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. 2022 Sep;49(9):849-859.
doi: 10.1111/joor.13344. Epub 2022 Jul 7.

Subjective sleep complaints were associated with painful temporomandibular disorders in adolescents: The Epidor-Adolescere study

Giovana Fernandes  1 , Maurits K A van Selms  2 , Frank Lobbezoo  2 , Ghizlane Aarab  2 , Guilherme Vinícius Vale do Braido  1 , Leticia Bueno Campi  1 , Paula Cristina Jordani  1 , Daniela Aparecida Godoi de Gonçalves  1
Affiliations

Subjective sleep complaints were associated with painful temporomandibular disorders in adolescents: The Epidor-Adolescere study

Giovana Fernandes et al. J Oral Rehabil. 2022 Sep.

Abstract

Background: Sleep disturbances in adolescents has received a lot of attention in the literature and it is recognised as a serious health concern. The association between pain and sleep disturbances in adolescents has been extensively studied. However, to the best of our knowledge, there is a lack of studies investigating the association between various subjective sleep variables and painful TMD in adolescents.

Objectives: to investigate the association between painful TMD and subjective sleep variables in adolescents' non-clinical sample. We conducted a cross-sectional study. TMD was classified according to the RDC/TMD criteria. The Revised Face Scale evaluated TMD pain intensity, and pressure pain thresholds (PPTs) were assessed in trigeminal and extra-trigeminal areas. The subjective sleep variables were assessed according to the Sleep Disturbance Scale for Children and Sleep Behaviour Questionnaire.

Results: The final sample consisted of 690 adolescents (12.7 ± 0.76 years), with 16.2% of them presenting painful TMD. Adolescents who frequently reported waking up more than twice per night and feeling tired when awake were more likely to present painful TMD symptoms [OR = 1.7 (95% CI: 1.04-2.90); p = .034 and OR = 1.6 (95% CI: 1.01-2.48); p = .046, respectively]. The intensity of TMD pain was negatively associated with sleep quality (p = .015). Also, PPT values in the trigeminal and extra-trigeminal areas were negatively associated with total sleep time (p = .048 and p = .042, respectively).

Conclusions: The present results point out the importance of considering sleep complaints associated with painful TMD in adolescents.

Keywords: adolescent; association; facial pain; sleep quality; sleep-wake disorder initiation; temporomandibular disorders.

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