Understanding the clinical management of co‐occurring sleep‐related bruxism and obstructive sleep apnea in adults: A narrative and critical review DOI Creative Commons
Cibele Dal Fabbro,

Thomas Bornhardt‐Suazo,

A. Schönbeck

et al.

Journal of Prosthodontics, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 30, 2024

Abstract Sleep‐related bruxism (SRB) is a motor oral behavior characterized by tooth grinding and jaw clenching activity, reported 8%–12% of the adult general population 3% older individuals. The frequency one its biomarkers, rhythmic masticatory muscle activity (RMMA), remains elevated across ages. Obstructive sleep apnea (OSA) associated with brief repetitive pause breathing (apnea) transient reduction in oxygen (hypoxia). OSA observed at all ages about 50% individuals male preponderance. SRB clinical assessment based on self‐reporting sound, awareness clenching, pain or headache, observation damage. sleepiness fatigue, snoring, quality, cessation, plus examination anatomical factors (e.g., obesity, retrognathia, large tonsil, macroglossia), age, gender, body mass. Although literature does not support association causality between these two conditions, co‐occurrence 30%–50% adults. To confirm diagnosis co‐occurring OSA, home testing (HST) may be indicated. A test performed using electromyography (EMG) (masseter temporalis) cardio‐respiratory variables air flow, respiratory effort, level, heart rate). management for prosthodontic needs challenging to prevent compromising oro‐pharyngeal space efficiency. treatment presence includes continuous positive airway pressure (CPAP) use alone an occlusal splint mandibular advancement device (MAD). In addition, following considered: supine correction device, myofuncional therapy, medications, surgeries. All have limitations risks. Individual variability suggests that phenotyping mandatory select most efficient personalized treatment.

Language: Английский

Mandibular Oral Tori Predict the Presence but Not the Severity of Obstructive Sleep Apnoea. A Systematic Review and Meta‐Analysis of the Literature DOI Creative Commons
Chee Weng Yong, Bernadette Quah, Nicole Kong

et al.

Journal of Oral Rehabilitation, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 14, 2025

Oral torus assessment is recommended as a part of routine craniofacial examination in patients with obstructive sleep apnoea (OSA). However, there are conflicting studies on whether oral associated OSA and it affects therapy. This study aimed to systematically review the effects mandibular its treatment. The PubMed, Embase Cochrane Library databases were searched up 15 July 2024. Studies that included examined diagnosis severity (Apnoea-Hypopnea Index [AHI], oxygen saturation, blood pressure patient-reported outcomes), effectiveness treatment included. PRISMA guidelines followed for data extraction. Eleven 1372 study. Patients found have relative risk 1.9 (95% CI = 0.9; 4.1) OSA. pooled mean difference AHI between without was 1.6 -5.3; 8.6). Large be mild moderate but not severe A greater reduction after advancement device or soft-tissue surgery can achieved torus. significant when compared it. more likely Larger may Mandibular does impede

Language: Английский

Citations

0
Understanding the clinical management of co‐occurring sleep‐related bruxism and obstructive sleep apnea in adults: A narrative and critical review DOI Creative Commons
Cibele Dal Fabbro,

Thomas Bornhardt‐Suazo,

A. Schönbeck

et al.

Journal of Prosthodontics, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 30, 2024

Abstract Sleep‐related bruxism (SRB) is a motor oral behavior characterized by tooth grinding and jaw clenching activity, reported 8%–12% of the adult general population 3% older individuals. The frequency one its biomarkers, rhythmic masticatory muscle activity (RMMA), remains elevated across ages. Obstructive sleep apnea (OSA) associated with brief repetitive pause breathing (apnea) transient reduction in oxygen (hypoxia). OSA observed at all ages about 50% individuals male preponderance. SRB clinical assessment based on self‐reporting sound, awareness clenching, pain or headache, observation damage. sleepiness fatigue, snoring, quality, cessation, plus examination anatomical factors (e.g., obesity, retrognathia, large tonsil, macroglossia), age, gender, body mass. Although literature does not support association causality between these two conditions, co‐occurrence 30%–50% adults. To confirm diagnosis co‐occurring OSA, home testing (HST) may be indicated. A test performed using electromyography (EMG) (masseter temporalis) cardio‐respiratory variables air flow, respiratory effort, level, heart rate). management for prosthodontic needs challenging to prevent compromising oro‐pharyngeal space efficiency. treatment presence includes continuous positive airway pressure (CPAP) use alone an occlusal splint mandibular advancement device (MAD). In addition, following considered: supine correction device, myofuncional therapy, medications, surgeries. All have limitations risks. Individual variability suggests that phenotyping mandatory select most efficient personalized treatment.

Language: Английский

Citations

0