The Effect of Bruxism on the Severity of OSAS in Patients with OSAS and Headache

Authors : Figen YAVLAL, Sena BONCUK, Yeşim GÜZEY ARAS

Pages : 95-102

Doi:10.31832/smj.1223058

View : 19 | Download : 8

Publication Date : 2023-03-16

Article Type : Research Paper

Abstract :OBJECTIVE: Morning headaches have been associated with sleep-related breathing disorders and Sleep Bruxism insert ignore into journalissuearticles values(SB);. The present study aims to investigate the relationship between SB, primary headaches and the severity of Obstructive Sleep Apnea Syndrome insert ignore into journalissuearticles values(OSAS); in patients presenting with morning headaches and a prediagnosis of OSAS. MATERIALS AND METHODS: The study included 480 patients who prediagnosis of OSAS and morning headache complaints, and were diagnosed with primary headache according to the International Classification of Headache Disorders insert ignore into journalissuearticles values(ICHD);. Age, gender, Body Mass Index insert ignore into journalissuearticles values(BMI);, headache type, presence of SB, OSAS stage according to Apnea-Hypopnea Index insert ignore into journalissuearticles values(AHI);, and presence of hypoxia were recorded. Patients were then divided into 2 groups of SB insert ignore into journalissuearticles values(-); and SB insert ignore into journalissuearticles values(+);, and both groups were compared in terms of headache. RESULTS. In the classification according to headache types, 31.5% of the patients were classified as migraine, 41.9% as tension-type headache insert ignore into journalissuearticles values(TTH);, 2.1% as cluster, and 24.6% as other types of headache. While 76% of the patients had no SB, 24% had SB. The rate TTH was significantly insert ignore into journalissuearticles values(p<0.05); higher in the group with SB than in the group without SB. Severe OSAS and high BMI were significantly higher in the SB group compared to the non-SB group insert ignore into journalissuearticles values(p <0.05);. CONCLUSION: PSG should be performed to make a differential diagnosis of sleep-related disorders in patients presenting with a morning headache. Obesity, severe OSAS, TTH, hypoxemia are common in patients with sleep bruxism. SB, headache, and sleep-disordered breathing share common risk factors or common pathophysiology without specific cause-and-effect relationship
Keywords : obstrüktif uyku apne sendromu, baş ağrısı, uyku bruksizmi