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Dmitri Nepogodiev, Joana Ff Simoes, Elizabeth Li, Maria Picciochi, James C Glasbey, Glauco Baiocchi, Ruth Blanco-Colino, Daoud Chaudhry, Ehab AlAmeer, Kariem El-Boghdadly, Funmilola Wuraola, Dhruva Ghosh, Rohan R Gujjuri, Ewen M Harrison, Herman Lule, Haytham Kaafarani, Mohammad Khosravi, Irmgard Kronberger, Sezai Leventoğlu, Harvinder Mann, Kenneth A Mclean, Mengistu Gebreyohanes Mengesha, Maria Marta Modolo, Faustin Ntirenganya, Lisa Norman, Oumaima Outani, Riinu Pius, Peter Pockney, Ahmad Uzair Qureshi, April Camilla Roslani, Sohei Satoi, Catherine Shaw, Aneel Bhangu, Dmitri Nepogodiev, Omar M Omar, Waheed-Ul-Rahman Ahmed, Leah Argus, Alasdair Ball, Aneel Bhangu, Edward P Bywater, Ruth Blanco-Colino, Amanpreet Brar, Daoud Chaudhry, Brett E Dawson, Irani Duran, Muhammed Elhadi, James C Glasbey, Rohan R Gujjuri, Conor S Jones, Ewen M Harrison, Sivesh K Kamarajah, James M Keatley, Samuel Lawday, Elizabeth Li, Harvinder Mann, Ella J Marson, Kenneth A Mclean, Dmitri Nepogodiev, Lisa Norman, Riinu Ots, Oumaima Outani, Maria Picciochi, Irène Santos, Catherine Shaw, Joana Ff Simoes, Elliott H Taylor, Isobel M Trout, Chris Varghese, Mary L Venn, William Xu, Joana Ff Simoes, Irida Dajti, Arben Gjata, Salah Eddine Oussama Kacimi, Luis Boccalatte, Maria Marta Modolo, Daniel Cox, Peter Pockney, Philip Townend, Felix Aigner, Irmgard Elisabeth Kronberger, Elgun Samadov, Amer Alderazi, Kamral Hossain, Greg Padmore, Gabrielle van Ramshorst, Ismaïl L

Objective: To determine if masticatory muscles’ pain and tenderness in bruxers should be treated independently.

Background: Bruxism is a movement disorder with marked hyperactivity in the masticatory muscles leading to myofascial pain and tenderness [1]. Both the pain and tenderness in the dental field treated with the same standard medical treatments [2].

Method: Thirty bruxers patients with mild to moderate pain and masticatory muscles’ tenderness were recruited in this study. Patients were allocated randomly into two equal groups. Group (A): treated with the nonsteroidal anti-inflammatory drug for one month and group (B): treated with the nonsteroidal anti-inflammatory drug in addition to the electromyography biofeedback training for one month under the following 3 stages: threshold-based down training, dynamic training by eating different food with different consistency and the quick deactivation. The masseter has been chosen for this training program as it’s the initiator of the chewing process [3]. The pain was assessed by the visual analog scale and the tenderness was assessed by the digital palpating scale [4]. The alpha point of 0.05 was used as a level of statistical significance (when P ≤ 0.05 is usually classified as “significant”, P ≤ 0.01 as “Highly significant “, and P ≤ 0.001 as “Extremely significant “[5].

Results: In group (A): there was a highly significant difference in pain post-study in which P-value equal 0.008 while group (B): showed an extremely significant difference in pain post-study in which the P-value equal 0.001. on the other hand, group (A) don’t show a significant difference in masticatory muscles’ tenderness post-study in which the P-value equal 0.157 comparing to group (B) which showed an extremely significant difference in masticatory muscles’ tenderness as the P-value equals 0.001as shown in Table (1).

Conclusion: The significant difference in pain and tenderness improvement in bruxers confirmed that there’