Effects of localized versus widespread TMD pain on sleep parameters in patients with bruxism: A single-night polysomnographic study.

Autor: de Siqueira JT; Orofacial Pain Team of Dentistry, Division of Hospital das Clínicas, Medical School of Universidade de São Paulo (USP), Brazil; Pain Center of Neurology, Department of Medical School of Universidade de São Paulo (USP), Brazil. Electronic address: jose.ttsiqueira@hc.fm.usp.br., Camparis CM; Araraquara Dentistry School, Universidade Estadual Paulista (UNESP), Brazil., de Siqueira SR; Orofacial Pain Team of Dentistry, Division of Hospital das Clínicas, Medical School of Universidade de São Paulo (USP), Brazil; Pain Center of Neurology, Department of Medical School of Universidade de São Paulo (USP), Brazil., Teixeira MJ; Pain Center of Neurology, Department of Medical School of Universidade de São Paulo (USP), Brazil., Bittencourt L; Psychobiology Department and Sleep Institute, Universidade Federal de São Paulo (UNIFESP), Brazil., Tufik S; Psychobiology Department and Sleep Institute, Universidade Federal de São Paulo (UNIFESP), Brazil.
Jazyk: angličtina
Zdroj: Archives of oral biology [Arch Oral Biol] 2017 Apr; Vol. 76, pp. 36-41. Date of Electronic Publication: 2017 Jan 16.
DOI: 10.1016/j.archoralbio.2016.06.027
Abstrakt: Objective: The purpose of this study was to investigate whether the presence of concomitant widespread pain could influence the polysomnographic characteristics of patients with Sleep Bruxism(SB) and chronic masticatory muscle pain(TMD).
Methods: 20 SB/TMD patients (17 women and 3 men) were evaluated according to the RDC/TMD questionnaire; and were divided into two groups according to the absence (Group A) or presence (Group B) of widespread pain. They were evaluated in a one night polysomnography paradigm.
Results: Group B had lower sleep efficiency (p=0.034) and higher mean age (p=0.000) than Group A. Self-reported orofacial pain complaints, clinical and emotional aspects (RDC/TMD Axis I and II), and SB PSG parameters were similar in both groups; all patients had masticatory myofascial pain and the pain characteristics were bilateral location (95.0%) and tightness/pressure quality (70.0%).
Conclusions: At a single-night PSG, SB/TMD patients with widespread pain presented lower PSG sleep efficiency and higher mean age.
(Copyright © 2017 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE