Prevalence of Temporomandibular Disorders in Obstructive Sleep Apnea Patients Referred for Oral Appliance Therapy

Autor(es)

Cunali, Paulo A. ^{[1, 2]} ; Almeida, Femanda R. ^[3] ; Santos, Camila D. ^[1] ; Valdrighi, Natalia Y. ^[1] ; Nascimento, Liliane S. ^[1] ; Dal'Fabbro, Cibele ^[1] ; Tufik, Sergio ^[1] ; Bittencourt, Lia Rita A. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Paulo, Sleep Med & Biol Discipline, Dept Psychobiol, Sao Paulo - Brazil

^[2] Univ Fed Parana, Dept Dent, BR-80060000 Curitiba, Parana - Brazil

^[3] Univ British Columbia, Dept Oral Hlth Sci, Vancouver, BC V5Z 1M9 - Canada

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF OROFACIAL PAIN; v. 23, n. 4, p. 339-344, FAL 2009.
• Citações Web of Science: 22

Resumo

Aims: To evaluate the prevalence of pain associated with temporomandibular disorders (TMD) in obstructive sleep apnea syndrome (OSAS) patients referred for oral appliance therapy. Methods: Eighty-seven patients (46 men and 41 women), between 18 and 65 years of age, with an apnea-hypopnea index (AHI) of > 5 and < 30 (events by sleep hour), and body mass index (BMI) of = 30 Kg/m(2) were evaluated according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) to determine the presence of signs and symptoms of TMD. Statistical analyses included correlations assessed by Pearson's test. Results: Fifty-two percent of patients presented symptoms of TMD. Thirty-two patients (average age 47 +/- 11 years, AHI 17.3 +/- 8.7, BMI 25.9 +/- 3.8 kg/m(2)) completed the study. According to the Scoring Protocol for Graded Chronic Pain (Axis II-RDC/TMD), 75% of the patients presented chronic pain related to TMD, categorized as low disability grade I (< 50 points for pain intensity, and < 3 disability points). The most common TMD diagnosis was myofascial pain with and without limited mouth opening and arthralgia (50%). Conclusion: The high prevalence of TMD in the current study indicates that patients with OSAS referred for oral appliance therapy require specific evaluation related to TMD. J OROFAC PAIN 2009;23:339-344 (AU)

• Processo FAPESP: 06/04488-4 - Eficácia da terapia de suporte para disfunção temporomandibular em pacientes com síndrome da apneia e hipopneia do sono em tratamento com aparelho intra-oral: um estudo randomizado, duplo cego e controlado com placebo
• Beneficiário: Lia Rita Azeredo Bittencourt
• Modalidade de apoio: Auxílio à Pesquisa - Regular