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===Psychosocial interventions=== Given the strong association between awake bruxism and psychosocial factors (the relationship between sleep bruxism and psychosocial factors being unclear), the role of psychosocial interventions could be argued to be central to the management. The most simple form of treatment is therefore reassurance that the condition does not represent a serious disease, which may act to alleviate contributing stress.<ref name="Cawson 2002" /> Sleep hygiene education should be provided by the clinician, as well as a clear and short explanation of bruxism (definition, causes and treatment options).<ref>{{Citation|last1=Lavigne|first1=Gilles|title=Sleep Bruxism|date=2011|work=Principles and Practice of Sleep Medicine|pages=1128β1139|publisher=Elsevier|isbn=9781416066453|last2=Manzini|first2=Christiane|last3=Huynh|first3=Nelly T.|doi=10.1016/b978-1-4160-6645-3.00099-2}}</ref> Relaxation and tension-reduction have not been found to reduce bruxism symptoms, but have given patients a sense of well-being.<ref>{{Cite journal|last1=Pierce|first1=C.J.|last2=Gale|first2=E.N.|date=March 1988|title=A Comparison of Different Treatments for Nocturnal Bruxism|journal=Journal of Dental Research|volume=67|issue=3|pages=597β601|doi=10.1177/00220345880670031501|pmid=3170898|s2cid=27016069|issn=0022-0345}}</ref> One study has reported less grinding and reduction of EMG activity after hypnotherapy.<ref>{{Cite journal|last1=Clarke|first1=J. H.|last2=Reynolds|first2=P. J.|date=April 1991|title=Suggestive Hypnotherapy for Nocturnal Bruxism: A Pilot Study|journal=American Journal of Clinical Hypnosis|volume=33|issue=4|pages=248β253|doi=10.1080/00029157.1991.10402942|pmid=2024617|issn=0002-9157}}</ref> Other interventions include relaxation techniques, stress management, behavioural modification, habit reversal and hypnosis (self hypnosis or with a hypnotherapist).<ref name="Cawson 2002" /> [[Cognitive behavioral therapy]] has been recommended by some for treatment of bruxism.<ref name="van der Meulen 2000">{{cite journal |vauthors=van der Meulen MJ, Lobbezoo F, Naeije M |title=Behandeling van bruxisme. De psychologische benadering |trans-title=Role of the psychologist in the treatment of bruxism |language=nl |journal=Nederlands Tijdschrift voor Tandheelkunde |volume=107 |issue=7 |pages=297β300 |date=July 2000 |pmid=11385786 |url=http://dare.uva.nl/en/record/83157}}</ref> In many cases awake bruxism can be reduced by using reminder techniques. Combined with a protocol sheet this can also help to evaluate in which situations bruxism is most prevalent.<ref>{{cite web|url=https://xn--zahnarzt-in-hringen-16b.de/wp-content/uploads/2023/01/Selbstbeobachtungsbogen-Poststrasse.pdf|title=Selbstbeobachtung|date=22 November 2015|language=de}}</ref>
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