This study will compare the effect of three different physical therapy techniques on stress level on patients with bruxism by assessment of morning salivary biomarkers.
Mild to moderate bruxism according to BRUX Scale.
At least one of the following conditions: a history of tooth clenching or grinding sounds during the last 6 months, pain around the temporomandibular joint causing discomfort in the morning, tenderness of masticatory muscles on palpation, masticatory muscle hypertrophy, tooth indication on the cheek mucosa and or tongue.
Moderate stress level ranged from 14-26 according to the perceived stress scale.
Received any Botox, PRP (Plasma rich platelets) injection treatment for this condition for the last six months.
Sever cases
Any advanced periodontal disease as malocclusion
Any intra oral fixed splints
Parallel
The Rocabado Program
Other interventionThe Rocabado program include learning a new postural position, restoring original muscle length and stiffness, normal joint mobility, and body balance.
Jacobson Progressive Muscle Relaxation Technique
Other interventionJacobson developed the method of progressive muscle relaxation progressive muscle relaxation method as a supportive therapy for the treatment of neurological disorders.
Surface electromyography biofeedback
Other interventionA non invasive process by surface electrodes that using visual and auditory cues via electronic monitoring of a normally masticatory function to train bruxers to acquire voluntary control of the hyperactivity
Morning salivary cortisol level
morning salivary cortisol reflect the stress level before and after the intervention on the 3 groups
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