Abstract
Notes
Authors’ Contributions
J.H.K. and J.K.L. participated in conception and design of the study. J.H.K. analysis the data and performed statistical analysis. J.H.K. and J.K.L. wrote the manuscript. J.H.K. and J.K.L. edited and finally approved the manuscript. All authors approved the final version of the manuscript.
References
Table 1
Table 2
Study | Study design | Cases | Controls | Diagnostic criterial for painful TMD | Evaluation of sleep apnea and sleep quality | Major study findings |
---|---|---|---|---|---|---|
Alessandri-Bonetti et al.23 (2021) | Cross-sectional | 41 consecutive patients with OSA | 41 healthy controls | DC/TMD | PSG, site of obstruction observed by DISE | • 51% of consecutive OSA patients presented TMD signs and/or symptoms and 32% of controls showed TMD signs and/or symptoms. |
Dubrovsky et al.28 (2014) | Case-control | 124 females with myofascial TMD | 46 females without myofascial TMD | RDC/TMD criteria | PSG, ESS |
• TMD cases demonstrated higher levels of respiratory events and arousal. • TMD cases with chronic myofascial TMD presented mild sleep disturbance and mild increase in upper airway resistance. • The degree of sleep disturbance and upper airway resistance were associated with acute myofascial pain levels. |
Lee et al.29 (2022) | Cross-sectional | 503 chronic TMD patients | 180 healthy controls | DC/TMD axis I | PSQI, STOP-BANG, ESS |
• PSQI scores were higher in patients compared to controls and poor sleep was more prevalent in TMD patients. • Patients with chronic TMD had a higher likelihood of OSA and showed higher daytime sleepiness. |
Sanders et al.27 (2013) |
Prospective cohort Case-control |
2,604 participants in cohort study 1,614 participants in the case-control study |
Random sample of 102 controls with low likelihood of OSA | RDC/TMD criteria | PSQI, 4-itmes STOP screening questionnaire |
• Prospective cohort study: 1st onset TMD was two times higher in the 60% participants with high likelihood of OSA. • Case control study: chronic TMD cases had 3-fold higher odd ratios of high likelihood of OSA. |
Smith et al.22 (2009) | Cross-sectional | 53 patients with myofascial TMD | - | RDC/TMD axis I | ISI, PSG, PSQI, ESS |
• 89% of participants with myofascial TMD met the criteria for at least one sleep disorder and 43.4% of participants with myofascial TMD were diagnosed with more than 2 sleep disorders. • Prevalence of primary insomnia and sleep apnea was high in myofascial TMD patients. • The primary insomnia bay play a role in hyperalgesia in myofascial TMD patients. |
(OSA: obstructive sleep apnea, DC/TMD: Diagnostic Criteria for Temporomandibular Disorders, PSG: polysomnography, DISE: drug induced sleep endoscopy, TMD: temporomandibular disorder, RDC/TMD: Research Diagnostic Criteria for TMD, ESS: excessive daytime sleepiness, PSQI: Pittsburg Sleep Quality Index, ISI: Insomnia Severity Index)