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44th Scientific Meeting
Update on Health, TMD and Sleep from a Global Perspective

May 7-10, 2020 • Orlando

LUNCH & LEARN 3. Bruxism Workshop: Assesssment and Management Guidelines

Daniele Manfredini, DDS, MSc, PhD

Saturday, May 9, 2020 — 12:15 pm – 1:30 pm

SYNOPSIS: Approaches for assessing bruxism can be distinguished as non-instrumental or instrumental. Non-instrumental approaches for assessing bruxism include self-report (questionnaires, oral history) and clinical inspection, both for sleep and awake bruxism. Instrumental approaches for assessment are currently available for both forms of bruxism. Measurement of jaw muscle activity via polysomnography (PSG) or electromyography (EMG) is the standard of reference for sleep bruxism. Ecological momentary assessment (experience sampling methodology [EMA/ESM]) app-based assessments for real time subjective information about masticatory muscle activities at certain time points during the awake phase can also provide evidence of awake bruxism. For various reasons, it must be remarked that using standard cut-off points for everyone for the ‘gold-standard’ assessment of sleep bruxism or non-sleep bruxism should not be considered optimal for clinical use in otherwise healthy individuals. This issue is best exemplified by the still inconclusive literature on the polysomnographic assessment of sleep bruxism and its clinical consequences. Within these premises, this workshop will also discuss the most recent literature on management of bruxism in adults. Currently, there is not enough evidence to define a standard of reference approach for treatment, especially considering the reigning confusion about the treatments oriented to eradicate bruxism causes and those aiming to manage the consequences. Thus, future studies on the indications for bruxism treatment are recommended. Until that, a so-called “Multiple-P” approach including Pep Talk (i.e., counseling), Plates (i.e., oral appliances), Psychology, Physiotherapy, and Pharmacology, is the best available, good-sense, option to manage bruxism and its consequences in the clinical setting.

Meet our outstanding presenter. Daniele Manfredini received his DDS from the University of Pisa, Italy in 1999, a MSc in Occlusion and Craniomandibular Disorders in 2001 from the same University, a PhD in Dentistry from the ACTA Amsterdam, The Netherlands, in 2011, and a Post-Graduation Specialty in Orthodontics from the University of Ferrara, Italy, in 2017.

He was a clinical fellow at the Section of Prosthetic Dentistry, Department of Neuroscience, University of Pisa, Italy until 2005.

Since 2006, Daniele Manfredini has been Assistant Professor and coordinator of the research projects at the TMD Clinic, Department of Maxillofacial Surgery, University of Padova, Italy, and he held teachings in Prosthodontics and TMJ Physiopathology, and in Bruxism and Parafunctions at the School of Dentistry, University of Padova until 2016.

Currently, Daniele Manfredini holds teaching in Oral Physiology and in Clinical Gnathology at the School of Dentistry, University of Siena, Italy.

On January 2017, the Italian Ministry of University and Research (MIUR) appointed him as a Full Professor by scientific merit at the age of 41.

Daniele Manfredini authored more than 180 papers in the field of bruxism and temporomandibular disorders in journals indexed in the Medline database (Scopus H-index=34). He also edited, among the others, the book “Current concepts on temporomandibular disorders” (Quintessence Publishing, 2010), including contributions from 45 world-renowned experts, and co-authored several textbooks on the same topics.

Based on publication ratings, since November 2013, the US agency Expertscape has been ranking Prof. Manfredini as world #1 expert in the field of temporomandibular joint disorders, and among the top three experts in the field of bruxism.

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