Manfredini Daniele, Thomas Davis C, Lobbezoo Frank
Facial Pain Unit, Department of Biomedical Technologies, School of Dentistry, University of Siena, Viale Bracci c/o Policlinico Le Scotte, Siena 53100, Italy.
Rutgers School of Dental Medicine, 110 Bergen St, Newark, NJ 07103, USA; Eastman Institute of Oral Health, Rochester, NY, USA.
Dent Clin North Am. 2023 Apr;67(2):323-334. doi: 10.1016/j.cden.2022.10.004. Epub 2023 Jan 4.
This paper provided an overview of the knowledge on the relationship between temporomandibular disorders (TMDs) and the main sleep conditions and disorders of dental interest, namely, sleep bruxism (SB), sleep apnea, and gastroesophageal reflux disease (GERD). It emerged that although the topic of SB as a possible detrimental factor for the stomatognathic structures has been the most studied, evidence is growing that SB, obstructive sleep apnea, and GERD, all belong to a circle of mutually interacting sleep disorders and conditions that, in turn, may be associated with TMDs. The pathophysiology of the cause-and-effect relationships, if existing, has to be elucidated yet.
本文概述了有关颞下颌关节紊乱病（TMDs）与主要睡眠状况以及口腔领域关注的睡眠障碍之间关系的知识，即睡眠磨牙症（SB）、睡眠呼吸暂停和胃食管反流病（GERD）。结果表明，尽管睡眠磨牙症作为口颌结构可能的有害因素这一话题研究最多，但越来越多的证据表明，睡眠磨牙症、阻塞性睡眠呼吸暂停和胃食管反流病都属于相互作用的睡眠障碍和状况的范畴，而这些反过来可能与颞下颌关节紊乱病有关。因果关系的病理生理学（如果存在的话）仍有待阐明。
