oral Rehabil 2008; 35: 509-23). The review focuses on the most recent literature on management of sleep bruxism (SB) in adults, as diagnosed with polysomnography (PSG) with audio-video (AV) recordings, or with

Prevalence of sleep bruxism in children: a systematic review of the literature.

Science.gov (United States)

Manfredini, D; Restrepo, C; Diaz-Serrano, K; Winocur, E; Lobbezoo, F

2013-08-01

The aim of the present investigation was to perform a systematic review of the literature dealing with the issue of sleep bruxism prevalence in children at the general population level. Quality assessment of the reviewed papers was performed to identify flaws in the external and internal validity. Cut-off criteria for an acceptable external validity were established to select studies for the discussion of prevalence data. A total of 22 publications were included in the review, most of which had methodological problems limiting their external validity. Prevalence data extraction was performed only on eight papers that were consistent as for the sampling strategy and showed only minor external validity problems, but they had some common internal validity flaws related with the definition of sleep bruxism measures. All the selected papers based sleep bruxism diagnosis on proxy reports by the parents, and no epidemiological data were available from studies adopting other diagnostic strategies (e.g. polysomnography or electromyography). The reported prevalence was highly variable between the studies (3·5-40·6%), with a commonly described decrease with age and no gender differences. A very high variability in sleep bruxism prevalence in children was found, due to the different age groups under investigation and the different frequencies of self-reported sleep bruxism. This prevented from supporting any reliable estimates of the prevalence of sleep bruxism in children. © 2013 John Wiley & Sons Ltd.

Does pain in the masseter and anterior temporal muscles influence maximal bite force?

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Goiato, Marcelo Coelho; Zuim, Paulo Renato Junqueira; Moreno, Amália; Dos Santos, Daniela Micheline; da Silva, Emily Vivianne Freitas; de Caxias, Fernanda Pereira; Turcio, Karina Helga Leal

2017-11-01

The aim of this study was to evaluate changes in pain and muscle force, and the relationship between them, in patients with muscle pain and bruxism, prior to and after treatment. Thirty women with bruxism and myofascial pain (Ia) were included in this study. Sleep bruxism diagnosis was made based on clinical diagnostic criteria, and awake bruxism diagnosis was made by patient questionnaires and the presence of tooth wear. The diagnosis of myofascial pain was established according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC-TMD). Dentulous or partially edentulous patients (rehabilitated with conventional fixed prostheses) were included in the study according to the inclusion and exclusion criteria. The pain treatment protocol included occlusal splints, patient education, and physiotherapy for 30days. Bite force was measured using a dynamometer at the central incisor and the first molar regions on both sides. The exams were performed at baseline, after 7days, and 30days after treatment. The Wilcoxon test was used to compare patient pain level response among the periods analyzed in the study. Bite force data were submitted to two-way repeated-measures ANOVA, followed by the Tukey HSD test (pforce. Results revealed that there was a statistical difference in pain level over time for both muscles and sides (pforce exhibited significantly higher values after 30days of treatment, when compared with the baseline (pforce only for the temporal muscle in all periods analyzed (pforce. Pain level decreased and bite force increased in the molar region after treatment. No strong correlation or dispersion in the relationship between pain levels and bite force was seen in women with myofascial pain and bruxism. Copyright © 2017 Elsevier Ltd. All rights reserved.

Bruxism is unlikely to cause damage to the periodontium: findings from a systematic literature assessment.

Science.gov (United States)

Manfredini, Daniele; Ahlberg, Jari; Mura, Rossano; Lobbezoo, Frank

2015-04-01

This paper systematically reviews the MEDLINE and SCOPUS literature to answer the following question: Is there any evidence that bruxism may cause periodontal damage per se? Clinical studies on humans, assessing the potential relationship between bruxism and periodontal lesions (i.e., decreased attachment level, bone loss, tooth mobility/migration, altered periodontal perception) were eligible. Methodologic shortcomings were identified by the adoption of the Critical Appraisal Skills Program quality assessment, mainly concerning the internal validity of findings according to an unspecific bruxism diagnosis. The six included articles covered a high variability of topics, without multiple papers on the same argument. Findings showed that the only effect of bruxism on periodontal structures was an increase in periodontal sensation, whereas a relationship with periodontal lesions was absent. Based on the analysis of Hill criteria, the validity of causation conclusions was limited, mainly owing to the absence of a longitudinal evaluation of the temporal relationship and dose-response effects between bruxism and periodontal lesions. Despite the scarce quantity and quality of the literature that prevents sound conclusions on the causal link between bruxism and the periodontal problems assessed in this review, it seems reasonable to suggest that bruxism cannot cause periodontal damage per se. It is also important to emphasize, however, that because of methodologic problems, particularly regarding sleep bruxism assessment, more high-quality studies (e.g., randomized controlled trials) are needed to further clarify this issue.

The Effect of Wood Alignment on Wood Grinding – Part 2: Fines Character and Microscopic Observations

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Sabine Heinemann

2016-01-01

Full Text Available During industrial wood grinding, logs are pressed against a rotating stone, with the logs and fibre axes parallel to the axis of the stone. For this study, wood blocks were fed into a laboratory grinder with various alignments in relation to the surface of the grinding stone. The effects of the alignment on the properties of the pulp, the amount, and the quality of the fines were measured, and a grinding mechanism is proposed. In this paper, the obtained results showed that the pulp quality was highly sensitive to the angle between the stone surface and the log, and different for fatigue-based and force-based grinding. The tests were observed using microscopic techniques and discussed in terms of fines amount and fines quality. In gentle refining, the fibre structure is loosened by fatigue before it is bent on the surface, pressure pulses produce fibrillar material, and fibres develop good bonding ability. In forced grinding, the process is “violent” and the fibre wears and is crushed immediately on the surface into small particles with low bonding ability.

Processing equipment for grinding of building powders

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Fediuk, R. S.; Ibragimov, R. A.; Lesovik, V. S.; Pak, A. A.; Krylov, V. V.; Poleschuk, M. M.; Stoyushko, N. Y.; Gladkova, N. A.

2018-03-01

In the article questions of mechanical grinding up to nanosize of building powder materials are considered. In the process of mechanoactivation of the composite binder, active molecules of cement minerals arise when molecular packets are destroyed in the areas of defects and loosening of the metastable phase during decompensation of intermolecular forces. The process is accompanied by a change in the kinetics of hardening Portland cement. Mechanical processes in the grinding of mineral materials cause, together with an increase in their surface energy, the growth of the isobaric potential of the powders and, accordingly, their chemical activity, which also contributes to high adhesion strength when they come into contact with binders. Thus, a set of measures for mechanical activation allows more fully use the mass of components of the filled cement systems and regulate their properties. At relatively low costs, it is possible to provide an impressive and, importantly, easily repeatable in production conditions result. It is revealed that the use of a vario-planetary mill allows to achieve the best results on grinding the powder building materials.

Effects of metal surface grinding at the porcelain try-in stage of fixed dental prostheses.

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Kılınç, Halil İbrahim; Kesim, Bülent; Gümüş, Hasan Önder; Dinçel, Mehmet; Erkaya, Selçuk

2014-08-01

This study was to evaluate the effect of grinding of the inner metal surface during the porcelain try-in stage on metal-porcelain bonding considering the maximum temperature and the vibration of samples. Ninety-one square prism-shaped (1 × 1 × 1.5 mm) nickel-chrome cast frameworks 0.3 mm thick were prepared. Porcelain was applied on two opposite outer axial surfaces of the frameworks. The grinding was performed from the opposite axial sides of the inner metal surfaces with a low-speed handpiece with two types of burs (diamond, tungsten-carbide) under three grinding forces (3.5 N, 7 N, 14 N) and at two durations (5 seconds, 10 seconds). The shear bond strength (SBS) test was performed with universal testing machine. Statistical analyzes were performed at 5% significance level. The samples subjected to grinding under 3.5 N showed higher SBS values than those exposed to grinding under 7 N and 14 N (P.05). The types of bur (P=.965) and the duration (P=.679) did not affect the SBS values. On the other hand, type of bur, force applied, and duration of the grinding affected the maximum temperatures of the samples, whereas the maximum vibration was affected only by the type of bur (PGrinding the inner metal surface did not affect the metal-porcelain bond strength. Although the grinding affected the maximum temperature and the vibration values of the samples, these did not influence the bonding strength.

A systematic review of etiological and risk factors associated with bruxism.

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Feu, Daniela; Catharino, Fernanda; Quintão, Catia Cardoso Abdo; Almeida, Marco Antonio de Oliveira

2013-06-01

The aim of the present work was to systematically review the literature and identify all peer-reviewed papers dealing with etiological and risk factors associated with bruxism. Data extraction was carried out according to the standard Cochrane systematic review methodology. The following databases were searched for randomized clinical trials (RCT), controlled clinical trials (CCT) or cohort studies: Cochrane Library, Medline, and Embase from 1980 to 2011. Unpublished literature was searched electronically using ClinicalTrials.gov. The primary outcome was bruxism etiology. Studies should have a standardized method to assess bruxism. Screening of eligible studies, assessment of the methodological quality and data extraction were conducted independently and in duplicate. Two reviewers inspected the references using the same search strategy and then applied the same inclusion criteria to the selected studies. They used criteria for methodological quality that was previously described in the Cochrane Handbook. Among the 1247 related articles that were critically assessed, one randomized clinical trial, one controlled clinical trial and seven longitudinal studies were included in the critical appraisal. Of these studies, five were selected, but reported different outcomes. There is convincing evidence that (sleep-related) bruxism can be induced by esophageal acidification and also that it has an important relationship with smoking in a dose-dependent manner. Disturbances in the central dopaminergic system are also implicated in the etiology of bruxism.

Sleep Bruxism in Respiratory Medicine Practice.

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Mayer, Pierre; Heinzer, Raphael; Lavigne, Gilles

2016-01-01

Sleep bruxism (SB) consists of involuntary episodic and repetitive jaw muscle activity characterized by occasional tooth grinding or jaw clenching during sleep. Prevalence decreases from 20% to 14% in childhood to 8% to 3% in adulthood. Although the causes and mechanisms of idiopathic primary SB are unknown, putative candidates include psychologic risk factors (eg, anxiety, stress due to life events, hypervigilance) and sleep physiologic reactivity (eg, sleep arousals with autonomic activity, breathing events). Although certain neurotransmitters (serotonin, dopamine, noradrenalin, histamine) have been proposed to play an indirect role in SB, their exact contribution to rhythmic masticatory muscle activity (RMMA) (the electromyography marker of SB) genesis remains undetermined. No specific gene is associated with SB; familial environmental influence plays a significant role. To date, no single explanation can account for the SB mechanism. Secondary SB with sleep comorbidities that should be clinically assessed are insomnia, periodic limb movements during sleep, sleep-disordered breathing (eg, apnea-hypopnea), gastroesophageal reflux disease, and neurologic disorders (eg, sleep epilepsy, rapid eye movement behavior disorder). SB is currently quantified by scoring RMMA recordings in parallel with brain, respiratory, and heart activity recordings in a sleep laboratory or home setting. RMMA confirmation with audio-video recordings is recommended for better diagnostic accuracy in the presence of neurologic conditions. Management strategies (diagnostic tests, treatment) should be tailored to the patient's phenotype and comorbidities. In the presence of sleep-disordered breathing, a mandibular advancement appliance or CPAP treatment is preferred over single occlusal splint therapy on the upper jaw. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

Respiratory disorders and the prevalence of sleep bruxism among schoolchildren aged 8 to 11 years.

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Drumond, Clarissa Lopes; Souza, Débora Souto; Serra-Negra, Júnia Maria; Marques, Leandro Silva; Ramos-Jorge, Maria Letícia; Ramos-Jorge, Joana

2017-03-01

The aim of this study was to evaluate the association between respiratory disorders and sleep bruxism, with an evaluation of demographic/socioeconomic factors and childhood stress as confounding variables. A cross-sectional study was performed in the city of Diamantina, Brazil, with 448 randomly selected schoolchildren aged 8 to 11 years. The schoolchildren underwent an oral examination for the evaluation of bruxism. Parents/caregivers answered a questionnaire for the assessment of sleep bruxism; socioeconomic-demographic factors; and respiratory disorders, such as rhinitis, sinusitis, and bronchitis. The schoolchildren filled out the Children's Stress Scale. Poisson regression models were constructed separately for each respiratory disorder to determine prevalence ratios (PRs) and 95% confidence intervals (CIs). Sleep bruxism was more prevalent among children with rhinitis (PR = 1.45; 95%CI 1.08-1.93; p = 0.012) and sinusitis (PR = 1.58; 95%CI 1.06-2.36; p = 0.023). No significant association was found between sleep bruxism and bronchitis. A greater frequency of sleep bruxism was found among children whose mothers had a higher level of schooling and those who reported stress in the resistance/exhaustion phase. Rhinitis and sinusitis were associated with sleep bruxism. Moreover, sleep bruxism was more prevalent among children whose mothers had a higher level of schooling and those with higher degrees of stress.

Intra-pulp temperature increase of equine cheek teeth during treatment with motorized grinding systems: influence of grinding head position and rotational speed.

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Haeussler, Silvia; Luepke, Matthias; Seifert, Hermann; Staszyk, Carsten

2014-02-21

In equine practice, teeth corrections by means of motorized grinding systems are standard procedure. The heat resulting from that treatment may cause irreparable damage to the dental pulp. It has been shown that a 5.5°C temperature rise may cause severe destruction in pulp cells. Hence, the capability to continuously form secondary dentine is lost, and may lead, due to equine-typical occlusal tooth abrasion, to an opening of the pulp cavity.To obtain reliable data on the intra-pulp increase in temperature during corrective treatments, equine cheek teeth (CT) were modified in a way (occlusal surface smoothed, apical parts detached, pulp horns standardized) that had been qualified in own former published studies. All parameters influencing the grinding process were standardized (force applied, initial temperatures, dimensions of pulp horns, positioning of grinding disk, rotational speed). During grinding experiments, imitating real dental treatments, the time span for an intra-pulp temperature increase of 5.5°C was determined. The minimum time recorded for an intra-pulp temperature increase of 5.5°C was 38 s in mandibular CT (buccal grinding, 12,000 rpm) and 70 s in maxillary CT (flat occlusal grinding, 12,000 rpm). The data obtained showed that doubling the rotational speed of the disk results in halving the time span after which the critical intra-pulp temperature increase in maxillary CT is reached. For mandibular CT, the time span even drops by two thirds. The use of standardized hypsodont CT enabled comparative studies of intra-pulp heating during the grinding of occlusal tooth surfaces using different tools and techniques. The anatomical structure of the natural vital hypsodont tooth must be kept in mind, so that the findings of this study do not create a deceptive sense of security with regard to the time-dependent heating of the native pulp.

Summary of: Over-the-counter (OTC) bruxism splints available on the Internet

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Wassell, R.W.; Verhees, L.; Lawrence, K.; Davies, S.; Lobbezoo, F.

2014-01-01

Background Some individuals may now be bypassing their dentists for treatment of bruxism. Self-diagnosed, self-adjusted and self-monitored consumers can access over-the-counter (OTC) bruxism splints via the Internet. While some may regard this market as benefiting consumers there are potential

Evaluation of minimum quantity lubrication grinding with nano-particles and recent related patents.

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Li, Changhe; Wang, Sheng; Zhang, Qiang; Jia, Dongzhou

2013-06-01

In recent years, a large number of patents have been devoted to developing minimum quantity lubrication (MQL) grinding techniques that can significantly improve both environmentally conscious and energy saving and costeffective sustainable grinding fluid alternatives. Among them, one patent is about a supply system for the grinding fluid in nano-particle jet MQL, which produced MQL lubricant by adding solid nano-particles in degradable grinding fluid. The MQL supply device turns the lubricant to the pulse drops with fixed pressure, unchanged pulse frequency and the same drop diameter. The drops will be produced and injected in the grinding zone in the form of jet flow under high pressure gas and air seal. As people become increasingly demanding on our environment, minimum quantity lubrication has been widely used in the grinding and processing. Yet, it presents the defect of insufficient cooling performance, which confines its development. To improve the heat transfer efficiency of MQL, nano-particles of a certain mass fraction can be added in the minimum quantity of lubricant oil, which concomitantly will improve the lubrication effects in the processing. In this study, the grinding experiment corroborated the effect of nano-particles in surface grinding. In addition, compared with other forms of lubrication, the results presented that the grinding force, the friction coefficient and specific grinding energy of MQL grinding have been significantly weakened, while G ratio greatly rose. These are attributed to the friction oil-film with excellent anti-friction and anti-wear performance, which is generated nano-particles at the wheel/workpiece interface. In this research, the cooling performance of nano-particle jet MQL was analyzed. Based on tests and experiments, the surface temperature was assayed from different methods, including flood lubricating oil, dry grinding, MQL grinding and nano-particle jet MQL grinding. Because of the outstanding heat transfer

The influence of gender and bruxism on human minimum interdental threshold ability

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Patrícia dos Santos Calderon

2009-06-01

Full Text Available OBJECTIVE: To evaluate the influence of gender and bruxism on the ability to discriminate minimum interdental threshold. MATERIAL AND METHODS: One hundred and fifteen individuals, representing both genders, bruxers and non-bruxers, with a mean age of 23.64 years, were selected for this study. For group allocation, every individual was subjected to a specific physical examination to detect bruxism (performed by three different examiners. Evaluation of the ability to discriminate minimum interdental threshold was performed using industrialized 0.010 mm-, 0.024 mm-, 0.030 mm-, 0.050 mm-, 0.080 mm- and 0.094 mm-thick aluminum foils that were placed between upper and lower premolars. Data were analyzed statistically by multiple linear regression analysis at 5% significance level. RESULTS: Neither gender nor bruxism influenced the ability to discriminate minimum interdental threshold (p>0.05. CONCLUSIONS: Gender and the presence of bruxism do not play a role in the minimum interdental threshold.

Tobacco use and reported bruxism in young adults: A nationwide Finnish Twin Cohort Study

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Ahlberg, J.; Hublin, C.; Lobbezoo, F.; Rose, R. J.; Murtomaa, H.; Kaprio, J.

2010-01-01

Introduction: Higher levels of smoking, leading to increased levels of nicotine and dopamine release, may be more strongly related to bruxism, although this relationship has remained unclear. Thus, the aim of the present study was to investigate the possible effect of cumulative tobacco use on bruxism in a large sample of young adults. Methods: The material of the present study derives from the FinnTwin16, which consists of five birth cohorts born in 1975–1979. A total of 3,124 subjects (mean age 24 years, range 23–27 years) provided data in 2000–2002 on frequency of bruxism and tobacco use. Multinomial logistic regression was used to explore the relationships of frequency of bruxism with smoking and smokeless tobacco use while controlling covariates (alcohol intoxication, alcohol problems [Rutgers Alcohol Problem Index, RAPI], illicit drug use, psychological distress [General Health Questionnaire], and coffee use). Results: Based on subjective response and multivariate analyses, weekly bruxers were more than two times more likely to report heavy smoking than never bruxers (odds ratio [OR] 2.5, 95 % CI 1.8–3.4). The significant association between heavy smoking and bruxism held when the effects of other tobacco use and multiple covariates were controlled. In addition, the use of smokeless tobacco emerged as an independent risk factor for bruxism. Discussion: Given the observed associations with both heavy smoking and smokeless tobacco and a dose–response relationship, the present results support our hypothesis of a link between nicotine intake and bruxism. PMID:20427458

Is bruxism a risk factor for dental implants? A systematic review of the literature.

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Manfredini, Daniele; Poggio, Carlo E; Lobbezoo, Frank

2014-06-01

To systematically review the literature on the role of bruxism as a risk factor for the different complications on dental implant-supported rehabilitations. A systematic search in the National Library of Medicine's Medline Database was performed to identify all peer-reviewed papers in the English literature assessing the role of bruxism, as diagnosed with any other diagnostic approach (i.e., clinical assessment, questionnaires, interviews, polysomnography, and electromyography), as a risk factor for biological (i.e., implant failure, implant mobility, and marginal bone loss) or mechanical (i.e., complications or failures of either prefabricated components or laboratory-fabricated suprastructures) complications on dental implant-supported rehabilitations. The selected articles were reviewed according to a structured summary of the articles in relation to four main issues, viz., "P" - patients/problem/population, "I" - intervention, "C" - comparison, and "O" - outcome. A total of 21 papers were included in the review and split into those assessing biological complications (n = 14) and those reporting mechanical complications (n = 7). In general, the specificity of the literature for bruxism diagnosis and for the study of the bruxism's effects on dental implants was low. From a biological viewpoint, bruxism was not related with implant failures in six papers, while results from the remaining eight studies did not allow drawing conclusions. As for mechanical complications, four of the seven studies yielded a positive relationship with bruxism. Bruxism is unlikely to be a risk factor for biological complications around dental implants, while there are some suggestions that it may be a risk factor for mechanical complications. © 2012 Wiley Periodicals, Inc.

Genetic polymorphisms in the serotonergic system are associated with circadian manifestations of bruxism.

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Oporto, G H; Bornhardt, T; Iturriaga, V; Salazar, L A

2016-11-01

Bruxism (BRX) is a condition of great interest for researchers and clinicians in dental and medical areas. BRX has two circadian manifestations; it can occur during sleep (sleep bruxism, SB) or during wakefulness (awake bruxism, WB). However, it can be suffered together. Recent investigations suggest that central nervous system neurotransmitters and their genes could be involved in the genesis of BRX. Serotonin is responsible for the circadian rhythm, maintaining arousal, regulating stress response, muscle tone and breathing. Thus, serotonin could be associated with BRX pathogenesis. The aim of this work was to evaluate the frequency of genetic polymorphisms in the genes HTR1A (rs6295), HTR2A (rs1923884, rs4941573, rs6313, rs2770304), HTR2C (rs17260565) and SLC6A4 (rs63749047) in subjects undergoing BRX treatment. Patients included were classified according to their diagnosis in awake bruxism (61 patients), sleep bruxism (26 patients) and both (43 patients). The control group included 59 healthy patients with no signs of BRX. Data showed significant differences in allelic frequencies for the HTR2A rs2770304 polymorphism, where the C allele was associated with increased risk of SB (odds ratio = 2·13, 95% confidence interval: 1·08-4·21, P = 0·03). Our results suggest that polymorphisms in serotonergic pathways are involved in sleep bruxism. Further research is needed to clarify and increase the current understanding of BRX physiopathology. © 2016 John Wiley & Sons Ltd.

Reducing the Edge Chipping for Capillary End Face Grinding and Polishing

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Hošek J.

2013-05-01

Full Text Available This paper presents results of glass capillary end face grinding and polishing by approach that reduces the edge chipping. Brittle materials have natural tendency for edge chipping what leads to beveling the sharp edges. Not beveled sharp edges on glass capillary are important for special applications like surface tension measurement of small liquid samples. We use common grinding and polishing process for capillary end face machining modified with gradual decreasing of grinding load based on the relation of the critical chipping load. Achieved surface roughness is measured using atomic force microscopy (AFM. Capillary inner edge quality is checked both with optical microscopes and electron microscope too. We achieved a non-chipped capillary inner edge with radius down to 100 nm.

Relationship between bruxism and temporomandibular disorders: a systematic review of literature from 1998 to 2008.

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Manfredini, Daniele; Lobbezoo, Frank

2010-06-01

The present paper aims to systematically review the literature on the temporomandibular disorders (TMD)-bruxism relationship published from 1998 to 2008. A systematic search in the National Library of Medicine's PubMed database was performed to identify all studies on humans assessing the relationship between TMD symptoms and bruxism diagnosed with any different approach. The selected articles were assessed independently by the 2 authors according to a structured reading of articles format (PICO). A total of 46 articles were included for discussion in the review and grouped into questionnaire/self-report (n = 21), clinical assessment (n = 7), experimental (n = 7), tooth wear (n = 5), polysomnographic (n = 4), or electromyographic (n = 2) studies. In several studies, the level of evidence was negatively influenced by a low level of specificity for the assessment of the bruxism-TMD relationship, because of the low prevalence of severe TMD patients in the studied samples and because of the use of self-report diagnosis of bruxism with some potential diagnostic bias. Investigations based on self-report or clinical bruxism diagnosis showed a positive association with TMD pain, but they are characterized by some potential bias and confounders at the diagnostic level (eg, pain as a criterion for bruxism diagnosis). Studies based on more quantitative and specific methods to diagnose bruxism showed much lower association with TMD symptoms. Anterior tooth wear was not found to be a major risk factor for TMD. Experimental sustained jaw clenching may provoke acute muscle tenderness, but it is not analogous to myogenous TMD pain, so such studies may not help clarify the clinical relationship between bruxism and TMD. Copyright 2010 Mosby, Inc. All rights reserved.

Work, Stress, and Diurnal Bruxism: A Pilot Study among Information Technology Professionals in Bangalore City, India

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S. K. Rao

2011-01-01

Full Text Available The study assessed the prevalence of diurnal bruxism among information technology (IT professionals and explored plausible predictors associated with the parafunctional habit. A cross-sectional study was designed and IT professionals were invited to participate. The inclusion criteria composed of participants in service for at least one year, having natural dentition, no history of cervical or facial injury and not undergoing orthodontic therapy. The participants (N=147 were interviewed by a trained interviewer to record information. A pre-tested questionnaire that included questions related to work, stress symptoms and diurnal bruxism was completed by each participant. The prevalence of self-reported diurnal bruxism was 59%. Bivariate analyses revealed that work (<0.05 and work experience (<0.05 were significantly associated with self-reported diurnal bruxism. In the binary logistic regression analysis stress (Odds Ratio [OR] =5.9, 95% Confidence Interval [CI] 2.6–13.3 was identified to be a strong predictor of diurnal bruxism. Professionals with 11 or more years of experience were less likely to report diurnal bruxism (OR=0.04, 95% CI 0.00–0.43 than those with 1 to 5 years of work experience. The study revealed that stress and less work experience were associated with diurnal bruxism among IT professionals in Bangalore city.

High Performance Grinding and Advanced Cutting Tools

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Jackson, Mark J

2013-01-01

High Performance Grinding and Advanced Cutting Tools discusses the fundamentals and advances in high performance grinding processes, and provides a complete overview of newly-developing areas in the field. Topics covered are grinding tool formulation and structure, grinding wheel design and conditioning and applications using high performance grinding wheels. Also included are heat treatment strategies for grinding tools, using grinding tools for high speed applications, laser-based and diamond dressing techniques, high-efficiency deep grinding, VIPER grinding, and new grinding wheels.

The NTI-tss device for the therapy of bruxism, temporomandibular disorders, and headache - where do we stand? A qualitative systematic review of the literature.

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Stapelmann, Henrike; Türp, Jens C

2008-07-29

The NTI-tss device is an anterior bite stop, which, according to the manufacturer, is indicated for the prevention and treatment of bruxism, temporomandibular disorders (TMDs), tension-type headaches, and migraine. The aim of this systematic review was to appraise the currently available evidence regarding the efficacy and safety of the NTI-tss splint. We performed a systematic search in nine electronic databases and in NTI-tss-associated websites (last update: December 31, 2007). The reference lists of all relevant articles were perused. Five levels of scientific quality were distinguished. Reporting quality of articles about randomized controlled trials (RCTs) was evaluated using the Jadad score. To identify adverse events, we searched in the identified publications and in the MAUDE database. Nine of 68 relevant publications reported about the results of five different RCTs. Two RCTs concentrated on electromyographic (EMG) investigations in patients with TMDs and concomitant bruxism (Baad-Hansen et al 2007, Jadad score: 4) or with bruxism alone (Kavakli 2006, Jadad score: 2); in both studies, compared to an occlusal stabilization splint the NTI-tss device showed significant reduction of EMG activity. Two RCTs focused exclusively on TMD patients; in one trial (Magnusson et al 2004, Jadad score: 3), a stabilization appliance led to greater improvement than an NTI-tss device, while in the other study (Jokstad et al 2005, Jadad score: 5) no difference was found. In one RCT (Shankland 2002, Jadad score: 1), patients with tension-type headache or migraine responded more favorably to the NTI-tss splint than to a bleaching tray. NTI-tss-induced complications related predominantly to single teeth or to the occlusion. Evidence from RCTs suggests that the NTI-tss device may be successfully used for the management of bruxism and TMDs. However, to avoid potential unwanted effects, it should be chosen only if certain a patient will be compliant with follow-up appointments. The

Association of Awake Bruxism with Khat, Coffee, Tobacco, and Stress among Jazan University Students

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Mir Faeq Ali Quadri

2015-01-01

Full Text Available Objective. The objective is to assess the prevalence of bruxism among the university students and to check its association with their khat chewing habit. Materials and Methods. A cross-sectional descriptive study is designed using cluster random sampling. Pretested questionnaire was administered by a trained interviewer to assess awake bruxism and the use of variables like khat, coffee, tobacco, and stress. Chi-square test at 5% significance was used for assessing the association. Logistic regression was also performed after adjusting for covariates. Results. A high response rate (95% was obtained as the distribution and collection of questionnaire was within an hour interval. 85% (63%, males; 22%, females experienced an episode of bruxism at least one time in the past six months. Regression analysis revealed an association of stress (P=0.00; OR = 5.902, 95% CI 2.614–13.325 and khat use (P=0.05; OR = 1.629, 95% CI 0.360–7.368 with bruxism. Interestingly, it is observed that the one who chew khat experienced 3.56 times (95% CI; 2.62–11.22 less pain when compared to the nonusers. Conclusion. This study is the first of its kind to assess the association of bruxism with khat chewing. High amount of stress and khat use can be considered as important risk indicators for awake bruxism.

Study of the relationship of psychosocial disorders to bruxism in adolescents.

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Katayoun, E; Sima, F; Naser, V; Anahita, D

2008-01-01

Bruxism has been defined as a diurnal or nocturnal parafunctional habit. Etiology of bruxism has remained controversial and some investigators believe that psychological factors may play a major role in promoting and perpetuating this habit. The aim of this case-control study was to assess the existence of an association between bruxism and psychosocial disorders in adolescents., Participants were chosen among 114, 12-14 year old students (girls). They were divided into two groups, bruxers and nonbruxers, on the basis of both validated clinical criteria and interview with each patient. A few participants were excluded on the basis of presence of systemic disorders, TMJ disorders, other oral habits, primary teeth, defective restorations and premature contacts. Following matching of two groups in regard to parent's age and education, mother's marital status, child support status, mother's employment status, and socio-economical status, 25 cases and 25 controls were enlisted. A self report validated questionnaire (YSR, 11-18 yr) was then filled out by both groups for the evaluation of 12 psychosocial symptoms. Remarkable differences in certain psychosocial aspects were found between the two groups. Prevalence of psychosocial disorders including Thought Disorders (P bruxism and psychosocial disorders has been provided.

Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: A systematic review from 2003 to 2014.

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Jiménez-Silva, Antonio; Peña-Durán, Consuelo; Tobar-Reyes, Julio; Frugone-Zambra, Raúl

2017-01-01

In order to establish a relationship between bruxism and temporomandibular disorders (TMDs), a systematic review was performed. A systematic research was performed based on PubMed, Cochrane Library, Medline, Embase, BIREME, Lilacs and Scielo data bases, between 2003 and 2014 including all languages. Descriptive clinical cases were identified. Two independent authors selected the articles. PICO format was used to analyse the studies and the Newcastle-Ottawa Scale (NOS) was used to verify the quality of the evidence. Thirty-nine studies (n = 39) were analysed in this review. According to bruxism diagnosis, articles were grouped as follows: polysomnographic diagnosis (PSG) (n = 7), clinical diagnosis (n = 11) and survey/self-report (n = 21). Thirty-three articles (n = 33) established a positive relation between bruxism and TMD and six (n = 6) did not. Quality of evidence was low to moderate. In general, the most part of the studies showed shortcomings on their design with bias risk, and also had a low sensitivity on bruxism diagnosis. The evidence based on PSG was not as conclusive as the studies that used surveys and clinical exam to diagnosis bruxism, when bruxism was related to TMD. Sleep bruxism could be associated with myofascial pain, arthralgia and joint pathology as disc displacement and joint noises. Although the evidence at present is inconclusive and does not provide information according to the type of bruxism (bruxism sleep and wakefulness), it is possible to suggest that bruxism would be associated with TMD.

Comparison of Grinding Characteristics of Converter Steel Slag with and without Pretreatment and Grinding Aids

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Jihui Zhao

2016-10-01

Full Text Available The converter steel slag cannot be widely used in building materials for its poor grindability. In this paper, the grinding characteristics of untreated and pretreated (i.e., magnetic separation steel slag were compared. Additionally, the grinding property of pretreated steel slag was also studied after adding grinding aids. The results show that the residues (i.e., oversize substance that passed a 0.9 mm square-hole screen can be considered as the hardly grinding phases (HGP and its proportion is about 1.5%. After the initial 20 min grinding, the RO phase (RO phase is a continuous solid solution which is composed of some divalent metal oxides, such as FeO, MgO, MnO, CaO, etc., calcium ferrite, and metallic iron phase made up most of the proportion of the HGP, while the metallic iron made up the most component after 70 min grinding. The D50 of untreated steel slag could only reach 32.89 μm after 50 min grinding, but that of pretreated steel slag could reach 18.16 μm after the same grinding time. The grinding efficiency of steel slag was obviously increased and the particle characteristics were improved after using grinding aids (GA, especially the particle proportions of 3–32 μm were obviously increased by 7.24%, 7.22%, and 10.63% after 40 min, 50 min, and 60 min grinding, respectively. This is mainly because of the reduction of agglomeration and this effect of GA was evidenced by SEM (scanning electron microscope images.

Cross-sectional study of anxiety symptoms and self-report of awake and sleep bruxism in female TMD patients.

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Tavares, Luisa Maria Faria; da Silva Parente Macedo, Leonora Cristina; Duarte, Cristina Maria Rabelais; de Goffredo Filho, Gilberto Senechal; de Souza Tesch, Ricardo

2016-11-01

The aim of this study was to assess the relationship between levels of anxiety symptoms and prevalence of self-report of awake and sleep bruxism in patients with temporomandibular disorders (TMD). One hundred and eighty-one female patients, aged 19-77 years, were consecutively evaluated. The patients were selected from among those who sought treatment at the TMD and Orofacial Pain Outpatient Clinic of the Petrópolis School of Medicine. All patients completed the questionnaire and underwent clinical examination, both components of the RDC/TMD, in addition to answering questions pertaining to the assessment of levels of anxiety symptoms, taken from the Symptom Check List 90 self-report instrument. The subjects were classified according to the presence of self-reported only awake bruxism, only sleep bruxism, both, or none. A logistic regression procedure was performed to evaluate the possible association through odds ratio between anxiety symptoms and self-reported awake or sleep bruxism. The cofactors for each outcome were age, self-reported bruxism during the circadian period other than the one being evaluated, and the use of selective serotonin reuptake inhibitors. It was possible to demonstrate the presence of a positive and statistically significant relationship between anxiety levels and self-reported awake bruxism. This finding was not observed in those subjects who reported sleep bruxism. A positive relationship was found between self-reported awake bruxism and levels of anxiety symptoms, but not between sleep bruxism and anxiety.

Grinding mechanism of zirconia toughened alumina

International Nuclear Information System (INIS)

Tsukuda, A.; Kondo, Y.; Yokota, K.

1998-01-01

In the grinding process, physical properties of ceramics affect both grinding mechanism and quality of ground surface. In this study we focused on fracture toughness of ceramics and the effect on grinding. A grinding test was carried out by single point grinding for ten different zirconia toughened alumina ceramics with different monoclinic zirconia contents. Effects of zirconia contents on the grinding mechanism and crack initiation were discussed. Copyright (1998) AD-TECH - International Foundation for the Advancement of Technology Ltd

Grinding Fluid Jet Characteristics and Their Effect on a Gear Profile Grinding Process

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Philip Geilert

2017-10-01

Full Text Available Profile gear grinding is characterized by a high level of achievable process performance and workpiece quality. However, the wide contact length between the workpiece and the grinding wheel is disadvantageous for the fluid supply to the contact zone and leads to the risk of locally burning the workpiece surface. For the reduction of both the thermal load and the risk of thermo-mechanical damage, the usage of a grinding fluid needs to be investigated and optimized. For this purpose, different kinds of grinding fluid nozzles were tested, which provide different grinding fluid jet characteristics. Through a specific design of the nozzles, it is possible to control the fluid flow inside the nozzle. It was found that this internal fluid flow directly influences the breakup of the coolant fluid jet. There are three groups of jet breakup (“droplet”, “wave & droplet”, and “atomization”. The first experimental results show that the influence of the jet breakup on the process performance is significant. The “wave & droplet” jet breakup can achieve a high process performance, in contrast to the “atomization” jet breakup. It can therefore be assumed that the wetting of the grinding wheel by the grinding fluid jet is significantly influenced by the jet breakup.

Integrated orofacial therapy in chronic rhinosinusitis management for children with sleep bruxism

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Haryono Utomo

2010-06-01

Full Text Available Background: The prevalence of rhinosinusitis was 20% in ambulatory patients and was mostly affected by viral infections and allergy. If conservative treatments of rhinosinusitis failed, surgical procedure is an alternative choice. Previous case report revealed that the rhinosinusitis symptoms were successfully relieved by the "assisted drainage" therapy only. Nevertheless, this therapy was less successful in children with sleep bruxism (SB. Purpose: To report an integrated orofacial therapy for management of rhinosinusitis children with sleep bruxism (SB which consisted of the assisted drainage, night-guard and masseter muscle massage therapies. Case: Two boys who suffered from rhinosinusitis with bruxism were unsuccessfully treated with conventional treatment. Case management: Patients was subjected to the assisted drainage therapy that was scaling and root planning combined with gingival massage, and masseter muscle massage; night guard was worn in night sleep. They successfully relieved the rhinosinusitis symptoms. Conclusion: Based on the successful result, this integrated therapy could be suggested as an adjuvant in rhinosinusitis management.Latar belakang: Prevalensi rinosinusitis adalah 20% pasien rawat jalan dan umumnya disebabkan oleh infeksi virus dan alergi. Apabila terapi konservatif rinosinusitis mengalami kegagalan maka pilihan terakhir adalah operasi. Pada laporan kasus yang ada telah terjadi perbaikan gejala rinosinusitis setelah dilakukan terapi “assisted drainage” saja. Akan tetapi, terapi ini kurang berhasil pada anak dengan sleep bruxism (SB. Tujuan: Melaporkan suatu terapi orofasial terintegrasi untuk tatalaksana rinosinusitis pada anak dengan sleep bruxism (SB yang terdiri dari terapi assisted drainage, night guard dan masase otot masseter. Kasus: Dua anak laki-laki yang menderita rinosinusitis dengan bruxism telah mengalami kegagalan pada perawatan konsvensional. Tatalaksana kasus: Pasien dilakukan terapi assisted

The NTI-tss device for the therapy of bruxism, temporomandibular disorders, and headache – Where do we stand? A qualitative systematic review of the literature

Science.gov (United States)

Stapelmann, Henrike; Türp, Jens C

2008-01-01

Background The NTI-tss device is an anterior bite stop, which, according to the manufacturer, is indicated for the prevention and treatment of bruxism, temporomandibular disorders (TMDs), tension-type headaches, and migraine. The aim of this systematic review was to appraise the currently available evidence regarding the efficacy and safety of the NTI-tss splint. Methods We performed a systematic search in nine electronic databases and in NTI-tss-associated websites (last update: December 31, 2007). The reference lists of all relevant articles were perused. Five levels of scientific quality were distinguished. Reporting quality of articles about randomized controlled trials (RCTs) was evaluated using the Jadad score. To identify adverse events, we searched in the identified publications and in the MAUDE database. Results Nine of 68 relevant publications reported about the results of five different RCTs. Two RCTs concentrated on electromyographic (EMG) investigations in patients with TMDs and concomitant bruxism (Baad-Hansen et al 2007, Jadad score: 4) or with bruxism alone (Kavaklı 2006, Jadad score: 2); in both studies, compared to an occlusal stabilization splint the NTI-tss device showed significant reduction of EMG activity. Two RCTs focused exclusively on TMD patients; in one trial (Magnusson et al 2004, Jadad score: 3), a stabilization appliance led to greater improvement than an NTI-tss device, while in the other study (Jokstad et al 2005, Jadad score: 5) no difference was found. In one RCT (Shankland 2002, Jadad score: 1), patients with tension-type headache or migraine responded more favorably to the NTI-tss splint than to a bleaching tray. NTI-tss-induced complications related predominantly to single teeth or to the occlusion. Conclusion Evidence from RCTs suggests that the NTI-tss device may be successfully used for the management of bruxism and TMDs. However, to avoid potential unwanted effects, it should be chosen only if certain a patient will be

The NTI-tss device for the therapy of bruxism, temporomandibular disorders, and headache – Where do we stand? A qualitative systematic review of the literature

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Türp Jens C

2008-07-01

Full Text Available Abstract Background The NTI-tss device is an anterior bite stop, which, according to the manufacturer, is indicated for the prevention and treatment of bruxism, temporomandibular disorders (TMDs, tension-type headaches, and migraine. The aim of this systematic review was to appraise the currently available evidence regarding the efficacy and safety of the NTI-tss splint. Methods We performed a systematic search in nine electronic databases and in NTI-tss-associated websites (last update: December 31, 2007. The reference lists of all relevant articles were perused. Five levels of scientific quality were distinguished. Reporting quality of articles about randomized controlled trials (RCTs was evaluated using the Jadad score. To identify adverse events, we searched in the identified publications and in the MAUDE database. Results Nine of 68 relevant publications reported about the results of five different RCTs. Two RCTs concentrated on electromyographic (EMG investigations in patients with TMDs and concomitant bruxism (Baad-Hansen et al 2007, Jadad score: 4 or with bruxism alone (Kavaklı 2006, Jadad score: 2; in both studies, compared to an occlusal stabilization splint the NTI-tss device showed significant reduction of EMG activity. Two RCTs focused exclusively on TMD patients; in one trial (Magnusson et al 2004, Jadad score: 3, a stabilization appliance led to greater improvement than an NTI-tss device, while in the other study (Jokstad et al 2005, Jadad score: 5 no difference was found. In one RCT (Shankland 2002, Jadad score: 1, patients with tension-type headache or migraine responded more favorably to the NTI-tss splint than to a bleaching tray. NTI-tss-induced complications related predominantly to single teeth or to the occlusion. Conclusion Evidence from RCTs suggests that the NTI-tss device may be successfully used for the management of bruxism and TMDs. However, to avoid potential unwanted effects, it should be chosen only if certain a

Grinding kinetics and equilibrium states

Science.gov (United States)

Opoczky, L.; Farnady, F.

1984-01-01

The temporary and permanent equilibrium occurring during the initial stage of cement grinding does not indicate the end of comminution, but rather an increased energy consumption during grinding. The constant dynamic equilibrium occurs after a long grinding period indicating the end of comminution for a given particle size. Grinding equilibrium curves can be constructed to show the stages of comminution and agglomeration for certain particle sizes.

Bruxism in children and transverse plane of occlusion: is there a relationship or not?

Science.gov (United States)

Nahás-Scocate, Ana Carla Raphaelli; Coelho, Fernando Vusberg; de Almeida, Viviane Chaves

2014-01-01

To assess the occurrence of bruxism in deciduous dentition and a potential association between the habit and the presence or absence of posterior crossbite. A total of 940 patient files were assessed. They were gathered from the archives of University of São Paulo City--UNICID; however, 67 patient files were dismissed for not meeting the inclusion criteria. Therefore, 873 children, males and females, comprised the study sample. They were aged between 2-6 years old and came from six different public primary schools from the east of the city of São Paulo. Data were collected through questionnaires answered by parents/guardians and by clinical examinations carried out in the school environment in order to obtain the occlusal characteristics in the transverse direction. First, a descriptive statistical analysis of all variables was performed (age, sex, race, posterior crossbite, bruxism, headache and restless sleep); then, the samples were tested by means of chi-square test with significance level set at 0.05%. A logistic regression model was applied to identify the presence of bruxism. The prevalence of this parafunctional habit was of 28.8%, with 84.5% of patients showing no posterior crossbite. Regarding the association of bruxism with crossbite, significant results were not found. Children with restless sleep have 2.1 times more chances of developing bruxism, whereas children with headache have 1.5 more chances. Transverse plane of occlusion was not associated with the habit of bruxism.

Bruxism in children and transverse plane of occlusion: Is there a relationship or not?

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Ana Carla Raphaelli Nahás-Scocate

2014-10-01

Full Text Available OBJECTIVE: To assess the occurrence of bruxism in deciduous dentition and a potential association between the habit and the presence or absence of posterior crossbite. METHODS: A total of 940 patient files were assessed. They were gathered from the archives of University of São Paulo City - UNICID; however, 67 patient files were dismissed for not meeting the inclusion criteria. Therefore, 873 children, males and females, comprised the study sample. They were aged between 2-6 years old and came from six different public primary schools from the east of the city of São Paulo. Data were collected through questionnaires answered by parents/guardians and by clinical examinations carried out in the school environment in order to obtain the occlusal characteristics in the transverse direction. First, a descriptive statistical analysis of all variables was performed (age, sex, race, posterior crossbite, bruxism, headache and restless sleep; then, the samples were tested by means of chi-square test with significance level set at 0.05%. A logistic regression model was applied to identify the presence of bruxism. RESULTS: The prevalence of this parafunctional habit was of 28.8%, with 84.5% of patients showing no posterior crossbite. Regarding the association of bruxism with crossbite, significant results were not found. Children with restless sleep have 2.1 times more chances of developing bruxism, whereas children with headache have 1.5 more chances. CONCLUSION: Transverse plane of occlusion was not associated with the habit of bruxism.

Effects of massage therapy and occlusal splint therapy on electromyographic activity and the intensity of signs and symptoms in individuals with temporomandibular disorder and sleep bruxism: a randomized clinical trial.

Science.gov (United States)

Gomes, Cid André Fidelis de Paula; El Hage, Yasmin; Amaral, Ana Paula; Politti, Fabiano; Biasotto-Gonzalez, Daniela Aparecida

2014-01-01

Temporomandibular disorder (TDM) is the most common source of orofacial pain of a non-dental origin. Sleep bruxism is characterized by clenching and/or grinding the teeth during sleep and is involved in the perpetuation of TMD. The aim of the present study was to investigate the effects of massage therapy, conventional occlusal splint therapy and silicone occlusal splint therapy on electromyographic activity in the masseter and anterior temporal muscles and the intensity of signs and symptoms in individuals with severe TMD and sleep bruxism. Sixty individuals with severe TMD and sleep bruxism were randomly distributed into four treatment groups: 1) massage group, 2) conventional occlusal splint group, 3) massage + conventional occlusal splint group and 4) silicone occlusal splint group. Block randomization was employed and sealed opaque envelopes were used to conceal the allocation. Groups 2, 3 and 4 wore an occlusal splint for four weeks. Groups 1 and 3 received three weekly massage sessions for four weeks. All groups were evaluated before and after treatment through electromyographic analysis of the masseter and anterior temporal muscles and the Fonseca Patient History Index. The Wilcoxon test was used to compare the effects of the different treatments and repeated-measures ANOVA was used to determine the intensity of TMD. The inter-group analysis of variance revealed no statistically significant differences in median frequency among the groups prior to treatment. In the intra-group analysis, no statistically significant differences were found between pre-treatment and post-treatment evaluations in any of the groups. Group 3 demonstrated a greater improvement in the intensity of TMD in comparison to the other groups. Massage therapy and the use of an occlusal splint had no significant influence on electromyographic activity of the masseter or anterior temporal muscles. However, the combination of therapies led to a reduction in the intensity of signs and

Determination of rational parameters for process of grinding materials pre-crushed by pressure in ball mill

Science.gov (United States)

Romanovich, A. A.; Romanovich, L. G.; Chekhovskoy, E. I.

2018-03-01

The article presents the results of experimental studies on the grinding process of a clinker preliminarily ground in press roller mills in a ball mill equipped with energy exchange devices. The authors studied the influence of the coefficients of loading for grinding bodies of the first and second mill chambers, their lengths, angles of inclination, and the mutual location of energy exchange devices (the ellipse segment and the double-acting blade) on the output parameters of the grinding process (productivity, drive power consumption and specific energy consumption). It is clarified that the best results of the disaggregation and grinding process, judging by the minimum specific energy consumption in the grinding of clinker with an anisotropic texture after force deformation between the rolls of a press roller shredder, are achieved at a certain angle of ellipse segment inclination; the length of the first chamber and the coefficients of loading the chambers with grinding bodies.

Is there enough evidence to use botulinum toxin injections for bruxism management? A systematic literature review.

Science.gov (United States)

De la Torre Canales, Giancarlo; Câmara-Souza, Mariana Barbosa; do Amaral, Camilla Fraga; Garcia, Renata Cunha Matheus Rodrigues; Manfredini, Daniele

2017-04-01

The objective of the study was to conduct a systematic review of the literature assessing the effects of botulinum toxin (BoNT-A) injections in the management of bruxism. Search for articles involved the PubMed, Scopus, Web of Science, Embase, Cochrane, Scielo and Lilacs databases. Specific terms were used and the search carried out from 1980 to March 2016 by three independent researchers. Randomized controlled studies (RCTs), prospective and before-after studies that applied BoNT-A at the masseter and/or temporalis muscles were included. Three RCTs and two uncontrolled before-after studies out of 904 identified citations were included in this review. All five articles dealt with sleep bruxism and featured a small sample size. None of them was about awake bruxism. Two randomized clinical trials were double-blinded, with a control group using saline solution. Two studies used polysomnography/electromyography for sleep bruxism diagnosis, whilst others were based on history taking and clinical examination. All studies using subjective evaluations for pain and jaw stiffness showed positive results for the BoNT-A treatment. In contrast, the two studies using objective evaluations did not demonstrate any reduction in bruxism episodes, but a decrease in the intensity of muscles contractions. Despite the paucity of works on the topic, BoNT-A seems to be a possible management option for sleep bruxism, minimizing symptoms and reducing the intensity of muscle contractions, although further studies are necessary especially as far as the treatment indications for bruxism itself is concerned. BoNT-A has been increasingly diffused in dentistry over recent years, being also used for pain management in patients with bruxism. Nonetheless, there is no consensus about its effects in this disorder.

Performance assessment of river sand versus ceramic grinding media on the Fimiston Ultra-fine Grinding application

International Nuclear Information System (INIS)

Blake, Guillaume; Clermont, Benoit; Gianatti, Christopher

2012-01-01

Ultra-fine grinding increases the amenability of the refractory concentrate to direct cyanide leaching. Low cost media such as silica river sand gives very fine product grind sizes, however the sand media is quite angular and is often supplied with a broad size distribution. It is generally accepted that the use of a ceramic grinding media will result in a finer product size or allow an increase in the mill throughput. The capacity of a mill is known to increase with decreasing grinding media diameter, the mill wear can be decreased and efficiency of grinding increased. Magotteaux Keramax-MTX Ceramic grinding media was purchased for a plant trial, to assess its' performance.

Grinding Wheel Profile

Science.gov (United States)

2004-01-01

This graphic dubbed by engineers as the 'Grinding Wheel Profile' is the detective's tool used by the Opportunity team to help them understand one of the processes that formed the interior of a rock called 'McKittrick.' Scientists are looking for clues as to how layers, grains and minerals helped create this rock, and the engineers who built the rock abrasion tool (RAT) wanted to ensure that their instrument's handiwork did not get confused with natural processes.In the original microscopic image underlaying the graphics, engineers and scientists noticed 'layers' or 'scratches' on the spherical object nicknamed 'blueberry' in the lower right part of the image. The designers of the rock abrasion tool noticed that the arc length and width of the scratches were similar to the shape and size of the rock abrasion tool's grinding wheel, which is made out of a pad of diamond teeth.The scrapes on the bottom right blueberry appear to be caused by the fact that the berry got dislodged slightly and its surface was scraped with the grinding pad. In this image, the largest yellow circle is the overall diameter of the hole ground by the rock abrasion tool and the largest yellow rectangular shape is the area of the grinding wheel bit. The smaller yellow semi-circle is the path that the center of the grinding tool follows. The orange arrow arcing around the solid yellow circle (center of grinding tool) indicates the direction that the grinding tool spins around its own center at 3,000 revolutions per minute. The tool simultaneously spins in an orbit around the center of the hole, indicated by the larger orange arrow to the left.The grinding tool is 22 millimeters (0.9 inches) in length and the actual grinding surface, which consists of the diamond pad, is 1.5 millimeters (0.06 inches) in length, indicated by the two smaller rectangles. You can see that the smaller bottom rectangle fits exactly the width of the scrape marks.The grooves on the blueberry are also the same as the

Grinding Wheel System

Science.gov (United States)

Malkin, Stephen; Gao, Robert; Guo, Changsheng; Varghese, Biju; Pathare, Sumukh

2003-08-05

A grinding wheel system includes a grinding wheel with at least one embedded sensor. The system also includes an adapter disk containing electronics that process signals produced by each embedded sensor and that transmits sensor information to a data processing platform for further processing of the transmitted information.

Ultrasonic grinding of optical materials

Science.gov (United States)

Cahill, Michael; Bechtold, Michael; Fess, Edward; Stephan, Thomas; Bechtold, Rob

2017-10-01

Hard ceramic optical materials such as sapphire, ALON, Spinel, PCA, or Silicon Carbide can present a significant challenge in manufacturing precision optical components due to their tough mechanical properties. These are also the same mechanical properties that make them desirable materials when used in harsh environments. Slow processing speeds, premature tool wear, and poor surface quality are common results of the tough mechanical properties of these materials. Often, as a preparatory stage for polishing, the finish of the ground surface greatly influences the polishing process and the resulting finished product. To overcome these challenges, OptiPro Systems has developed an ultrasonic assisted grinding technology, OptiSonic, which has been designed for the precision optics and ceramics industry. OptiSonic utilizes a custom tool holder designed to produce oscillations, in microns of amplitude, in line with the rotating spindle. A software package, IntelliSonic, is integral to the function of this platform. IntelliSonic can automatically characterize tooling during setup to identify and select the ideal resonant peak which to operate at. Then, while grinding, IntelliSonic continuously adjusts the output frequency for optimal grinding efficiency while in contact with the part. This helps maintain a highly consistent process under changing load conditions for a more precise surface. Utilizing a variety of instruments, tests have proven to show a reduction in force between tool and part by up to 50%, while increasing the surface quality and reducing tool wear. This paper will present the challenges associated with these materials and solutions created to overcome them.

Rotary ultrasonic machining of CFRP: A comparison with grinding.

Science.gov (United States)

Ning, F D; Cong, W L; Pei, Z J; Treadwell, C

2016-03-01

Carbon fiber reinforced plastic (CFRP) composites have been intensively used in various industries due to their superior properties. In aircraft and aerospace industry, a large number of holes are required to be drilled into CFRP components at final stage for aircraft assembling. There are two major types of methods for hole making of CFRP composites in industry, twist drilling and its derived multi-points machining methods, and grinding and its related methods. The first type of methods are commonly used in hole making of CFRP composites. However, in recent years, rotary ultrasonic machining (RUM), a hybrid machining process combining ultrasonic machining and grinding, has also been successfully used in drilling of CFRP composites. It has been shown that RUM is superior to twist drilling in many aspects. However, there are no reported investigations on comparisons between RUM and grinding in drilling of CFRP. In this paper, these two drilling methods are compared in five aspects, including cutting force, torque, surface roughness, hole diameter, and material removal rate. Copyright © 2015 Elsevier B.V. All rights reserved.

Grinding Away Microfissures

Science.gov (United States)

Booth, Gary N.; Malinzak, R. Michael

1990-01-01

Treatment similar to dental polishing used to remove microfissures from metal parts without reworking adjacent surfaces. Any variety of abrasive tips attached to small motor used to grind spot treated. Configuration of grinding head must be compatible with configurations of motor and workpiece. Devised to eliminate spurious marks on welded parts.

Bruxismo na infância: um sinal de alerta para odontopediatras e pediatras Childhood bruxism: a warning sign to pediatric dentists and pediatricians

Directory of Open Access Journals (Sweden)

Michele Baffi Diniz

2009-09-01

published on the subject from 1907 to 2007 were selected, from Medline and Brazilian Bibliography on Odontology databases as well as dentistry books. DATA SYNTHESIS: Bruxism is defined as a non-functional habit of the stomatognatic system, characterized by the act of grinding or squeezing the teeth, with occurrences during the day or sleep. The etiology is multifactorial with contribution of several factors (dental, physiological, psychological and neurological variables. The forces produced by bruxism can harm the teeth, their supporting tissues, muscles and temporomandibular articulation. Common clinical signs are: attrition on the incisal faces of the anterior teeth and occlusal faces in the posterior teeth, as well as dental hypermobility and hypersensibility, cusp and restoration fracture and muscle hypertonicity. CONCLUSIONS: The knowledge on the etiological factors and the clinical characteristics of childhood bruxism is important to establish early diagnosis and treatment, with a multidisciplinary approach that should include pediatricians, pediatric dentists and psychologists in order to provide adequate infant development focused on health promotion and individual well-being.

Low specific-grinding energy machining of ceramics by a laser dressed diamond grinding stone

International Nuclear Information System (INIS)

Jodan, K.; Matsumaru, K.; Ishizaki, K.

2003-01-01

A laser dressing is an effective dressing method to accomplish efficient ceramic grinding. Since laser dressing achieves protrusion heights of abrasive-grains without grain dislodgment, the number of abrasive-grains in a laser dressed grinding stone (LGS) is higher than that in a mechanically dressed grinding stone (MGS), remaining the initial grain distribution. Thus, the LGS contains higher number of effective cutting edges, and forms higher number of ground grooves on a ground surface than the MGS. Consequently, the LGS can achieve lower specific grinding energy than the MGS. Copyright (2003) AD-TECH - International Foundation for the Advancement of Technology Ltd

Association between sleep bruxism and psychosocial factors in children and adolescents: a systematic review.

Science.gov (United States)

De Luca Canto, Graziela; Singh, Vandana; Conti, Paulo; Dick, Bruce D; Gozal, David; Major, Paul W; Flores-Mir, Carlos

2015-05-01

To summarize the association between sleep bruxism and psychosocial factors in children and adolescents. Individual search strategies for five databases were developed. The references cited in the selected articles were checked and a partial gray literature search was undertaken. Only articles that used the international diagnostic criteria for sleep bruxism as proposed by the American Association of Sleep Medicine were included. Any form of reporting of psychosocial factors was considered. Of the 44 retained articles, only 7 studies were finally included for the qualitative/quantitative synthesis. No evidence supportive of an association between sleep bruxism and psychosocial factors in children younger than 5 years emerged. A significant association was present in children between 6 and 11 years old and in adolescents 12 to 17 years old. Risk of bias was low-to-moderate in most of the included studies. The current available evidence suggests an association between sleep bruxism and psychological factors in children older than 6 years. © The Author(s) 2014.

Self-reported bruxism and temporomandibular disorders: findings from two specialised centres.

Science.gov (United States)

Manfredini, D; Winocur, E; Guarda-Nardini, L; Lobbezoo, F

2012-05-01

The aims of this investigation were to report the frequency of temporomandibular disorders (TMD) diagnoses and the prevalence of self-reported awake and sleep bruxism as well as to describe the possible differences between findings of two specialised centres as a basis to suggest recommendations for future improvements in diagnostic homogeneity and accuracy. A standardised Research Diagnostic Criteria for TMD (RDC/TMD) assessment was performed on patients attending both TMD Clinics, viz., at the University of Padova, Italy (n=219; 74% women) and at the University of Tel Aviv, Israel (n=397; 79% women), to assign axis I physical diagnoses and to record data on self-reported awake and sleep bruxism. Significant differences were shown between the two clinic samples as for the frequency of TMD diagnoses (chi-square, Pbruxism items (chi-square, Pbruxism in patients with myofascial pain alone described in the other clinic sample was not replicated, suggesting that the different adoption of clinical and imaging criteria to diagnose TMD may influence also reports on their association with bruxism. From this investigation, it emerged that the features of the study samples as well as the different interpretation of the same diagnostic guidelines may have strong influence on epidemiological reports on bruxism and TMD prevalence and on the association between the two disorders. © 2012 Blackwell Publishing Ltd.

Signs of Bruxism and Temporomandibular Disorders among Patients with Bipolar Disorder

Directory of Open Access Journals (Sweden)

Gurbuz Ozlem

2017-11-01

Full Text Available Background/Aim: There is an abundance of data regarding temporomandibular disorders (TMD and bruxism specific to patients with bipolar disorder (BD. This study aimed to investigate the prevalence of TMD signs in subjects with and without BD. Material and Methods: The case group included 242 adult patients (103 men and 139 women with BD and and the control group included 187 subjects without BD (89 men and 98 women. The case and control groups were compared for the presence of bruxism and the signs of TMD including muscle and temporomandibular joint (TMJ tenderness to palpation, limitation of maximum mouth opening, and TMJ sounds. Results: The frequency of at least one sign of TMD was significantly higher in patients with BD (191 ⁄242, 78.9% than the control group (95 ⁄187, 50.8% (p<0.001. Statistically significant differences were found between the case and control groups in terms of joint pain on palpation (p<0.05, masseter muscle pain on palpation (p<0.01, joint clicks (p<0.001 and limited mouth opening (p<0.001. Bruxism was significantly higher in patients with BD (49.6% than the control group (19.8% (p<0.001. Conclusions: Patients with BD appear to be more prone to having TMD signs and bruxism compared to the control group, but this comorbidity should be better understood by further studies.

Association of infantile bruxism and the terminal relationships of the primary second molars.

Science.gov (United States)

Junqueira, Tatiana Helena; Nahás-Scocate, Ana Carla Raphaelli; Valle-Corotti, Karyna Martins do; Conti, Ana Claudia de Castro Ferreira; Trevisan, Shirley

2013-01-01

The aim of this study was to analyze the association between infantile bruxism and the terminal relationships of the primary second molars. A total of 937 pre-school children (both genders), aged from 2 to 6 years, from municipal schools in São Paulo were evaluated. In this study, a questionnaire considering the bruxism habit and the presence of headaches and/or restless sleep was answered by the parents/guardians. A clinical exam of occlusion in the anteroposterior direction (vertical plane - VP, mesial step - MS and distal step - DS) was performed by the examiners in the school environment. Student's t test, Fisher's test and a logistic regression test were applied for the statistical analysis at a significance level of 5%. The prevalence of the bruxism habit was 29.3% among the total sample. Because there was no significant difference between the sides evaluated, the left side was taken as the standard. Among those children with bruxism, 25.7% presented a mesial step terminal relationship at the primary second molars, 29.1% had DS, and 30.2% had VP. Regarding the association of the parafunctional habit with the type of terminal relationship, no significant results were found. Children who slept restlessly or suffered from headaches were verified to show a higher chance of expressing the habit (OR = 2.4 and 1.6, respectively). The prevalence of bruxism in the studied sample was 29.3%, and its association with the primary second molars' terminal relationship was not statistically significant.

Ceramic-bonded abrasive grinding tools

Science.gov (United States)

Holcombe, Jr., Cressie E.; Gorin, Andrew H.; Seals, Roland D.

1994-01-01

Abrasive grains such as boron carbide, silicon carbide, alumina, diamond, cubic boron nitride, and mullite are combined with a cement primarily comprised of zinc oxide and a reactive liquid setting agent and solidified into abrasive grinding tools. Such grinding tools are particularly suitable for grinding and polishing stone, such as marble and granite.

Ceramic-bonded abrasive grinding tools

Science.gov (United States)

Holcombe, C.E. Jr.; Gorin, A.H.; Seals, R.D.

1994-11-22

Abrasive grains such as boron carbide, silicon carbide, alumina, diamond, cubic boron nitride, and mullite are combined with a cement primarily comprised of zinc oxide and a reactive liquid setting agent and solidified into abrasive grinding tools. Such grinding tools are particularly suitable for grinding and polishing stone, such as marble and granite.

Surface grinding of intermetallic titanium aluminides

CERN Document Server

Gröning, Holger Andreas

2014-01-01

A deductive kinematic model of creep-feed and speed-stroke grinding processes is developed to identify possibilities to reduce the energy introduced into the workpiece. By computer tomography analysis and tactile measurements of the grinding wheel the pore volume and the static cutting edge number are determined and included in the model. Based on the kinematic model and the grinding wheel characteristics an analytical evaluation of the specific grinding energy for speed-stroke and creep-feed grinding is carried out. The deducted process design is evaluated in experimental investigations. The

Bruxism is unlikely to cause damage to the periodontium: findings from a systematic literature assessment

NARCIS (Netherlands)

Manfredini, D.; Ahlberg, J.; Mura, R.; Lobbezoo, F.

2015-01-01

Background: This paper systematically reviews the MEDLINE and SCOPUS literature to answer the following question: Is there any evidence that bruxism may cause periodontal damage per se? Methods: Clinical studies on humans, assessing the potential relationship between bruxism and periodontal lesions

Influence of Cooling Condition on the Performance of Grinding Hardened Layer in Grind-hardening

Science.gov (United States)

Wang, G. C.; Chen, J.; Xu, G. Y.; Li, X.

2018-02-01

45# steel was grinded and hardened on a surface grinding machine to study the effect of three different cooling media, including emulsion, dry air and liquid nitrogen, on the microstructure and properties of the hardened layer. The results show that the microstructure of material surface hardened with emulsion is pearlite and no hardened layer. The surface roughness is small and the residual stress is compressive stress. With cooling condition of liquid nitrogen and dry air, the specimen surface are hardened, the organization is martensite, the surface roughness is also not changed, but high hardness of hardened layer and surface compressive stress were obtained when grinding using liquid nitrogen. The deeper hardened layer grinded with dry air was obtained and surface residual stress is tensile stress. This study provides an experimental basis for choosing the appropriate cooling mode to effectively control the performance of grinding hardened layer.

Therapies most frequently used for the management of bruxism by a sample of German dentists.

Science.gov (United States)

Ommerborn, Michelle A; Taghavi, Jalleh; Singh, Preeti; Handschel, Joerg; Depprich, Rita A; Raab, Wolfgang H M

2011-03-01

At present, there is little information available on how practicing dentists manage bruxism patients with respect to conservative, reversible techniques as compared to irreversible techniques. The purpose of this study was to determine the most commonly applied therapies used for the management of bruxism by German general dentists (GDs) and dental specialists. In addition, efforts were made to gather information on the knowledge and opinion of GDs and specialists regarding the role of occlusal interferences, in particular, on the development of sleep bruxism. A 13-item questionnaire was developed and mailed to all active members of the statutory dental insurance providers of the German North Rhine (n=5500; 2006 roster) and the German Westphalia-Lippe area (n=4984; 2006 roster). Group differences were statistically analyzed using chi-square tests for the qualitative variables and Mann-Whitney U tests for the quantitative variables (α=.05). Occlusal splints were by far the most frequently prescribed therapy for the management of bruxism, followed by relaxation techniques, occlusal equilibration, physiotherapy, and prosthodontic reconstruction. The occlusal stabilization splint with canine protected articulation was the splint type most often prescribed, whereas respondents used unadjusted soft splints for approximately 8% of their bruxism patients. Comparison of the opinions of all responding practicing dentists with that of experts in regard to the statement that "sleep bruxism is caused by occlusal interferences" showed a significant difference between the 2 groups (P=.021). Eighty-five percent of the experts disagreed with this statement, and only 47.7% of the practicing dentists had the same opinion as the experts. Most practicing dentists seem to concur with current scientific recommendations, and express the opinion that the management of bruxism should predominantly be conservative and reversible; however, the findings of the present survey reveal diverse

Analysis on the grinding quality of palm oil fibers by using combined grinding equipment

Science.gov (United States)

Gan, H. L.; Gan, L. M.; Law, H. C.

2015-12-01

As known, Malaysia is the second largest palm oil producer worldwide after Indonesia, therefore indicating the abundance of its wastes within the country. The plantation would be seen to increase to at least 5.2 million ha by 2020, and the waste generation would be 50-70 times the plantation. However, the efficiency of bulk density is reduced. This is one of the main reasons of the initiation of this size reduction/ grinding research. With appropriate parameters, grinding will be seen to be helping in enhancing the inter-particle bindings, subsequently increasing the quality of final products. This paper focuses on the grinding quality involving palm oil wastes by using the Scanning Electron Microscope (SEM). The samples would first be ground to powder at varying grinding speed and finally got the randomly chosen particles measured to obtain the size range. The grinding speed was manipulated from 15 Hz to 40 Hz. From the data obtained, it was found the particles fineness increased with increasing grinding speed. In general, the size ranged from 45 μm to about 600 μm, where the finest was recorded at the speed of 40 Hz. It was also found that the binding was not so encouraging at very low speeds. Therefore, the optimum grinding speed for oil palm residues lied in the range of 25 Hz to 30 Hz. However, there were still limitations to be overcome if the accuracy of the image clarity is to be enhanced.

The effectiveness of occlusal splints for sleep bruxism.

Science.gov (United States)

Jagger, Robert

2008-01-01

Searches were made using the Cochrane Oral Health Group's Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, LILACS (Latin American & Caribbean Health Sciences Literature), Biblioteca Brasileira de Odontologia, and Dissertations, Theses and Abstracts. Hand searches were made of abstracts of particular importance to this review. Additional reports were identified from the reference lists of retrieved reports and from article reviews about treating sleep bruxism. There were no language restrictions. Randomised controlled trials (RCT) or quasi-RCT were chosen that compared splint therapy concurrently with no treatment, other occlusal appliances, or any other intervention in participants who had sleep bruxism. Data extraction was carried out independently and in duplicate. Validity assessment of the included trials was carried out at the same time as data extraction. Discrepancies were discussed and a third review author consulted. The author of the primary study was contacted when necessary. Thirty-two potentially relevant RCT were identified of which five were eventually included. In these, use of an occlusal splint was compared with palatal splint, mandibular advancement device, transcutaneous electric nerve stimulation, and no treatment. There was just one common outcome (arousal index) which was combined in a meta-analysis. No statistically significant difference between the occlusal splint and control groups were found in meta-analysis. There is not enough evidence to state that the occlusal splint is effective for treating sleep bruxism. Indication of its use is questionable with regard to sleep outcomes, but there may be some benefit with regard to tooth wear. This systematic review suggests the need for further investigation in more controlled RCT that pay attention to method of allocation, outcome assessment, large sample size, and sufficient duration of followup. The study design must be parallel in order to eliminate

Prevalence of bruxism in children with episodic migraine - a case–control study with polysomnography

Science.gov (United States)

2014-01-01

Background Parents of children with migraine have described a higher prevalence of sleep bruxism and other sleep disturbances in their children. The objective of this study was to use polysomnography to investigate the prevalence of bruxism during sleep in children with episodic migraine relative to controls. Findings Controls and patients were matched by sex, age, years of formal education, presence of snoring, arousals per hour, and respiratory events per hour. A total of 20 controls, between 6 and 12 years old, with no history of headache, recruited from public schools in Sao Paulo between 2009 and 2012, and 20 patients with episodic migraine recruited from the Headache Clinic at the Federal University of Sao Paulo between 2009 and 2012 underwent polysomnography. No intervention was performed before sleep studies. Among migraine patients, 27.5% experienced aura prior to migraine onset. The sleep efficiency, sleep latency, REM sleep latency, arousals per hour, percentage of sleep stages, and breathing events per hour were similar between groups. Five children (25%) with episodic migraine exhibited bruxism during the sleep study while this finding was not observed in any control (p = 0.045). Conclusions Our data demonstrate that bruxism during sleep is more prevalent in children with episodic migraine. Further prospective studies will help elucidate the underlying shared pathogenesis between bruxism and episodic migraine in children. PMID:24886343

Prevalence of bruxism in children with episodic migraine--a case-control study with polysomnography.

Science.gov (United States)

Masuko, Alice Hatsue; Villa, Thais Rodrigues; Pradella-Hallinan, Marcia; Moszczynski, Alexander Joseph; Carvalho, Deusvenir de Souza; Tufik, Sergio; do Prado, Gilmar Fernandes; Coelho, Fernando Morgadinho Santos

2014-05-14

Parents of children with migraine have described a higher prevalence of sleep bruxism and other sleep disturbances in their children. The objective of this study was to use polysomnography to investigate the prevalence of bruxism during sleep in children with episodic migraine relative to controls. Controls and patients were matched by sex, age, years of formal education, presence of snoring, arousals per hour, and respiratory events per hour.A total of 20 controls, between 6 and 12 years old, with no history of headache, recruited from public schools in Sao Paulo between 2009 and 2012, and 20 patients with episodic migraine recruited from the Headache Clinic at the Federal University of Sao Paulo between 2009 and 2012 underwent polysomnography.No intervention was performed before sleep studies.Among migraine patients, 27.5% experienced aura prior to migraine onset. The sleep efficiency, sleep latency, REM sleep latency, arousals per hour, percentage of sleep stages, and breathing events per hour were similar between groups. Five children (25%) with episodic migraine exhibited bruxism during the sleep study while this finding was not observed in any control (p = 0.045). Our data demonstrate that bruxism during sleep is more prevalent in children with episodic migraine. Further prospective studies will help elucidate the underlying shared pathogenesis between bruxism and episodic migraine in children.

Bearing restoration by grinding

Science.gov (United States)

Hanau, H.; Parker, R. J.; Zaretsky, E. V.; Chen, S. M.; Bull, H. L.

1976-01-01

A joint program was undertaken by the NASA Lewis Research Center and the Army Aviation Systems Command to restore by grinding those rolling-element bearings which are currently being discarded at aircraft engine and transmission overhaul. Three bearing types were selected from the UH-1 helicopter engine (T-53) and transmission for the pilot program. No bearing failures occurred related to the restoration by grinding process. The risk and cost of a bearing restoration by grinding programs was analyzed. A microeconomic impact analysis was performed.

Impact of Bruxism on Ceramic Defects in Implant-Borne Fixed Dental Prostheses: A Retrospective Study.

Science.gov (United States)

Mikeli, Aikaterini; Walter, Michael H

2016-01-01

Ceramic veneer fracture is a frequent complication in implant-borne fixed restorations. The retrospective clinical study assesses the effect of bruxism on this complication. A sample of 507 implant-borne fixed units inserted between 1995 and 2011 in 144 patients were examined. Any detected veneer fractures were assigned to one of four groups according to extent and position. A hypothetical correlation between bruxism and ceramic veneer fractures was examined. Of 34 patients (23.6%) with at least one ceramic veneer fracture, 24 were bruxers (70%) and 10 were nonbruxers (30%) (P = .002). Bruxism may pose a risk for ceramic fractures.

Steel grinding media in production use

International Nuclear Information System (INIS)

Nass, D.E.

1975-01-01

This paper reviews the types of steel being used for grinding rods and balls by the mining industry in U. S. and Canada. Results of a Dec. 1973 grinding media survey of U. S. and Canadian mills are summarized. Common alloying elements (C, Mn, Cr, Mo, Cu, etc.) are discussed. Grinding balls and rods are discussed separately; wear tests using irradiated balls are described. Finally, defects in grinding media are discussed

Nanofluid as coolant for grinding process: An overview

Science.gov (United States)

Kananathan, J.; Samykano, M.; Sudhakar, K.; Subramaniam, S. R.; Selavamani, S. K.; Manoj Kumar, Nallapaneni; Keng, Ngui Wai; Kadirgama, K.; Hamzah, W. A. W.; Harun, W. S. W.

2018-04-01

This paper reviews the recent progress and applications of nanoparticles in lubricants as a coolant (cutting fluid) for grinding process. The role of grinding machining in manufacturing and the importance of lubrication fluids during material removal are discussed. In grinding process, coolants are used to improve the surface finish, wheel wear, flush the chips and to reduce the work-piece thermal deformation. The conventional cooling technique, i.e., flood cooling delivers a large amount of fluid and mist which hazardous to the environment and humans. Industries are actively looking for possible ways to reduce the volume of coolants used in metal removing operations due to the economical and ecological impacts. Thus as an alternative, an advanced cooling technique known as Minimum Quantity Lubrication (MQL) has been introduced to the enhance the surface finish, minimize the cost, to reduce the environmental impacts and to reduce the metal cutting fluid consumptions. Nanofluid is a new-fangled class of fluids engineered by dispersing nanometre-size solid particles into base fluids such as water, lubrication oils to further improve the properties of the lubricant or coolant. In addition to advanced cooling technique review, this paper also reviews the application of various nanoparticles and their performance in grinding operations. The performance of nanoparticles related to the cutting forces, surface finish, tool wear, and temperature at the cutting zone are briefly reviewed. The study reveals that the excellent properties of the nanofluid can be beneficial in cooling and lubricating application in the manufacturing process.

A relationship between bruxism and orofacial-dystonia? A trigeminal electrophysiological approach in a case report of pineal cavernoma

OpenAIRE

Frisardi, Gianni; Iani, Cesare; Sau, Gianfranco; Frisardi, Flavio; Leornadis, Carlo; Lumbau, Aurea; Enrico, Paolo; Sirca, Donatella; Staderini, Enrico Maria; Chessa, Giacomo

2013-01-01

Background: In some clinical cases, bruxism may be correlated to central nervous system hyperexcitability, suggesting that bruxism may represent a subclinical form of dystonia. To examine this hypothesis, we performed an electrophysiological evaluation of the excitability of the trigeminal nervous system in a patient affected by pineal cavernoma with pain symptoms in the orofacial region and pronounced bruxism. Methods: Electrophysiological studies included bilateral electrical transcrania...

Subsurface damage mechanism of high speed grinding process in single crystal silicon revealed by atomistic simulations

International Nuclear Information System (INIS)

Li, Jia; Fang, Qihong; Zhang, Liangchi; Liu, Youwen

2015-01-01

Highlights: • Molecular dynamic model of nanoscale high speed grinding of silicon workpiece has been established. • The effect of grinding speed on subsurface damage and grinding surface integrity by analyzing the chip, dislocation movement, and phase transformation during high speed grinding process are thoroughly investigated. • Subsurface damage is studied by the evolution of surface area at first time for more obvious observation on transition from ductile to brittle. • The hydrostatic stress and von Mises stress by the established analytical model are studied subsurface damage mechanism during nanoscale grinding. - Abstract: Three-dimensional molecular dynamics (MD) simulations are performed to investigate the nanoscale grinding process of single crystal silicon using diamond tool. The effect of grinding speed on subsurface damage and grinding surface integrity by analyzing the chip, dislocation movement, and phase transformation are studied. We also establish an analytical model to calculate several important stress fields including hydrostatic stress and von Mises stress for studying subsurface damage mechanism, and obtain the dislocation density on the grinding subsurface. The results show that a higher grinding velocity in machining brittle material silicon causes a larger chip and a higher temperature, and reduces subsurface damage. However, when grinding velocity is above 180 m s −1 , subsurface damage thickness slightly increases because a higher grinding speed leads to the increase in grinding force and temperature, which accelerate dislocation nucleation and motion. Subsurface damage is studied by the evolution of surface area at first time for more obvious observation on transition from ductile to brittle, that provides valuable reference for machining nanometer devices. The von Mises stress and the hydrostatic stress play an important role in the grinding process, and explain the subsurface damage though dislocation mechanism under high

Multifunctional centrifugal grinding unit

Science.gov (United States)

Sevostyanov, V. S.; Uralskij, V. I.; Uralskij, A. V.; Sinitsa, E. V.

2018-03-01

The article presents scientific and engineering developments of multifunctional centrifugal grinding unit in which the selective effect of grinding bodies on the crushing material is realized, depending on its physical and mechanical characteristics and various schemes for organizing the technological process

Grinding Inside A Toroidal Cavity

Science.gov (United States)

Mayer, Walter; Adams, James F.; Burley, Richard K.

1987-01-01

Weld lines ground smooth within about 0.001 in. Grinding tool for smoothing longitudinal weld lines inside toroidal cavity includes curved tunnel jig to guide grinding "mouse" along weld line. Curvature of tunnel jig matched to shape of toroid so grinding ball in mouse follows circular arc of correct radius as mouse is pushed along tunnel. Tool enables precise control of grindout shape, yet easy to use.

Characterisation and management of concrete grinding residuals.

Science.gov (United States)

Kluge, Matt; Gupta, Nautasha; Watts, Ben; Chadik, Paul A; Ferraro, Christopher; Townsend, Timothy G

2018-02-01

Concrete grinding residue is the waste product resulting from the grinding, cutting, and resurfacing of concrete pavement. Potential beneficial applications for concrete grinding residue include use as a soil amendment and as a construction material, including as an additive to Portland cement concrete. Concrete grinding residue exhibits a high pH, and though not hazardous, it is sufficiently elevated that precautions need to be taken around aquatic ecosystems. Best management practices and state regulations focus on reducing the impact on such aquatic environment. Heavy metals are present in concrete grinding residue, but concentrations are of the same magnitude as typically recycled concrete residuals. The chemical composition of concrete grinding residue makes it a useful product for some soil amendment purposes at appropriate land application rates. The presence of unreacted concrete in concrete grinding residue was examined for potential use as partial replacement of cement in new concrete. Testing of Florida concrete grinding residue revealed no dramatic reactivity or improvement in mortar strength.

Are Pain-Related Temporomandibular Disorders the Product of an Interaction Between Psychological Factors and Self-Reported Bruxism?

Science.gov (United States)

van Selms, Maurits Ka; Muzalev, Konstantin; Visscher, Corine M; Koutris, Michail; Bulut, Melike; Lobbezoo, Frank

2017-01-01

To investigate whether pain-related temporomandibular disorders (TMD) are the product of an interaction between psychological factors and self-reported bruxism activities. Patients referred to a specialized clinic for complaints of orofacial pain and dysfunction completed a digital questionnaire prior to the first clinical visit. The patient sample was then split into a case group consisting of 268 patients diagnosed with TMD pain according to the Diagnostic Criteria for Temporomandibular Disorders (85.8% women; mean ± standard deviation [SD] age = 40.1 ± 14.5 years) and a control group consisting of 254 patients without any pain in the orofacial area (50.8% women; 46.9 ± 13.6 years). The possible moderating roles of six psychological factors (depression, somatic symptoms, anxiety, stress, optimism, and prior psychological treatment) on the relationship between self-reported bruxism and the clinical presence of TMD pain were examined. Patients with TMD pain reported significantly more bruxism than patients without any report of orofacial pain. Furthermore, bruxism intensity was associated with a variety of psychological factors; however, there were no significant interactions between any of the psychological factors and bruxism with respect to the clinical presence of TMD pain. These findings do not support the view that the effect of bruxism on TMD pain is stronger in patients who experience higher levels of psychological distress compared to those with lower levels of distress.

Efficacy of biofeedback therapy via a mini wireless device on sleep bruxism contrasted with occlusal splint: a pilot study

Science.gov (United States)

Gu, WeiPing; Yang, Jie; Zhang, FeiMin; Yin, XinMin; Wei, XiaoLong; Wang, Chen

2015-01-01

Abstract The putative causes of bruxism are multifactorial and there are no definite measures for bruxism management. The aim of this study was to evaluate the efficacy of biofeedback therapy on sleep bruxism, compared with occlusal splint. Twenty-four volunteers with sleep bruxism were divided into two groups: the GTB group that were treated with biofeedback therapy (n  = 12) and the GTO group that were treated with occlusal splint (n  = 12). A mini pressure sensor integrated with a monitoring circuit by use of a maxillary biofeedback splint was fabricated. To foster the relaxation of the masticatory muscles and the nervous system, the wireless device received signals from bruxism events and vibrations alerted the bruxer when the threshold was exceeded. Total episodes and average duration of bruxism events during 8 hours of sleep were analyzed with the monitoring program (TRMY1.0). After 6 and 12 weeks, the episodes (P  =  0.001) and duration (P 0.05). Furthermore, the episodes had significant differences between the GTB group and the GTO group after the same period of treatment (P  =  0.000). The results suggest that biofeedback therapy may be an effective and convenient measure for mild bruxers, when compared with occlusal splint therapy. The mini wireless biofeedback method may be of value for the diagnosis and management of bruxism in the future. PMID:25859272

AUTOMATION OF IN FEED CENTERLESS GRINDING MACHINE

OpenAIRE

Piyusha P. Jadhav*, Sachin V. Lomte, Sudhir Surve

2017-01-01

In-feed centerless grinding technique offers a major contribution to the industries. This is the alternative in-feed centerless grinding technique using regulating wheel. Mainly centerless grinding is divided in three types, and those are End feed, in-feed and through feed Centerless grinding. This paper mainly deals with low cost automation on in-feed Centerless grinding machine using regulating wheel suitable for multiple in-feed type jobs. It deals with the development of a Centerless grin...

Taking the Bite out of Bruxism (For Kids)

Science.gov (United States)

... a warm bath or shower, listen to slow music, or read a good book. It just might help you say bye-bye to bruxism! Reviewed by: Kenneth H. Hirsch, ... Policy Permissions Guidelines Privacy Policy & Terms of Use Notice ...

Biopsychosocial aspects of sleep bruxism in children

NARCIS (Netherlands)

Restrepo Serna, C.C.

2018-01-01

The aim of this thesis was to obtain an insight into the interactions between the biopsychological aspects of sleep bruxism (SB) in children. To that end, validated instruments and calibrated devices for the assessment of SB in children were used. The studies were performed in Medellin, Colombia. In

Towards High Productivity in Precision Grinding

Directory of Open Access Journals (Sweden)

W. Brian Rowe

2018-04-01

Full Text Available Over the last century, substantial advances have been made, based on improved understanding of the requirements of grinding processes, machines, control systems, materials, abrasives, wheel preparation, coolants, lubricants, and coolant delivery. This paper reviews a selection of areas in which the application of scientific principles and engineering ingenuity has led to the development of new grinding processes, abrasives, tools, machines, and systems. Topics feature a selection of areas where relationships between scientific principles and new techniques are yielding improved productivity and better quality. These examples point towards further advances that can fruitfully be pursued. Applications in modern grinding technology range from high-precision kinematics for grinding very large lenses and reflectors through to medium size grinding machine processes and further down to grinding very small components used in micro electro-mechanical systems (MEMS devices. The importance of material issues is emphasized for the range of conventional engineering steels, through to aerospace materials, ceramics, and composites. It is suggested that future advances in productivity will include the wider application of artificial intelligence and robotics to improve precision, process efficiency, and features required to integrate grinding processes into wider manufacturing systems.

Bruxism and dental implant failures: a multilevel mixed effects parametric survival analysis approach.

Science.gov (United States)

Chrcanovic, B R; Kisch, J; Albrektsson, T; Wennerberg, A

2016-11-01

Recent studies have suggested that the insertion of dental implants in patients being diagnosed with bruxism negatively affected the implant failure rates. The aim of the present study was to investigate the association between the bruxism and the risk of dental implant failure. This retrospective study is based on 2670 patients who received 10 096 implants at one specialist clinic. Implant- and patient-related data were collected. Descriptive statistics were used to describe the patients and implants. Multilevel mixed effects parametric survival analysis was used to test the association between bruxism and risk of implant failure adjusting for several potential confounders. Criteria from a recent international consensus (Lobbezoo et al., J Oral Rehabil, 40, 2013, 2) and from the International Classification of Sleep Disorders (International classification of sleep disorders, revised: diagnostic and coding manual, American Academy of Sleep Medicine, Chicago, 2014) were used to define and diagnose the condition. The number of implants with information available for all variables totalled 3549, placed in 994 patients, with 179 implants reported as failures. The implant failure rates were 13·0% (24/185) for bruxers and 4·6% (155/3364) for non-bruxers (P bruxism was a statistically significantly risk factor to implant failure (HR 3·396; 95% CI 1·314, 8·777; P = 0·012), as well as implant length, implant diameter, implant surface, bone quantity D in relation to quantity A, bone quality 4 in relation to quality 1 (Lekholm and Zarb classification), smoking and the intake of proton pump inhibitors. It is suggested that the bruxism may be associated with an increased risk of dental implant failure. © 2016 John Wiley & Sons Ltd.

Development of a quality-assessment tool for experimental bruxism studies: reliability and validity.

Science.gov (United States)

Dawson, Andreas; Raphael, Karen G; Glaros, Alan; Axelsson, Susanna; Arima, Taro; Ernberg, Malin; Farella, Mauro; Lobbezoo, Frank; Manfredini, Daniele; Michelotti, Ambra; Svensson, Peter; List, Thomas

2013-01-01

To combine empirical evidence and expert opinion in a formal consensus method in order to develop a quality-assessment tool for experimental bruxism studies in systematic reviews. Tool development comprised five steps: (1) preliminary decisions, (2) item generation, (3) face-validity assessment, (4) reliability and discriminitive validity assessment, and (5) instrument refinement. The kappa value and phi-coefficient were calculated to assess inter-observer reliability and discriminative ability, respectively. Following preliminary decisions and a literature review, a list of 52 items to be considered for inclusion in the tool was compiled. Eleven experts were invited to join a Delphi panel and 10 accepted. Four Delphi rounds reduced the preliminary tool-Quality-Assessment Tool for Experimental Bruxism Studies (Qu-ATEBS)- to 8 items: study aim, study sample, control condition or group, study design, experimental bruxism task, statistics, interpretation of results, and conflict of interest statement. Consensus among the Delphi panelists yielded good face validity. Inter-observer reliability was acceptable (k = 0.77). Discriminative validity was excellent (phi coefficient 1.0; P reviews of experimental bruxism studies, exhibits face validity, excellent discriminative validity, and acceptable inter-observer reliability. Development of quality assessment tools for many other topics in the orofacial pain literature is needed and may follow the described procedure.

Oral splints: the crutches for temporomandibular disorders and bruxism?

Science.gov (United States)

Dao, T T; Lavigne, G J

1998-01-01

Despite the extensive use of oral splints in the treatment of temporomandibular disorders (TMD) and bruxism, their mechanisms of action remain controversial Various hypotheses have been proposed to explain their apparent efficacy (i.e., true therapeutic value), including the repositioning of condyle and/or the articular disc, reduction in the electromyographic activity of the masticatory muscles, modification of the patient's "harmful" oral behavior, and changes in the patient's occlusion. Following a comprehensive review of the literature, it is concluded that any of these theories is either poor or inconsistent, while the issue of true efficacy for oral splints remains unsettled. However, the results of a controlled clinical trial lend support to the effectiveness (i.e., the patient's appreciation of the positive changes which are perceived to have occurred during the trial) of the stabilizing splint in the control of myofascial pain. In light of the data supporting their effectiveness but not their efficacy, oral splints should be used as an adjunct for pain management rather than a definitive treatment. For sleep bruxism, it is prudent to limit their use as a habit management aid and to prevent/limit dental damage potentially induced by the disorder. Future research should study the natural history and etiologies of TMD and bruxism, so that specific treatments for these disorders can be developed.

A novel protocol for occlusal splint adjustment to treat TMD in sleep bruxism

Directory of Open Access Journals (Sweden)

Lilian Christyane Giannasi

Full Text Available INTRODUCTION: Sleep bruxism (SB is a stereotypical movement disorder that is characterized by rhythmic masticatory muscle activity associated with tooth grinding and occasional jaw clenching. OBJECTIVES: The aim of this study was to determine the relief time for temporomandibular disorders (TMD, cervical and otological signs and symptoms in patients with BS treated with occlusal splints (OS for a period of 180 days. MATERIALS AND METHODS: Thirty patients, between ages 22 and 53 years old, presenting SB and TMD, including cervical and otological symptoms, were enrolled in this study. The patient’s treatment protocol consisted of using the OS applying a novel adjustment protocol. The total follow-up period was 180 days. The paired Student t-test was used to compare before and after long-term OS treatment. RESULTS: For all variables, the results were statistically significant (p < 0.001. As to the TMD symptoms, in most patients the relief of pain in masseter, temporalis, cervical and TMDs occurred in the 3rd month. Twenty percent of the patients were aware of clenching teeth while awake and reported that this parafunction decreased by the end of 6 months, and 90% reported an improvement in sleep quality as well. CONCLUSION: The use of an OS with a novel adjustment protocol was an effective treatment for TMD sign and symptoms in patients with SB.

Nitramine Drying & Fine Grinding Facility

Data.gov (United States)

Federal Laboratory Consortium — The Nitramine Drying and Fine Grinding Facility provides TACOM-ARDEC with a state-of-the-art facility capable of drying and grinding high explosives (e.g., RDX and...

Association between Self-Reported Bruxism and Sleeping Patterns among Dental Students in Saudi Arabia: A Cross-Sectional Study.

Science.gov (United States)

Shokry, Shereen M; El Wakeel, Eman E; Al-Maflehi, Nassr; RasRas, Zaheera; Fataftah, Nida; Abdul Kareem, Enam

2016-01-01

Objectives. The aim of this cross-sectional study was to identify sleeping patterns among dental students and their association with self-reported bruxism in Riyadh Colleges of Dentistry and Pharmacy (RCsDP). Methods. A cross-sectional study was performed including 549 students (67 men and 482 women). A structured questionnaire was adopted from The PSQI (The Pittsburgh Sleep Questionnaire Index) used for data collection. It included questions which are categorized into sleeping habits, sleep-related symptoms, and additional questions concerning bruxism. This questionnaire was randomly distributed among all college preclinical and postclinical students. Sleep bruxism diagnosis was based on self-reported data. The data were analyzed using Chi-square tests through SPSS software for Windows. Results. Statistical analyses revealed significant correlations between self-reported bruxism and sleeping habits including sleep initiation (χ (2) = 22.6, p = 0.000), continuous sleep until morning (χ (2) = 19.2, p = 0.001), nighttime sleep duration (χ (2) = 20.2, p = 0.000), and length of daytime naps (χ (2) = 28.35, p = 0.000). There was an association between self-reported bruxism and sleeping-related symptoms including awakening early in the morning before the usual time without a cause (χ (2) = 16.52, p = 0.000) and increased nightmares (χ (2) = 13.7, p = 0.001). Conclusions. Poor sleeping pattern was an important factor among dental students, who reported sleep bruxism.

Association between Self-Reported Bruxism and Sleeping Patterns among Dental Students in Saudi Arabia: A Cross-Sectional Study

Directory of Open Access Journals (Sweden)

Shereen M. Shokry

2016-01-01

Full Text Available Objectives. The aim of this cross-sectional study was to identify sleeping patterns among dental students and their association with self-reported bruxism in Riyadh Colleges of Dentistry and Pharmacy (RCsDP. Methods. A cross-sectional study was performed including 549 students (67 men and 482 women. A structured questionnaire was adopted from The PSQI (The Pittsburgh Sleep Questionnaire Index used for data collection. It included questions which are categorized into sleeping habits, sleep-related symptoms, and additional questions concerning bruxism. This questionnaire was randomly distributed among all college preclinical and postclinical students. Sleep bruxism diagnosis was based on self-reported data. The data were analyzed using Chi-square tests through SPSS software for Windows. Results. Statistical analyses revealed significant correlations between self-reported bruxism and sleeping habits including sleep initiation (χ2=22.6, p=0.000, continuous sleep until morning (χ2=19.2, p=0.001, nighttime sleep duration (χ2=20.2, p=0.000, and length of daytime naps (χ2=28.35, p=0.000. There was an association between self-reported bruxism and sleeping-related symptoms including awakening early in the morning before the usual time without a cause (χ2=16.52, p=0.000 and increased nightmares (χ2=13.7, p=0.001. Conclusions. Poor sleeping pattern was an important factor among dental students, who reported sleep bruxism.

Sleep Bruxism and Anxiety Impacts in Quality of Life Related to Oral Health of Brazilian Children and their Families.

Science.gov (United States)

de Alencar, Nashalie Andrade; Leão, Cecília Sued; Leão, Anna Thereza Thomé; Luiz, Ronir Raggio; Fonseca-Gonçalves, Andréa; Maia, Lucianne Cople

This study aimed to assess the impact of parent reported sleep bruxism, trait anxiety and sociodemographic/socioeconomic features on quality of life related to oral health (OHRQoL) of children and their families. Healthy children aged 3-7 years, with (n=34) and without (n=32) bruxism were select for this study. Data was collected by applying the following instruments: The Early Childhood Oral Health Scale (B-ECOHIS) and Trait-anxiety Scale (TAS). The sociodemographic/socioeconomic characteristics were obtained by interviews with parents. Multiple logistic regression tests were performed to observe the influence of sociodemographic/socioeconomic characteristics, bruxism and trait-anxiety on the children's OHRQoL. No association between sleep bruxism and all evaluated sociodemographic/socioeconomic conditions, with exception of being the only child (p=0.029), were observed. Mean B-ECOHIS and TAS scores were different (pbruxism. Although an association between bruxism and OHRQoL (p=0.015) was observed, it was dropped (p=0.336; OR=1.77) in the logistic regression model. Trait anxiety was the variable responsible for the impact on the OHRQoL of children (p=0.012; OR=1.05). Our results indicated anxiety as the main factor that interfered in the OHRQoL of children with sleep bruxism.

Does Bruxism Contribute to Dental Implant Failure? A Systematic Review and Meta-Analysis.

Science.gov (United States)

Zhou, Yi; Gao, Jinxia; Luo, Le; Wang, Yining

2016-04-01

Bruxism was usually considered as a contraindication for oral implanting. The causal relationship between bruxism and dental implant failure was remained controversial in existing literatures. This meta-analysis was performed to investigate the relationship between them. This review conducted an electronic systematic literature search in MEDLINE (PubMed) and EmBase in November 2013 without time and language restrictions. Meanwhile, a hand searching for all the relevant references of included studies was also conducted. Study information extraction and methodological quality assessments were accomplished by two reviewers independently. A discussion ensued if any disagreement occurred, and unresolved issues were solved by consulting a third reviewer. Methodological quality was assessed by using the Newcastle-Ottawa Scale tool. Odds ratio (OR) with 95% confidence interval (CI) was pooled to estimate the relative effect of bruxism on dental implant failures. Fixed effects model was used initially; if the heterogeneity was high, random effects model was chosen for meta-analysis. Statistical analyses were carried out by using Review Manager 5.1. In this meta-analysis review, extracted data were classified into two groups based on different units. Units were based on the number of prostheses (group A) and the number of patients (group B). In group A, the total pooled OR of bruxers versus nonbruxers for all subgroups was 4.72 (95% CI: 2.66-8.36, p = .07). In group B, the total pooled OR of bruxers versus nonbruxers for all subgroups was 3.83 (95% CI: 2.12-6.94, p = .22). This meta-analysis was performed to evaluate the relationship between bruxism and dental implant failure. In contrast to nonbruxers, prostheses in bruxers had a higher failure rate. It suggests that bruxism is a contributing factor of causing the occurrence of dental implant technical/biological complications and plays a role in dental implant failure. © 2015 Wiley Periodicals, Inc.

Multi-scale structures and pasting characteristics of starch in whole-wheat flour treated by superfine grinding.

Science.gov (United States)

Niu, Meng; Zhang, Binjia; Jia, Caihua; Zhao, Siming

2017-11-01

The multi-scale structures and pasting properties of starch in WWF were investigated after superfine grinding. Five particle size distributions of WWF and their corresponding starch were obtained. The grinding process reduced the particle size of WWF and starch. However, a slight increase of fragments from starch granules was observed with enhanced grinding strength because of the small decrease in starch particle size and the existence of other WWF components that undertook some of shearing force and friction during grinding. A prominent reduction in starch crystallinity was resulted due to the destruction of crystalline structure by grinding. Small-angle X-ray scattering analyses indicated the disordering in starch semi-crystalline lamellae with thinner lamellae thickness. Additionally, the 13 C Nuclear Magnetic Resonance spectra demonstrated the alterations in starch chain conformation by varying peak areas of starch carbons (C1 and C4). Along with these structural changes, Starch pasting characteristics showed substantial variations, indicating decreased viscosities and higher pasting stability. The results suggest that the grinding treatments influenced the structures and pasting properties of starch even at a non-separated state, the changes in starch structures were related to the variations in starch gelatinization characteristics. Copyright © 2017 Elsevier B.V. All rights reserved.

Grinding arrangement for ball nose milling cutters

Science.gov (United States)

Burch, C. F. (Inventor)

1974-01-01

A grinding arrangement for spiral fluted ball nose end mills and like tools includes a tool holder for positioning the tool relative to a grinding wheel. The tool is mounted in a spindle within the tool holder for rotation about its centerline and the tool holder is pivotably mounted for angular movement about an axis which intersects that centerline. A follower arm of a cam follower secured to the spindle cooperates with a specially shaped cam to provide rotation of the tool during the angular movement of the tool holder during the grinding cycle, by an amount determined by the cam profile. In this way the surface of the cutting edge in contact with the grinding wheel is maintained at the same height on the grinding wheel throughout the angular movement of the tool holder during the grinding cycle.

Energy requirement for fine grinding of torrefied wood

Energy Technology Data Exchange (ETDEWEB)

Repellin, Vincent; Govin, Alexandre; Guyonnet, Rene [Department of Powder and Multi-Components Materials (PMMC), SPIN Research Center, Ecole des Mines de Saint Etienne (EMSE), 158 Cours Fauriel, F-42023 Saint-Etienne (France); Rolland, Matthieu [Process Developments and Engineering Division, Chemical Engineering Department, Institut Francais du Petrole (IFP-Lyon), F-69390 Vernaison (France)

2010-07-15

The purpose of this study is to investigate the influence of torrefaction on wood grinding energy. Wood chips were torrefied at different temperatures and durations. The energy required to obtain fine powder was measured. Particle size analyses were carried out on each powder sample. It is showed that torrefaction decreases both grinding energy and particle size distribution. A criterion to compare grindability of natural and torrefied wood is proposed. It takes into account both grinding energy and particle size distribution. It accounts the energy required for grinding particles to sizes inferior to 200 {mu}m, for given grinding conditions. Torrefaction is characterised by the anhydrous weight loss (AWL) of wood. For AWL inferior to around 8%, grinding energy decreases fast. Over 8%, grinding energy decreases at a slow rate. Particle size distribution decreases linearly as the AWL increases. Both for spruce and beech, the grinding criterion is decreased of 93% when the AWL is around 28%. (author)

Bruxism secondary to brain injury treated with Botulinum toxin-A: a case report

Science.gov (United States)

El Maaytah, Mohammed; Jerjes, Waseem; Upile, Tahwinder; Swinson, Brian; Hopper, Colin; Ayliffe, Peter

2006-01-01

We report a successful treatment of bruxism in a patient with anoxic brain injury using botulinum toxin-A (BTX-A). On examination the mouth opening was 0 mm, no feeding was possible through the mouth. Botulinum toxin was injected into the masseter and temporalis; great improvement in trismus and bruxism was noted after 3 weeks. One further treatment improved the mouth opening on the following week and the patient was discharged from our care to be reviewed when required. PMID:17123443

Interdisciplinary treatment of bruxism with an occlusal splint and cognitive behavioral therapy.

Science.gov (United States)

Trindade, Marilene; Orestes-Cardoso, Silvana; de Siqueira, Teresa Cristina

2015-01-01

The etiology of bruxism is associated with exogenous factors, such as occlusal interference, stress, and anxiety, as well as endogenous factors involving neurotransmitters of the basal ganglia. Due to the multifactorial etiology of bruxism, interdisciplinary treatment involving professionals from different healthcare fields has been proposed. The aim of the present study was to compare 2 groups of patients with bruxism (11 in each group) treated with either an occlusal splint combined with cognitive behavioral therapy or an occlusal splint alone. Surface electromyography of the masseter and anterior temporal muscles at rest was performed before and after treatment. The mean amplitude of activity of all muscles was lower after treatment, except for the right anterior temporal muscle in the group treated with an occlusal splint alone. Mean amplitudes were greater in the anterior temporal muscles than in the masseter muscles. Significantly greater improvement was found in the group exposed to cognitive behavioral therapy (P < 0.05; analysis of variance and Student t tests). Therefore, the combination of occlusal splint and psychological therapy was more effective at achieving muscle relaxation than occlusal splint use alone.

Zirconia changes after grinding and regeneration firing.

Science.gov (United States)

Hatanaka, Gabriel R; Polli, Gabriela S; Fais, Laiza M G; Reis, José Maurício Dos S N; Pinelli, Lígia A P

2017-07-01

Despite improvements in computer-aided design and computer-aided manufacturing (CAD-CAM) systems, grinding during either laboratory procedures or clinical adjustments is often needed to modify the shape of 3 mol(%) yttria-tetragonal zirconia polycrystal (3Y-TZP) restorations. However, the best way to achieve adjustment is unclear. The purpose of this in vitro study was to evaluate the microstructural and crystallographic phase changes, flexural strength, and Weibull modulus of a 3Y-TZP zirconia after grinding with or without water cooling and regeneration firing. Ninety-six bar-shaped specimens were obtained and divided as follows: as-sintered, control; as-sintered with regeneration firing; grinding without water cooling; grinding and regeneration firing with water cooling; and grinding and regeneration firing. Grinding (0.3 mm) was performed with a 150-μm diamond rotary instrument in a high-speed handpiece. For regeneration firing, the specimens were annealed at 1000°C for 30 minutes. The crystalline phases were evaluated by using x-ray powder diffraction. A 4-point bending test was conducted (10 kN; 0.5 mm/min). The Weibull modulus was used to analyze strength reliability. The microstructure was analyzed by scanning electron microscopy. Data from the flexural strength test were evaluated using the Kruskal-Wallis and Dunn tests (α=.05). Tetragonal-to-monoclinic phase transformation was identified in the ground specimens; R regeneration firing groups showed only the tetragonal phase. The median flexural strength of as-sintered specimens was 642.0; 699.3 MPa for as-sintered specimens with regeneration firing; 770.1 MPa for grinding and water-cooled specimens; 727.3 MPa for specimens produced using water-cooled grinding and regeneration firing; 859.9 MPa for those produced by grinding; and 764.6 for those produced by grinding and regeneration firing; with statistically higher values for the ground groups. The regenerative firing did not affect the flexural

Automatic grinding apparatus to control uniform specimen thicknesses

Science.gov (United States)

Bryner, Joseph S.

1982-01-01

This invention is directed to a new and improved grinding apparatus comprising (1) a movable grinding surface, (2) a specimen holder, (3) a displacing device for moving the holder and/or grinding surface toward one another, and (4) at least three devices for limiting displacement of the holder to the grinding surface.

The grinding of uranium dioxide from fluidized beds

International Nuclear Information System (INIS)

Alonso Folgueras, J. A.

1974-01-01

This work deals with the UO 2 vibratory grinding, the UO 2 obtained from fluidized beds. In this study the grinding time has been correlated with surface area, stoichiometry, granulometry and grinded product contamination. The efficiency losses in the grinding of moisten UO 2 are outlined. Finally it is made a brief study of the granulate obtained from the grinded UO 2 as well as the green pellets resulting from it, taking into consideration the dispersion of its density and height. (Author)

30 CFR 57.14115 - Stationary grinding machines.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Stationary grinding machines. 57.14115 Section... and Equipment Safety Devices and Maintenance Requirements § 57.14115 Stationary grinding machines. Stationary grinding machines, other than special bit grinders, shall be equipped with— (a) Peripheral hoods...

30 CFR 56.14115 - Stationary grinding machines.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Stationary grinding machines. 56.14115 Section... Equipment Safety Devices and Maintenance Requirements § 56.14115 Stationary grinding machines. Stationary grinding machines, other than special bit grinders, shall be equipped with— (a) Peripheral hoods capable of...

Self-reported sleep bruxism and nocturnal gastroesophageal reflux disease in patients with obstructive sleep apnea: relationship to gender and ethnicity.

Science.gov (United States)

Hesselbacher, Sean; Subramanian, Shyam; Rao, Shweta; Casturi, Lata; Surani, Salim

2014-01-01

Nocturnal bruxism is associated with gastroesophageal reflux disease (GERD), and GERD is strongly associated with obstructive sleep apnea (OSA). Gender and ethnic differences in the prevalence and clinical presentation of these often overlapping sleep disorders have not been well documented. Our aim was to examine the associations between, and the symptoms associated with, nocturnal GERD and sleep bruxism in patients with OSA, and to examine the influence of gender and ethnicity. A retrospective chart review was performed of patients diagnosed with OSA at an academic sleep center. The patients completed a sleep questionnaire prior to undergoing polysomnography. Patients with confirmed OSA were evaluated based on gender and ethnicity. Associations were determined between sleep bruxism and nocturnal GERD, and daytime sleepiness, insomnia, restless legs symptoms, and markers of OSA severity in each group. In these patients with OSA, the prevalence of nocturnal GERD (35%) and sleep bruxism (26%) were higher than the general population. Sleep bruxism was more common in Caucasians than in African Americans or Hispanics; there was no gender difference. Nocturnal GERD was similar among all gender and ethnic groups. Bruxism was associated with nocturnal GERD in females, restless legs symptoms in all subjects and in males, sleepiness in African Americans, and insomnia in Hispanics. Nocturnal GERD was associated with sleepiness in males and African Americans, insomnia in females, and restless legs symptoms in females and in Caucasians. Patients with OSA commonly have comorbid sleep bruxism and nocturnal GERD, which may require separate treatment. Providers should be aware of differences in clinical presentation among different ethnic and gender groups.

Precision diamond grinding of ceramics and glass

Energy Technology Data Exchange (ETDEWEB)

Smith, S.; Paul, H.; Scattergood, R.O.

1988-12-01

A new research initiative will be undertaken to investigate the effect of machine parameters and material properties on precision diamond grinding of ceramics and glass. The critical grinding depth to initiate the plastic flow-to-brittle fracture regime will be directly measured using plunge-grind tests. This information will be correlated with machine parameters such as wheel bonding and diamond grain size. Multiaxis grinding tests will then be made to provide data more closely coupled with production technology. One important aspect of the material property studies involves measuring fracture toughness at the very short crack sizes commensurate with grinding damage. Short crack toughness value`s can be much less than the long-crack toughness values measured in conventional fracture tests.

Study of the relationship of psychosocial disorders to bruxism in adolescents

Directory of Open Access Journals (Sweden)

Katayoun E

2008-12-01

Full Text Available Background and Aim: Bruxism has been defined as a diurnal or nocturnal parafunctional habit. Etiology of bruxism has remained controversial and some investigators believe that psychological factors may play a major role in promoting and perpetuating this habit. The aim of this case-control study was to assess the existence of an association between bruxism and psychosocial disorders in adolescents., Participants were chosen among 114, 12-14 year old students (girls. They were divided into two groups, bruxers and nonbruxers, on the basis of both validated clinical criteria and interview with each patient. A few participants were excluded on the basis of presence of systemic disorders, TMJ disorders, other oral habits, primary teeth, defective restorations and premature contacts. Following matching of two groups in regard to parent′s age and education, mother′s marital status, child support status, mother′s employment status, and socio-economical status, 25 cases and 25 controls were enlisted. A self report validated questionnaire (YSR, 11-18 yr was then filled out by both groups for the evaluation of 12 psychosocial symptoms. Results: Remarkable differences in certain psychosocial aspects were found between the two groups. Prevalence of psychosocial disorders including Thought Disorders (P < 0.005, Conduct Disorders (P < 0.05, Antisocial Disorders (P < 0.06 as identified by YSR was significantly higher in bruxers. Significant differences between the two groups also emerged in total YSR scores (P < 0.005. The results of Odds Ratio revealed that a bruxer adolescent has 16 times greater probability for psychosocial disorders than a non-bruxer one. Fischer exact test and T-test were used and Odds Ratio and Confidence Interval was estimated. Conclusion: Support to the existence of an association between bruxism and psychosocial disorders has been provided.

Botulinum Toxin Type A as Preoperative Treatment for Immediately Loaded Dental Implants Placed in Fresh Extraction Sockets for Full-Arch Restoration of Patients With Bruxism.

Science.gov (United States)

Mijiritsky, Eitan; Mortellaro, Carmen; Rudberg, Omri; Fahn, Miri; Basegmez, Cansu; Levin, Liran

2016-05-01

The aim of the present report was to describe the use of Botulinum toxin type A as preoperative treatment for immediately loaded dental implants placed in fresh extraction sockets for full-arch restoration of patients with bruxism. Patients with bruxism who were scheduled to receive immediately loaded full-arch implant supported fixed restorations were included in this retrospective clinical report. To reduce the occlusal forces applied in patients with bruxism, Botulinum toxin type A was introduced prior to the implant placement procedure. Patients were followed and implant survival as well as peri-implant bone level was assessed in each periodic follow-up visit. Adverse effects were also recorded. A control group with no use of Botulinum toxin was evaluated as well. A total of 26 patients (13 test and 13 control), with bruxism, aged 59.15 ± 11.43 years on average were included in this retrospective report and received immediately loaded dental implants placed in fresh extraction sockets for full-arch restoration. The test group treatment preceded by Botulinum toxin type A injection. Maxillary arches were supported by 8 to 10 implants while the mandibular arch was supported by 6 implants. All surgeries went uneventfully and no adverse effects were observed. The average follow-up time was 32.5 ± 10.4 months (range, 18-51). In the test group, no implant failures were recorded. One patient presented with 1 to 2 mm bone loss around 4 of the implants; the other implants presented with stable bone level. In the control group 1 patient lost 2 implants and another demonstrated 2 mm bone loss around 3 of the implants. The preoperative use of Botulinum toxin in patients with bruxism undergoing full-arch rehabilitation using immediately loaded dental implants placed in fresh extraction sockets seems to be a technique that deserves attention. Further long-term, large-scale randomized clinical trials will help to determine the additional benefit of this suggested

Management of broken dental implant abutment in a patient with bruxism: A rare case report and review of literature

OpenAIRE

Saad Al-Almaie

2017-01-01

This rare case report describes prosthodontic complications resulting from a dental implant was placed surgically more distally in the area of the missing mandibular first molar with a cantilever effect and a crest width of >12 mm in a 59-year-old patient who had a history of bruxism. Fracture of abutment is a common complication in implant was placed in area with high occlusal forces. Inability to remove the broken abutment may most often end up in discarding the implant. Adding one more den...

Características clínicas da associação entre o bruxismo do sono e o refluxo gastroesofágico merecem atenção profissional

OpenAIRE

Fernandes, Giovana [UNESP; Castanharo, Sabrina Maria [UNESP; Franco, Ana Lúcia [UNESP; Gonçalves, Daniela Aparecida de Godoi [UNESP; Camparis, Cinara Maria [UNESP

2011-01-01

Introduction: Bruxism has been defined as an oral parafunctional activity that includes clenching and/or grinding the teeth while asleep or awake. In addition to sleep bruxism (SB), various other orofacial movements sporadically occur during sleep. Occasional regurgitation and heartburn due to gastroesophageal reflux (GER) are frequent in the general population. GER refers to the presence of symptoms that are secondary to the reflux of gastric content through the esophagus with or without sig...

Adhesive wear mechanism under combined electric diamond grinding

Directory of Open Access Journals (Sweden)

Popov Vyacheslav

2017-01-01

Full Text Available The article provides a scientific substantiation of loading of metal-bond diamond grinding wheels and describes the mechanism of contact interaction (interlocking of wheels with tool steel as well as its general properties having an influence on combined electric diamond grinding efficiency. The study concluded that a loaded layer can be formed in a few stages different by nature. It is known, that one of the causes of grinding degradation is a continuous loading of active grits (abrasive grinding tool by workpiece chips. It all affects the diamond grinding wheels efficiency and grinding ability with a result in increase of tool pressure, contact temperature and wheels specific removal rate. Science has partially identified some various methods to minimize grinding wheel loading, however, as to loading of metal-bond diamond grinding wheels the search is still in progress. Therefore, research people have to state, that in spite of the fact that the wheels made of cubic boron nitride are of little use as applied to ceramic, ultrahard, hard-alloyed hard-to-machine and nano-materials of the time, but manufactures have to apply cubic boron nitride wheels wherein diamond ones preferable.

Prevalence of Sleep Bruxism in IBD Patients and Its Correlation to Other Dental Disorders and Quality of Life

Directory of Open Access Journals (Sweden)

C. Bucci

2018-01-01

Full Text Available Background. Patients with inflammatory bowel diseases could experience mouth and teeth disorders and alterations in psychological mood. Vice versa, the psychological status may influence the presence of oral diseases. Aim. To evaluate in inflammatory bowel disease patients the prevalence of sleep bruxism and its correlation with the presence of oral diseases, quality of sleep, and psychological disturbances. Methods. Patients were consecutively recruited in our clinic and examined for temporomandibular disorders, dental enamel disorders, sleep bruxism, and recurrent aphthous stomatitis by two dentists. Patients also underwent Pittsburgh Sleep Quality Index and Beck Depression Inventory Scale questionnaires. Results. 47 patients and 46 controls were included. Sleep bruxism and enamel wear disorders were more frequent in Crohn’s disease patients when compared with ulcerative colitis patients and controls (p=0.03 and p=0.02, resp.. Among groups, no differences were noted for enamel hypoplasia, temporomandibular disorders, recurrent aphthous stomatitis, depression, and quality of sleep. We found a positive correlation between bruxism and temporomandibular disorders (Spearman 0.6, p 5 (Spearman 0.3, p<0.005. Conclusion. Bruxism and enamel wear disorders should be routinely searched in Crohn’s disease patients. Moreover, the attention of healthcare givers to sleep disturbances should be addressed to all inflammatory bowel disease patients.

Bruxism and TMD disorders of everyday dental clinical practice.

Science.gov (United States)

Kapusevska, Biljana; Dereban, Nikola; Popovska, Mirjana; Nikolovska, Julijana; Popovska, Lidija

2013-01-01

Bruxism, as an etiological factor for the development of TMD, includes different disorders of the TMJ and the masticatory muscles, exhibiting pain and disruption of the stomatognathic functions. Our goal was to study patients with bruxism and TMD from everyday dental clinical practice, in terms of diagnosis, identification of etiological factors, classification and treatment of these disorders. We treated 120 patients, divided into 2 groups of 60 patients. The first group had disorders of the TMJ, and the second of the masticatory muscles. The groups were divided into subgroups of 20 patients with dislocation of the articular disk with or without reduction and inflammation of TMJ. The second group was organized from patients with myofascial pain, myositis and muscular trismus. Our conservative treatment consisted of patient education, NSAID, myorelaxants, fabrication of prosthetics, repositioning and stabilization splints. The progress of the patients was followed immediately after the delivery of the prosthetics and the splint, after 1, 6 and 12 months. The results showed that in patients with disorders of the TMJ there were visible signs of recovery after 6 months in 68.3% patients, and in 85% after 12 months. In the second group we achieved faster results with the elimination of symptoms. Patients with afflictions of the muscles in 88.3% of cases noticed relief of symptoms even after 6 months and in 98.3% after 12 months. As therapists we concluded that timely treated complications of bruxism and TMD prevent the destruction of the TMJ, masticatory muscles and the entire stomatognatic system.

30 CFR 75.1723 - Stationary grinding machines; protective devices.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Stationary grinding machines; protective....1723 Stationary grinding machines; protective devices. (a) Stationary grinding machines other than... the wheel. (3) Safety washers. (b) Grinding wheels shall be operated within the specifications of the...

REGISTRATION OF CENTRIC OCCLUSION IN PATIENTS WITH BRUXISM AND BRUXOMANIA THROUGH ARTICULATING PAPER AND THE SYSTEM T-SCAN - COMPARATIVE ANALYSIS.

Directory of Open Access Journals (Sweden)

Mariana Dimova

2014-06-01

Full Text Available The study and documentation of occlusal-articulation relationships has a high diagnostic significance in patients with bruxism and bruxomania. The study aims on the basis of registration of occlusal contacts via articulating paper and the T-Scan system to evaluate the advantages and disadvantages of both methods in occlusal diagnosis of patients with bruxism and bruxomania. Material and Methods: 40 patients with bruxism and / or bruxomania (29 women and 11 men aged between 21 and 77 years from October 2010 to February 2014 was conducted computerized occlusal analysis using the systems T-Scan II (in 12 patients, T-Scan III (in 28 patients and the software T-Scan III. All patients were subjected to registration of occlusal relationships in centric occlusion (CO with articulating paper Bausch PROGRESS 100 µ and Bausch® Arti-Fol® 8 µ. Results and Discussion: In 90.0% of patients it is established unevenly distributed, irregular in size and intensity occlusal contacts. Essential factor for preventing the spontaneous bilateral closure with balanced forces is the presence of interceptive contacts and sliding occurring in the first frame of the occlusion time until the maximum intercuspation - MIP. Conclusion: Registration with articulating paper visualizes cumulative picture of the contacts in CO and interceptive contacts without being able to distinguish them in size and time of onset. Computerized occlusal analysis objectively and quantitatively determines interceptive contacts and distinguishes them from contacts in MIP and gives real meaning to the terms "strong" and "light contacts".

OCCLUSION AND ARTICULATION IN BRUXISM AND BRUXOMANIA INVESTIGATED WITH THE SYSTEM T-SCAN III.

OpenAIRE

Mariana Dimova

2014-01-01

Aim: To be analyzed common features of occlusal relationships in patients with bruxism and bruxomania at maximum intercuspation (MIP) and eccentric jaw movements. Materials and Methods: 30 patients (22 women and 8 men, mean aged of 42,8 ± 13,3) with bruxism and/or bruxomania are examined with the system T-Scan III. Sequence of records is - at maximum intercuspation (MIP); in manual leading to central relation and in eccentric jaw movements. In the same sequence is investigated control ...

Sleep bruxism: contemporary insights in diagnosis, etiology and management

NARCIS (Netherlands)

van der Zaag, J.

2012-01-01

Jac. van der Zaag deed onderzoek naar de diagnose, de etiologie en de behandelingsmethoden van slaapbruxisme Bruxisme is een bewegingsstoornis van het kauwstelsel die onder andere wordt gekenmerkt door tandenknarsen en klemmen. Het treedt zowel op gedurende de dag (waakbruxisme) als tijdens de slaap

Rehabilitating a patient with bruxism-associated tooth tissue loss: a literature review and case report.

Science.gov (United States)

Yip, Kevin Hak-Kong; Chow, Tak W; Chu, Frederick C S

2003-01-01

Tooth tissue loss from bruxism has been demonstrated to be associated with various dental problems such as tooth sensitivity, excessive reduction of clinical crown height, and possible changes of occlusal relationship. A literature search revealed a number of treatment modalities, with an emphasis on prevention and rehabilitation with adhesive techniques. Rehabilitating a patient with bruxism-associated tooth tissue loss to an acceptable standard of oral health is clinically demanding and requires careful diagnosis and proper treatment planning. This article describes the management of excessive tooth tissue loss in a 43-year-old woman with a history of bruxism. The occlusal vertical dimension of the patient was re-established with the use of an acrylic maxillary occlusal splint, followed by resin composite build-up. Full-mouth oral rehabilitation ultimately involved constructing multiple porcelain veneers, adhesive gold onlays, ceramo-metal crowns, and fixed partial dentures.

Dentists' knowledge of occlusal splint therapy for bruxism and ...

African Journals Online (AJOL)

2015-10-28

Oct 28, 2015 ... bruxism, and temporomandibular joint (TMJ) disorders and to assessment of treatment modalities. Materials ... While the dentists' with sufficient knowledge soft splint application rates were 11.6% ... might result in disease progression or the development of a different ... software “SPSS” version 15.0. (Inc.

A Review of Literature on analysis of JIG Grinding Process

DEFF Research Database (Denmark)

Sudheesh, P. K.; Puthumana, Govindan

2016-01-01

Jig grinding is a process practically used by tool and die makers in the creation of jigs or mating holes and pegs on dies.The abrasives normally used in jig grinding are divided into Natural Abrasives and Artificial Abrasives. Artificial Abrasiveare preferred in manufacturing of grinding wheels...... in jig grinding, because of their uniformity and purity. In this paper, abrief review of the analysis of jig grinding process considering various research trends is presented. The areas highlighted are: optimization, selection of abrasives, selection of processing conditions and practical considerations....... The optimization of parameters in jig grinding process is important to maximize productivity and to improve quality. The abrasives of hard jig grinding wheels get blunt quickly so these are recommended to grind workpiece of low hardness and soft grinding wheels are recommended for hard material workpieces. The jig...

Elucidating Grinding Mechanism by Theoretical and Experimental Investigations.

Science.gov (United States)

Ullah, Amm Sharif; Caggiano, Alessandra; Kubo, Akihiko; Chowdhury, M A K

2018-02-09

Grinding is one of the essential manufacturing processes for producing brittle or hard materials-based precision parts (e.g., optical lenses). In grinding, a grinding wheel removes the desired amount of material by passing the same area on the workpiece surface multiple times. How the topography of a workpiece surface evolves with these passes is thus an important research issue, which has not yet been addressed elaborately. The present paper tackles this issue from both the theoretical and the experimental points of view. In particular, this paper presents the results of experimental and theoretical investigations on the multi-pass surface grinding operations where the workpiece surface is made of glass and the grinding wheel consists of cBN abrasive grains. Both investigations confirm that a great deal of stochasticity is involved in the grinding mechanism, and the complexity of the workpiece surface gradually increases along with the number of passes.

Progress in abrasive and grinding technology

CERN Document Server

Xu, Xipeng

2009-01-01

The grinding and abrasive processing of materials are machining techniques which use bonded or loose abrasives to remove material from workpieces. Due to the well-known advantages of grinding and abrasive processes, advances in abrasive and grinding technology are always of great import in enhancing both productivity and component quality. In order to highlight the recent progress made in this field, the editor invited 21 world-wide contributions with the aim of gathering together all of the achievements of leading researchers into a single publication. The authors of the 21 invited papers, of

Association Between Self-Reported Bruxism and Malocclusion in University Students: A Cross-Sectional Study.

Science.gov (United States)

Kataoka, Kota; Ekuni, Daisuke; Mizutani, Shinsuke; Tomofuji, Takaaki; Azuma, Tetsuji; Yamane, Mayu; Kawabata, Yuya; Iwasaki, Yoshiaki; Morita, Manabu

2015-01-01

Bruxism can result in temporomandibular disorders, oral pain, and tooth wear. However, it is unclear whether bruxism affects malocclusion. The aim of this study was to examine the association between self-reported bruxism and malocclusion in university students. Students (n = 1503; 896 men and 607 women) aged 18 and 19 years were examined. Malocclusion was defined using a modified version of the Index of Orthodontic Treatment Need. The presence of buccal mucosa ridging, tooth wear, dental impression on the tongue, palatal/mandibular torus, and the number of teeth present were recorded, as well as body mass index (BMI). Additional information regarding gender, awareness of bruxism, orthodontic treatment, and oral habits was collected via questionnaire. The proportion of students with malocclusion was 32% (n = 481). The awareness of clenching in males with malocclusion was significantly higher than in those with normal occlusion (chi square test, P < 0.01). According to logistic regression analysis, the probability of malocclusion was significantly associated with awareness of clenching (odds ratio [OR] 2.19; 95% confidence interval [CI], 1.22-3.93) and underweight (BMI <18.5 kg/m(2)) (OR 1.89; 95% CI, 1.31-2.71) in males but not in females. In subgroup analyses, the probability of crowding was also significantly associated with awareness of clenching and underweight (P < 0.01) in males. Awareness of clenching and underweight were related to malocclusion (crowding) in university male students.

System Analysis of Flat Grinding Process with Wheel Face

Directory of Open Access Journals (Sweden)

T. N. Ivanova

2014-01-01

Full Text Available The paper presents a conducted system analysis of the flat grinding wheel face, considers the state parameters, input and output variables of subsystems, namely: machine tool, workpiece, grinding wheel, cutting fluids, and the contact area. It reveals the factors influencing the temperature and power conditions for the grinding process.Aim: conducting the system analysis of the flat grinding process with wheel face expects to enable a development of the system of grinding process parameters as a technical system, which will make it possible to evaluate each parameter individually and implement optimization of the entire system.One of the most important criteria in defining the optimal process conditions is the grinding temperature, which, to avoid defects appearance of on the surface of component, should not exceed the critical temperature values to be experimentally determined. The temperature criterion can be useful for choosing the conditions for the maximum defect-free performance of the mechanical face grinding. To define the maximum performance of defect-free grinding can also use other criteria such as a critical power density, indirectly reflecting the allowable thermal stress grinding process; the structure of the ground surface, which reflects the presence or absence of a defect layer, which is determined after the large number of experiments; flow range of the diamond layer.Optimal conditions should not exceed those of defect-free grinding. It is found that a maximum performance depends on the characteristics of circles and grade of processed material, as well as on the contact area and grinding conditions. Optimal performance depends on the diamond value (cost and specific consumption of diamonds in a circle.Above criteria require formalization as a function of the variable parameters of the grinding process. There is an option for the compromise of inter-criteria optimality, thereby providing a set of acceptable solutions, from

Self-Reported Sleep Bruxism and Nocturnal Gastroesophageal Reflux Disease in Patients with Obstructive Sleep Apnea: Relationship to Gender and Ethnicity§

Science.gov (United States)

Hesselbacher, Sean; Subramanian, Shyam; Rao, Shweta; Casturi, Lata; Surani, Salim

2014-01-01

Study Objectives : Nocturnal bruxism is associated with gastroesophageal reflux disease (GERD), and GERD is strongly associated with obstructive sleep apnea (OSA). Gender and ethnic differences in the prevalence and clinical presentation of these often overlapping sleep disorders have not been well documented. Our aim was to examine the associations between, and the symptoms associated with, nocturnal GERD and sleep bruxism in patients with OSA, and to examine the influence of gender and ethnicity. Methods : A retrospective chart review was performed of patients diagnosed with OSA at an academic sleep center. The patients completed a sleep questionnaire prior to undergoing polysomnography. Patients with confirmed OSA were evaluated based on gender and ethnicity. Associations were determined between sleep bruxism and nocturnal GERD, and daytime sleepiness, insomnia, restless legs symptoms, and markers of OSA severity in each group. Results : In these patients with OSA, the prevalence of nocturnal GERD (35%) and sleep bruxism (26%) were higher than the general population. Sleep bruxism was more common in Caucasians than in African Americans or Hispanics; there was no gender difference. Nocturnal GERD was similar among all gender and ethnic groups. Bruxism was associated with nocturnal GERD in females, restless legs symptoms in all subjects and in males, sleepiness in African Americans, and insomnia in Hispanics. Nocturnal GERD was associated with sleepiness in males and African Americans, insomnia in females, and restless legs symptoms in females and in Caucasians. Conclusion : Patients with OSA commonly have comorbid sleep bruxism and nocturnal GERD, which may require separate treatment. Providers should be aware of differences in clinical presentation among different ethnic and gender groups. PMID:25352924

Sleep bruxism: review and update for the restorative dentist.

Science.gov (United States)

de-la-Hoz, José L

2013-01-01

Sleep bruxism (SB) is a parafunctional oromotor activity that can sometimes pose a threat to the integrity of the structures of the masticatory system if the magnitude and direction of the forces exerted exceed the system's adaptive capacity. Over the years science has tried to provide a consistent explanation of the etiopathogenesis and physiopathology of SB, although the pathophysiological mechanisms are, even now, not fully understood yet. There is at present no specific, effective treatment to permanently eliminate the habit of SB. There are only palliative therapeutic alternatives steered at preventing the pathological effects of SB on the stomatognathic system and alleviating the negative clinical consequences of the habit. The aim of this paper is to review and update the fundamental scientific concepts of SB based on the scientific literature and to furnish an approach to the main types of therapy available, in an attempt to assist the general and restorative dentist to manage those clinical situations in which SB is a significant risk factor for the oral health and/or dental treatment of the patient.

Development of a grinding-specific performance test set-up

DEFF Research Database (Denmark)

Olesen, C. G.; Larsen, B. H.; Andresen, E. L.

2015-01-01

The aim of this study was to develop a performance test set-up for America's Cup grinders. The test set-up had to mimic the on-boat grinding activity and be capable of collecting data for analysis and evaluation of grinding performance. This study included a literature-based analysis of grinding...... demands and a test protocol developed to accommodate the necessary physiological loads. This study resulted in a test protocol consisting of 10 intervals of 20 revolutions each interspersed with active resting periods of 50 s. The 20 revolutions are a combination of both forward and backward grinding...... and an exponentially rising resistance. A custom-made grinding ergometer was developed with computer-controlled resistance and capable of collecting data during the test. The data collected can be used to find measures of grinding performance such as peak power, time to complete and the decline in repeated grinding...

Development of a grinding-specific performance test set-up.

Science.gov (United States)

Olesen, C G; Larsen, B H; Andresen, E L; de Zee, M

2015-01-01

The aim of this study was to develop a performance test set-up for America's Cup grinders. The test set-up had to mimic the on-boat grinding activity and be capable of collecting data for analysis and evaluation of grinding performance. This study included a literature-based analysis of grinding demands and a test protocol developed to accommodate the necessary physiological loads. This study resulted in a test protocol consisting of 10 intervals of 20 revolutions each interspersed with active resting periods of 50 s. The 20 revolutions are a combination of both forward and backward grinding and an exponentially rising resistance. A custom-made grinding ergometer was developed with computer-controlled resistance and capable of collecting data during the test. The data collected can be used to find measures of grinding performance such as peak power, time to complete and the decline in repeated grinding performance.

Elucidating Grinding Mechanism by Theoretical and Experimental Investigations

Directory of Open Access Journals (Sweden)

AMM Sharif Ullah

2018-02-01

Full Text Available Grinding is one of the essential manufacturing processes for producing brittle or hard materials-based precision parts (e.g., optical lenses. In grinding, a grinding wheel removes the desired amount of material by passing the same area on the workpiece surface multiple times. How the topography of a workpiece surface evolves with these passes is thus an important research issue, which has not yet been addressed elaborately. The present paper tackles this issue from both the theoretical and the experimental points of view. In particular, this paper presents the results of experimental and theoretical investigations on the multi-pass surface grinding operations where the workpiece surface is made of glass and the grinding wheel consists of cBN abrasive grains. Both investigations confirm that a great deal of stochasticity is involved in the grinding mechanism, and the complexity of the workpiece surface gradually increases along with the number of passes.

Lathe converted for grinding aspheric surfaces

Science.gov (United States)

Larmer, J. W.; Levinsohn, M.; Mc Craw, D.; Pessagno, E. H.; Taub, F. J.

1964-01-01

A standard overarm tracing lathe converted by the addition of an independently driven diamond grinding wheel is used for grinding aspheric surfaces. The motion of the wheel is controlled by the lathe air tracer following the template which produces the desired aspheric profile.

A Review of Literature on analysis of JIG Grinding Process

DEFF Research Database (Denmark)

Sudheesh, P. K.; Puthumana, Govindan

2016-01-01

in jig grinding, because of their uniformity and purity. In this paper, abrief review of the analysis of jig grinding process considering various research trends is presented. The areas highlighted are: optimization, selection of abrasives, selection of processing conditions and practical considerations....... The optimization of parameters in jig grinding process is important to maximize productivity and to improve quality. The abrasives of hard jig grinding wheels get blunt quickly so these are recommended to grind workpiece of low hardness and soft grinding wheels are recommended for hard material workpieces. The jig...

Y-TZP zirconia regeneration firing: Microstructural and crystallographic changes after grinding.

Science.gov (United States)

Ryan, Daniel Patrick Obelenis; Fais, Laiza Maria Grassi; Antonio, Selma Gutierrez; Hatanaka, Gabriel Rodrigues; Candido, Lucas Miguel; Pinelli, Ligia Antunes Pereira

2017-07-26

This study evaluated microstructural and crystallographic phase changes after grinding (G) and regeneration firing/anneling (R) of Y-TZP ceramics. Thirty five bars (Lava TM and Ice Zirkon) were divided: Y-TZP pre-sintered, control (C), regeneration firing (R), dry grinding (DG), dry grinding+regeneration firing (DGR), wet grinding (WG) and wet grinding+regeneration firing (WGR). Grinding was conducted using a diamond bur and annealing at 1,000°C. The microstructure was analyzed by SEM and the crystalline phases by X-ray diffraction (XRD). XRD showed that pre-sintered specimens contained tetragonal and monoclinic phases, while groups C and R showed tetragonal, cubic and monoclinic phases. After grinding, the cubic phase was eliminated in all groups. Annealing (DGR and WGR) resulted in only tetragonal phase. SEM showed semi-circular cracks after grinding and homogenization of particles after annealing. After grinding, surfaces show tetragonal and monoclinic phases and R can be assumed to be necessary prior to porcelain layering when grinding is performed.

Fundamentals of grinding : surface conditions of ground WC-Co systems

NARCIS (Netherlands)

Hegeman, JBJW; De Hosson, JTM; Shulepov, SY; Lousberg, N; de With, G; Brebbia, CA; Kenny, JM

1999-01-01

This paper concentrates on the fundamentals of grinding of inorganic materials. A statistical grinding model was developed based on the topography of the grinding wheel. The results of the model are compared with the results of grinding experiments on WC-Co hardmetals. The calculated profiles and

Manufacturing processes 2 grinding, honing, lapping

CERN Document Server

Klocke, Fritz

2009-01-01

Presents a view of the most common machining and non-machining manufacturing processes. This volume describes the characteristics of abrasive tools, their design and manufacturing, followed by the fundamentals of grinding fluids. It also discusses grinding of different materials (steel, cast iron, hard and brittle materials, nickel and titanium).

Modeling and simulation for fewer-axis grinding of complex surface

Science.gov (United States)

Li, Zhengjian; Peng, Xiaoqiang; Song, Ci

2017-10-01

As the basis of fewer-axis grinding of complex surface, the grinding mathematical model is of great importance. A mathematical model of the grinding wheel was established, and then coordinate and normal vector of the wheel profile could be calculated. Through normal vector matching at the cutter contact point and the coordinate system transformation, the grinding mathematical model was established to work out the coordinate of the cutter location point. Based on the model, interference analysis was simulated to find out the right position and posture of workpiece for grinding. Then positioning errors of the workpiece including the translation positioning error and the rotation positioning error were analyzed respectively, and the main locating datum was obtained. According to the analysis results, the grinding tool path was planned and generated to grind the complex surface, and good form accuracy was obtained. The grinding mathematical model is simple, feasible and can be widely applied.

Dependence of rates of breakage on fines content in wet ball mill grinding

Science.gov (United States)

Bhattacharyya, Anirban

The following research fundamentally deals with the cause and implications of nonlinearities in breakage rates of materials in wet grinding systems. The innate dependence of such nonlinearities on fines content and the milling environment during wet grinding operations is also tested and observed. Preferential breakage of coarser size fractions as compared to the finer size fractions in a particle population were observed and discussed. The classification action of the pulp was deemed to be the probable cause for such a peculiarity. Ores with varying degrees of hardness and brittleness were used for wet grinding experiments, primarily to test the variations in specific breakage rates as a function of varying hardness. For this research, limestone, quartzite, and gold ore were used. The degree of hardness is of the order of: limestone, quartzite, gold ore. Selection and breakage function parameters were determined in the course of this research. Functional forms of these expressions were used to compare experimentally derived parameter estimates. Force-fitting of parameters was not done in order to examine the realtime behavior of particle populations in wet grinding systems. Breakage functions were established as being invariant with respect to such operating variables like ball load, mill speed, particle load, and particle size distribution of the mill. It was also determined that specific selection functions were inherently dependent on the particle size distribution in wet grinding systems. Also, they were consistent with inputs of specific energy, according to grind time. Nonlinearity trends were observed for 1st order specific selection functions which illustrated variations in breakage rates with incremental inputs of grind time and specific energy. A mean particle size called the fulcrum was noted below which the nonlinearities in the breakage trends were observed. This magnitude of the fulcrum value varied with percent solids and slurry filling, indicating

Energy-effective Grinding of Inorganic Solids Using Organic Additives.

Science.gov (United States)

Mishra, Ratan K; Weibel, Martin; Müller, Thomas; Heinz, Hendrik; Flatt, Robert J

2017-08-09

We present our research findings related to new formulations of the organic additives (grinding aids) needed for the efficient grinding of inorganic solids. Even though the size reduction phenomena of the inorganic solid particles in a ball mill is purely a physical process, the addition of grinding aids in milling media introduces a complex physicochemical process. In addition to further gain in productivity, the organic additive helps to reduce the energy needed for grinding, which in the case of cement clinker has major environmental implications worldwide. This is primarily due to the tremendous amounts of cement produced and almost 30% of the associated electrical energy is consumed for grinding. In this paper, we examine the question of how to optimize these grinding aids linking molecular insight into their working mechanisms, and also how to design chemical additives of improved performance for industrial comminution.

Bruxism: overview of current knowledge and suggestions for dental implants planning

NARCIS (Netherlands)

Manfredini, D.; Bucci, M.B.; Sabattini, V.B.; Lobbezoo, F.

2011-01-01

Bruxism is commonly considered a detrimental motor activity, potentially causing overload of the stomatognathic structures and representing a risk factor for dental implant survival. The available literature does not provide evidence-based guidelines for the management of bruxers undergoing

Mechanism and experimental research on ultra-precision grinding of ferrite

Science.gov (United States)

Ban, Xinxing; Zhao, Huiying; Dong, Longchao; Zhu, Xueliang; Zhang, Chupeng; Gu, Yawen

2017-02-01

Ultra-precision grinding of ferrite is conducted to investigate the removal mechanism. Effect of the accuracy of machine tool key components on grinding surface quality is analyzed. The surface generation model of ferrite ultra-precision grinding machining is established. In order to reveal the surface formation mechanism of ferrite in the process of ultraprecision grinding, furthermore, the scientific and accurate of the calculation model are taken into account to verify the grinding surface roughness, which is proposed. Orthogonal experiment is designed using the high precision aerostatic turntable and aerostatic spindle for ferrite which is a typical hard brittle materials. Based on the experimental results, the influence factors and laws of ultra-precision grinding surface of ferrite are discussed through the analysis of the surface roughness. The results show that the quality of ferrite grinding surface is the optimal parameters, when the wheel speed of 20000r/mm, feed rate of 10mm/min, grinding depth of 0.005mm, and turntable rotary speed of 5r/min, the surface roughness Ra can up to 75nm.

Innovative grinding wheel design for cost-effective machining of advanced ceramics

Energy Technology Data Exchange (ETDEWEB)

Licht, R.H.; Kuo, P.; Liu, S.; Murphy, D.; Picone, J.W.; Ramanath, S.

2000-05-01

This Final Report covers the Phase II Innovative Grinding Wheel (IGW) program in which Norton Company successfully developed a novel grinding wheel for cost-effective cylindrical grinding of advanced ceramics. In 1995, Norton Company successfully completed the 16-month Phase I technical effort to define requirements, design, develop, and evaluate a next-generation grinding wheel for cost-effective cylindrical grinding of advanced ceramics using small prototype wheels. The Phase II program was initiated to scale-up the new superabrasive wheel specification to larger diameters, 305-mm to 406-mm, required for most production grinding of cylindrical ceramic parts, and to perform in-house and independent validation grinding tests.

Performing in-feed type centerless grinding process on a surface grinder

International Nuclear Information System (INIS)

Xu, W.; Wu, Y.; Sato, T.; Lin, W.

2011-01-01

In our previous study, a new centerless grinding method using surface grinder was proposed. In this method, centerless grinding operations are performed by installing a compact centerless grinding unit, consisting mainly of an ultrasonic elliptic-vibration shoe, a blade and their respective holders, on the worktable of a surface grinder. During grinding, the cylindrical workpiece is held on the ultrasonic shoe and the blade, and its rotational motion is controlled by the elliptic motion of the shoe end-face. An actual unit had been produced and its performance in tangential-feed type centerless grinding using a surface grinder had been confirmed in the previous workd. In this paper, the performance of the grinding unit in in-feed centerless grinding operation was confirmed, and the effects of the main process parameter, i.e., eccentric angle, on the workpiece roundness was investigated experimentally. The obtained results showed that: (1) the centerless grinding unit performed well in in-feed type centerless grinding; (2) the eccentric angle affects roundness significantly, and its optimal angle is 6 deg.; (3) the workpiece roundness can be further improved by varying the eccentric angle during grinding, and the final roundness reached 0.65 μm after grinding as the eccentric angle varied from 9 deg. to 6 deg. and to 3 deg.

A bibliographical survey of bruxism with special emphasis on non-traditional treatment modalities.

Science.gov (United States)

Nissani, M

2001-06-01

After proposing a common-sense definition of bruxism, this partial review distills its various symptoms and consequences from the literature. That literature suggests that the splint-the most popular treatment modality-falls short in some respects. The research literature is even less sanguine about the efficacy of such other traditional therapies as sound alarms and stress reduction. Given the limited success of traditional approaches, and given, moreover, the high incidence of bruxism and its harmful consequences, clinicians may occasionally be interested in experimenting with non-intrusive, safe, less widely known, treatment modalities. To meet this need, this review-unlike all other reviews of the subject-focuses on such comparatively unpopular or recent approaches.

30 CFR 77.401 - Stationary grinding machines; protective devices.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Stationary grinding machines; protective... OF UNDERGROUND COAL MINES Safeguards for Mechanical Equipment § 77.401 Stationary grinding machines; protective devices. (a) Stationary grinding machines other than special bit grinders shall be equipped with...

Prevalence and predictive factors of sleep bruxism in children with and without cognitive impairment

Directory of Open Access Journals (Sweden)

Cristina Batista Miamoto

2011-10-01

Full Text Available Studies have found a higher prevalence of sleep bruxism (SB in individuals with cognitive impairment. The aim of this study was to identify the prevalence and factors associated with the clinical manifestation of SB in children with and without cognitive impairment. The sample was made up of 180 individuals: Group 1 - without cognitive impairment; Group 2 - with Down syndrome; Group 3 - with cerebral palsy. Malocclusions were assessed based on the Dental Aesthetic Index (DAI; lip competence was assessed based on Ballard's description. The bio-psychosocial characteristics were assessed via a questionnaire and clinical exam. Statistical analysis involved the chi-square test (p < 0.05 and multivariate logistic regression. The prevalence of bruxism was 23%. There were no significant differences between the groups (p = 0.970. Individuals with sucking habits (OR [95% CI] = 4.44 [1.5 to 13.0], posterior crossbite (OR [95% CI] = 3.04 [1.2 to 7.5] and tooth wear facets (OR [95% CI] = 3.32 [1.2 to 8.7] had a greater chance of exhibiting SB. Sucking habits, posterior crossbite and tooth wear facets were identified as being directly associated with the clinical manifestations of bruxism.

Utility of an unitary-shredding method to evaluate the conditions and selection of constructional features during grinding

Directory of Open Access Journals (Sweden)

Macko Marek

2018-01-01

Full Text Available In order to evaluate and improve the efficiency of the process of grinding, various investigations are conducted, based on the relevant research methodology. One of them is the method in which the crushed sample is subjected to single stroke loads. On this basis, the influence of the geometric features of the chipper system and the dynamic process on the efficiency of the grinding is determined. Charpy hammers instrument were used to perform these modifications so that the momentary force of the resistance could be recorded with varying sample alignment, blade geometry changes and others. In addition, it was proposed to use a super fast camera (up to 1200 fps to record the deformation of the sample and its destruction, in order to interpretation the burdens there. Under such idealized conditions, a range of variables has been identified that significantly affect the reduction of energy demand during grinding.

Fatigue Tests on Welded Joints Improved by Grinding

DEFF Research Database (Denmark)

Agerskov, Henning; Bjørnbak-Hansen, Jørgen; Olesen, John Forbes

The present project is a part of an investigation on the fatigue life of the welded structure of large two-stroke diesel engines. Of special interest has been a study of the improvement in fatigue life, due to grinding of the weld toes. The test series carried through showed a significant increase...... without grinding to approx. 6.4 for the test series with grinding. In one of the test series (No. 7), the crack initiation in most tests moved from the weld toe to the non-ground surface between the ground areas at the weld toes, due to the grinding....... in fatigue life due to the grinding, ranging from a factor of approx. 2.8 to infinity, depending on the load level. With the limited number of tests carried out, S-N lines have not been determined. However, the results obtained indicate a change in slope of the S-N line from approx. 3.0 for the test series...

Grinding model and material removal mechanism of medical nanometer zirconia ceramics.

Science.gov (United States)

Zhang, Dongkun; Li, Changhe; Jia, Dongzhou; Wang, Sheng; Li, Runze; Qi, Xiaoxiao

2014-01-01

Many patents have been devoted to developing medical nanometer zirconia ceramic grinding techniques that can significantly improve both workpiece surface integrity and grinding quality. Among these patents is a process for preparing ceramic dental implants with a surface for improving osseo-integration by sand abrasive finishing under a jet pressure of 1.5 bar to 8.0 bar and with a grain size of 30 µm to 250 µm. Compared with other materials, nano-zirconia ceramics exhibit unmatched biomedical performance and excellent mechanical properties as medical bone tissue and dentures. The removal mechanism of nano-zirconia materials includes brittle fracture and plastic removal. Brittle fracture involves crack formation, extension, peeling, and chipping to completely remove debris. Plastic removal is similar to chip formation in metal grinding, including rubbing, ploughing, and the formation of grinding debris. The materials are removed in shearing and chipping. During brittle fracture, the grinding-led transverse and radial extension of cracks further generate local peeling of blocks of the material. In material peeling and removal, the mechanical strength and surface quality of the workpiece are also greatly reduced because of crack extension. When grinding occurs in the plastic region, plastic removal is performed, and surface grinding does not generate grinding fissures and surface fracture, producing clinically satisfactory grinding quality. With certain grinding conditions, medical nanometer zirconia ceramics can be removed through plastic flow in ductile regime. In this study, we analyzed the critical conditions for the transfer of brittle and plastic removal in nano-zirconia ceramic grinding as well as the high-quality surface grinding of medical nanometer zirconia ceramics by ELID grinding.

Research on operation mode of abrasive grain during grinding

Science.gov (United States)

Ivanova, T. N.; Dement’ev, V. B.; Nikitina, O. V.

2018-03-01

The processing of materials by cutting with an abrasive tool is carried out by means of thousands of grains bonded together as a single whole. The quality of the abrasive tool is defined by cutting properties of abrasive grains and depends on features of spreading the temperature field in time and in the abrasive grain volume. Grains are exposed to heating and cooling during work. It leads to undesired effects such as a decrease of durability of grain retention in the binder, hardness, intensification of diffusion and oxidation processes between the binder and the grain, the occurrence of considerable temperature stresses in the grain itself. The obtained equation which allows calculation of temperature field of grain for one rotation of grinding wheel shows that the temperature of the wheel depends on grinding modes and thermophysical properties of abrasive material. Thus, as the time of contact of grain with processed material increases, the temperature in the cutting area rises. As thermophysical properties increase, the temperature in cutting area decreases. Thermal working conditions are determined to be different from each other depending on contact time of the grain and the material. For example, in case of creep-feed grinding, the peak value of temperature is higher than during multistep grinding; the depth of expansion is greater. While the speed of the thermal process in creep-feed grinding is 2-3 times lower than in multistep grinding, the gradient reduces 3-4 times. The analysis of machining methods shows that creep-feed grinding ensures greater depth of grain heating, a smaller heating rate and a reduced velocity gradient. It causes a decrease of probable allotropic modifications and prevents from occurring of heat strokes - cracking of grains due to high temperature falls. Consequently, it is necessary to employ creep-feed grinding to increase the efficiency of abrasive tool employing. Three operation modes of grinding wheel including blunting, full

Study of Micro-hardness of High-Speed W9Mo4Co8 Steel Plates in Pendulum Grinding by Abrasive Wheel Periphery

OpenAIRE

Soler, Yakov Iosifovich; Nguyen, Van Canh

2017-01-01

In cutting tool assembly, grinding is the most important technological step of the finishing treatment, largely determining the workmanship. An increase of micro-hardness after grinding relative to the original one indicates the dominant role of abrasive tool force impact on the ground surface. A decrease, in contrast, evidences a significant softening under the influence of heat source. This research based on nonparametric statistics to predict the effect of wheel characteristics with abrasi...

Ductile mode grinding of reaction-bonded silicon carbide mirrors.

Science.gov (United States)

Dong, Zhichao; Cheng, Haobo

2017-09-10

The demand for reaction-bonded silicon carbide (RB-SiC) mirrors has escalated recently with the rapid development of space optical remote sensors used in astronomy or Earth observation. However, RB-SiC is difficult to machine due to its high hardness. This study intends to perform ductile mode grinding to RB-SiC, which produces superior surface integrity and fewer subsurface damages, thus minimizing the workload of subsequent lapping and polishing. For this purpose, a modified theoretical model for grain depth of cut of grinding wheels is presented, which correlates various processing parameters and the material characteristics (i.e., elastic module) of a wheel's bonding matrix and workpiece. Ductile mode grinding can be achieved as the grain depth of cut of wheels decreases to be less than the critical cut depth of workpieces. The theoretical model gives a roadmap to optimize the grinding parameters for ductile mode grinding of RB-SiC and other ultra-hard brittle materials. Its feasibility was validated by experiments. With the optimized grinding parameters for RB-SiC, the ductile mode grinding produced highly specular surfaces (with roughness of ∼2.2-2.8  nm Ra), which means the material removal mechanism of RB-SiC is dominated by plastic deformation rather than brittle fracture. Contrast experiments were also conducted on fused silica, using the same grinding parameters; this produced only very rough surfaces, which further validated the feasibility of the proposed model.

Comparison of different grinding procedures on the flexural strength of zirconia.

Science.gov (United States)

Işeri, Ufuk; Ozkurt, Zeynep; Yalnız, Ayşe; Kazazoğlu, Ender

2012-05-01

The surface of zirconia ceramic is damaged during grinding, which may affect the mechanical properties of the material. The purpose of this study was to compare the biaxial flexural strength of zirconia after different grinding procedures and to measure the temperature rise from grinding. Forty disk-shaped zirconia specimens (15 × 1.2 mm) with a smaller disk in the center of each disk (1 × 3 mm) were divided into 4 groups (n=10). The specimens were ground with a high-speed handpiece and micromotor with 2 different grinding protocols, continual grinding and periodic grinding (10 seconds grinding with 10 seconds duration), until the smaller disk was removed. Control specimens without the center disk (n=10) were analyzed without grinding. The biaxial flexural strengths of the disks were determined in a universal testing machine at a crosshead speed of 0.5 mm/min. The fracture strength (MPa) was recorded, and the results were analyzed using a 1-way ANOVA, Tukey HSD test, Student's t test, and Pearson correlation test (α=05). All grinding procedures significantly decreased flexural strength (Pmicromotor groups (718 MPa). The temperature values obtained from micromotor grinding (127°C) were significantly higher than those from high-speed handpiece grinding (63°C) (P<.01). Grinding zirconia decreased flexural strength. Zirconia material ground with a high-speed handpiece run continually caused the least reduction in flexural strength. Copyright © 2012 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.

Grinding With Diamond Burs and Hydrothermal Aging of a Y-TZP Material: Effect on the Material Surface Characteristics and Bacterial Adhesion.

Science.gov (United States)

Dutra, Dam; Pereira, Gkr; Kantorski, K Z; Exterkate, Ram; Kleverlaan, C J; Valandro, L F; Zanatta, F B

The aim of this study was to evaluate the effect of grinding with diamond burs and low-temperature aging on the material surface characteristics and bacteria adhesion on a yttrium-stabilized tetragonal zirconia polycrystalline (Y-TZP) surface. Y-TZP specimens were made from presintered blocks, sintered as recommended by the manufacturer, and assigned into six groups according to two factors-grinding (three levels: as sintered, grinding with extra-fine diamond bur [25-μm grit], and grinding with coarse diamond bur [181-μm grit]) and hydrothermal aging-to promote low-temperature degradation (two levels: presence/absence). Phase transformation (X-ray diffractometer), surface roughness, micromorphological patterns (atomic force microscopy), and contact angle (goniometer) were analyzed. Bacterial adhesion (colony-forming units [CFU]/biofilm) was quantified using an in vitro polymicrobial biofilm model. Both the surface treatment and hydrothermal aging promoted an increase in m-phase content. Roughness values increased as a function of increasing bur grit sizes. Grinding with a coarse diamond bur resulted in significantly lower values of contact angle (p0.05). Grinding with diamond burs and hydrothermal aging modified the Y-TZP surface properties; however, these properties had no effect on the amount of bacteria adhesion on the material surface.

Exploration on Wire Discharge Machining Added Powder for Metal-Based Diamond Grinding Wheel on Wire EDM Dressing and Truing of Grinding Tungsten Carbide Material

Science.gov (United States)

Chow, H. M.; Yang, L. D.; Lin, Y. C.; Lin, C. L.

2017-12-01

In this paper, the effects of material removal rate and abrasive grain protrusion on the metal-based diamond grinding wheel were studied to find the optimal parameters for adding powder and wire discharge. In addition, this kind of electric discharge method to add powder on the metal-based diamond grinding wheel on line after dressing and truing will be applied on tungsten carbide to study the grinding material removal rate, grinding wheel wear, surface roughness, and surface micro-hardness.

Epidemiology of bruxism in adults: a systematic review of the literature

NARCIS (Netherlands)

Manfredini, D.; Winocur, E.; Guarda-Nardini, L.; Paesani, D.; Lobbezoo, F.

2013-01-01

AIMS: To perform a systematic review of the literature dealing with the prevalence of bruxism in adult populations. METHODS: A systematic search of the medical literature was performed to identify all peer-reviewed English-language papers dealing with the prevalence assessment of either awake or

Intricate Assessment and Evaluation of Effect of Bruxism on Long-term Survival and Failure of Dental Implants: A Comparative Study.

Science.gov (United States)

Yadav, Kajal; Nagpal, Abhishek; Agarwal, S K; Kochhar, Aarti

2016-08-01

Dental implants are one of the common lines of treatment used for the treatment of missing tooth. Various risk factors are responsible for the failure of the dental implants and occurrence of postoperative complications. Bruxism is one such factor responsible for the failure of the dental implants. The actual relation between bruxism and dental implants is a subject of long-term controversy. Hence, we carried out this retrospective analysis to assess the complications occurring in dental implants in patients with and without bruxism. The present study included 1100 patients which were treated for rehabilitation by dental implant procedure at 21 dental offices of Ghaziabad (India) from 2004 to 2014. Analyzing the clinical records of the patients along with assessing the photographs of the patients was done for confirming the diagnosis of bruxism. Clinical re-evaluation of the patients, who came back for follow-up, was done to confirm the diagnosis of bruxism. Systemic questionnaires as used by previous workers were used to evaluate the patients about the self-conscience of the condition. Estimation of the mechanical complications was done only in those cases which occurred on the surfaces of the restoration of the dental implants. All the results were analyzed by Statistical Package for Social Sciences (SPSS) software. Student's t-test and Pearson's chi-square test were used to evaluate the level of significance. In both bruxer and non-bruxers, maximum number of dental implants was placed in anterior maxillary region. Significant difference was obtained while comparing the two groups for dimensions of the dental implants used. On comparing the total implant failed cases between bruxers and non-bruxers group, statistically significant result was obtained. Statistically significant difference was obtained while comparing the two study groups based on the health parameters, namely hypertension, diabetes, and smoking habit. Success of dental implant is significantly

Can palpation-induced muscle pain pattern contribute to the differential diagnosis among temporomandibular disorders, primary headaches phenotypes and possible bruxism?

Science.gov (United States)

Porporatti, André-Luís; Calderon, Patrícia-dos-Santos; Conti, Paulo-César-Rodrigues; Bonjardim, Leonardo-Rigoldi

2016-01-01

Background The evaluation of possible differences in the distribution or characteristics of palpation-induced pain in the masticatory muscles could be valuable in terms of diagnostic assessment. The aim of this study was to evaluate the impact of different combinations of anterior temporalis (AT) and masseter palpation-induced pain in the diagnostic of temporomandibular disorder (TMD), primary headaches and bruxism. Material and Methods A total of 1200 dental records of orofacial pain adult patients were analyzed. The outcomes were dichotomously classified (presence/absence) as following: a) AT and/or masseter palpation-induced pain; b) myogenous TMD; c) temporomandibular joint (TMJ) arthralgia (arthrogenous TMD); d) migraine; e) tension-type headache (TTH); f) self-reported bruxism. Binomial logistic regression model (α = 5%) was applied to the data considering the palpation-induced muscle pain as the dependent variable. Results Mean age (SD) were 35.7 years (13.4) for 635 included dental records (83% females). Myogenous and arthrogenous TMD, migraine, TTH and bruxism were mainly associated with, respectively, masseter palpation-induced pain (ppain (ppain (ppain (p=0.009 - OR=1.62, 95%CI 1.12-2.33) and bilateral masseter palpation-induced pain (p=0.01 - OR=1.74, 95%CI 1.13-2.69). Conclusions Palpation-induced pain in the masticatory muscles may play a role in the differential diagnosis among painful TMD, primary headaches and bruxism. Key words:Diagnosis, temporomandibular joint disorders, migraine, tension-type headache, bruxism. PMID:26615507

Grinding Parts For Automatic Welding

Science.gov (United States)

Burley, Richard K.; Hoult, William S.

1989-01-01

Rollers guide grinding tool along prospective welding path. Skatelike fixture holds rotary grinder or file for machining large-diameter rings or ring segments in preparation for welding. Operator grasps handles to push rolling fixture along part. Rollers maintain precise dimensional relationship so grinding wheel cuts precise depth. Fixture-mounted grinder machines surface to quality sufficient for automatic welding; manual welding with attendant variations and distortion not necessary. Developed to enable automatic welding of parts, manual welding of which resulted in weld bead permeated with microscopic fissures.

7 CFR 58.726 - Cutting and grinding.

Science.gov (United States)

2010-01-01

... 7 Agriculture 3 2010-01-01 2010-01-01 false Cutting and grinding. 58.726 Section 58.726 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards... Procedures § 58.726 Cutting and grinding. The trimmed and cleaned cheese should be cut into sections of...

Microwave-assisted grinding of metallurgical coke

International Nuclear Information System (INIS)

Ruisanchez, E.; Juarez-Perez, E. J.; Arenillas, A.; Bermudez, J. M.; Menendez, J. A.

2014-01-01

Metallurgical cokes are composed of graphitic carbon (s2p2) and different inorganic compounds with very different capacities to absorb microwave radiation. Moreover, due to the electric conductivity shown by the metallurgical cokes, microwave radiation produces electric arcs or microplasmas, which gives rise to hot spots. Therefore, when these cokes are irradiated with microwaves some parts of the particle experiment a rapid heating, while some others do not heat at all. As a result of the different expansion and stress caused by thermal the shock, small cracks and micro-fissures are produced in the particle. The weakening of the coke particles, and therefore an improvement of its grind ability, is produced. This paper studies the microwave-assisted grinding of metallurgical coke and evaluates the grinding improvement and energy saving. (Author)

A critical study of high efficiency deep grinding

International Nuclear Information System (INIS)

Johnstone, Iain

2002-01-01

The recent years, the aerospace industry in particular has embraced and actively pursued the development of stronger high performance materials, namely nickel based superalloys and hardwearing steels. This has resulted in a need for a more efficient method of machining, and this need was answered with the advent of High Efficiency Deep Grinding (HEDG). This relatively new process using Cubic Boron Nitride (CBN) electroplated grinding wheels has been investigated through experimental and theoretical means applied to two widely used materials, M50 bearing steel and IN718 nickel based superalloy. It has been shown that this grinding method using a stiff grinding centre such as the Edgetek 5-axis machine is a viable process. Using a number of experimental designs, produced results which were analysed using a variety of methods including visual assessment, sub-surface microscopy and surface analysis using a Scanning Electron Microscope (SEM), residual stress measurement using X-Ray Diffraction (XRD) techniques, Barkhausen Noise Amplitude (BNA) measurements, surface roughness and Vickers micro-hardness appraisal. It has been shown that the fundamentals of the HEDG process have been understood through experimental as well as theoretical means and that through the various thermal models used, grinding temperatures can be predicted to give more control over this dynamic process. The main contributions to knowledge are made up of a number of elements within the grinding environment, the most important being the demonstration of the HEDG effect, explanation of the phenomenon and the ability to model the process. It has also been shown that grinding is a dynamic process and factors such as wheel wear will result in a continuous change in the optimum grinding conditions for a given material and wheel combination. With the significance of these factors recognised, they can be accounted for within an industrial adaptive control scenario with the process engineer confident of a

Eco-efficiency of grinding processes and systems

CERN Document Server

Winter, Marius

2016-01-01

This research monograph aims at presenting an integrated assessment approach to describe, model, evaluate and improve the eco-efficiency of existing and new grinding processes and systems. Various combinations of grinding process parameters and system configurations can be evaluated based on the eco-efficiency. The book presents the novel concept of empirical and physical modeling of technological, economic and environmental impact indicators. This includes the integrated evaluation of different grinding process and system scenarios. The book is a valuable read for research experts and practitioners in the field of eco-efficiency of manufacturing processes but the book may also be beneficial for graduate students.

Analysis of the influence of infeed rate and cutting fluid on cylindrical grinding processes using a conventional wheel

Directory of Open Access Journals (Sweden)

Bianchi Eduardo Carlos

2004-01-01

Full Text Available New worldwide trends such as globalization have rendered grinding processes increasingly important for industry, making it essential to perform in-depth studies of variations in grinding process parameters in the pursuit of greater cost effectiveness. This paper presents a comparative analysis of three different infeed rates, using a conventional grinding wheel on quenched and tempered D2 steel workpieces. Higher infeed rates are known to be correlated with shorter grinding times, rendering the process more economically attractive. Two different coolant fluids, 5% emulsion and pure oil, were used. The tests were carried out using the smallest possible amount of coolant and an optimized 5 mm diameter nozzle. The parameters analyzed were tangential force, specific energy, acoustic emission, roundness error and surface roughness. The surfaces of the workpieces were also examined by scanning electron microscopy (SEM. The results revealed that increased infeed rates could reduce processing times without compromising the quality of the workpiece profile, thereby reducing the cost of the process. The best cutting fluid, albeit more harmful to human health and less environmentally friendly, was found to be pure oil.

[EEG changes in symptomatic headache caused by bruxism].

Science.gov (United States)

Wieselmann, G; Grabmair, W; Logar, C; Permann, R; Moser, F

1987-02-20

EEG recordings were carried out on 36 patients with the verified diagnosis of bruxism and unilateral headache. Occlusal splints were applied in the long-term management of these patients. Initial EEG recordings showed pathological changes in 56% of the patients. The EEG recordings were repeated two and six weeks later in these patients and following improvement in the clinical symptomatology pathological EEG patterns were detected in only 22% of all cases. This decrease is of statistical significance.

Grinding tool for making hemispherical bores in hard materials

Science.gov (United States)

Duran, E.L.

1985-04-03

A grinding tool for forming hemispherical bores in hard materials such as boron carbide. The tool comprises a hemicircular grinding bit, formed of a metal bond diamond matrix, which is mounted transversely on one end of a tubular tool shaft. The bit includes a spherically curved outer edge surface which is the active grinding surface of the tool. Two coolant fluid ports on opposite sides of the bit enable introduction of coolant fluid through the bore of the tool shaft so as to be emitted adjacent the opposite sides of the grinding bit, thereby providing optimum cooling of both the workpiece and the bit.

On modelling the interaction between two rotating bodies with statistically distributed features: an application to dressing of grinding wheels

Science.gov (United States)

Spampinato, A.; Axinte, D. A.

2017-12-01

The mechanisms of interaction between bodies with statistically arranged features present characteristics common to different abrasive processes, such as dressing of abrasive tools. In contrast with the current empirical approach used to estimate the results of operations based on attritive interactions, the method we present in this paper allows us to predict the output forces and the topography of a simulated grinding wheel for a set of specific operational parameters (speed ratio and radial feed-rate), providing a thorough understanding of the complex mechanisms regulating these processes. In modelling the dressing mechanisms, the abrasive characteristics of both bodies (grain size, geometry, inter-space and protrusion) are first simulated; thus, their interaction is simulated in terms of grain collisions. Exploiting a specifically designed contact/impact evaluation algorithm, the model simulates the collisional effects of the dresser abrasives on the grinding wheel topography (grain fracture/break-out). The method has been tested for the case of a diamond rotary dresser, predicting output forces within less than 10% error and obtaining experimentally validated grinding wheel topographies. The study provides a fundamental understanding of the dressing operation, enabling the improvement of its performance in an industrial scenario, while being of general interest in modelling collision-based processes involving statistically distributed elements.

30 CFR 57.15014 - Eye protection when operating grinding wheels.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Eye protection when operating grinding wheels. 57.15014 Section 57.15014 Mineral Resources MINE SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF... grinding wheels. Face shields or goggles in good condition shall be worn when operating a grinding wheel...

Electro-chemical grinding

Science.gov (United States)

Feagans, P. L.

1972-01-01

Electro-chemical grinding technique has rotation speed control, constant feed rates, and contour control. Hypersonic engine parts of nickel alloys can be almost 100% machined, keeping tool pressure at virtual zero. Technique eliminates galling and permits constant surface finish and burr-free interrupted cutting.

Design and experimental study of a micro-groove grinding wheel with spray cooling effect

Directory of Open Access Journals (Sweden)

Shi Chaofeng

2014-04-01

Full Text Available The effectiveness of grinding fluid supply has a crucial impact on grinding quality and efficiency in high speed grinding. In order to improve the cooling and lubrication, through in-depth research of self-inhaling internal cooling method and intermittent grinding mechanism, a new spray cooling method used in high speed grinding is proposed. By referring to the structure of bowl-shaped dispersion disk, the grinding wheel matrix with atomization ability is designed; through studying heat transfer of droplet collision and the influence of micro-groove on the boiling heat transfer, grinding segment with micro-groove is designed to enhance the heat flux of coolant and achieve maximum heat transfer between droplets and grinding contact zone. High-speed grinding experiments on GH4169 with the developed grinding wheel are carried out. The results show that with the micro-groove grinding wheel just 5.4% of pump outlet flow rate and 0.5% of spindle energy is needed to reduce the grinding temperature to 200 °C, which means the developed grinding wheel makes cooling high efficient and low energy consuming.

30 CFR 56.15014 - Eye protection when operating grinding wheels.

Science.gov (United States)

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Eye protection when operating grinding wheels... MINES Personal Protection § 56.15014 Eye protection when operating grinding wheels. Face shields or goggles in good condition shall be worn when operating a grinding wheel. [53 FR 32526, Aug. 25, 1988] ...

A Review: The Effect of Grinded Coal Bottom Ash on Concrete

Directory of Open Access Journals (Sweden)

Basirun Nurul Fasihah

2017-01-01

Full Text Available This paper offers a review on the use of grinded coal bottom ash (CBA on the concrete properties as demonstrated by strength test and microstructure test. Amount of CBA from power plant station was disposed in landfill because of the particle shape had a rough particles. By finding an alternative way to gain its surface area by grinding and used as replacement material as cement replacement may give a good side feedback on the strength and morphology of concrete. Most of the prior works studied on the grinded fly ash and grinded rice husk ash. The study on the influence of grinded CBA on the properties of concrete still limited and need more attention Therefore, the review on the effect of grinded CBA on the strength and microstructure of concrete are discussed.

A 6-DOF parallel bone-grinding robot for cervical disc replacement surgery.

Science.gov (United States)

Tian, Heqiang; Wang, Chenchen; Dang, Xiaoqing; Sun, Lining

2017-12-01

Artificial cervical disc replacement surgery has become an effective and main treatment method for cervical disease, which has become a more common and serious problem for people with sedentary work. To improve cervical disc replacement surgery significantly, a 6-DOF parallel bone-grinding robot is developed for cervical bone-grinding by image navigation and surgical plan. The bone-grinding robot including mechanical design and low level control is designed. The bone-grinding robot navigation is realized by optical positioning with spatial registration coordinate system defined. And a parametric robot bone-grinding plan and high level control have been developed for plane grinding for cervical top endplate and tail endplate grinding by a cylindrical grinding drill and spherical grinding for two articular surfaces of bones by a ball grinding drill. Finally, the surgical flow for a robot-assisted cervical disc replacement surgery procedure is present. The final experiments results verified the key technologies and performance of the robot-assisted surgery system concept excellently, which points out a promising clinical application with higher operability. Finally, study innovations, study limitations, and future works of this present study are discussed, and conclusions of this paper are also summarized further. This bone-grinding robot is still in the initial stage, and there are many problems to be solved from a clinical point of view. Moreover, the technique is promising and can give a good support for surgeons in future clinical work.

Assessment of Metallic Contaminants in Grinded Millet using ...

African Journals Online (AJOL)

OLUWASOGO

Separate grinding discs were used for different millet forms, while the same quantity of millet ... have bad effects on human health (Normayo et al, 2010, Edem et al, 2012 .... grinding discs to have close contact due to the hardness of the millet.

Agreement between two different approaches to assess parent-reported sleep bruxism in children

Directory of Open Access Journals (Sweden)

Joyce Duarte

Full Text Available Introduction: Parents' report is the most used method for the study of sleep bruxism (SB in children, especially in research with large samples. However, there is no consensus about the questions used to assess SB, what may difficult the comparisons between studies. Objective: The aim of this research was to evaluate the agreement between two different approaches to assess possible sleep bruxism (PSB in children using parents' report. Methods: This cross-sectional study was conducted with 201 parents/caregivers. Prior to the questionnaire completion, all participants received a standard explanation of SB concept. Subsequently, the parents/caregivers answered a general question (GQ and a frequency-time question (FTQ about SB, and the answers were compared. Results: The majority of the participants were the children's mothers (73% and the childrens mean age was 7.5 years (SD: 2.25. PSB frequency in children did not differ statistically through the two questions [GQ: 30.7% (CI95%: 24.2 - 37.1 and FTQ: 26.6% (CI95%: 20.4 - 32.8], and an almost perfect agreement was observed between the answers (kp=0.812. Nevertheless, the FTQ showed a more coherent relation with the factors already recognized as associated with childhood bruxism than GQ. Conclusions: Different approaches result in similar PSB frequency, however, they show different ability to identify PSB associated factors and suggest the need of questions including frequency and time in further studies.

Recognition of diamond grains on surface of fine diamond grinding wheel

Institute of Scientific and Technical Information of China (English)

Fengwei HUO; Zhuji JIN; Renke KANG; Dongming GUO; Chun YANG

2008-01-01

The accurate evaluation of grinding wheel sur-face topography, which is necessary for the investigation of the grinding principle, optimism, modeling, and simu-lation of a grinding process, significantly depends on the accurate recognition of abrasive grains from the measured wheel surface. A detailed analysis of the grain size distri-bution characteristics and grain profile wavelength of the fine diamond grinding wheel used for ultra-precision grinding is presented. The requirements of the spatial sampling interval and sampling area for instruments to measure the surface topography of a diamond grinding wheel are discussed. To recognize diamond grains, digital filtering is used to eliminate the high frequency disturb-ance from the measured 3D digital surface of the grinding wheel, the geometric features of diamond grains are then extracted from the filtered 3D digital surface, and a method based on the grain profile frequency characteris-tics, diamond grain curvature, and distance between two adjacent diamond grains is proposed. A 3D surface pro-filer based on scanning white light interferometry is used to measure the 3D surface topography of a #3000 mesh resin bonded diamond grinding wheel, and the diamond grains are then recognized from the 3D digital surface. The experimental result shows that the proposed method is reasonable and effective.

Grinding Method and Error Analysis of Eccentric Shaft Parts

Science.gov (United States)

Wang, Zhiming; Han, Qiushi; Li, Qiguang; Peng, Baoying; Li, Weihua

2017-12-01

RV reducer and various mechanical transmission parts are widely used in eccentric shaft parts, The demand of precision grinding technology for eccentric shaft parts now, In this paper, the model of X-C linkage relation of eccentric shaft grinding is studied; By inversion method, the contour curve of the wheel envelope is deduced, and the distance from the center of eccentric circle is constant. The simulation software of eccentric shaft grinding is developed, the correctness of the model is proved, the influence of the X-axis feed error, the C-axis feed error and the wheel radius error on the grinding process is analyzed, and the corresponding error calculation model is proposed. The simulation analysis is carried out to provide the basis for the contour error compensation.

Comparison of Wet and Dry Grinding in Electromagnetic Mill

Directory of Open Access Journals (Sweden)

Szymon Ogonowski

2018-03-01

Full Text Available Comparison of dry and wet grinding process in an electromagnetic mill is presented in this paper. The research was conducted in a batch copper ore grinding. Batch mode allows for precise parametrization and constant repetitive conditions of the experiments. The following key aspects were tested: processing time, feed size, size of the grinding media, mass of the material and graining media, and density of the pulp. The particles size distribution of the product samples was analyzed in the laboratory after each experiment. The paper discusses the experimental results as well as the concept of dry and wet grinding and classification circuits for the electromagnetic mill. The main points of the discussion are the size reduction effectiveness and power consumption of the entire system.

Prevalence of sleep bruxism in children: a systematic review of the literature

NARCIS (Netherlands)

Manfredini, D.; Restrepo, C.; Diaz-Serrano, K.; Winocur, E.; Lobbezoo, F.

2013-01-01

The aim of the present investigation was to perform a systematic review of the literature dealing with the issue of sleep bruxism prevalence in children at the general population level. Quality assessment of the reviewed papers was performed to identify flaws in the external and internal validity.

A dynamic model of cylindrical plunge grinding process for chatter phenomena investigation

Directory of Open Access Journals (Sweden)

Lajmert Paweł

2018-01-01

Full Text Available In the paper, chatter vibrations in the cylindrical plunge grinding process are investigated. An improved model of the grinding process was developed which is able to simulate self-excited vibrations due to a regenerative effect on the workpiece and the grinding wheel surface. The model includes a finite-element model of the workpiece, two degrees of freedom model of the grinding wheel headstock and a model of wheel-workpiece geometrical interferences. The model allows to studying the influence of different factors, i.e. workpiece and machine parameters as well as grinding conditions on the stability limit and a chatter vibration growth rate. At the end, simulation results are shown and compared with exemplified real grinding results.

Learning Activity Packets for Grinding Machines. Unit I--Grinding Machines.

Science.gov (United States)

Oklahoma State Board of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

This learning activity packet (LAP) is one of three that accompany the curriculum guide on grinding machines. It outlines the study activities and performance tasks for the first unit of this curriculum guide. Its purpose is to aid the student in attaining a working knowledge of this area of training and in achieving a skilled or moderately…

Learning Activity Packets for Grinding Machines. Unit II--Surface Grinding.

Science.gov (United States)

Oklahoma State Board of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

This learning activity packet (LAP) is one of three that accompany the curriculum guide on grinding machines. It outlines the study activities and performance tasks for the second unit of this curriculum guide. Its purpose is to aid the student in attaining a working knowledge of this area of training and in achieving a skilled or moderately…

Learning Activity Packets for Grinding Machines. Unit III--Cylindrical Grinding.

Science.gov (United States)

Oklahoma State Board of Vocational and Technical Education, Stillwater. Curriculum and Instructional Materials Center.

This learning activity packet (LAP) is one of three that accompany the curriculum guide on grinding machines. It outlines the study activities and performance tasks for the third unit of this curriculum guide. Its purpose is to aid the student in attaining a working knowledge of this area of training and in achieving a skilled or moderately…

Safety of stationary grinding machines - impact resistance of work zone enclosures.

Science.gov (United States)

Mewes, Detlef; Adler, Christian

2017-09-01

Guards on machine tools are intended to protect persons from being injured by parts ejected with high kinetic energy from the work zone of the machine. Stationary grinding machines are a typical example. Generally such machines are provided with abrasive product guards closely enveloping the grinding wheel. However, many machining tasks do not allow the use of abrasive product guards. In such cases, the work zone enclosure has to be dimensioned so that, in case of failure, grinding wheel fragments remain inside the machine's working zone. To obtain data for the dimensioning of work zone enclosures on stationary grinding machines, which must be operated without an abrasive product guard, burst tests were conducted with vitrified grinding wheels. The studies show that, contrary to widely held opinion, narrower grinding wheels can be more critical concerning the impact resistance than wider wheels although their fragment energy is smaller.

Optimum condition determination of Rirang uranium ores grinding using ball mill

International Nuclear Information System (INIS)

Affandi, Kosim; Waluyo, Sugeng; Sarono, Budi; Sujono; Muhammad

2002-01-01

The grinding experiment on Rirang Uranium ore has been carried out with the aim is to find out the optimum condition of wet grinding using ball mill to produce particle size -325, -200 and -100 mesh. This will be used for decomposition feed the test was done by examine the parameters comparison of ore's weight against ball's weight and time of grinding. The test shown that the product of particle size -325 meshes was achieved optimum condition at the comparison ore's weight: ball = 1:3, grinding time 150 minutes, % solid 60, speed rotation of ball mill 60 rpm and recovery of grinding was 93.51 % of -325 mesh. The product of particle size -200 mesh was achieved optimum condition at comparison ore's weight: ball = 1:2, time of grinding 60 minutes, the fraction of + 200 mesh was regrind, the recovery of grinding 6.82% at particle size of (-200 + 250) mesh, 5.75 % at (-250 + 325)m mesh and, 47.93 % -325 mesh. The product of particle size -100 mesh was achieved the optimum condition at comparison ore's weight: ball = 1:2, time of grinding at 30 minutes particle size +100 mesh regrinding using mortar grinder, recovery of grinding 30.10% at particle size (-100 + 150) m, 12.28 % at (-150 + 200) mesh, 15.92 % at (-200 + 250) mesh, 12.44 % at (-250 + 325) mesh and 29.26 % -325 mesh. The determination of specific gravity of Rirang uranium ore was between 4.15 - 4.55 g/cm 3

Preparation of Grinding Aid Using Waste Acid Residue from Plasticizer Plant

Science.gov (United States)

Li, Lingxiao; Feng, Yanchao; Liu, Manchao; Zhao, Fengqing

2017-09-01

The grinding aid for granulated blast-furnace slag were prepared from waste acid residue from plasticizer plant through neutralization, de-methanol and granulation process. In this process, sulfuric acid was transformed into gypsum which has much contribution for grinding effect by combined use with the glycerol and poly glycerin in the waste. Fly ash was used for granulation for the composite grinding aid. Methanol can be recycled in the process. The result showed that the suitable addition of grinding aid is 0.03 % of granulated blast-furnace slag (mass). In this case, the specific surface area is 14% higher than that of the blank. Compared with the common grinding aids, it has excellent performance and low cost.

Fatigue limit of polycrystalline zirconium oxide ceramics: Effect of grinding and low-temperature aging.

Science.gov (United States)

Pereira, G K R; Silvestri, T; Amaral, M; Rippe, M P; Kleverlaan, C J; Valandro, L F

2016-08-01

The following study aimed to evaluate the effect of grinding and low-temperature aging on the fatigue limit of Y-TZP ceramics for frameworks and monolithic restorations. Disc specimens from each ceramic material, Lava Frame (3M ESPE) and Zirlux FC (Ivoclar Vivadent) were manufactured according to ISO:6872-2008 and assigned in accordance with two factors: (1) "surface treatment"-without treatment (as-sintered, Ctrl), grinding with coarse diamond bur (181µm; Grinding); and (2) "low-temperature aging (LTD)" - presence and absence. Grinding was performed using a contra-angle handpiece under constant water-cooling. LTD was simulated in an autoclave at 134°C under 2-bar pressure for 20h. Mean flexural fatigue limits (20,000 cycles) were determined under sinusoidal loading using stair case approach. For Lava ceramic, it was observed a statistical increase after grinding procedure and different behavior after LTD stimuli (Ctrl<Grinding; CtrlGrinding=Grinding Ltd); while for Zirlux, grinding and low-temperature aging promoted a statistical increase in the fatigue limit (Ctrl<Grinding; CtrlGrinding Ltd). An important increase was observed in m-phase content after both stimuli (grinding and LTD), although with different intensities. Additionally, fatigue test did not promote increase of m-phase content. Thus, tested grinding and low temperature aging did not damage the fatigue limit values significantly for both materials evaluated, even though those conditions promoted increase in m-phase. Copyright © 2016 Elsevier Ltd. All rights reserved.

Cyclic Alternating Pattern Associated with Catathrenia and Bruxism in a 10-Year-Old Patient

Science.gov (United States)

Villafuerte-Trisolini, Brian; Adrianzén-Álvarez, Fiorella; Duque, Kevin R.; Palacios-García, Jimmy; Vizcarra-Escobar, Darwin

2017-01-01

Cyclic alternating pattern (CAP) is widely recognized as an expression of sleep instability in electroencephalogram activity during non-rapid eye movement sleep. We report a case with sequences of CAP followed by bruxism and catathrenia in a 10-y-old male patient with a diagnosis of attention deficit hyperactivity disorder in treatment with methylphenidate. We found CAP in 83.1% of all episodes of catathrenia, and the CAP rate was 12.8%. We propose to consider catathrenia as one of the sleep disorders that may be accompanied by CAP. Citation: Villafuerte-Trisolini B, Adrianzén-Álvarez F, Duque KR, Palacios-García J, Vizcarra-Escobar D. Cyclic alternating pattern associated with catathrenia and bruxism in a 10-year-old patient. J Clin Sleep Med. 2017;13(3):511–512. PMID:28095970

Electromyogram biofeedback training for daytime clenching and its effect on sleep bruxism.

Science.gov (United States)

Sato, M; Iizuka, T; Watanabe, A; Iwase, N; Otsuka, H; Terada, N; Fujisawa, M

2015-02-01

Bruxism contributes to the development of temporomandibular disorders as well as causes dental problems. Although it is an important issue in clinical dentistry, no treatment approaches have been proven effective. This study aimed to use electromyogram (EMG) biofeedback (BF) training to improve awake bruxism (AB) and examine its effect on sleep bruxism (SB). Twelve male participants (mean age, 26·8 ± 2·5 years) with subjective symptoms of AB or a diagnosis of SB were randomly divided into BF (n = 7) and control (CO, n = 5) groups to undergo 5-h daytime and night-time EMG measurements for three consecutive weeks. EMG electrodes were placed over the temporalis muscle on the habitual masticatory side. Those in the BF group underwent BF training to remind them of the occurrence of undesirable clenching activity when excessive EMG activity of certain burst duration was generated in week 2. Then, EMGs were recorded at week 3 as the post-BF test. Those in the CO group underwent EMG measurement without any EMG BF training throughout the study period. Although the number of tonic EMG events did not show statistically significant differences among weeks 1-3 in the CO group, events in weeks 2 and 3 decreased significantly compared with those in week 1, both daytime and night-time, in the BF group (P < 0·05, Scheffé's test). This study results suggest that EMG BF to improve AB tonic EMG events can also provide an effective approach to regulate SB tonic EMG events. © 2014 John Wiley & Sons Ltd.

Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism.

Science.gov (United States)

van der Zaag, Jacques; Lobbezoo, Frank; Wicks, Darrel J; Visscher, Corine M; Hamburger, Hans L; Naeije, Machiel

2005-01-01

To assess the efficacy of occlusal stabilization splints in the management of sleep bruxism (SB) in a double-blind, parallel, controlled, randomized clinical trial. Twenty-one participants were randomly assigned to an occlusal splint group (n = 11; mean age = 34.2 +/- 13.1 years) or a palatal splint (ie, an acrylic palatal coverage) group (n = 10; mean age = 34.9 +/- 11.2 years). Two polysomnographic recordings that included bilateral masseter electromyographic activity were made: one prior to treatment, the other after a treatment period of 4 weeks. The number of bruxism episodes per hour of sleep (Epi/h), the number of bursts per hour (Bur/h), and the bruxism time index (ie, the percentage of total sleep time spent bruxing) were established as outcome variables at a 10% maximum voluntary contraction threshold level. A general linear model was used to test both the effects between splint groups and within the treatment phase as well as their interaction for each outcome variable. Neither occlusal stabilization splints nor palatal splints had an influence on the SB outcome variables or on the sleep variables measured on a group level. In individual cases, variable outcomes were found: Some patients had an increase (33% to 48% of the cases), while others showed no change (33% to 48%) or a decrease (19% to 29%) in SB outcome variables. The absence of significant group effects of splints in the management of SB indicates that caution is required when splints are indicated, apart from their role in the protection against dental wear. The application of splints should therefore be considered at the individual patient level.

Risk factors related to sleep bruxism in children: A systematic literature review.

Science.gov (United States)

Castroflorio, Tommaso; Bargellini, Andrea; Rossini, Gabriele; Cugliari, Giovanni; Rainoldi, Alberto; Deregibus, Andrea

2015-11-01

The aim of this article was to systematically review the literature to identify papers dealing with risk factors associated with sleep bruxism (SB) in children. A systematic search was carried out based on the following databases: PubMed, Embase, Scopus, Cochrane Oral Health Group's Trial Register and Cochrane Register of Controlled Trials, Web of Science, LILACs, SciELO. Studies investigating risk factors related to SB after multiple regression analysis and bruxism symptoms assessed with clinical diagnosis or specific questionnaires were searched. Six out of the 4546 initially identified studies were selected. This review was conducted according to the guidelines from the Cochrane Handbook for Systematic Reviews of Interventions, with reporting in agreement to the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines. Among the six analyzed articles, one randomized clinical trial (RCT) suggested the increase of SB in heavily exposed patients to second hand smoke (SHS) (OR=4.5, CI=2.2-9.4), two cross-sectional studies suggested neuroticism as determinant factor for the development of sleep bruxism (OR=1.9, CI=1.3-2.6), among children and three case-control studies suggested that children with sleep disturbances were more likely to have SB (OR=3.3, CI=1.6-6.6). Parafunctional behaviours (OR=2.3, CI=1.2-4.3) had a moderate association. SHS and sleep disturbances presented the strongest association with SB. The most recurrent source of bias was the lack of blinding procedures. Furthermore, the use of reliable SB diagnostic procedures should be recommended to increase the quality of future studies. The evidence emerged from the considered studies was clinically relevant. Copyright © 2015 Elsevier Ltd. All rights reserved.

Development of ELID mirror surface grinding by cast iron bond grinding wheel. Ohkochi memorial technology prize; Chutetsu bond toishi ni yoru denkai inpurosesu doresshingu (ELID) kyomen kensakuho no kaihatsu. Okochi kinen gijutsusho jusho ni yosete

Energy Technology Data Exchange (ETDEWEB)

Omori, H.; Takahashi, I. [Institute of Physical and Chemical Research, Tokyo (Japan); Nakagawa, T. [The University of Tokyo, Tokyo (Japan). Institute of Industrial Science; Hagiuda, Y.; Karikome, K. [Tokyo Metropolitan College of Aeronautical Engineering, Tokyo (Japan)

1997-08-01

Development was accomplished on the electrolytic in-process dressing (ELID) mirror surface grinding process using a cast iron bonded grinding wheel. This paper describes the history of the development, which may be summarized as follows: a study was begun on powder forging of cutting chips in 1970; a research was started on powder forging of decarburized cast iron powder; developments were made on powder metallurgy of cast irons and cast iron bonded lapping tools in 1980, and cast iron bonded diamond grinding wheels were put on the market; a high-efficiency grinding process using MC and cast iron fiber-bonded grinding wheels were developed in 1985 and the grinding wheels made therefrom were put on the market; and a study was begun on the ELID grinding in 1987, and marketing was started on power supply, grinding liquid and tools for the ELID grinding process in 1990. Discussions on converting raw materials for the powder forging into cutting chips have triggered developing the cast iron bonded grinding wheel. The cast iron bonded diamond grinding wheel improves dressability and sharpness of conventional grinding wheels. The grinding wheel is fabricated by mixing carbonyl iron powder, diamond grinding grains and cast iron powder, pressing the mixture in a die, sintering it at 1140 degC, and assembling and dressing the sinter. The grinding stone can grind high-tech materials. 4 figs.

Development of a quality-assessment tool for experimental bruxism studies: reliability and validity

NARCIS (Netherlands)

Dawson, A.; Raphael, K.G.; Glaros, A.; Axelsson, S.; Arima, T.; Ernberg, M.; Farella, M.; Lobbezoo, F.; Manfredini, D.; Michelotti, A.; Svensson, P.; List, T.

2013-01-01

AIMS: To combine empirical evidence and expert opinion in a formal consensus method in order to develop a quality-assessment tool for experimental bruxism studies in systematic reviews. METHODS: Tool development comprised five steps: (1) preliminary decisions, (2) item generation, (3) face-validity

Critical study of high efficiency deep grinding

OpenAIRE

Johnstone, lain

2002-01-01

The recent years, the aerospace industry in particular has embraced and actively pursued the development of stronger high performance materials, namely nickel based superalloys and hardwearing steels. This has resulted in a need for a more efficient method of machining, and this need was answered with the advent of High Efficiency Deep Grinding (HEDG). This relatively new process using Cubic Boron Nitride (CBN) electroplated grinding wheels has been investigated through experim...

Is there a First Night Effect on Sleep Bruxism? A Sleep Laboratory Study

Science.gov (United States)

Hasegawa, Yoko; Lavigne, Gilles; Rompré, Pierre; Kato, Takafumi; Urade, Masahiro; Huynh, Nelly

2013-01-01

Study Objectives: Sleep bruxism (SB) is reported to vary in frequency over time. The aim of this study was to assess the first night effect on SB. Methods: A retrospective polysomnographic (PSG) analysis was performed of data from a sample of SB patients (12 females, 4 males; age range: 17-39 years) recorded in a sleep laboratory over 2 consecutive nights. Sleep parameters and jaw muscle activity variables (i.e., rhythmic masticatory muscle activity [RMMA]) for SB were quantified and compared between the 2 nights. Subjects were classified into groups according to severity of RMMA frequency, such as low frequency (2-4 episodes/h and/or bruxism time index, and mean burst duration (repeated measure ANOVAs, p ≤ 0.05). Five patients of 8 in the low frequency group were classified into the moderate-high frequency group on the second night, whereas only one patient in the moderate-high frequency group moved to the low frequency group. Conclusions: The results showed no overall first night effect on severity of RMMA frequency in young and healthy patients with SB. In clinical practice, one-night sleep recording may be sufficient for moderate-high frequency SB patients. However, low RMMA frequency in the first night could be confirmed by a second night based on the patient's medical and dental history. Citation: Hasegawa Y; Lavigne G; Rompré P; Kato T; Urade M; Huynh N. Is there a first night effect on sleep bruxism? A sleep laboratory study. J Clin Sleep Med 2013;9(11):1139-1145. PMID:24235894

Diagnosis of sleep bruxism can assist in the detection of cases of verbal school bullying and measure the life satisfaction of adolescents.

Science.gov (United States)

Fulgencio, Livia Bonfim; Corrêa-Faria, Patrícia; Lage, Carolina Freitas; Paiva, Saul Martins; Pordeus, Isabela Almeida; Serra-Negra, Junia Maria

2017-07-01

Adolescence is a period with changes and conflicts. The aim of this study was to investigate the association between sleep bruxism, verbal bullying at school, and life satisfaction among Brazilian adolescents. A cross-sectional study of 1344 Brazilian adolescents was performed. Possible sleep bruxism was identified using the consensus criteria based on the reports of parents. The parents and the adolescents answered validated questionnaires. The data were statistically analyzed using the chi-squared test, Mann-Whitney U-test, and Poisson regression with robust variance. A total of 205 adolescents presented possible sleep bruxism (15.3%). This parafunction was more prevalent among adolescents who were victims of verbal bullying at school (PR: 6.31; 95% CI: 4.78-8.32), victim/perpetrators (PR: 5.27; 95% CI: 3.82-7.27), and who belonged to families from a higher socioeconomic status (RP: 1.51; 95% CI: 1.23-1.86). Possible sleep bruxism was also associated with higher scores in the domains of self (PR: 1.04; 95% CI: 1.00-1.08), school (PR: 1.05; 95% CI: 1.02-1.09) and self-efficacy (PR: 1.07; 95% CI: 1.03-1.12), and lower scores in the non-violence domain (PR: 0.96; 95% CI: 0.93-0.99). Possible sleep bruxism can assist in the detection of adolescents involved in school bullying at school in the roles of victim and victim/perpetrator. © 2016 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Effects of grinding on certain crystalline structures

International Nuclear Information System (INIS)

Tekiz, Y.

1965-06-01

The effects of grinding on certain crystalline substances (ZnO, ZnS, Sb), have been studied using X-ray diffraction and electron microscopy. The treatments were carried out using a vibrating mill which involves a higher energy than more conventional equipment such as ball-mills. Various methods have been proposed for determining the width of the intrinsic profile (β). In the case of zinc oxide it has been shown possible to differentiate the respective contributions of the fragmentation effects and of lattice deformation effects to the overall effects of the grinding. For the two types of zinc sulfide (blend and Wurtzite) it has been shown that the blend-wurtzite) transition point is very much decreased, and that the rate of transformation of wurtzite into the stable form (blend) at room temperature is considerably increased by the grinding. In the case of antimony, the method of fragmentation shows the existence of an anisotropy which appears to be connected with easily cleavable planes. These observations show that in the case of grinding carried out with sufficient energy, the accumulation of this energy in the matter through the creation of lattice defects can accelerate the reaction rate or bring about physical transformations. (author) [fr

Performance of Metal Cutting on Endmills Manufactured by Cooling-Air and Minimum Quantity Lubrication Grinding

Science.gov (United States)

Inoue, Shigeru; Aoyama, Tojiro

Grinding fluids have been commonly used during the grinding of tools for their cooling and lubricating effect since the hard, robust materials used for cutting tools are difficult to grind. Grinding fluids help prevent a drop in hardness due to burning of the cutting edge and keep chipping to an absolute minimum. However, there is a heightened awareness of the need to improve the work environment and protect the global environment. Thus, the present study is aimed at applying dry grinding, cooling-air grinding, cooling-air grinding with minimum quantity lubrication (MQL), and oil-based fluid grinding to manufacturing actual endmills (HSS-Co). Cutting tests were performed by a vertical machining center. The results indicated that the lowest surface inclination values and longest tool life were obtained by cooling-air grinding with MQL. Thus, cooling-air grinding with MQL has been demonstrated to be at least as effective as oil-based fluid grinding.

Sleep bruxism and sleep-disordered breathing: a systematic review.

Science.gov (United States)

De Luca Canto, Graziela; Singh, Vandana; Gozal, David; Major, Paul W; Flores-Mir, Carlos

2014-01-01

To carry out a systematic review to consolidate current knowledge on the potential association between sleep bruxism (SB) and sleep-disordered breathing (SDB). For this systematic review, articles were retained only if they reported studies using full ambulatory polysomnography as "the gold standard" reference test to determine SDB and the international diagnostic criteria proposed by the American Association of Sleep Medicine to determine SB. Detailed individual search strategies from MEDLINE, PubMed, Embase, the Cochrane Library, and LILACS databases were developed. The references cited in the selected articles were also checked, and a partial literature search was undertaken. The selection was completed independently by two reviewers in two phases. The methodology of selected studies was evaluated using the seven-item quality-assessment tool for experimental bruxism studies. During the initial search, 333 different citations were identified across the six electronic databases. After a comprehensive evaluation of the abstracts, and the full papers when considered necessary, only one study was finally selected for the qualitative/quantitative synthesis. This study did not support the putative association between SB and SDB, since SB was not observed during or in temporal conjunction with snoring or apneic events in any of the evaluated patients. In addition, masseter activity was not observed during apneic episodes. There is not sufficient scientific evidence either to confirm or discredit the association between SB and SDB.

Development of the pellet grinding and inspection system

International Nuclear Information System (INIS)

Yamaguchi, Toshihiro; Kawasaki, Takao; Inui, Toshihiko; Yamada, Hiroyuki.

1996-01-01

The pellet grinding and inspection system is the facility of producing the MOX fuel for FBRs, and it was delivered in March, 1996 to the No. 3 Development Office of the plutonium fuel shop in Tokai of Power Reactor and Nuclear Fuel Development Corporation. This facility realized the high speed processing using the compact facility by combining the grinding of pellets, the inspection of outer density and appearance, the rationalization of the facility and the high performance automation equipment. The production processes of MOX comprise the processes of powder, sinter, finish and inspection, fabrication and assembling. The requirement for developing these facilities is shown. The features of this pellet grinding and inspection system are the compact facility by the combination of functions, high speed processing, the reduction of holdup in processes and the improvement of maintenance. These features are explained. The main components are simple sorting equipment, grinder, grinding dust recovering equipment, outside diameter and density sorting equipment and appearance inspection equipment. The constitution and the main functions of the control facility are described. The operational process is explained. (K.I.)

Investigation of the formation process of two piracetam cocrystals during grinding

DEFF Research Database (Denmark)

Rehder, Sönke; Klukkert, Marten; Löbmann, Korbinian

2011-01-01

Cocrystal formation rates during dry grinding and liquid-assisted grinding were investigated by X-ray powder diffractometry and Raman spectroscopy. Two polymorphic forms of piracetam were used to prepare known piracetam cocrystals as model substances, i.e.,piracetam-citric acid and piracetam......-tartaric acid cocrystals. Raman spectroscopy in combination with principal component analysis was used to visualize the cocrystal formation pathways. During dry grinding, cocrystal formation appeared to progress via an amorphous intermediate stage, which was more evident for the piracetam-citric acid than...... for the piracetam-tartaric acid cocrystal. It was shown that liquid-assisted grinding led to faster cocrystal formation than dry grinding, which may be explained by the higher transformation rate due to the presence of liquid. The cocrystal formation rate did not depend on the applied polymorphic form...

Self-Reported Sleep Bruxism and Nocturnal Gastroesophageal Reflux Disease in Patients with Obstructive Sleep Apnea: Relationship to Gender and Ethnicity§

OpenAIRE

Hesselbacher, Sean; Subramanian, Shyam; Rao, Shweta; Casturi, Lata; Surani, Salim

2014-01-01

Study Objectives : Nocturnal bruxism is associated with gastroesophageal reflux disease (GERD), and GERD is strongly associated with obstructive sleep apnea (OSA). Gender and ethnic differences in the prevalence and clinical presentation of these often overlapping sleep disorders have not been well documented. Our aim was to examine the associations between, and the symptoms associated with, nocturnal GERD and sleep bruxism in patients with OSA, and to examine the influence of gender and ethn...

Milling of rice grains. The degradation on three structural levels of starch in rice flour can be independently controlled during grinding.

Science.gov (United States)

Tran, Thuy T B; Shelat, Kinnari J; Tang, Daniel; Li, Enpeng; Gilbert, Robert G; Hasjim, Jovin

2011-04-27

Whole polished rice grains were ground using cryogenic and hammer milling to understand the mechanisms of degradation of starch granule structure, whole (branched) molecular structure, and individual branches of the molecules during particle size reduction (grinding). Hammer milling caused greater degradation to starch granules than cryogenic milling when the grains were ground to a similar volume-median diameter. Molecular degradation of starch was not evident in the cryogenically milled flours, but it was observed in the hammer-milled flours with preferential cleavage of longer (amylose) branches. This can be attributed to the increased grain brittleness and fracturability at cryogenic temperatures, reducing the mechanical energy required to diminish the grain size and thus reducing the probability of chain scission. The results indicate, for the first time, that branching, whole molecule, and granule structures of starch can be independently altered by varying grinding conditions, such as grinding force and temperature.

Determining the direction of tooth grinding: an in vitro study.

Science.gov (United States)

ten Berge, F; te Poel, J; Ranjitkar, S; Kaidonis, J A; Lobbezoo, F; Hughes, T E; Townsend, G C

2012-08-01

The analysis of microwear patterns, including scratch types and widths, has enabled reconstruction of the dietary habits and lifestyles of prehistoric and modern humans. The aim of this in vitro study was to determine whether an assessment of microwear features of experimental scratches placed on enamel, perpendicularly to the direction of grinding, could predict the grinding direction. Experimental scratches were placed using a scalpel blade on standardised wear facets that had been prepared by wearing opposing enamel surfaces in an electromechanical tooth wear machine. These control 'baseline' facets (with unworn experimental scratches) were subjected to 50 wear cycles, so that differential microwear could be observed on the leading and trailing edges of the 'final' facets. In Group 1 (n=28), the 'footprint' microwear patterns corresponding to the known grinding direction of specimens in the tooth wear machine were identified. Then, they were used to predict the direction of tooth grinding blindly in the same sample after a 2-week intermission period. To avoid overfitting the predictive model, its sensitivity was also cross-validated in a new sample (Group 2, n=14). A crescent-shaped characteristic observed in most experimental scratches matched the grinding direction on all occasions. The best predictor of the direction of grinding was a combined assessment of the leading edge microwear pattern and the crescent characteristic (82.1% in Group 1 and 92.9% in Group 2). In conclusion, a simple scratch test can determine the direction of tooth grinding with high reliability, although further improvement in sensitivity is desirable. © 2012 Blackwell Publishing Ltd.

Surface topography of parallel grinding process for nonaxisymmetric aspheric lens

International Nuclear Information System (INIS)

Zhang Ningning; Wang Zhenzhong; Pan Ri; Wang Chunjin; Guo Yinbiao

2012-01-01

Workpiece surface profile, texture and roughness can be predicted by modeling the topography of wheel surface and modeling kinematics of grinding process, which compose an important part of precision grinding process theory. Parallel grinding technology is an important method for nonaxisymmetric aspheric lens machining, but there is few report on relevant simulation. In this paper, a simulation method based on parallel grinding for precision machining of aspheric lens is proposed. The method combines modeling the random surface of wheel and modeling the single grain track based on arc wheel contact points. Then, a mathematical algorithm for surface topography is proposed and applied in conditions of different machining parameters. The consistence between the results of simulation and test proves that the algorithm is correct and efficient. (authors)

Investigation of the Formation Process of Two Piracetam Cocrystals during Grinding

Science.gov (United States)

Rehder, Sönke; Klukkert, Marten; Löbmann, Korbinian A. M.; Strachan, Clare J.; Sakmann, Albrecht; Gordon, Keith; Rades, Thomas; Leopold, Claudia S.

2011-01-01

Cocrystal formation rates during dry grinding and liquid-assisted grinding were investigated by X-ray powder diffractometry and Raman spectroscopy. Two polymorphic forms of piracetam were used to prepare known piracetam cocrystals as model substances, i.e., piracetam-citric acid and piracetam-tartaric acid cocrystals. Raman spectroscopy in combination with principal component analysis was used to visualize the cocrystal formation pathways. During dry grinding, cocrystal formation appeared to progress via an amorphous intermediate stage, which was more evident for the piracetam-citric acid than for the piracetam-tartaric acid cocrystal. It was shown that liquid-assisted grinding led to faster cocrystal formation than dry grinding, which may be explained by the higher transformation rate due to the presence of liquid. The cocrystal formation rate did not depend on the applied polymorphic form of the piracetam and no polymorphic cocrystals were obtained. PMID:24309304

Can palpation-induced muscle pain pattern contribute to the differential diagnosis among temporomandibular disorders, primary headaches phenotypes and possible bruxism?

Science.gov (United States)

Costa, Yuri-Martins; Porporatti, André-Luís; Calderon, Patrícia-dos-Santos; Conti, Paulo-César-Rodrigues; Bonjardim, Leonardo-Rigoldi

2016-01-01

The evaluation of possible differences in the distribution or characteristics of palpation-induced pain in the masticatory muscles could be valuable in terms of diagnostic assessment. The aim of this study was to evaluate the impact of different combinations of anterior temporalis (AT) and masseter palpation-induced pain in the diagnostic of temporomandibular disorder (TMD), primary headaches and bruxism. A total of 1200 dental records of orofacial pain adult patients were analyzed. The outcomes were dichotomously classified (presence/absence) as following: a) AT and/or masseter palpation-induced pain; b) myogenous TMD; c) temporomandibular joint (TMJ) arthralgia (arthrogenous TMD); d) migraine; e) tension-type headache (TTH); f) self-reported bruxism. Binomial logistic regression model (α = 5%) was applied to the data considering the palpation-induced muscle pain as the dependent variable. Mean age (SD) were 35.7 years (13.4) for 635 included dental records (83% females). Myogenous and arthrogenous TMD, migraine, TTH and bruxism were mainly associated with, respectively, masseter palpation-induced pain (pbruxism.

Fine grinding of brittle minerals and materials by jet mill

OpenAIRE

Lek Sikong; Kalayanee Kooptanond; Noparit Morasut; Thammasak Pongprasert

2008-01-01

Various variables affecting grinding, such as air pressure, minerals or materials hardness, feed size were investigated.The limitations of grinding of gypsum, barite, ilmenite, quartz and ferrosilicon were also elucidated by means of particlefineness size distribution and morphology of ground products. It was found that:1) The density of particles, which are in the grinding zone affects the product fineness, i.e. higher feed rate resultsin a larger product size. The appropriate feed rate is s...

Development of Composite Grinding Wheels for Hard and Soft Metals

OpenAIRE

Pruti, Faruk

2012-01-01

This research investigates the performance of grinding wheel in terms of its internal granular particles and their effect on the surface finish for both soft and hard metals subjected to both dry and wet conditions of use. The study considers the properties of materials of construction including hardness of the granular particles and their size and distributions that affects the grinding wheel efficiency in abrading of soft and hard metal surfaces. Furthermore, in order to improve grinding pe...

Research of grinding process of gears with involute profile to increase its efficiency

Science.gov (United States)

Ivanova, T. N.; Korshunov, A. I.; Sannikov, I. N.; Tyukpiekov, V. N.

2018-03-01

Grinding as final processing exerts great influence on quality and accuracy of a surface layer of gears. Gear grinding is the most productive method of abrasive processing providing gears of 3 - 8 degrees of accuracy. However violation of the temperature condition of grinding leads to emergence of burns on the surfaces of gears. Therefore the research of the reasons generating defects and finding the ways of their elimination are relevant. The work presents the research of involute tooth profile grinding by wheels of different types with different ways to form a surface. For every way the movements of a tool and a workpiece in order to receive a contour of the tooth socket are simulated. The advantages and the shortcomings of the tooth grinding using form wheels in a grinding method and using dish, worm wheels in generating the grinding method are revealed. The experience of gear production shows that availability of burns in the certain part of a tooth profile is caused by features of the gear grinding process. Theoretical and experimental researches of the thermal phenomena of gear grinding with different configurations of spots in a contact zone and a trajectory of their movement are conducted. There are recommendations how to choose grinding modes, characteristics of abrasive tools taking into account a non-burnt condition of a working surface of a gear. The right choice of lubricating fluid and the way of its supply greatly affect the efficiency of the gear grinding process. It is established that lubricating fluid with special additives gives the best results to obtain desired roughness of a processed surface. The recommendations of effective fluids and their foreign analogs are made.

[Bruxism--confirmed and potential risk factors. A systematic review of the literature].

Science.gov (United States)

Kulis, Andreja; Türp, Jens Christoph

2008-01-01

Considering a point prevalence of up to 20% among adults, bruxism is a clinically significant phenomenon. It was the aim of the present work to systematically review the literature published until June 2007 in order to identify contributions on risk factors for bruxism in adults. Prerequisite for consideration were reported measures of risk assessment, such as odds ratios (OR). Seven relevant articles were found. Depending on the value of the OR and the position of the lower limit of the reported confidence interval (CI(LL)), we distinguished four risk groups (A to D). Three variables--severe stress experience; age between 25 and 44 years; age between 45 and 64 years--were grouped into category A (very strong indication for clinically relevant risk factor: OR >2; CI(LL) >2). Five variables fell into category B (strong indication for clinically relevant risk factor: OR >2; 1 1) was composed of 16 variables, while category D (possible indication for risk factor: 1 < OR < or = 2; CI(LL) < or = 1) embraced 11 variables. On the other hand, the presence of occlusal interferences was not a risk factor.

Industrial versus Laboratory Clinker Processing Using Grinding Aids (Scale Effect

Directory of Open Access Journals (Sweden)

Joseph Jean Assaad

2015-01-01

Full Text Available The evaluation of grinding aid (GA effect on clinker processing in laboratory grinding mills is relatively simple. Yet, the results obtained cannot be directly transposed to industrial mills, given the fundamentally different operational modes and grinding parameters. This paper seeks to evaluate the scale effect by comparing the results obtained from a closed-circuit tube mill operating at 90 ton/hr to those determined using a 50-liter laboratory mill. Tests results have shown that the decrease in specific energy consumption (Ec due to glycol or amine-based GA can be evaluated under laboratory conditions. However, such tests underestimate the actual performance that could be achieved in real-scale mills; the Ec reduction due to GA is around twofold higher when grinding is performed in real-scale mill. Compared to industrial tests, the cement particle size distribution curves widened and shifted towards higher diameters when grinding was performed under laboratory conditions, particularly with GA additions. This led to remarkable changes in water demand, setting time, and 1- and 28-day compressive strengths.

[Temporomandibular joint, occlusion and bruxism].

Science.gov (United States)

Orthlieb, J D; Ré, J P; Jeany, M; Giraudeau, A

2016-09-01

Temporomandibular joint and dental occlusion are joined for better and worse. TMJ has its own weaknesses, sometimes indicated by bad functional habits and occlusal disorders. Occlusal analysis needs to be addressed simply and clearly. The term "malocclusion" is not reliable to build epidemiological studies, etiologic mechanisms or therapeutic advice on this "diagnosis". Understanding the impact of pathogenic malocclusion is not just about occlusal relationships that are more or less defective, it requires to locate them within the skeletal framework, the articular and behavioural context of the patient, and above all to assess their impact on the functions of the masticatory system. The TMJ-occlusion couple is often symbiotic, developing together in relation to its environment, compensating for its own shortcomings. However, a third partner may alter this relationship, such as bruxism, or more generally oral parafunctions, trauma or an interventionist practitioner. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

Determination of the boundary conditions of the grinding load in ball mills

Science.gov (United States)

Sharapov, Rashid R.

2018-02-01

The prospects of application in ball mills for grinding cement clinker with inclined partitions are shown. It is noted that ball mills with inclined partitions are more effective. An algorithm is proposed for calculating the power consumed by a ball mill with inclined inter-chamber partitions in which an axial movement of the ball load takes place. The boundary conditions in which the ball load is located are determined. The equations of bounding the grinding load are determined. The behavior of a grinding load is considered in view of the characteristic cross sections. The coordinates of the centers of gravity of the grinding load with a definite step and the shape of the cross sections are determined. It is theoretically shown that grinding load in some parts of the ball mill not only consumes, but also helps to rotate the ball mill. Methods for calculating complex analytical expressions for determining the coordinates of the centers of gravity of the grinding load under the conditions of its longitudinal motion have developed. The carried out researches allow to approach from the general positions to research of behavior of a grinding load in the ball mills equipped with various in-mill devices.

Grinding tool for use in a fuel assembly repair and reconstitution system

International Nuclear Information System (INIS)

Tolino, R.W.

1988-01-01

A remotely operable grinding apparatus particularly adapted for abrasively removing a portion of a structure underwater is described comprising a baseplate, a motor means having an output shaft, a grinding head operatively connected to the output shaft, a housing for isolating the motor means from ambient water, guide means slidably connecting the housing to the baseplate for guiding the grinding head to a selected portion of the structure, and means for selectively moving the grinding head against the portion of the structure

Effect of different grinding burs on the physical properties of zirconia.

Science.gov (United States)

Lee, Kyung-Rok; Choe, Han-Cheol; Heo, Yu-Ri; Lee, Jang-Jae; Son, Mee-Kyoung

2016-04-01

Grinding with less stress on 3Y-TZP through proper selection of methods and instruments can lead to a long-term success of prosthesis. The purpose of this study was to compare the phase transformation and physical properties after zirconia surface grinding with 3 different grinding burs. Forty disc-shaped zirconia specimens were fabricated. Each Ten specimens were ground with AllCeramic SuperMax (NTI, Kahla, Germany), Dura-Green DIA (Shofu Inc., Kyoto, Japan), and Dura-Green (Shofu Inc., Kyoto, Japan). Ten specimens were not ground and used as a control group. After the specimen grinding, XRD analysis, surface roughness test, FE-SEM imaging, and biaxial flexural strength test were performed. After surface grinding, small amount of monoclinic phase in all experimental groups was observed. The phase change was higher in specimens, which were ground with Dura-Green DIA and AllCeramic SuperMax burs. The roughness of surfaces increased in specimens, which were ground with Dura-Green DIA and AllCeramic SuperMax burs than control groups and ground with Dura-Green. All experimental groups showed lower flexural strength than control group, but there was no statistically significant difference between control group and ground with Dura-Green DIA and AllCeramic SuperMax burs. The specimens, which were ground with Dura- Green showed the lowest strength. The use of dedicated zirconia-specific grinding burs such as Dura-Green DIA and AllCeramic SuperMax burs decreases the grinding time and did not significantly affect the flexural strength of zirconia, and therefore, they may be recommended. However, a fine polishing process should be accompanied to reduce the surface roughness after grinding.

Thermal model to investigate the temperature in bone grinding for skull base neurosurgery.

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Zhang, Lihui; Tai, Bruce L; Wang, Guangjun; Zhang, Kuibang; Sullivan, Stephen; Shih, Albert J

2013-10-01

This study develops a thermal model utilizing the inverse heat transfer method (IHTM) to investigate the bone grinding temperature created by a spherical diamond tool used for skull base neurosurgery. Bone grinding is a critical procedure in the expanded endonasal approach to remove the cranial bone and access to the skull base tumor via nasal corridor. The heat is generated during grinding and could damage the nerve or coagulate the blood in the carotid artery adjacent to the bone. The finite element analysis is adopted to investigate the grinding-induced bone temperature rise. The heat source distribution is defined by the thermal model, and the temperature distribution is solved using the IHTM with experimental inputs. Grinding experiments were conducted on a bovine cortical bone with embedded thermocouples. Results show significant temperature rise in bone grinding. Using 50°C as the threshold, the thermal injury can propagate about 3mm in the traverse direction, and 3mm below the ground surface under the dry grinding condition. The presented methodology demonstrated the capability of being a thermal analysis tool for bone grinding study. Copyright © 2013 IPEM. Published by Elsevier Ltd. All rights reserved.

Temperature prediction in high speed bone grinding using motor PWM signal.

Science.gov (United States)

Tai, Bruce L; Zhang, Lihui; Wang, Anthony C; Sullivan, Stephen; Wang, Guangjun; Shih, Albert J

2013-10-01

This research explores the feasibility of using motor electrical feedback to estimate temperature rise during a surgical bone grinding procedure. High-speed bone grinding is often used during skull base neurosurgery to remove cranial bone and approach skull base tumors through the nasal corridor. Grinding-induced heat could propagate and potentially injure surrounding nerves and arteries, and therefore, predicting the temperature in the grinding region would benefit neurosurgeons during the operation. High-speed electric motors are controlled by pulse-width-modulation (PWM) to alter the current input and thus maintain the rotational speed. Assuming full mechanical to thermal power conversion in the grinding process, PWM can be used as feedback for heat generation and temperature prediction. In this study, the conversion model was established from experiments under a variety of grinding conditions and an inverse heat transfer method to determine heat flux. Given a constant rotational speed, the heat conversion was represented by a linear function, and could predict temperature from the experimental data with less than 20% errors. Such results support the advance of this technology for practical application. Copyright © 2013 IPEM. Published by Elsevier Ltd. All rights reserved.

Work Index and Grinding Energy Assessment of Dilband Iron Ore, Pakistan

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Muhammad Ishaque Abro

2011-01-01

Full Text Available Importance of comminution in mineral processing sector is highly acknowledged from energy perspective. In present study an attempt was made to understand the comminuting behavior of Dilband iron ore and to compute the grinding energy requirement for production of ultrafine particles up to mesh of liberation. In this regard standard grindability tests developed by the Chair of Mineral Processing Leoben Austria was used for calculating work index of Dilband iron ore. The grinding tests were conducted in rod and ball mills. The work index value of two feed size fractions with 80% passing at 3800?m and 5200?m was noted to be 11.85 kwh/t and 9.3 kwh/ton respectively. Ball mill grinding test indicates that dry grinding in open circuit is not efficient and consumes more energy of 88.48kwh/t of ore for grinding 1000/40?m to 80% <40?m size.

Investigation of the Formation Process of Two Piracetam Cocrystals during Grinding

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Keith Gordon

2011-10-01

Full Text Available Cocrystal formation rates during dry grinding and liquid-assisted grinding were investigated by X-ray powder diffractometry and Raman spectroscopy. Two polymorphic forms of piracetam were used to prepare known piracetam cocrystals as model substances, i.e.,piracetam-citric acid and piracetam-tartaric acid cocrystals. Raman spectroscopy in combination with principal component analysis was used to visualize the cocrystal formation pathways. During dry grinding, cocrystal formation appeared to progress via an amorphous intermediate stage, which was more evident for the piracetam-citric acid than for the piracetam-tartaric acid cocrystal. It was shown that liquid-assisted grinding led to faster cocrystal formation than dry grinding, which may be explained by the higher transformation rate due to the presence of liquid. The cocrystal formation rate did not depend on the applied polymorphic form of the piracetam and no polymorphic cocrystals were obtained.

Is bruxism a risk factor for dental implants? A systematic review of the literature

NARCIS (Netherlands)

Manfredini, D.; Poggio, C.E.; Lobbezoo, F.

2014-01-01

Purpose To systematically review the literature on the role of bruxism as a risk factor for the different complications on dental implant-supported rehabilitations. Material and Methods A systematic search in the National Library of Medicine's Medline Database was performed to identify all

Strength and residual stress of Mg-PSZ after grinding

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