Temporomandibular Disorders and Their Association with Sleep Disorders in Adults: A Systematic Review.

IF 1.9 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Oral & Facial Pain and Headache Pub Date : 2021-12-01 DOI:10.11607/ofph.2780

Thikriat Al-Jewair, Dina Shibeika, Richard Ohrbach

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引用次数: 12

Abstract

Aims: To investigate the associations between temporomandibular disorders (TMDs) and sleep disorders in adult subjects.

Methods: The PubMed, Embase, Evidence-Based Medicine Reviews, and ProQuest Dissertations & Theses databases were searched for studies published in English up to September 2019. Unpublished/gray literature and reference lists of identified articles were also examined. Inclusion criteria were male and female adults, presence or absence of a TMD based on the RDC/TMD or DC/TMD criteria, presence or absence of a sleep disorder according to the International Classification of Sleep Disorders, and any of the following study designs: cross-sectional, case-control, or longitudinal. Methodologic quality assessment was conducted using the National Heart, Lung, and Blood Institute quality assessment tools.

Results: Twenty-two studies (11 cross-sectional, 9 case-control, 1 prospective cohort, and 1 mixed design) met the inclusion criteria. TMDs were assessed independently in relation to sleep bruxism (SB), obstructive sleep apnea (OSA), and sleep quality (SQ). All studies but one assessed TMDs using the RDC/TMD criteria. The relation between the TMD and the different sleep disorders was conflicting for SB and positive for OSA and SQ. Five studies were of good quality, and 17 were of fair quality.

Conclusions: The evidence is inconclusive regarding the relationship between TMDs and SB and insufficient regarding the relationship with OSA. There is consistently fair evidence to support an association between TMD and SQ. This study highlights the need for higher-quality longitudinal studies to clarify the association between TMDs and sleep disorders.

查看原文本刊更多论文

成人颞下颌紊乱及其与睡眠障碍的关系:一项系统综述。

目的:探讨成人颞下颌障碍(TMDs)与睡眠障碍的关系。方法:检索PubMed、Embase、循证医学评论(Evidence-Based Medicine Reviews)和ProQuest dissertation & thesis数据库，检索截至2019年9月发表的英文论文。还审查了未发表/灰色文献和确定文章的参考文献清单。纳入标准为成年男性和女性，根据RDC/TMD或DC/TMD标准是否存在TMD，根据国际睡眠障碍分类是否存在睡眠障碍，以及以下任何研究设计:横断面，病例对照或纵向。方法学质量评估采用国家心脏、肺和血液研究所质量评估工具进行。结果:22项研究(11项横断面研究、9项病例对照研究、1项前瞻性队列研究和1项混合设计研究)符合纳入标准。对tmd与睡眠磨牙症(SB)、阻塞性睡眠呼吸暂停(OSA)和睡眠质量(SQ)的关系进行独立评估。除一项研究外，所有研究均使用RDC/TMD标准评估TMD。TMD与不同睡眠障碍的关系在SB中不一致，在OSA和SQ中呈正相关。5项研究质量良好，17项研究质量一般。结论:tmd与SB的关系尚不明确，与OSA的关系尚不充分。一直有公平的证据支持TMD和SQ之间的联系。这项研究强调需要进行高质量的纵向研究，以阐明颞下颌颞痛和睡眠障碍之间的联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Oral & Facial Pain and Headache DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

5.10

自引率

4.00%

发文量

期刊介绍： Founded upon sound scientific principles, this journal continues to make important contributions that strongly influence the work of dental and medical professionals involved in treating oral and facial pain, including temporomandibular disorders, and headache. In addition to providing timely scientific research and clinical articles, the journal presents diagnostic techniques and treatment therapies for oral and facial pain, headache, mandibular dysfunction, and occlusion and covers pharmacology, physical therapy, surgery, and other pain-management methods.