Stress levels and quality of sleep in subjects with temporomandibular joint dysfunction

Martins, Ronald Jefferson; Garbín, Cléa Adas Saliba; Garcia, Alício Rosalino; Garbín, Artênio José Ísper; Miguel, Natália

doi:10.1590/s1980-65232010000100007

Cited by 17 publications

(28 citation statements)

References 11 publications

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“…26 Poor sleep quality or insomnia in turn, are directly related to increased anxiety, leading to the development of a vicious cycle, with sleep pattern changes and increased oral parafunction. 15 About 70% to 80% of people diagnosed with sleep bruxism present symptoms of fragmented sleep, moderate to intense daytime sleepiness, nonrestorative sleep, nighttime arousals, sudoresis, or nightmares. 5,19,27 Corroborating this statement, in the present study, of the 45 individuals who experienced SB, 75.6% (34) considered their sleep as poor quality, and only 11 (24.4%) participants were classified as having a good pattern.…”

Section: Discussionmentioning

confidence: 99%

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A Study of the Association Between Sleep Bruxism, Low Quality of Sleep, and Degenerative Changes of the Temporomandibular Joint

Dias

Bonato

Guimarães

et al. 2015

Journal of Craniofacial Surgery

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The aim of this study was to evaluate the presence of degenerative bone changes of the temporomandibular joint (TMJ) in individuals suffering from sleep bruxism (SB), associating these characteristics with the quality of sleep. For this, we followed the International Classification of Sleep Disorders for the diagnosis of SB, in addition to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) for the classification of TMD and cone beam computed tomography. It was found that 97.7% of the individuals with bruxism had at least 1 RDC/TMD group III diagnosis, 75.6% of the subjects considered their sleep quality as poor, and the largest group (23%) had centric bruxism. There was no significant association between the pattern of sleep quality (P = 0.36), the type of SB (P = 0.277), and the presence of degenerative changes of the TMJ. Regardless of the quality of sleep and the type of bruxism presented, the prevalence of degenerative bone disorders was high (67%) among women with a mean age of 46 years and a clinical diagnosis of SB.

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Section: Discussionmentioning

confidence: 99%

“…Analysis of these 7 components results in an index which may vary from 0 to 21 points. 14,15 Scores above 5 points are indicative of a poor quality sleep pattern, 15,16 thus allowing the standard classification as ''good'' or ''bad. ''…”

Section: Methodsmentioning

confidence: 99%

A Study of the Association Between Sleep Bruxism, Low Quality of Sleep, and Degenerative Changes of the Temporomandibular Joint

Dias

Bonato

Guimarães

et al. 2015

Journal of Craniofacial Surgery

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“…A number of studies have found that multiple factors can lead to the development of this disorder and that it is therefore caused by an association of psychological, structural and behavioral factors 2,4 .…”

Section: Introductionmentioning

confidence: 99%

“…The percentage of the population with some form of TMD is between 40 and 60% 4,5 . According to Fonseca et al 6 , it was estimated that in Brazil, there are approximately six million individuals with signs and symptoms of TMD.…”

Section: Introductionmentioning

confidence: 99%

“…According to Fonseca et al 6 , it was estimated that in Brazil, there are approximately six million individuals with signs and symptoms of TMD. However, the current prevalence of the condition among the population is the subject of debate, due to the low homogeneity of criteria used for the study of different groups 4 . Pereira Júnior et al 7 , in a review of epidemiological factors, concluded that the prevalence of TMD is low among children, increases among teenagers and adults, and decreases after 45 years of age, being rare among the elderly 5 .…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and factors associated with alterations of the temporomandibular joint in institutionalized elderly

Medeiros

Barbosa

Piuvezam

et al. 2019

Ciênc. saúde coletiva

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Prevalence and factors associated with alterations of the temporomandibular joint in institutionalized elderlyPrevalência e fatores associados a alterações na articulação temporomandibular em idosos institucionalizados Resumo O objetivo deste artigo é avaliar a prevalência e os fatores associados a alterações na ATM em idosos institucionalizados. Estudo observacional e transversal, conduzido em 1.192 idosos brasileiros. Foram realizados exames intra e extraoral, baseados na Ficha de Avaliação da OMS (1997). Dados demográficos e nível de dependência também foram coletados. A autopercepção do idoso quanto à saúde bucal foi obtida através do GOHAI (Geriatric Oral Health Assessment Index). Na análise dos dados foram usados o teste do Qui-quadrado e a Regressão robusta de Poisson (nível de significância de 5%). A presença de alguma alteração na ATM foi pouco prevalente quando comparada a dos adultos, e esteve associada à condição de dependência do idoso (os independentes tiveram 45,4% mais alterações do que os dependentes), ao sexo (mulheres tiveram 47,4% mais alterações), à autopercepção de saúde bucal (quem avaliou negativamente teve 65,6% mais alterações) e à necessidade de prótese (PT) superior (quem necessita de algum tipo de PT superior teve 45,8%). Apesar de ter sido baixa, a presença de alterações na ATM esteve mais frequente em idosos independentes, do sexo feminino, que avaliaram negativamente a saúde bucal e que necessitam de algum tipo de PT superior. Abstract This article aims to analyze the prevalence and associated factors of TMJ alterations in elderly institutionalized. An cross-sectional study of 1192 elderly institutionalized in Brazil was undertaken. Intra and extra-oral exams were performed and the TMJ was evaluated based on the Oral Health Assessment Form of the WHO (1997). Demographic data and elderly dependence were also collected. The self-perception of the elderly regarding oral health was measured using the Geriatric Oral Health Assessment Index -GOHAI. Data analysis was performed using the Chi-squared test and robust Poisson regression (level of significance of 5%). The prevalence of TMJ alteration was low compared to adults and was only associated with the state of dependence of the elderly individual (independent had 45.4% more alterations than dependent individuals), gender (women had 47.4% more alterations), self-perception of oral health (who evaluated negatively had 65.6% more alterations) and the need of upper dentures (who needed some kind of upper dentures had 45.8% more alterations than those who did not). Despite being low, the presence of alterations in the TMJ was more frequent in elderly independent, women, who evaluated negatively oral health and need some kind of upper dentures.

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Sleep disturbances and non-cyclical breast pain: where to break the vicious cycle?

Basım

Tolu

2021

Sleep Breath

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Purpose This study aimed to assess the sleep quality of patients with the complaint of non-cyclical breast pain (NCBP), compare them to a healthy control group, and analyze the interrelationship of sleep quality with pain, anxiety, depression, and quality of life. Methods This cross-sectional study was conducted in consecutive women presenting to the general surgery clinic between May 2020 and December 2020. Patients diagnosed with NCBP formed one group for study and 44 receiving routine wellwoman care formed the control group. Evaluations were undertaken using the Nottingham Health Profile (NHP), short-form McGill Pain Questionnaire (SF-MPQ), Hospital Anxiety and Depression Scale (HADS), and Pittsburgh Sleep Quality Index (PSQI).Results Of 160 consecutive patients, 116 were diagnosed with NCBP and 44 controls. Poor sleep quality (PSQI > 5) was present in 59% (n = 69) of the women with NCBP and 38% (n = 17) of the controls (p = 0.018). According to PSQI global score, overall sleep quality was significantly lower in the NCBP group compared to the control group (p < 0.007). Sleep latency, sleep duration, and daytime dysfunction were the major components determining the PSQI global score (p = 0.004, p = 0.004, and p < 0.001, respectively). The correlation matrix revealed a statistically significant correlation between the HAD-A, HAD-D, and SF-MSQ and NHP subgroups and PSQI global score in the NCBP group (p < 0.001) whereas this significant correlation was detected with only the NHP subgroups among the controls. Conclusions A considerable proportion of NCBP patients, regardless of sensory or affective characteristics and trajectory of pain, experience significant sleep disturbances. Further studies should be conducted to evaluate the existence of central sensitization syndrome in NCBP patients to determine the required pharmacological treatment.

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Stress levels and quality of sleep in subjects with temporomandibular joint dysfunction

Cited by 17 publications

References 11 publications

A Study of the Association Between Sleep Bruxism, Low Quality of Sleep, and Degenerative Changes of the Temporomandibular Joint

A Study of the Association Between Sleep Bruxism, Low Quality of Sleep, and Degenerative Changes of the Temporomandibular Joint

Prevalence and factors associated with alterations of the temporomandibular joint in institutionalized elderly

Sleep disturbances and non-cyclical breast pain: where to break the vicious cycle?

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