The Effect of Severity of Obstructive Sleep Apnea on Sleep Bruxism in Respiratory Polygraphy Study

Obstructive sleep apnea (OSA) and sleep bruxism (SB) may appear concomitantly. Data on the relationship between OSA and SB are limited. It was shown that in a population with an increased risk of OSA, OSA was dependently correlated with SB on the degree of OSA severity only in mild and moderate case...

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Main Authors: Klaudia Kazubowska-Machnowska, Anna Jodkowska, Monika Michalek-Zrabkowska, Mieszko Wieckiewicz, Rafal Poreba, Marzena Dominiak, Pawel Gac, Grzegorz Mazur, Justyna Kanclerska, Helena Martynowicz
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/12/7/828
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author Klaudia Kazubowska-Machnowska
Anna Jodkowska
Monika Michalek-Zrabkowska
Mieszko Wieckiewicz
Rafal Poreba
Marzena Dominiak
Pawel Gac
Grzegorz Mazur
Justyna Kanclerska
Helena Martynowicz
author_facet Klaudia Kazubowska-Machnowska
Anna Jodkowska
Monika Michalek-Zrabkowska
Mieszko Wieckiewicz
Rafal Poreba
Marzena Dominiak
Pawel Gac
Grzegorz Mazur
Justyna Kanclerska
Helena Martynowicz
author_sort Klaudia Kazubowska-Machnowska
collection DOAJ
description Obstructive sleep apnea (OSA) and sleep bruxism (SB) may appear concomitantly. Data on the relationship between OSA and SB are limited. It was shown that in a population with an increased risk of OSA, OSA was dependently correlated with SB on the degree of OSA severity only in mild and moderate cases of OSA. We aimed to confirm this relationship and affecting factors in a group of dental office patients in a prospective, observational study. Adult patients (<i>n</i> = 119) were evaluated using respiratory polygraphy. The risk of OSA was assessed using a STOP-Bang questionnaire (SBQ). The episodes of bruxism and respiratory events were scored according to the standards of the American Academy of Sleep Medicine. The prevalence of OSA and SB was found to be 63.02% and 41.17%, respectively. The bruxism episode index (BEI) was increased in the group with a higher risk of OSA (SBQ ≥ 3) compared to the group with a lower risk of OSA (3.49 ± 3.63 vs. 2.27 ± 2.50, <i>p</i> = 0.03). The sensitivity and specificity of the SBQ were not sufficient to predict SB. A positive linear correlation between AHI and BEI in the group with AHI < 23/h was found. The study confirmed that OSA was associated with SB in the group of patients with OSA and/or SB risk. The relationship between OSA and SB depended on the degree of severity of OSA and occurred in mild and moderate cases of OSA.
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spelling doaj.art-4758a20ea59f4653aaf36c65f2d55e3a2023-12-01T21:57:21ZengMDPI AGBrain Sciences2076-34252022-06-0112782810.3390/brainsci12070828The Effect of Severity of Obstructive Sleep Apnea on Sleep Bruxism in Respiratory Polygraphy StudyKlaudia Kazubowska-Machnowska0Anna Jodkowska1Monika Michalek-Zrabkowska2Mieszko Wieckiewicz3Rafal Poreba4Marzena Dominiak5Pawel Gac6Grzegorz Mazur7Justyna Kanclerska8Helena Martynowicz9Department of Oral Surgery, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Experimental Dentistry, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Oral Surgery, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, PolandDepartment of Population Health, Division of Environmental Health and Occupational Medicine, Wroclaw Medical University, 7 Mikulicza-Radeckiego St., 50-345 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandObstructive sleep apnea (OSA) and sleep bruxism (SB) may appear concomitantly. Data on the relationship between OSA and SB are limited. It was shown that in a population with an increased risk of OSA, OSA was dependently correlated with SB on the degree of OSA severity only in mild and moderate cases of OSA. We aimed to confirm this relationship and affecting factors in a group of dental office patients in a prospective, observational study. Adult patients (<i>n</i> = 119) were evaluated using respiratory polygraphy. The risk of OSA was assessed using a STOP-Bang questionnaire (SBQ). The episodes of bruxism and respiratory events were scored according to the standards of the American Academy of Sleep Medicine. The prevalence of OSA and SB was found to be 63.02% and 41.17%, respectively. The bruxism episode index (BEI) was increased in the group with a higher risk of OSA (SBQ ≥ 3) compared to the group with a lower risk of OSA (3.49 ± 3.63 vs. 2.27 ± 2.50, <i>p</i> = 0.03). The sensitivity and specificity of the SBQ were not sufficient to predict SB. A positive linear correlation between AHI and BEI in the group with AHI < 23/h was found. The study confirmed that OSA was associated with SB in the group of patients with OSA and/or SB risk. The relationship between OSA and SB depended on the degree of severity of OSA and occurred in mild and moderate cases of OSA.https://www.mdpi.com/2076-3425/12/7/828polygraphyobstructive sleep apneasleep bruxismSTOP-Bang questionnaire
spellingShingle Klaudia Kazubowska-Machnowska
Anna Jodkowska
Monika Michalek-Zrabkowska
Mieszko Wieckiewicz
Rafal Poreba
Marzena Dominiak
Pawel Gac
Grzegorz Mazur
Justyna Kanclerska
Helena Martynowicz
The Effect of Severity of Obstructive Sleep Apnea on Sleep Bruxism in Respiratory Polygraphy Study
Brain Sciences
polygraphy
obstructive sleep apnea
sleep bruxism
STOP-Bang questionnaire
title The Effect of Severity of Obstructive Sleep Apnea on Sleep Bruxism in Respiratory Polygraphy Study
title_full The Effect of Severity of Obstructive Sleep Apnea on Sleep Bruxism in Respiratory Polygraphy Study
title_fullStr The Effect of Severity of Obstructive Sleep Apnea on Sleep Bruxism in Respiratory Polygraphy Study
title_full_unstemmed The Effect of Severity of Obstructive Sleep Apnea on Sleep Bruxism in Respiratory Polygraphy Study
title_short The Effect of Severity of Obstructive Sleep Apnea on Sleep Bruxism in Respiratory Polygraphy Study
title_sort effect of severity of obstructive sleep apnea on sleep bruxism in respiratory polygraphy study
topic polygraphy
obstructive sleep apnea
sleep bruxism
STOP-Bang questionnaire
url https://www.mdpi.com/2076-3425/12/7/828
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