Treating bruxism with the habit-reversal technique

The habit-reversal technique developed by Azrin and Nunn (1973, 1977) was used in treating four clients with bruxism. Following a single treatment session, marked reductions in the frequencies of this behavior were obtained in each case. Subsequently, relaxation and stress management techniques were conducted with two of these clients who had facial pain. These procedures were associated with decreased pain ratings and medications for one client and a further decrease in bruxism and cessation of pain for the second. These results remained consistent over 6- and 12-month follow-ups. Each of the components of habit-reversal appeared to be related to its effectiveness, and methods for performing component analyses of this technique are described.