González González Ana, Montero Javier, Gómez Polo Cristina
Department of Surgery, School of Medicine, University of Salamanca, 37007 Salamanca, Spain.
J Clin Med. 2023 Jan 23;12(3):910. doi: 10.3390/jcm12030910.
The aim of this study was o determine the relationship between sleep bruxism (SB) and sleep apnea-hypopnea syndrome (SAHS) at the pathophysiological level, the risk factors, as well as the common signs and symptoms. A search was carried out using the databases PubMed, Web of Science, Scopus, and the Cochrane Library together with the Boolean equation "bruxism" AND "sleep apnea" AND "relation*"; the systematic search strategy limited the results to English language articles published from 2013 until December 2021. This review was conducted in accordance with the PRISMA statement. Nine articles were reviewed to relate SAHS and SB at different levels: two were systematic reviews (22%) and seven were research studies (78%). According to the literature reviewed, SB and SAHS occur simultaneously in 21.0% to 41.3% of cases. There are signs and symptoms that are common to both SAHS and SB. Rhythmic masticatory muscle activity (RMMA) precedes an SAHS event in 25% of subjects with SB, in contrast to 55% of the general population. SB and SAHS seem to have a certain concomitance, ranging between 20% and 40%, and they also share some risk factors such as advanced age, obesity, smoking, and alcohol consumption. Dentists should be aware of this relationship, as part of a multidisciplinary team, for early diagnosis.
本研究的目的是在病理生理水平上确定睡眠磨牙症（SB）与睡眠呼吸暂停低通气综合征（SAHS）之间的关系、危险因素以及常见的体征和症状。使用数据库PubMed、科学网、Scopus和考科蓝图书馆进行检索，并结合布尔方程“磨牙症”与“睡眠呼吸暂停”与“关系*”；系统检索策略将结果限制为2013年至2021年12月发表的英文文章。本综述按照PRISMA声明进行。对9篇文章进行了综述，以在不同层面上关联SAHS和SB：2篇为系统评价（22%），7篇为研究性研究（78%）。根据所综述的文献，SB和SAHS在21.0%至41.3%的病例中同时出现。SAHS和SB存在一些共同的体征和症状。在25%的SB患者中，节律性咀嚼肌活动（RMMA）先于SAHS事件发生，而在一般人群中这一比例为55%。SB和SAHS似乎有一定的伴随关系，范围在20%至40%之间，并共享一些危险因素，如高龄、肥胖、吸烟和饮酒。作为多学科团队的一部分，牙医应了解这种关系以便早期诊断。
