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Knowledge of sleep bruxism has been clouded by various opinions, myths and conflicting concepts of parafunctional behaviors, including sleep bruxism, “awake” bruxism and clenching. Interactions among saliva, erosive tooth wear, sleep apnea and gastric reflux (GERD) will be discussed. This new knowledge will help guide practitioners toward useful and practical management strategies, including the use of occlusal devices.
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