AGGRAVATING FACTORS OF OBSTRUCTIVE SLEEP APNEA ASSOCIATED WITH TEMPOROMANDIBULAR DYSFUNCTION
Abstract
Obstructive Sleep Apnea (OSA) and Temporomandibular Disorder (TMD) are conditions that often coexist, significantly impacting the quality of life of patients. This study investigates the aggravating factors of OSA associated with TMD, analyzing the relationship between anatomical and functional alterations and parafunctional habits that may contribute to symptom exacerbation. The literature review suggests that airway obstruction, mandibular position, and muscle tension play key roles in this interaction. In addition, the importance of interdisciplinary diagnosis and therapeutic approaches that aim to minimize the impacts of these conditions on the patient's health is discussed. It is concluded that the interrelationship between OSA and TMD is multifactorial and requires an integrated therapeutic approach. Interdisciplinary treatment, involving dentistry, speech therapy, and sleep medicine, is essential to improve the quality of life of affected patients.
Author Biographies
Complexo Hospitalar Padre Bento de Guarulhos.
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Complexo Hospitalar Padre Bento de Guarulhos.
References
1. Alessandri-Bonetti A, Lobbezoo F, Mangino G, Aarab G, Gallenzi P. Obstructive sleep apnea treatment improves temporomandibular disorder pain. Sleep Breath. 2024;28:203-9 DOI: https://doi.org/10.1007/s11325-023-02883-4 DOI: https://doi.org/10.1007/s11325-023-02883-4
2. Balasubramaniam R, Klasser GD, Cistulli PA, Lavigne GJ. The link between sleep bruxism, sleep disordered breathing, and temporomandibular disorders: An evidence-based review. J Dent Sleep Med. 2014;1(1):27-37. DOI: https://doi.org/10.15331/jdsm.3736
3. Bartolucci ML, Bortolotti F, Pelligra I, Stipa C, Sorrenti G, Incerti-Parenti S, et al. Prevalence of temporomandibular disorders in adult obstructive sleep apnoea patients: A cross-sectional controlled study. J Oral Rehabil. 2023;50(3):269-76 DOI: https://doi.org/10.1111/joor.13419 DOI: https://doi.org/10.1111/joor.13419
4. Dubrovsky B, Raphael KG, Lavigne GJ, Janal MN, Sirois DA, Wigren PE, et al. Polysomnographic investigation of sleep and respiratory parameters in women with temporomandibular pain disorders. J Clin Sleep Med. 2014;10(2):195-201 DOI: https://doi.org/10.5664/jcsm.3452 DOI: https://doi.org/10.5664/jcsm.3452
5. Elsaraj SM, Gornitsky M, Hovey R, Samim F, Der Khatchadourian Z, Velly A. The contribution of insomnia and obstructive sleep apnea on the transition from acute to chronic painful temporomandibular disorders and their persistence: A prospective 3-month cohort study. Can J Pain. 2023;7(2):2266738 DOI: https://doi.org/10.1080/24740527.2023.2266738 DOI: https://doi.org/10.1080/24740527.2023.2266738
6. FelÃcio CM, Dias FVS, Folha GA, Almeida LA, Souza JF, Anselmo-Lima WT, et al. Orofacial motor functions in pediatric obstructive sleep apnea and implications for myofunctional therapy. Int J Pediatr Otorhinolaryngol. 2016;90:5-11 DOI: https://doi.org/10.1016/j.ijporl.2016.08.019 DOI: https://doi.org/10.1016/j.ijporl.2016.08.019
7. Huang Z, Aarab G, Chattrattrai T, Su N, Volgenant CMC, Hilgevoord AAJ, et al. Associated factors of primary snoring and obstructive sleep apnoea in patients with sleep bruxism: A questionnaire study. J Oral Rehabil. 2022;49(10):1115-23 DOI: https://doi.org/10.1111/joor.13354 DOI: https://doi.org/10.1111/joor.13354
8. Kang JH, Kim HJ. Potential role of obstructive sleep apnea on pain sensitization and jaw function in temporomandibular disorder patients. J Korean Med Sci. 2022 Oct 10;37(39):e307 DOI: https://doi.org/10.3346/jkms.2022.37.e307 DOI: https://doi.org/10.3346/jkms.2022.37.e307
9. Lee YH. Implications of obstructive sleep-related breathing disorder in dentistry: Focus on snoring and obstructive sleep apnea. Dent Res Oral Health. 2022;5(4):74-82 DOI: https://doi.org/10.26502/droh.0051 DOI: https://doi.org/10.26502/droh.0051
10. Lee YH, Jeon S, Auh Q-S, Chung EJ. Automatic prediction of obstructive sleep apnea in patients with temporomandibular disorder based on multidata and machine learning. J Oral Rehabil. 2024;51(3):245-59 DOI: https://doi.org/10.1111/joor.13389 DOI: https://doi.org/10.1038/s41598-024-70432-4
11. Maniaci A, Lavalle S, Anzalone R, Lo Giudice A, Cocuzza S, Parisi FM, et al. Oral health implications of obstructive sleep apnea: A literature review. Biomedicines. 2024;12(7):1382 DOI: https://doi.org/10.3390/biomedicines12071382 DOI: https://doi.org/10.3390/biomedicines12071382
12. Portelli M, Russo I, Bellocchio AM, Militi A, Nucera R. Correlations between obstructive sleep apnea syndrome and periodontitis: A systematic review and meta-analysis. J Clin Periodontol. 2021;48(5):650-60.
13. Sambale J, Koehler U, Conradt R, Kesper K, Cassel W, Degerli M, et al. Is sleep bruxism in obstructive sleep apnea only an oral health related problem? BMC Oral Health. 2024;24:565 DOI: https://doi.org/10.1186/s12903-024-04351-1 DOI: https://doi.org/10.1186/s12903-024-04351-1
14. Smith MT, Wickwire EM, Grace EG, Edwards RR, Buenaver LF, Peterson S, et al. Sleep disorders and their association with laboratory pain sensitivity in temporomandibular joint disorder. Sleep. 2009;32(6):779-90. DOI: https://doi.org/10.1093/sleep/32.6.779
15. Wang YP, Wei HX, Hu YY, Niu YM. Causal relationship between obstructive sleep apnea and temporomandibular disorders: A bidirectional Mendelian randomization analysis. Nat Sci Sleep. 2024;16:1045-52 DOI: https://doi.org/10.2147/NSS.S476277 DOI: https://doi.org/10.2147/NSS.S476277
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