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Is there an association between sleep bruxism and obstructive sleep apnea syndrome? A systematic review

  • Ana Júlia da Costa Lopes
  • Thays Crosara Abrahão Cunha
  • Maria Cecília Magalhães Monteiro
  • Júnia Maria Serra-Negra
  • Luana Cardoso Cabral
  • Paulo Cézar Simamoto JúniorEmail author
Sleep Breathing Physiology and Disorders • Original Article
First Online:

Abstract

Purpose

To elucidate current knowledge on the potential association and causality between sleep bruxism (SB) and obstructive sleep apnea (OSA) using full-night polysomnography.

Methods

Search strategies were developed for PubMed, Web of Science, Cochrane, LILACS, MEDLINE, and BBO-ODO and conducted until May 2019. The methodological quality was evaluated using the Qu-ATEBS tool.

Results

Two hundred seventy articles were identified and after independent screening of abstracts by two authors, 17 articles underwent full-text reading. Ten articles were excluded for not meeting the inclusion criteria and 7 were included in qualitative synthesis. Four studies support the association between SB and OSA: (a) a subtype of OSA patients may have SB as a protective response to respiratory events, (b) most episodes of bruxism occur shortly after the end of apnea/hypopnea (AH) events, (c) bruxism episodes occur secondary to arousals arising from AH events, and (d) there is a correlation between the frequency of SB and AH events, and three studies did not support: (e) AH episodes are related to non-specific SB oromotor activities, (f) SB episodes are not directly associated with the end of AH events, and (g) patients with OSA did not experience more SB events than control group.

Conclusion

There is no scientific evidence to support a conclusive relationship between SB and OSA. Further, well-designed and randomized studies with control groups are needed to investigate whether possible mechanisms common to SB and OSA exist and whether OSA treatment could improve SB negative oral health outcomes in patients with SB and comorbidity of OSA.

Keywords

Bruxism Obstructive sleep apnea Sleep bruxism Sleep-disordered breathing Systematic review 
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Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

11325_2019_1919_MOESM1_ESM.pdf (314 kb)
ESM 1 (PDF 313 kb)

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Ana Júlia da Costa Lopes
    • 1
  • Thays Crosara Abrahão Cunha
    • 1
  • Maria Cecília Magalhães Monteiro
    • 1
  • Júnia Maria Serra-Negra
    • 2
  • Luana Cardoso Cabral
    • 1
  • Paulo Cézar Simamoto Júnior
    • 3
    • 4
    Email author
  1. 1.School of DentistryFederal University of Uberlandia-UFUUberlândiaBrazil
  2. 2.School of Dentistry, Department of Pediatric Dentistry and OrthodonticsFederal University of Minas Gerais-UFMGBelo HorizonteBrazil
  3. 3.School of Dentistry, Department of Occlusion, Fixed Prosthesis and Dental MaterialsFederal University of Uberlandia-UFUUberlândiaBrazil
  4. 4.Faculdade de Odontologia da Universidade Federal de Uberlândia-FOUFUUberlândiaBrazil

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