Department of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University (Unesp), São Paulo, Brazil.
Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
J Oral Rehabil. 2022 Sep;49(9):849-859. doi: 10.1111/joor.13344. Epub 2022 Jul 7.
Sleep disturbances in adolescents has received a lot of attention in the literature and it is recognised as a serious health concern. The association between pain and sleep disturbances in adolescents has been extensively studied. However, to the best of our knowledge, there is a lack of studies investigating the association between various subjective sleep variables and painful TMD in adolescents.
to investigate the association between painful TMD and subjective sleep variables in adolescents' non-clinical sample. We conducted a cross-sectional study. TMD was classified according to the RDC/TMD criteria. The Revised Face Scale evaluated TMD pain intensity, and pressure pain thresholds (PPTs) were assessed in trigeminal and extra-trigeminal areas. The subjective sleep variables were assessed according to the Sleep Disturbance Scale for Children and Sleep Behaviour Questionnaire.
The final sample consisted of 690 adolescents (12.7 ± 0.76 years), with 16.2% of them presenting painful TMD. Adolescents who frequently reported waking up more than twice per night and feeling tired when awake were more likely to present painful TMD symptoms [OR = 1.7 (95% CI: 1.04-2.90); p = .034 and OR = 1.6 (95% CI: 1.01-2.48); p = .046, respectively]. The intensity of TMD pain was negatively associated with sleep quality (p = .015). Also, PPT values in the trigeminal and extra-trigeminal areas were negatively associated with total sleep time (p = .048 and p = .042, respectively).
The present results point out the importance of considering sleep complaints associated with painful TMD in adolescents.
青少年的睡眠障碍在文献中受到了广泛关注，被认为是一个严重的健康问题。疼痛与青少年睡眠障碍之间的关系已经得到了广泛的研究。然而，据我们所知，目前缺乏研究调查青少年各种主观睡眠变量与疼痛性 TMD 之间的关系。
调查青少年非临床样本中疼痛性 TMD 与主观睡眠变量之间的关系。我们进行了一项横断面研究。根据 RDC/TMD 标准对 TMD 进行分类。修订面部量表评估 TMD 疼痛强度，三叉神经和三叉神经外区域评估压力疼痛阈值（PPT）。根据睡眠障碍量表儿童版和睡眠行为问卷评估主观睡眠变量。
最终样本包括 690 名青少年（12.7±0.76 岁），其中 16.2%的人存在疼痛性 TMD。频繁报告每晚醒来超过两次和醒来时感到疲倦的青少年更有可能出现疼痛性 TMD 症状[比值比（OR）=1.7（95%置信区间：1.04-2.90）；p=0.034 和 OR=1.6（95%置信区间：1.01-2.48）；p=0.046，分别]。TMD 疼痛强度与睡眠质量呈负相关（p=0.015）。此外，三叉神经和三叉神经外区域的 PPT 值与总睡眠时间呈负相关（p=0.048 和 p=0.042，分别）。
本研究结果指出，在青少年中，考虑与疼痛性 TMD 相关的睡眠主诉非常重要。
