Relationship between sleep bruxism and sleep respiratory events in patients with obstructive sleep apnea syndrome

Hosoya, Hisashi; Kitaura, Hideki; Hashimoto, Takashi; Ito, Mau; Kinbara, Masayuki; Deguchi, Toru; Irokawa, Toshiya; Ohisa, Noriko; Ogawa, Hiroyasu; Takano‐Yamamoto, Teruko

doi:10.1007/s11325-014-0953-5

Cited by 97 publications

(114 citation statements)

References 24 publications

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“…Some patients report concomitant complaints related to sleep bruxism (SB) and obstructive sleep apnea-hypopnea (OSAH) [1][2][3][4][5][6]. However, the strength and specificity of this association during sleep remain debated in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…For example, the use of different methods to assess SB presence (e.g., questionnaire alone vs. advanced sleep recording and scoring methods) is probably a major cause of discrepancy [1][2][3][4][5][6][7][8]. A recent sleep laboratory study in a large general population sample with wide age range failed to show any strong correlations between sleep breathing variables and SB [11].…”

Section: Introductionmentioning

confidence: 99%

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Weak association between sleep bruxism and obstructive sleep apnea. A sleep laboratory study

et al. 2015

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PurposeNo definitive associations or causal relationships have been determined between obstructive sleep apnea-hypopnea (OSAH) and sleep bruxism (SB).The purpose of this study was to investigate, in a population reporting awareness of both OSAH and SB, the associations between each specific breathing and jaw muscle event. MethodsPolysomnography and audio-video data of 59 patients reporting concomitant OSAH and SB history were analyzed. Masseteric bursts after sleep onset were scored and classified into three categories: 1) sleep rhythmic masticatory muscle activity with SB (RMMA/SB), 2) sleep oromotor activity other than RMMA/SB (Sleep-OMA), and 3) wake oromotor activity after sleep onset (Wake-OMA).Spearman's rank correlation coefficient analyses were performed. Dependent variables were the number of RMMA/SB episodes, RMMA/SB bursts, Sleep-OMA, and Wake-OMA; and independent variables were apnea-hypopnea index (AHI), arousal index(AI), body mass index(BMI), gender, and age. ResultsAlthough all subjects had a history of both SB and OSAH, sleep laboratory results confirmed that these conditions were concomitant in only 50.8% of subjects. Moderate correlations were found in the following combinations 4 (p<0.05) ; RMMA/SB episode with AI, RMMA/SB burst with AI and age, Sleep-OMA burst with AHI, and Wake-OMA burst with BMI. ConclusionsThe results suggest that 1) sleep arousals in patients with concomitant SB and OSAH are not strongly associated with onset of RMMA/SB; 2) apnea-hypopnea events appear to be related to higher occurrence of other types of sleep oromotor activity, and not SB activity. SB genesis and OSAH activity during sleep are probably influenced by different mechanisms.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Weak association between sleep bruxism and obstructive sleep apnea. A sleep laboratory study

et al. 2015

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“…36 The prevalence was higher in patients with OSAS, and the risk of SB in OSAS patients had a value of 3.95 (IC 95% 1.03-15.20; p < 0.05). Interestingly, the frequency of phasic contraction of masseter muscles had a positive correlation with OSAS, arousals, and oxygen desaturation.…”

Section: Discussionmentioning

confidence: 85%

Frequency of Obstructive Sleep Apnea Syndrome in Dental Patients with Tooth Wear

Durán-Cantolla

Alkhraisat²,

Martínez-Null

et al. 2015

Journal of Clinical Sleep Medicine

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Bruxism is an oral pathology of interest not only for dentists but also for specialists in sleep disorders. Sleep bruxism (SB) has been associated with obstructive sleep apnea syndrome Study Objectives: To estimate the frequency of obstructive sleep apnea syndrome (OSAS) in dental patients with tooth wear, and to assess the role of dentists in the identifi cation of patients at risk of OSAS. Methods: Dental patients with tooth wear and treated with occlusal splint were prospectively recruited to perform sleep study. The severity of tooth wear was established by the treating dentist before patient referral to sleep disorders unit. Sleep questionnaires, anthropometric measurements, and validated respiratory polygraphy were performed. Results: All patients with dental wear were offered a sleepiness analysis. Of 31 recruited patients, 30 (77% males) participated in this study. Patients' mean age was 58.5 ± 10.7 years (range: 35-90 years) and the body mass index was 27.9 ± 3.4 kg/m 2 . Tooth wear was mild in 13 patients, moderate in 8and severe in 9. The mean apnea-hypopnea index (AHI) was 32.4 ± 24.9. AHI < 5 was reported in 2 patients, AHI of 5-29 in 17, and AHI ≥ 30 in 11. A statistically signifi cant association was found between AHI severity and tooth wear severity (Spearman R = 0.505; p = 0.004). Conclusions:Tooth wear could be a tool to identify those patients at risk of having OSAS. This highlights the importance of dental professionals to identify and refer patients with OSAS. Keywords: apnea-hypopnea index, AHI, obstructive sleep apnea, bruxism, tooth wear Citation: Durán-Cantolla J, Alkhraisat MH, Martínez-Null C, Aguirre JJ, Guinea ER, Anitua E. Frequency of obstructive sleep apnea syndrome in dental patients with tooth wear.

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“…Eventos respiratórios também ocorreram mais frequentemente em pacientes com BS. A frequência de episódios fásicos de BS correlacionou-se positivamente com episódios respiratórios, e os episódios de BS relacionados a microdespertares foram mais frequentes em pacientes com AOS 35 . Em um estudo, com o objetivo de avaliar a distribuição de sintomatologia mandibular subjetiva relatada em pacientes com AOS, Kato et al 36 (2013) observaram uma relação negativa dos sintomas com o IAH.…”

Section: Relação Entre Apneia Obstrutiva Do Sono E Bruxismo Do Sonounclassified

Relação entre apneia obstrutiva do sono e bruxismo do sono: revisão de literatura

Blum¹,

Bona

2016

Rev. da Fac. de Odontologia, UPF

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IntroduçãoNa prática em saúde, o profissional deve estar ciente das condições do paciente de maneira integral, por isso o pleno conhecimento acerca de patologias frequentes, como a apneia obstrutiva do sono (AOS) e o bruxismo do sono (BS), é de grande importância.A etiologia dessas condições está sob constante investigação. A AOS está relacionada a interrupções no fluxo do ar na respiração durante o sono 1 , enquanto o BS tem sido associado cada vez menos à fatores periféricos, dando lugar à investigações sobre fatores centrais e cíclicos fisiológicos 2 . Tendo em vista o impacto da AOS e do BS na saúde e qualidade de vida dos pacientes 3 , é de suma importância compreendê-las e investigar o efeito de uma possível relação entre ambas.Este estudo tem como objetivo analisar a literatura acerca dessas patologias e traçar uma possível relação entre ambas, visando facilitar o seu diagnóstico na prática do cuidado em saúde. Objetivo: analisar a literatura acerca da apneia obstrutiva do sono (AOS) e do bruxismo do sono (BS) e traçar uma possível relação entre ambos. Revisão de literatura: a apneia obstrutiva do sono e o bruxismo do sono são patologias frequentes na prática médica e odontológica, e suas etiologias estão sob constante investigação. A AOS é caracterizada por episódios repetitivos

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Relationship between sleep bruxism and sleep respiratory events in patients with obstructive sleep apnea syndrome

Abstract: We found that patients with OSAS have a high risk of SB. In particular, this is the first report relating phasic-type SB to obstructive apnea events. This relationship suggests that improvement in OSAS might prevent exacerbations of SB.

Cited by 97 publications

References 24 publications

Weak association between sleep bruxism and obstructive sleep apnea. A sleep laboratory study

Weak association between sleep bruxism and obstructive sleep apnea. A sleep laboratory study

Frequency of Obstructive Sleep Apnea Syndrome in Dental Patients with Tooth Wear

Relação entre apneia obstrutiva do sono e bruxismo do sono: revisão de literatura

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