Negative association between self-reported jaw symptoms and apnea–hypopnea index in patients with symptoms of obstructive sleep apnea syndrome: a pilot study
Objectives Prior to oral appliance therapy for snoring and obstructive sleep apnea syndrome (OSAS), patients are screened for jaw symptoms (e.g., pain). However, the presence of jaw symptoms in a large spectrum of OSAS patients remains unknown. This study aimed to assess the distribution of subjecti...
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| Veröffentlicht in: | Sleep & breathing 2013-03, Vol.17 (1), p.373-379 |
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| creator | Kato, Takafumi Mikami, Akira Sugita, Hideko Muraki, Hisae Okura, Mutsumi Ohi, Motoharu Taniguchi, Mitsutaka |
| description | Objectives
Prior to oral appliance therapy for snoring and obstructive sleep apnea syndrome (OSAS), patients are screened for jaw symptoms (e.g., pain). However, the presence of jaw symptoms in a large spectrum of OSAS patients remains unknown. This study aimed to assess the distribution of subjective jaw symptoms in patients with symptoms of OSAS.
Methods
Five hundred and eleven consecutive patients (66 female, 445 male; mean age 49.6 ± 12.6 years) with clinical symptoms of OSAS were enrolled for cardiorespiratory evaluation. Self-administered questionnaires were used to assess jaw symptoms, tooth grinding and clenching during sleep, morning oral dryness, morning heartburn sensation, and pain in the neck and back.
Results
The mean apnea–hypopnea (AHI) index was 32.5 ± 30.6 per hour of sleep. Nineteen percent of patients (
n
= 96) reported at least one jaw symptom. The presence of jaw symptoms was more frequently reported by patients with AHI less than 15 (25 %) than those with AHI of 15 and more (15 %,
p
= 0.012). In the crude analyses, jaw symptoms were associated with tooth grinding, tooth clenching, morning oral dryness, morning heartburn sensation, and neck/back pain. Multiple logistic regression analysis confirmed that jaw symptoms were associated with AHI less than 15 (odds ratio (OR) 1.99,
p
= 0.009), tooth clenching (OR 1.79,
p
= 0.006), morning oral dryness (OR 2.17,
p
= 0.02), and neck/back pain (OR 1.99,
p
= 0.005).
Conclusions
Jaw symptoms can be found in 19 % of patients with symptoms of OSAS and are more frequently reported in patients with lower AHI, a patient population for whom oral appliances are often prescribed. |
| doi_str_mv | 10.1007/s11325-012-0704-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1289491326</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2894808231</sourcerecordid><originalsourceid>FETCH-LOGICAL-c402t-7f387e52ac3f37e93b62041a2c0a702eeb5375ae1c31f272e9ec0ac8ea6f18c03</originalsourceid><addsrcrecordid>eNp1kUFu1TAQhiMEoqVwADbIEkLqxsV24ueEHaooIFWwgbXlOJM2T4ltPA6Pt-MOHIC7cRKc5pUiJDb2SPPNP7_mL4qnnJ1xxtRL5LwUkjIuKFOsotW94phLIShXrLl_UzPaSC6OikeIW8Z4VTf8YXEkhBR1I-Vx8fMDXJk0fAViEL0dcu0daSHtABxBGHsaIfiYoCNbsyO4n0LyExLjOmKCA_Pr-4_rffBLSQbXwbf8kpB1wCUkuyFd3w35nvgWU5ztzUocAcKqkhnXRT_BK2JIGEafCKa52z8uHvRmRHhy-E-KzxdvPp2_o5cf374_f31JbcVEoqovawVSGFv2pYKmbDeCVdwIy4xiAqCVpZIGuC15L5SABnLH1mA2Pa8tK0-K01U3RP9lBkx6GtDCOBoHfkbN872qJp97k9Hn_6BbP0eX3S1UvWF105SZ4itlo0eM0OsQh8nEveZML-npNT2d09NLerrKM88OynM7Qfdn4jauDLw4AAatGftonB3wjsuxK6kWi2LlMLfcFcS_LP53-2-sX7Zj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1288608993</pqid></control><display><type>article</type><title>Negative association between self-reported jaw symptoms and apnea–hypopnea index in patients with symptoms of obstructive sleep apnea syndrome: a pilot study</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Kato, Takafumi ; Mikami, Akira ; Sugita, Hideko ; Muraki, Hisae ; Okura, Mutsumi ; Ohi, Motoharu ; Taniguchi, Mitsutaka</creator><creatorcontrib>Kato, Takafumi ; Mikami, Akira ; Sugita, Hideko ; Muraki, Hisae ; Okura, Mutsumi ; Ohi, Motoharu ; Taniguchi, Mitsutaka</creatorcontrib><description>Objectives
Prior to oral appliance therapy for snoring and obstructive sleep apnea syndrome (OSAS), patients are screened for jaw symptoms (e.g., pain). However, the presence of jaw symptoms in a large spectrum of OSAS patients remains unknown. This study aimed to assess the distribution of subjective jaw symptoms in patients with symptoms of OSAS.
Methods
Five hundred and eleven consecutive patients (66 female, 445 male; mean age 49.6 ± 12.6 years) with clinical symptoms of OSAS were enrolled for cardiorespiratory evaluation. Self-administered questionnaires were used to assess jaw symptoms, tooth grinding and clenching during sleep, morning oral dryness, morning heartburn sensation, and pain in the neck and back.
Results
The mean apnea–hypopnea (AHI) index was 32.5 ± 30.6 per hour of sleep. Nineteen percent of patients (
n
= 96) reported at least one jaw symptom. The presence of jaw symptoms was more frequently reported by patients with AHI less than 15 (25 %) than those with AHI of 15 and more (15 %,
p
= 0.012). In the crude analyses, jaw symptoms were associated with tooth grinding, tooth clenching, morning oral dryness, morning heartburn sensation, and neck/back pain. Multiple logistic regression analysis confirmed that jaw symptoms were associated with AHI less than 15 (odds ratio (OR) 1.99,
p
= 0.009), tooth clenching (OR 1.79,
p
= 0.006), morning oral dryness (OR 2.17,
p
= 0.02), and neck/back pain (OR 1.99,
p
= 0.005).
Conclusions
Jaw symptoms can be found in 19 % of patients with symptoms of OSAS and are more frequently reported in patients with lower AHI, a patient population for whom oral appliances are often prescribed.</description><identifier>ISSN: 1520-9512</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-012-0704-4</identifier><identifier>PMID: 22528955</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Comorbidity ; Dentistry ; Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Internal Medicine ; Japan ; Male ; Mandibular Advancement - instrumentation ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Mouth ; Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis ; Nervous system (semeiology, syndromes) ; Neurology ; Occlusal Splints ; Original Article ; Otorhinolaryngology ; Patients ; Pediatrics ; Pilot Projects ; Pneumology/Respiratory System ; Polysomnography ; Sleep apnea ; Sleep Apnea, Obstructive - diagnosis ; Sleep Apnea, Obstructive - epidemiology ; Sleep Apnea, Obstructive - therapy ; Sleep deprivation ; Sleep. Vigilance ; Snoring - diagnosis ; Snoring - epidemiology ; Snoring - therapy ; Temporomandibular Joint Dysfunction Syndrome - diagnosis ; Temporomandibular Joint Dysfunction Syndrome - epidemiology ; Temporomandibular Joint Dysfunction Syndrome - therapy ; Vertebrates: nervous system and sense organs ; Young Adult</subject><ispartof>Sleep & breathing, 2013-03, Vol.17 (1), p.373-379</ispartof><rights>Springer-Verlag 2012</rights><rights>2014 INIST-CNRS</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c402t-7f387e52ac3f37e93b62041a2c0a702eeb5375ae1c31f272e9ec0ac8ea6f18c03</citedby><cites>FETCH-LOGICAL-c402t-7f387e52ac3f37e93b62041a2c0a702eeb5375ae1c31f272e9ec0ac8ea6f18c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-012-0704-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-012-0704-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27097576$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22528955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kato, Takafumi</creatorcontrib><creatorcontrib>Mikami, Akira</creatorcontrib><creatorcontrib>Sugita, Hideko</creatorcontrib><creatorcontrib>Muraki, Hisae</creatorcontrib><creatorcontrib>Okura, Mutsumi</creatorcontrib><creatorcontrib>Ohi, Motoharu</creatorcontrib><creatorcontrib>Taniguchi, Mitsutaka</creatorcontrib><title>Negative association between self-reported jaw symptoms and apnea–hypopnea index in patients with symptoms of obstructive sleep apnea syndrome: a pilot study</title><title>Sleep & breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Objectives
Prior to oral appliance therapy for snoring and obstructive sleep apnea syndrome (OSAS), patients are screened for jaw symptoms (e.g., pain). However, the presence of jaw symptoms in a large spectrum of OSAS patients remains unknown. This study aimed to assess the distribution of subjective jaw symptoms in patients with symptoms of OSAS.
Methods
Five hundred and eleven consecutive patients (66 female, 445 male; mean age 49.6 ± 12.6 years) with clinical symptoms of OSAS were enrolled for cardiorespiratory evaluation. Self-administered questionnaires were used to assess jaw symptoms, tooth grinding and clenching during sleep, morning oral dryness, morning heartburn sensation, and pain in the neck and back.
Results
The mean apnea–hypopnea (AHI) index was 32.5 ± 30.6 per hour of sleep. Nineteen percent of patients (
n
= 96) reported at least one jaw symptom. The presence of jaw symptoms was more frequently reported by patients with AHI less than 15 (25 %) than those with AHI of 15 and more (15 %,
p
= 0.012). In the crude analyses, jaw symptoms were associated with tooth grinding, tooth clenching, morning oral dryness, morning heartburn sensation, and neck/back pain. Multiple logistic regression analysis confirmed that jaw symptoms were associated with AHI less than 15 (odds ratio (OR) 1.99,
p
= 0.009), tooth clenching (OR 1.79,
p
= 0.006), morning oral dryness (OR 2.17,
p
= 0.02), and neck/back pain (OR 1.99,
p
= 0.005).
Conclusions
Jaw symptoms can be found in 19 % of patients with symptoms of OSAS and are more frequently reported in patients with lower AHI, a patient population for whom oral appliances are often prescribed.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Dentistry</subject><subject>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Japan</subject><subject>Male</subject><subject>Mandibular Advancement - instrumentation</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Mouth</subject><subject>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Occlusal Splints</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pilot Projects</subject><subject>Pneumology/Respiratory System</subject><subject>Polysomnography</subject><subject>Sleep apnea</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep Apnea, Obstructive - epidemiology</subject><subject>Sleep Apnea, Obstructive - therapy</subject><subject>Sleep deprivation</subject><subject>Sleep. Vigilance</subject><subject>Snoring - diagnosis</subject><subject>Snoring - epidemiology</subject><subject>Snoring - therapy</subject><subject>Temporomandibular Joint Dysfunction Syndrome - diagnosis</subject><subject>Temporomandibular Joint Dysfunction Syndrome - epidemiology</subject><subject>Temporomandibular Joint Dysfunction Syndrome - therapy</subject><subject>Vertebrates: nervous system and sense organs</subject><subject>Young Adult</subject><issn>1520-9512</issn><issn>1522-1709</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUFu1TAQhiMEoqVwADbIEkLqxsV24ueEHaooIFWwgbXlOJM2T4ltPA6Pt-MOHIC7cRKc5pUiJDb2SPPNP7_mL4qnnJ1xxtRL5LwUkjIuKFOsotW94phLIShXrLl_UzPaSC6OikeIW8Z4VTf8YXEkhBR1I-Vx8fMDXJk0fAViEL0dcu0daSHtABxBGHsaIfiYoCNbsyO4n0LyExLjOmKCA_Pr-4_rffBLSQbXwbf8kpB1wCUkuyFd3w35nvgWU5ztzUocAcKqkhnXRT_BK2JIGEafCKa52z8uHvRmRHhy-E-KzxdvPp2_o5cf374_f31JbcVEoqovawVSGFv2pYKmbDeCVdwIy4xiAqCVpZIGuC15L5SABnLH1mA2Pa8tK0-K01U3RP9lBkx6GtDCOBoHfkbN872qJp97k9Hn_6BbP0eX3S1UvWF105SZ4itlo0eM0OsQh8nEveZML-npNT2d09NLerrKM88OynM7Qfdn4jauDLw4AAatGftonB3wjsuxK6kWi2LlMLfcFcS_LP53-2-sX7Zj</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Kato, Takafumi</creator><creator>Mikami, Akira</creator><creator>Sugita, Hideko</creator><creator>Muraki, Hisae</creator><creator>Okura, Mutsumi</creator><creator>Ohi, Motoharu</creator><creator>Taniguchi, Mitsutaka</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7T5</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Negative association between self-reported jaw symptoms and apnea–hypopnea index in patients with symptoms of obstructive sleep apnea syndrome: a pilot study</title><author>Kato, Takafumi ; Mikami, Akira ; Sugita, Hideko ; Muraki, Hisae ; Okura, Mutsumi ; Ohi, Motoharu ; Taniguchi, Mitsutaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-7f387e52ac3f37e93b62041a2c0a702eeb5375ae1c31f272e9ec0ac8ea6f18c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Dentistry</topic><topic>Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Japan</topic><topic>Male</topic><topic>Mandibular Advancement - instrumentation</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Mouth</topic><topic>Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Occlusal Splints</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pilot Projects</topic><topic>Pneumology/Respiratory System</topic><topic>Polysomnography</topic><topic>Sleep apnea</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep Apnea, Obstructive - epidemiology</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Sleep deprivation</topic><topic>Sleep. Vigilance</topic><topic>Snoring - diagnosis</topic><topic>Snoring - epidemiology</topic><topic>Snoring - therapy</topic><topic>Temporomandibular Joint Dysfunction Syndrome - diagnosis</topic><topic>Temporomandibular Joint Dysfunction Syndrome - epidemiology</topic><topic>Temporomandibular Joint Dysfunction Syndrome - therapy</topic><topic>Vertebrates: nervous system and sense organs</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kato, Takafumi</creatorcontrib><creatorcontrib>Mikami, Akira</creatorcontrib><creatorcontrib>Sugita, Hideko</creatorcontrib><creatorcontrib>Muraki, Hisae</creatorcontrib><creatorcontrib>Okura, Mutsumi</creatorcontrib><creatorcontrib>Ohi, Motoharu</creatorcontrib><creatorcontrib>Taniguchi, Mitsutaka</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Social Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep & breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kato, Takafumi</au><au>Mikami, Akira</au><au>Sugita, Hideko</au><au>Muraki, Hisae</au><au>Okura, Mutsumi</au><au>Ohi, Motoharu</au><au>Taniguchi, Mitsutaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Negative association between self-reported jaw symptoms and apnea–hypopnea index in patients with symptoms of obstructive sleep apnea syndrome: a pilot study</atitle><jtitle>Sleep & breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>17</volume><issue>1</issue><spage>373</spage><epage>379</epage><pages>373-379</pages><issn>1520-9512</issn><eissn>1522-1709</eissn><abstract>Objectives
Prior to oral appliance therapy for snoring and obstructive sleep apnea syndrome (OSAS), patients are screened for jaw symptoms (e.g., pain). However, the presence of jaw symptoms in a large spectrum of OSAS patients remains unknown. This study aimed to assess the distribution of subjective jaw symptoms in patients with symptoms of OSAS.
Methods
Five hundred and eleven consecutive patients (66 female, 445 male; mean age 49.6 ± 12.6 years) with clinical symptoms of OSAS were enrolled for cardiorespiratory evaluation. Self-administered questionnaires were used to assess jaw symptoms, tooth grinding and clenching during sleep, morning oral dryness, morning heartburn sensation, and pain in the neck and back.
Results
The mean apnea–hypopnea (AHI) index was 32.5 ± 30.6 per hour of sleep. Nineteen percent of patients (
n
= 96) reported at least one jaw symptom. The presence of jaw symptoms was more frequently reported by patients with AHI less than 15 (25 %) than those with AHI of 15 and more (15 %,
p
= 0.012). In the crude analyses, jaw symptoms were associated with tooth grinding, tooth clenching, morning oral dryness, morning heartburn sensation, and neck/back pain. Multiple logistic regression analysis confirmed that jaw symptoms were associated with AHI less than 15 (odds ratio (OR) 1.99,
p
= 0.009), tooth clenching (OR 1.79,
p
= 0.006), morning oral dryness (OR 2.17,
p
= 0.02), and neck/back pain (OR 1.99,
p
= 0.005).
Conclusions
Jaw symptoms can be found in 19 % of patients with symptoms of OSAS and are more frequently reported in patients with lower AHI, a patient population for whom oral appliances are often prescribed.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22528955</pmid><doi>10.1007/s11325-012-0704-4</doi><tpages>7</tpages></addata></record> |
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| ispartof | Sleep & breathing, 2013-03, Vol.17 (1), p.373-379 |
| issn | 1520-9512 1522-1709 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1289491326 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Comorbidity Dentistry Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes Female Fundamental and applied biological sciences. Psychology Humans Internal Medicine Japan Male Mandibular Advancement - instrumentation Medical sciences Medicine Medicine & Public Health Middle Aged Mouth Multiple sclerosis and variants. Guillain barré syndrome and other inflammatory polyneuropathies. Leukoencephalitis Nervous system (semeiology, syndromes) Neurology Occlusal Splints Original Article Otorhinolaryngology Patients Pediatrics Pilot Projects Pneumology/Respiratory System Polysomnography Sleep apnea Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - epidemiology Sleep Apnea, Obstructive - therapy Sleep deprivation Sleep. Vigilance Snoring - diagnosis Snoring - epidemiology Snoring - therapy Temporomandibular Joint Dysfunction Syndrome - diagnosis Temporomandibular Joint Dysfunction Syndrome - epidemiology Temporomandibular Joint Dysfunction Syndrome - therapy Vertebrates: nervous system and sense organs Young Adult |
| title | Negative association between self-reported jaw symptoms and apnea–hypopnea index in patients with symptoms of obstructive sleep apnea syndrome: a pilot study |
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