成人睡眠障碍与颞下颌关节紊乱之间是否存在关联？——一项系统综述。
Is there any association between sleep disorder and temporomandibular joint dysfunction in adults? - A systematic review.
作者信息
Pala Mendes Amanda Tereza, Tardelli Juliana Dias Corpa, Botelho André Luís, Dos Reis Andréa Cândido
机构信息
Department of Dental Materials and Prosthodontics, Ribeirão Preto Dental School, University of São Paulo (USP), Ribeirão Preto, Brazil.
出版信息
Cranio. 2025 May;43(3):426-437. doi: 10.1080/08869634.2022.2154022. Epub 2022 Dec 20.
OBJECTIVE
To answer the question, "Is there any association between sleep disorder and temporomandibular joint dysfunction (TMD) in adults?"
METHODS
This study followed PRISMA guidelines and was registered in PROSPERO. As eligibility criteria, observational studies that evaluated the association between sleep disorder and TMD were included. Exclusion criteria included a) studies that evaluated sleep quality and not the association of sleep disorders with TMD, b) experimental studies, book chapters, conference proceedings, and systematic reviews. The Joanna Briggs Institute tool was used to assess the risk of bias.
RESULTS
In the literature search, 3425 articles were found. After the exclusion of duplicates, 2752 were selected for reading the title and abstract, of which 26 were read in full, and 18 met eligibility criteria.
CONCLUSION
The association of sleep bruxism with TMD is controversial. While, for obstructive sleep apnea, insomnia, snoring, and gastroesophageal reflux, the analyzed studies showed a positive association.
目的
回答“成人睡眠障碍与颞下颌关节紊乱病（TMD）之间是否存在关联？”这一问题。
方法
本研究遵循PRISMA指南，并在PROSPERO中进行了注册。作为纳入标准，纳入评估睡眠障碍与TMD之间关联的观察性研究。排除标准包括：a）评估睡眠质量而非睡眠障碍与TMD关联的研究；b）实验研究、书籍章节、会议论文集和系统评价。使用乔安娜·布里格斯研究所工具评估偏倚风险。
结果
在文献检索中，共找到3425篇文章。排除重复文章后，选择2752篇阅读标题和摘要，其中26篇全文阅读，18篇符合纳入标准。
结论
睡眠磨牙症与TMD的关联存在争议。而对于阻塞性睡眠呼吸暂停、失眠、打鼾和胃食管反流，分析的研究显示存在正相关。
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