Campos Gerais Higher Education Center - CESCAGE, Ponta Grossa, Brazil.
Department of Prosthodontics and Periodontology, Bauru School of Dentistry - University of São Paulo - USP, Bauru, Brazil.
J Oral Rehabil. 2020 Aug;47(8):1041-1051. doi: 10.1111/joor.12993. Epub 2020 May 26.
This review aimed to systematically evaluate the association between painful temporomandibular disorders (TMD) and sleep quality in adults. Observational case-control studies using either RDC/TMD or DC/TMD for TMD diagnostic and validated questionnaires for sleep quality were selected by two reviewers in a two-phase process. A systematic review was conducted in accordance with the PRISMA statement. The search was performed in PubMed/MEDLINE, LILACS, SCOPUS, PsycINFO, Web of Science and Grey literature (ProQuest, Google Scholar and OpenGrey). To be eligible, studies had to include adults (>18 years old), with no language, gender or time of publication restrictions. The quality of the papers was assessed using the Newcastle-Ottawa Scale (NOS). Eight case-control studies were included, with high (4) and moderate (4) quality assessment. Seven studies reported a significant association between the presence of painful TMD and sleep quality (P < .05), while the other found impaired sleep in participants with higher sensitivity to heat pain (P < .001). When pain levels were concerned, using different pain scales, six studies found differences when compared to control groups. One study showed that in non-painful TMD, the PSQI values were not different when compared to the control group. An association exists between painful TMD and sleep quality. The presence of pain seems to strongly impact the sleep quality in TMD patients.
本综述旨在系统评估成年人的颞下颌关节紊乱（TMD）疼痛与睡眠质量之间的关联。通过两位审稿人分两阶段，选择了使用 RDC/TMD 或 DC/TMD 进行 TMD 诊断的观察性病例对照研究，以及用于睡眠质量的经过验证的问卷。根据 PRISMA 声明进行了系统综述。在 PubMed/MEDLINE、LILACS、SCOPUS、PsycINFO、Web of Science 和灰色文献（ProQuest、Google Scholar 和 OpenGrey）中进行了搜索。有资格的研究必须包括成年人（>18 岁），无语言、性别或出版时间限制。使用纽卡斯尔-渥太华量表（NOS）评估论文的质量。共纳入了 8 项病例对照研究，评估质量较高（4 项）和中等（4 项）。有 7 项研究报告称，存在疼痛性 TMD 与睡眠质量之间存在显著关联（P<.05），而另一项研究发现，对热痛敏感度较高的参与者睡眠质量受损（P<.001）。当涉及疼痛水平时，使用不同的疼痛量表，有 6 项研究发现与对照组存在差异。有一项研究表明，在非疼痛性 TMD 中，PSQI 值与对照组无差异。疼痛性 TMD 与睡眠质量之间存在关联。疼痛的存在似乎强烈影响 TMD 患者的睡眠质量。
