J Am Dent Assoc. 2023 Nov;154(11):1024-1031. doi: 10.1016/j.adaj.2023.02.017. Epub 2023 Apr 20.
Central sensitization (CS) and temporomandibular disorder (TMD) are both associated with insomnia. Therefore, the authors aimed to investigate whether insomnia was associated with more symptoms of CS in patients with TMD.
In 82 volunteers with TMD, insomnia was clinically assessed, allowing sample stratification according to its presence. The Central Sensitization Inventory questionnaire was self-applied to assess the clinical symptoms of CS.
Participants with insomnia had significantly higher mean (SD) scores of CS according to the Central Sensitization Inventory than participants without insomnia (43.10 [12.57] vs 26.59 [13.66]; P = < .001).
Insomnia was associated with higher scores of CS symptoms in patients with TMD.
Insomnia influences TMD as well as its relationship with CS, and, therefore, it is critical to the clinical management of TMD.
中枢敏化（CS）和颞下颌关节紊乱（TMD）均与失眠有关。因此，作者旨在研究 TMD 患者的失眠是否与 CS 的更多症状有关。
在 82 名 TMD 志愿者中，通过临床评估失眠，根据其存在情况对样本进行分层。应用中枢敏化量表问卷自我评估 CS 的临床症状。
与无失眠者相比，失眠者的中枢敏化量表评分明显更高（均值 [标准差]：43.10 [12.57] vs 26.59 [13.66]；P<.001）。
TMD 患者的失眠与 CS 症状评分较高有关。
失眠会影响 TMD 及其与 CS 的关系，因此对 TMD 的临床管理至关重要。
