Otorhinolaryngology and Head and Neck Surgery Unit, ASST Bergamo Ovest, Treviglio-Caravaggio Hospital, Treviglio, Italy.
Dental Clinic, Vicenza, Italy.
J Oral Rehabil. 2023 Sep;50(9):918-919. doi: 10.1111/joor.13469. Epub 2023 Apr 28.
The relationship between obstructive sleep apnoea (OSA) and temporomandibular disorders (TMDs) is complex. Research has shown controversial evidence. The recent study by Bartolucci et al. titled 'Prevalence of temporomandibular disorders in adult obstructive sleep apnoea patients: A cross-sectional controlled study' reported no clear associations between the two conditions. However, it does not take into account the occlusal and mandibular features of the patients, which may justify the hypothetical coexistence of OSA and TMD in a subset of cases. In this letter, we discuss these aspects and possible biases that could have impaired the results.
阻塞性睡眠呼吸暂停(OSA)与颞下颌关节紊乱(TMD)之间的关系较为复杂。研究结果存在争议。Bartolucci 等人最近发表的题为“成人阻塞性睡眠呼吸暂停患者颞下颌关节紊乱的患病率:一项横断面对照研究”的研究报告显示,这两种疾病之间没有明确的关联。然而,该研究并未考虑患者的咬合和下颌特征,这可能解释了在某些情况下 OSA 和 TMD 可能同时存在的假设。在这封信中,我们讨论了这些方面以及可能影响研究结果的潜在偏倚。