Obstructive sleep apnea: a follow-up program in its relation to temporomandibular joint disorder, sleep bruxism and orofacial pain

作者：Ruoyu Ning, Junjie Chen, Yanqin Lu, Jing Guo · 发表于：BMC Oral Health · 年份：2023 · DOI：10.1186/s12903-023-03264-9 · 被引用次数：16 · 研究领域：Obstructive Sleep Apnea Research、Temporomandibular Joint Disorders、Dental Erosion and Treatment

Abstract Objective To evaluate the correlation between obstructive sleep apnea (OSA) and temporomandibular joint (TMJ) morphology, tooth wear condition, orofacial pain through a follow-up program. Materials and methods Seventy one OSA patients were divided into three groups according to their (apnea hypopnea index) AHI: mild group ( n = 23), moderate group ( n = 24), and severe group ( n = 24). All patients had OSA therapies around six months after confirm the diagnosis of OSA. The tooth wear score and orofacial pain condition of all patients were recorded via clinical examination. Cone beam computed tomography (CBCT) images were also taken when confirm the diagnosis of OSA ( T 0 ), 6 months after the diagnosis ( T 1 ), and 6 months after the OSA treatment ( T 2 ). Parameters indicating the condylar morphology and joint space were evaluated. The differences of clinical symptoms and TMJ conditions among T 0 , T 1 and T 2 time point were detected in the three groups respectively. The changes in T 1 -T 0 and T 2 -T 1 of all descriptions among three groups were also compared . The correlations between AHI and clinical symptoms were detected with Spearman correlation analysis. Results In mild group, there was no difference in all clinical symptoms and TMJ morphology among the three time points. Both in moderate and severe group, the condylar volume, superficial area, wear score, visual analogue scales (VAS), and R value (indicating condyle position) displayed significant differenc...