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

Figen Yavlal; Sena Boncuk; Yeşim Güzey Aras

Makale detayları

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

Yazarlar:

Figen Yavlal | Sena Boncuk | Yeşim Güzey Aras

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.95-102

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284741

pISSN:

2146-409X

Anahtar kelimeler:

Özet:

 OBJECTIVE: Morning headaches have been associated with sleep-related breathing disorders and Sleep Bruxism SB. The present study aims to investigate the relationship between SB, primary headaches and the severity of Obstructive Sleep Apnea Syndrome 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 ICHD. Age, gender, Body Mass Index BMI, headache type, presence of SB, OSAS stage according to Apnea-Hypopnea Index AHI, and presence of hypoxia were recorded. Patients were then divided into 2 groups of SB - and SB , 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 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 p0.05 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 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.

 OBJECTIVE: Morning headaches have been associated with sleep-related breathing disorders and Sleep Bruxism SB. The present study aims to investigate the relationship between SB, primary headaches and the severity of Obstructive Sleep Apnea Syndrome 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 ICHD. Age, gender, Body Mass Index BMI, headache type, presence of SB, OSAS stage according to Apnea-Hypopnea Index AHI, and presence of hypoxia were recorded. Patients were then divided into 2 groups of SB - and SB , 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 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 p0.05 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 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.

 OBJECTIVE: Morning headaches have been associated with sleep-related breathing disorders and Sleep Bruxism SB. The present study aims to investigate the relationship between SB, primary headaches and the severity of Obstructive Sleep Apnea Syndrome 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 ICHD. Age, gender, Body Mass Index BMI, headache type, presence of SB, OSAS stage according to Apnea-Hypopnea Index AHI, and presence of hypoxia were recorded. Patients were then divided into 2 groups of SB - and SB , 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 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 p0.05 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 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.

 AMAÇ: Sabah baş ağrıları, uyku ile ilişkili solunum bozuklukları ve Uyku Bruksizmi UB ile ilişkilendirilmiştir. Bu çalışmanın amacı, sabah baş ağrıları ile başvuran ve Obstrüktif Uyku Apne Sendromu OUAS ön tanısı olan hastalarda SB, primer baş ağrıları ve OUAS şiddeti arasındaki ilişkinin araştırılmasıdır. GEREÇ VE YÖNTEMLER: Çalışmaya OUAS ön tanılı olan sabah baş ağrısı yaşayan ve Uluslararası Baş Ağrısı Bozuklukları Sınıflandırmasına ICHD göre primer baş ağrısı tanısı alan 480 hasta dahil edildi. Yaş, cinsiyet, Beden Kitle İndeksi VKİ, baş ağrısı tipi, SB varlığı, Apne-Hipopne İndeksine AHİ göre OUAS evresi ve hipoksi varlığı kaydedildi. Hastalar daha sonra SB - ve SB  olarak 2 gruba ayrıldı ve her iki grup baş ağrısı açısından karşılaştırıldı. BULGULAR: Baş ağrısı tiplerine göre yapılan sınıflamada hastaların 31,5i migren, 41,9u gerilim tipi baş ağrısı TTH, 2,1i küme, 24,6sı diğer baş ağrısı tipleri olarak sınıflandırıldı. Hastaların 76sında SB yokken, 24ünde SB vardı. SB olan grupta TTH oranı SB olmayan gruba göre anlamlı olarak p0,05 daha yüksekti. Şiddetli OUAS ve yüksek VKİ, SB grubunda, SB olmayan gruba göre anlamlı olarak daha yüksekti p 0,05. SONUÇ: Sabah baş ağrısı ile başvuran hastalarda uyku ile ilişkili bozuklukların ayırıcı tanısını yapmak için PSG yapılmalıdır. Uyku bruksizmi olan hastalarda obezite, şiddetli OUAS, TTH, hipoksemi sık görülür. SB, baş ağrısı ve uykuda solunum bozukluğu, spesifik neden-sonuç ilişkisi olmaksızın ortak risk faktörlerini veya ortak patofizyolojiyi paylaşır.

Makale detayları

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

Yazarlar:

Figen Yavlal | Sena Boncuk | Yeşim Güzey Aras

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.95-102

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284741

pISSN:

2146-409X

sleep bruxism

obstructive sleep apnea syndrome

headache

obstrüktif uyku apne sendromu

baş ağrısı

uyku bruksizmi

Sayı

Makale detayları

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

Yazarlar: Figen Yavlal | Sena Boncuk | Yeşim Güzey Aras

Yayıncı: Sakarya University

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Sakarya Tıp Dergisi Vol.13 Issue 1, pp.95-102

Belge Tipi: Makale

Yayın Tarihi: 3/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001284741

pISSN: 2146-409X

sleep bruxism

obstructive sleep apnea syndrome

headache

obstrüktif uyku apne sendromu

baş ağrısı

uyku bruksizmi

Sayı

Yazarlar:

Figen Yavlal | Sena Boncuk | Yeşim Güzey Aras

Yayıncı:

Sakarya University

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Sakarya Tıp Dergisi Vol.13 Issue 1, pp.95-102

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001284741

pISSN:

2146-409X