Is there any association between sleep disorder and temporomandibular joint dysfunction in adults? – A systematic review

Mendes, Amanda Tereza Pala; Tardelli, Juliana Dias Corpa; Botelho, André Luís; Reis, Andréa Cândido dos

doi:10.1080/08869634.2022.2154022

Cited by 10 publications

(7 citation statements)

References 25 publications

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“…Moreover, about the 51% of OSA patients showed signs and symptoms of TMD and about 30% of TMD patients met the diagnostic criteria for insomnia and OSA 29,30 . The linkage among these conditions may be found in the hyperalgesia that OSA patients might experience, in relation to the fragmented sleep and hypoxemia that might enhance peripheral and central pain sensitization, thus increasing spontaneous pain 29,31,32 .…”

Section: Discussionmentioning

confidence: 99%

“…28 Moreover, about the 51% of OSA patients showed signs and symptoms of TMD and about 30% of TMD patients met the diagnostic criteria for insomnia and OSA. 29,30 The linkage among these conditions may be found in the hyperalgesia that OSA patients might experience, in relation to the fragmented sleep and hypoxemia that might enhance peripheral and central pain sensitization, thus increasing spontaneous pain. 29,31,32 However, a recent crosssectional study performed by Bartolucci et al 33 showed that the prevalence of TMDs in adults with OSA was not significantly higher compared to healthy controls in their cohort; therefore, further studies should confirm this potential correlation providing reliable evidence on the role of conservative treatments for TMD in patients affected by OSA.…”

Section: Ta B L Ementioning

confidence: 99%

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Efficacy of orofacial myofunctional therapy combined with myofascial release in patients with mild obstructive sleep apnoea: a randomized controlled trial

Paolucci

Ferrillo

Pezzi

et al. 2023

J of Oral Rehabilitation

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Background: Obstructive sleep apnoea (OSA) is characterized by repetitive narrowing and collapse of pharyngeal airway during sleep, leading to apnoea or hypopnoea. In this context, myofunctional therapy and myofascial release might be effective, despite the literature on the combination of these approaches is still scarce.Objectives: This randomized controlled trial aimed to assess the efficacy of oro-facial myofunctional therapy combined with myofascial release in terms of functioning in patients with mild OSA.Methods: Patients aged from 40 to 80 years with diagnosis of mild OSA were randomly allocated into intervention group (oro-facial myofunctional therapy plus myofascial release) and control group (only oro-facial myofunctional therapy). At the baseline (T0), after 4 weeks (T1), and after 8 weeks (T2), the following outcomes were assessed: apnoea/hypopnoea index (AHI), average oxygen saturation (SpO 2 ), sleep time spent with oxygen saturation < 90% (T90), snoring index, and Pittsburgh Sleep Quality Index (PSQI).Results: Out of the 60 patients enrolled, 28 (aged 61.46 ± 8.74 years) complete the treatment in the intervention group and 24 (aged 60.42 ± 6.61 years) in the control group. There were no significant differences in AHI between groups. A significant difference was reported for ΔT0-T1 SpO2 (p = .01), T90 (p = .030), ΔT0-T1 and ΔT0-T2 snoring index (p = .026 and <.001 respectively), and ΔT0-T1 and ΔT0-T2 Pittsburgh Sleep Quality Index (p = .003 and <.001 respectively). Conclusion:Taken together, a combination of oro-facial myofunctional therapy and myofascial release showed a potential treatment for sleep quality in patients with mild OSA. Future studies are necessary to better investigate the role of these interventions in OSA patients.

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Section: Discussionmentioning

confidence: 99%

Section: Ta B L Ementioning

confidence: 99%

Efficacy of orofacial myofunctional therapy combined with myofascial release in patients with mild obstructive sleep apnoea: a randomized controlled trial

Paolucci

Ferrillo

Pezzi

et al. 2023

J of Oral Rehabilitation

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“…[14][15][16][17][18][19][20] As the aforementioned factors are also interrelated and linked to somatization and emotional disturbance, the relationship of functional jaw limitations with somatic symptoms and psychological distress warrants investigation. [21][22][23][24][25][26][27] East Asians, which consists of Chinese, Japanese and Koreans, appear to be more susceptible to somatization (the tendency to emphasize somatic symptoms when experiencing psychological distress) than Westerners due to various socio-cultural factors. [28][29][30][31] The plethora of psychosocial connotations associated with the functions of the jaw/mouth makes it an ideal anatomic site for the symbolic portrayal of psychological distress.…”

Section: Backg Rou N Dmentioning

confidence: 99%

Correlates of jaw functional limitation, somatization and psychological distress among different temporomandibular disorder diagnostic subtypes

Yap,

Kim,

Lee

et al. 2023

J of Oral Rehabilitation

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ObjectivesThis study investigated the jaw functional status and severity of somatic/psychological symptoms in different Diagnostic Criteria for temporomandibular disorders (DC/TMD) diagnostic subtypes and established the correlates between jaw functional limitation, somatization, depression and anxiety.MethodsData were accrued from consecutive ‘first‐visit’ patients seeking TMD treatment at a university‐based oral medicine/diagnosis clinic. Axis I physical TMD diagnoses were derived using the DC/TMD methodology and patients were categorized into pain‐related (PT), intra‐articular (IT) and combined (CT) TMD groups. Axis II measures were also administered and included the Jaw Functional Limitation Scale‐20 (JFLS‐20), Patient Health Questionnaire‐15 and 9 (PHQ‐15 and PHQ‐9) and General Anxiety Disorder Scale‐7 (GAD‐7). Chi‐square/Kruskal–Wallis tests and Spearman's correlation were employed for statistical evaluations (α = .05).ResultsThe final dataset consisted of 772 TMD patients (mean age of 37.7 ± 15.9 years; 70.2% females). The prevalence of PT, IT and CT was 11.9%, 15.7% and 72.4%, respectively. Significant differences in functional jaw limitations, somatization, depression (CT, PT > IT) and anxiety (CT > PT, IT) were observed. Moderate‐to‐severe somatization, depression and anxiety were detected in 12.6%–15.7% of patients. For all three TMD groups, JFLS global scale/subscale scores were weakly associated with somatization, depression and anxiety scores (rs < 0.4). Moderate‐to‐strong correlations were noted between somatization, depression and anxiety (rs = 0.50–0.74).ConclusionsFunctional jaw limitations were associated with painful TMDs but appear to be unrelated to somatization and psychological distress. Somatization and depression/anxiety were moderately correlated, underscoring the importance of somatic symptom screening when managing TMD patients.

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“…Pala Mendes et al in their systematic review confirmed the relationship between obstructive sleep apnea, insomnia, snoring and gastroesophageal reflux with TMD. These results indicate how many clinical implications for the overall health of patients are associated with the occurrence of temporomandibular disorders [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Masticatory muscle pain is the second most prevalent condition in the orofacial region after toothache. Whereas the most prevalent temporomandibular joint disorders is disc displacement with reduction, approximately 26% in adults/elderly and 7.5% in children/adolescents [ 8 ]. Both pain and functional limitation of mandibular mobility impair the everyday activities of patients, resulting in a significant reduction in the quality of life, thereby posing a significant public health problem [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Efficiency of occlusal splint therapy on orofacial muscle pain reduction: a systematic review

et al. 2023

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Background This systematic review aims to examine the existing original studies to determine the effectiveness of occlusal splints (OSs) in the management of orofacial myalgia and myofascial pain (MP) in comparison with no treatment or other interventions. Materials and methods Based on the inclusion and exclusion criteria of this systematic review, randomized controlled trials were qualified, in which the effectiveness of occlusal splint therapy in the management of muscle pain was examined in comparison with no treatment or other interventions. This systematic review was conducted according to the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020. The authors searched three databases (PubMed, CINAHL (The Cumulative Index to Nursing and Allied Health Literature) and Scopus) for English publications published between January 1, 2010, and June 1, 2022. The last database search was carried out on June 4, 2022. Data were extracted from the included studies and assessed for risk of bias using the revised Cochrane risk-of-bias tool for randomized trials. Results Thirteen studies were identified for inclusion in this review. In total, 589 patients were diagnosed with orofacial muscle pain who underwent education and various forms of therapy including different types of OSs, light emitting diode therapy, acupuncture, low-level laser therapy, device-supported sensorimotor training, Kinesio Taping, myofunctional therapy, and physical therapy. All studies included demonstrated a high risk of bias. Conclusions There is insufficient evidence regarding whether OS therapy in the treatment of orofacial myalgia and MP offers an advantage over other forms of interventions or no treatment. Further reliable clinical studies in this area are needed to improve the quality of research, which should be performed with larger groups of blinded respondents and controls. Clinical relevance Due to the large-scale nature of orofacial muscle pain, it is assumed that each dental clinician will meet patients with orofacial muscle pain repeatedly in daily practice; hence, the review of the effectiveness of OSs in the management of orofacial myalgia and MP is necessary.

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Is there any association between sleep disorder and temporomandibular joint dysfunction in adults? – A systematic review

Cited by 10 publications

References 25 publications

Efficacy of orofacial myofunctional therapy combined with myofascial release in patients with mild obstructive sleep apnoea: a randomized controlled trial

Efficacy of orofacial myofunctional therapy combined with myofascial release in patients with mild obstructive sleep apnoea: a randomized controlled trial

Correlates of jaw functional limitation, somatization and psychological distress among different temporomandibular disorder diagnostic subtypes

Efficiency of occlusal splint therapy on orofacial muscle pain reduction: a systematic review

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