Sleep bruxism (SB) may be not associated with obstructive sleep apnea (OSA): A comprehensive assessment employing a systematic review and meta-analysis

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY Sleep Medicine Reviews Pub Date : 2024-08-22 DOI:10.1016/j.smrv.2024.101994
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Abstract

Associations between obstructive sleep apnea (OSA) and sleep bruxism (SB) are the subject of discussion but have not been confirmed definitively. Therefore, the objective of this meta-analysis was to examine the relationship between OSA and SB. This systematic review was conducted in accordance with PRISMA 2020 guidelines. PubMed, Embase and Web of Science were screened up to February 2024. The risk of bias was assessed with the Joanna Briggs Institute tool. 2260 records were identified, but only 14 studies were included. The odds of SB presence in OSA did not differ from the control group (OR: 1.23, 95 % CI: 0.47–3.20). The chance of SB compared to controls also did not differ in mild OSA (OR: 1.56, 95 % CI: 0.76–3.18), in moderate OSA (OR: 1.51, 95 % CI: 0.77–2.94) and in severe OSA (OR: 1.50, 95 % CI: 0.68–3.29). Additionally, the odds of SB were not increased in moderate OSA in comparison to mild OSA (OR: 1.14, 95 % CI: 0.63–2.94), in severe OSA compared to moderate OSA (OR: 1.31, 95 % CI: 0.61–2.79) or in severe OSA compared to mild OSA (OR = 1.42, 95 % CI: 0.69–2.93). The presence of SB in OSA did not differ between genders (OR: 2.14, 95 % CI: 0.65–7.05). The quality of the major studies included is low; therefore, the noted lack of correlation between OSA and SB may require further research. The relationship between OSA and SB seems to be multi-faceted. Presented results should not exempt clinicians from exact diagnosis of concomitant sleep conditions in OSA subjects.

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睡眠磨牙症(SB)可能与阻塞性睡眠呼吸暂停(OSA)无关:通过系统回顾和荟萃分析进行全面评估
阻塞性睡眠呼吸暂停(OSA)与睡眠磨牙症(SB)之间的关系一直是讨论的主题,但尚未得到明确证实。因此,本荟萃分析旨在研究 OSA 与 SB 之间的关系。本系统综述根据 PRISMA 2020 指南进行。对截至 2024 年 2 月的 PubMed、Embase 和 Web of Science 进行了筛选。采用乔安娜-布里格斯研究所的工具对偏倚风险进行了评估。共找到 2260 条记录,但仅纳入了 14 项研究。OSA 患者出现 SB 的几率与对照组没有差异(OR:1.23,95 % CI:0.47-3.20)。与对照组相比,轻度 OSA(OR:1.56,95 % CI:0.76-3.18)、中度 OSA(OR:1.51,95 % CI:0.77-2.94)和重度 OSA(OR:1.50,95 % CI:0.68-3.29)出现 SB 的几率也没有差异。此外,中度 OSA 与轻度 OSA 相比(OR:1.14,95 % CI:0.63-2.94)、重度 OSA 与中度 OSA 相比(OR:1.31,95 % CI:0.61-2.79)或重度 OSA 与轻度 OSA 相比(OR = 1.42,95 % CI:0.69-2.93),SB 的几率均未增加。OSA 中是否存在 SB 在性别上没有差异(OR:2.14,95 % CI:0.65-7.05)。所纳入的主要研究质量较低;因此,OSA 和 SB 之间缺乏相关性可能需要进一步研究。OSA 和 SB 之间的关系似乎是多方面的。临床医生不应该因为这些结果而放弃对 OSA 患者同时存在的睡眠问题进行准确诊断。
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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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