Association between sleep bruxism, use of antidepressants, and obstructive sleep apnea syndrome: A cross‐sectional study

Massahud, Maria Letícia de Barros; Bruzinga, Fábio Fernandes Borém; Diniz, Silvana Alkmim de Miranda; Seraidarian, Karolina Kristian de Aguilar; Lopes, Regina de Magalhães; Barros, Vinícius de Magalhães; Seraidarian, Paulo Isaías

doi:10.1111/joor.13312

Cited by 8 publications

(8 citation statements)

References 31 publications

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“…Among 34 bruxers, escitalopram ( n = 11) and desvenlafaxine ( n = 8) were the most reported medications. Although comparative analyses did not show correlations between the use of antidepressants with bruxism ( p = .072), logistic regression suggests that the use of these medications may represent increased odds for SB development (OR = 2.387; p = .005) 10 …”

Section: Bruxism and The Use Of Drugs And Psychoactive Substancesmentioning

confidence: 82%

“…Although comparative analyses did not show correlations between the use of antidepressants with bruxism (p = .072), logistic regression suggests that the use of these medications may represent increased odds for SB development (OR = 2.387; p = .005). 10 Probable SB patients, diagnosed with depression and anxiety, and prescribed paroxetine or fluoxetine were evaluated with a Bite strip device for EMG evaluation before, 7 and 15 days after the prescription. An increase in 86.6% patients in the bruxism scores on the 7th day was found.…”

Section: B Ruxis M and The Us E Of Drug S And Psychoac Tive Subs Tan...mentioning

confidence: 99%

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Secondary bruxism: A valid diagnosis or just a coincidental finding of additional masticatory muscle activity? A narrative review of literature

Conti,

Cunha,

Conti

et al. 2023

J of Oral Rehabilitation

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IntroductionBruxism is defined as a repetitive masticatory muscle activity that can manifest it upon awakening (awake bruxism‐AB) or during sleep (sleep bruxism‐SB). Some forms of both, AB and SB can be associated to many other coexistent factors, considered of risk for the initiation and maintenance of the bruxism. Although controversial, the term ‘secondary bruxism’ has frequently been used to label these cases. The absence of an adequate definition of bruxism, the non‐distinction between the circadian manifestations and the report of many different measurement techniques, however, are important factors to be considered when judging the literature findings. The use (and abuse) of drugs, caffeine, nicotine, alcohol and psychoactive substances, the presence of respiratory disorders during sleep, gastroesophageal reflux disorders and movement, neurological and psychiatric disorders are among these factors. The scarcity of controlled studies and the complexity and interactions among all aforementioned factors, unfortunately, does not allow to establish any causality or temporal association with SB and AB. The supposition that variables are related depends on different parameters, not clearly demonstrated in the available studies.ObjectivesThis narrative review aims at providing oral health care professionals with an update on the co‐risk factors and disorders possibly associated with bruxism. In addition, the authors discuss the appropriateness of the term ‘secondary bruxism’ as a valid diagnostic category based on the available evidence.ConclusionThe absence of an adequate definition of bruxism, the non‐distinction between the circadian manifestations and the report of many different measurement techniques found in many studies preclude any solid and convincing conclusion on the existence of the ‘secondary’ bruxism.

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Section: Bruxism and The Use Of Drugs And Psychoactive Substancesmentioning

confidence: 82%

Section: B Ruxis M and The Us E Of Drug S And Psychoac Tive Subs Tan...mentioning

confidence: 99%

Secondary bruxism: A valid diagnosis or just a coincidental finding of additional masticatory muscle activity? A narrative review of literature

Conti,

Cunha,

Conti

et al. 2023

J of Oral Rehabilitation

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“…Thus, for patients with concomitant OSA and sleep bruxism, OSA should be treated first. On the contrary, use of antidepressants may represent increased odds for sleep bruxism development [ 69 ].…”

Section: Bruxismmentioning

confidence: 99%

“…These results suggest an inverse association between OSA and sleep bruxism. Also, some studies [66][67][68][69] have reported that, to some extent, OSA therapies (such as CPAP and MAD) can reduce the frequency of sleep bruxism episodes as well as the signs and symptoms of sleep bruxism. Thus, for patients with concomitant OSA and sleep bruxism, OSA should be treated first.…”

Section: Bruxismmentioning

confidence: 99%

More than sleepiness: prevalence and relevance of nonclassical symptoms of obstructive sleep apnea

Verbraecken¹

2022

Current Opinion in Pulmonary Medicine

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Purpose of reviewThe purpose of this review is to describe the nonclassical symptoms and manifestations occurring in patients with obstructive sleep apnea (OSA), both from a standpoint of prevalence and in terms of clinical relevance. Particular emphasis will be given to nightmares, comorbid insomnia, restless legs syndrome and periodic limb movement disorder, bruxism, morning headache, nocturia, acid reflux, chronic cough and dysphagia. Recent findingsA review of the recent literature suggests that nonclassical symptoms have a high prevalence, are underestimated, and can interact with quality of life. Although these disturbances may occur together by mere coincidence, they may interact reciprocally. However, the degree of symptoms is not always correlated with OSA severity. SummaryOSA is a heterogeneous disease with variable clinical manifestations. This review highlights the need for detailed evaluation of patients with OSA to diagnose other important sleep disorders and clinical manifestations, given their frequent association.

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“…3,[9][10][11][12][13] Additionally, some studies have suggested that it may be associated with certain medications, such as antidepressants and antipsychotics. 14 SB is typically diagnosed based on patient reports of teeth grinding or clenching during sleep, as well as physical examination of the teeth and jaws. 1,2 OSAS is a chronic sleep disorder characterised by repeated episodes of partial or complete upper airway obstruction during sleep, leading to decreased airflow and oxygen levels in the blood.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of bruxism in obstructive sleep apnea syndrome (OSAS) patients: A systematic review conducted according to PRISMA guidelines and the cochrane handbook for systematic reviews of interventions

Alshahrani

Alshadidi

Al‐Amri

et al. 2023

J of Oral Rehabilitation

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BackgroundSleep bruxism (SB) and obstructive sleep apnea syndrome (OSAS) are two sleep‐related conditions that have been associated with significantly conflicting results in literature. Understanding the prevalence of bruxism among OSA patients is crucial for identifying possible comorbidities and optimising treatment strategies.ObjectiveThis systematic review aimed at analysing the prevalence of SB in OSAS sufferers and understanding the association between the two.MethodsFive online databases were searched for relevant articles in accordance with the PRISMA guidelines for conduction of systematic reviews. Studies reporting the prevalence of bruxism in OSAS patients and diagnosed through clinical assessments or polysomnography were included. Data extraction and quality assessment were performed independently by two reviewers. Methodological quality of the included studies was assessed using Risk of Bias In Non‐randomised Studies of Interventions (ROBINS‐I).ResultsA thorough search of literature yielded only two studies were eligible for this review. SB was found to be significantly present in the OSAS group. Despite methodological variations, the majority of studies reported higher rates of bruxism in OSAS patients compared to the general population or control groups.ConclusionThe results of this systematic review point to a significant association between bruxism and obstructive sleep apnea. Further research is required to determine a more precise prevalence rate and investigate the potential therapeutic implications of the bruxism‐OSAS association that uses a standardised assessment techniques and larger sample sizes.

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Association between sleep bruxism, use of antidepressants, and obstructive sleep apnea syndrome: A cross‐sectional study

Cited by 8 publications

References 31 publications

Secondary bruxism: A valid diagnosis or just a coincidental finding of additional masticatory muscle activity? A narrative review of literature

Secondary bruxism: A valid diagnosis or just a coincidental finding of additional masticatory muscle activity? A narrative review of literature

More than sleepiness: prevalence and relevance of nonclassical symptoms of obstructive sleep apnea

Prevalence of bruxism in obstructive sleep apnea syndrome (OSAS) patients: A systematic review conducted according to PRISMA guidelines and the cochrane handbook for systematic reviews of interventions

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