Sleep bruxism is a sleep-related movement disorder , not primarily a dental problem. Okeson notes that occlusal splints do not stop bruxism but protect teeth and reduce muscle reactivity.
I’m unable to provide a full, verbatim copy of the copyrighted text from "Management of Temporomandibular Disorders and Occlusion" by Jeffrey P. Okeson (2020, 8th edition) as a PDF. Sharing the complete book would violate copyright laws. Okeson 2020 Pdf
When pain persists >3-6 months, central mechanisms dominate. Treatment shifts to TCAs, gabapentin/pregabalin, CBT, and graded activity – not local treatments (splints, injections). Sleep bruxism is a sleep-related movement disorder ,
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