Association between sleep bruxism, use of antidepressants, and obstructive sleep apnea syndrome: A cross-sectional study.

Autor: Massahud MLB; Dentistry Department, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil., Bruzinga FFB; Dentistry Department, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil., Diniz SAM; Dentistry Department, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil., Seraidarian KKA; Dentistry Department, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil., Lopes RM; Polysomnography Service, Madre Teresa Hospital, Belo Horizonte, Brazil., Barros VM; Dentistry Department, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil., Seraidarian PI; Dentistry Department, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Brazil.
Jazyk: angličtina
Zdroj: Journal of oral rehabilitation [J Oral Rehabil] 2022 May; Vol. 49 (5), pp. 505-513. Date of Electronic Publication: 2022 Feb 18.
DOI: 10.1111/joor.13312
Abstrakt: Background: Sleep bruxism (SB) is a condition regulated centrally, with a multifactorial etiology, which can occur secondary to systemic disorders and the use of certain medications.
Objective: The aim of this study was to identify associations between SB, obstructive sleep apnea, and hypopnea syndrome (OSAHS) and the use of antidepressants.
Material and Methods: In this cross-sectional study, 240 individuals underwent full-night polysomnography for medical reasons. Anamnesis was performed to collect data about the use of antidepressants and general health conditions. Polysomnography was performed to analyse sleep data and assess respiratory-related events and apnea and hypopnea index (AHI). The polysomnographic assessment of SB was performed, from electrodes placed on masseter muscles and chin. SB was defined by the presence of more than two events of rhythmic masticatory muscles activity per hour of sleep. Statistical analyses were performed to compare the presence of SB and AHI, the severity of OSAHS, and the use of antidepressants.
Results: There were statistically significant differences between bruxers and non-bruxers when comparing AHI (48.28 ± 25.84; p = .001) and severity of OSAHS (p = .015). Regarding the use of antidepressants, comparative analyses did not show correlations with bruxism (p = .072). However, logistic regression suggests that the use of these medications may represent increased odds for SB development (OR =2.387; p = .005).
Conclusion: The relationship between the use of antidepressants and SB remains inconclusive. SB is associated with OSAHS, mainly in its severe form. Therefore, identifying SB can raise the suspicion of the occurrence of other systemic disturbances.
(© 2022 John Wiley & Sons Ltd.)
Databáze: MEDLINE
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