Av. Ipiranga, 6681, 90619-900 Porto Alegre RS, Brazil
Med Oral Patol Oral Cir Bucal. 2021 Mar 1;26(2):e164-e171. doi: 10.4317/medoral.24096.
To study the association between sleep quality and oral health related variables, which still have conflicts in the literature.
This was a population-based case-control study between subjects with versus without sleep disorders from the Brazilian Public Health System (SUS), city of Maringá (N=1,643). Subjects answered self-reported questionnaires: a) Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD), b) Sleep Assessment Questionnaire (SAQ) and c) North York Dental Health Survey (NYDHS).
No significant difference was found for gender, marital status, or income; however, non-Caucasians, people with lower levels of education, and those between 20 to 50 years old had worse scores of sleep disorders in the SAQ. Self-perceived oral health, masticatory capacity to eat foods, and gingival bleeding was significantly worse among subjects with self-reported sleep disorders. Self-reported tooth loss, edentulism and use of removable partial dentures (with clasps) or complete dentures showed no significant difference between groups. Self-reported sleep disorder subjects presented significantly higher prevalence of both self-reported tooth and TMJ pain.
It can be concluded that individuals with self-reported sleep disorders presented worse self-perceived oral health for most studied variables.
研究睡眠质量与口腔健康相关变量之间的关系，这在文献中仍存在争议。
这是一项基于人群的病例对照研究，研究对象来自巴西公共卫生系统（SUS）、马里兰市的睡眠障碍患者（n=1643）与无睡眠障碍者。受试者回答了自我报告问卷：a）颞下颌关节紊乱研究诊断标准（RDC/TMD）、b）睡眠评估问卷（SAQ）和 c）北约克牙科健康调查（NYDHS）。
在性别、婚姻状况或收入方面无显著差异；然而，非白种人、受教育程度较低者以及 20 至 50 岁之间的人群在 SAQ 中睡眠障碍评分较差。自我报告有睡眠障碍者的自我感知口腔健康、咀嚼能力和牙龈出血情况明显较差。自我报告的牙齿缺失、无牙和使用带卡环的可摘局部义齿或全口义齿在两组之间无显著差异。自我报告睡眠障碍者的自我报告牙齿和 TMJ 疼痛的患病率明显更高。
可以得出结论，自我报告有睡眠障碍的个体在大多数研究变量中表现出较差的自我感知口腔健康。
