Publicado dic 30, 2023



PLUMX
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar


Pedro Mayoral Sanz

Manuel Lagravere Vich

Leopoldo Correa

##plugins.themes.bootstrap3.article.details##

Resumen

El bruxismo y la apnea obstructiva del sueño son dos entidades que se presentan conjuntamente en un elevado número de pacientes. Las consecuencias de estas son relevantes tanto para la salud oral como para la salud general y la calidad de vida de los afectados. La identificación, el diagnóstico y el tratamiento forma parte esencial de la actividad clínica de los odontólogos. El uso por parte de los odontólogos de los dispositivos de avance mandibular permite el abordaje de estos dos problemas con un único dispositivo. Para el adecuado tratamiento y manejo de estos pacientes es necesario que el odontólogo tenga una adecuada formación. En este artículo de revisión presentamos un resumen actualizado de la evidencia científica sobre la asociación de bruxismo y apnea, así como del manejo por parte del odontólogo con dispositivos de avance mandibular.

Keywords

apnea obstructiva del sueño, bruxismo, bruxismo del sueño, desórdenes del sueño, dispositivo de avance mandibular, férula oclusal, odontologíabruxism, dentistry, mandibular advancement device, obstructive sleep apnea, sleep bruxism, sleep disorders, occlusal splintapneia obstrutiva do sono, bruxismo, bruxismo do sono, dispositivo de avanço mandibular, distúrbios do sono, odontologia, tala oclusal

References
1. Lobbezoo F, Ahlberg J, Raphael KG. International consensus on the assessment of bruxism: Report of a work in progress. J Oral Rehabil. 2018;45:837-844. https://doi.org/10.1111/joor.12663
2. Wojda M, Kostrzewa-Janicka J. Influence of MAD Application on Episodes of Obstructive Apnea and Bruxism during Sleep—A Prospective Study. J Clin Med 2022;11:5809. https:// doi.org/10.3390/jcm11195809
3. Li D, Lobbezoo F, Kuang B, Hilgevoord AAJ, de Vries N, Aarab G. Effects of continuous positive airway pressure and mandibular advancement appliance therapy on sleep bruxism in adults with obstructive sleep apnea: a pilot study. Sleep & Breathing 2023;27:1857–1864. https://doi.org/10.1007/s11325-023-02799-z
4. Alshahrani AA. Prevalence of bruxism in obstructive sleep Apnea Patients: A Systematic Review conducted according to PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions. J Oral Rehabil. 2023;50:1362–1368. https://doi.org/10.1111/joor.13558.
5. Klasser GD, Rei N, Lavigne GJ. Sleep bruxism etiology: the evolution of a changing paradigm. J Can Dent Assoc. 2015;81:f2.
6. Duran-Cantolla J, Alkhraisat MH, Martinez-Null C, Aguirre JJ, Guinea ER, Anitua E. Frequency of obstructive sleep apnea syndrome in dental patients with tooth wear. J Clin Sleep Med. 2015;11(4):445–450. https://doi.org/10.5664/jcsm.4602
7. Anitua E, Saracho J, Almeida GZ, Duran-Cantolla J, Alkhraisat MH (2017) Frequency of prosthetic complications related to implant-borne prosthesis in a sleep disorder unit. J Oral Implantol 43(1):19–23. https://doi.org/10.1563/aaid-joi-D-16-00100
8. Tooth Wear Anitua E, Durán-Cantolla J, Saracho J, Alkhraisat MH. Obstructive sleep apnea and tooth wear: association and confounding factors. Journal of Dental Sleep Medicine. 2017;4(2):45–50. http://dx.doi.org/10.15331/jdsm.6528
9. Aarab G, Arcache P, Lavigne GJ, Lobbezoo F, Huynh N. The effects of mandibular advancement appliance therapy on jaw-closing muscle activity during sleep in patients with obstructive sleep apnea: a 3–6 months follow-up. J Clin Sleep Med. 2020;16(9):1545–1553. https://doi.org/10.5664/jcsm.8612
10. Martynowicz H, Wieczorek T, Macek P. The effect of continuous positive airway pressure and mandibular advancement device on sleep bruxism intensity in obstructive sleep apnea patients. Chron Respir Dis. 2022;19:1-10. doi:10.1177/14799731211052301
11. Manfredini D, Ahlberg J, Winocur E. Management of sleep bruxism in adults: a qualitative systematic literature review. J Oral Rehab 2015; 42: 862–874. https://doi.org/10.1111/joor.12322
12. Rosar JV, Barbosa T de S, Dias IOV, Kobayashi FY, Costa YM, Gavião MBD. Effect of interocclusal appliance on bite force, sleep quality, salivary cortisol levels and signs and symptoms of temporomandibular dysfunction in adults with sleep bruxism. Arch Oral Biol 2017;82:62-70. https://doi.org/10.1016/j.archoralbio.2017.05.018
13. Abe S, Huynh NT, Rompré PH, de Grandmont P, Landry-Schönbeck A, Landry M, Kato T, Kawano F, Lavigne GJ. Sleep Quality and Comfort Reported by Sleep Bruxism Individuals Wearing the Occlusal Splint and Mandibular Advancement Splint: Revisiting Two Crossover Studies. Int J Prosthodont. 2022;36(2):138–147. https://doi.org/10.11607/ijp.7525.
14. Landry ML, Rompre PH, Manzini C, Guitard F, De Grandmont P, Lavigne GJ. Reduction of sleep bruxism using a mandibular advancement device: an experimental controlled study. Int J Prosthodont. 2006;6:549–556.
15. Solanki N, Singh BP, Chand P, Siddharth R, Arya D, Kumar L, Tripathi S, Jivanani H, Dubey A (2017) Efect of mandibular advancement device on sleep bruxism score and sleep quality. J Prosthet Dent 117:67–72. https://doi.org/10.1016/j.prosdent.2016. 04.009
16. Singh PK, Alvi HA, Singh BP. Evaluation of various treatment modalities in sleep bruxism. J Prosthet Dent. 2015;114(3):426-431.
17. Pevernagie D, Aarts R and De Meyer M 2010 The acoustics of snoring Sleep Med. Rev. 14 131–44. https://doi.org/10.1016/j.smrv.2009.06.002
18. Heinzer R, Vat S, Marques-Vidal P. Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study. Lancet Respir Med. 2015;3(4):310-318. doi:10.1016/S2213- 2600(15)00043-0
19. Marshall NS, Wong KK, Phillips CL. Is sleep apnea an independent risk factor for prevalent and incident diabetes in the Busselton Health Study? J Clin Sleep Med; 2009;5:15-20, PMID: 19317376.
20. Gottlieb DJ, Yenokyan G, Newman AB. Prospective study of obstructive sleep apnea and incident coronary heart disease and heart failure: The sleep heart health study. Circulation 2010; 122: 352–360. PMID: 20625114
21. Knauert M, Naik S, Gillespie MB, Kryger M. Clinical consequences and economic costs of untreated obstructive sleep apnea syndrome. World Journal of Otorhinolaryngology-Head and Neck Surgery 2015;1:17-27. https://doi.org/10.1016/j.wjorl.2015.08.001
22. Fu Y, Xia Y, Yi H. Meta-analysis of all-cause and cardiovascular mortality in obstructive sleep apnea with or without continuous positive airway pressure treatment. Sleep Breath 2017; 21: 181–189. doi:10.1007/s11325-016-1393-1
23. Ramar K, Dort LC, Katz SG, Lettieri CJ, Harrod CG, Thomas SM, Chervin RD. Clinical practice guideline for the treatment of obstructive sleep apnea and snoring with oral appliance therapy: an update for 2015. J Clin Sleep Med 2015;11(7):773–827. https://doi.org/10.5664/jcsm.4858
24. Epstein LJ, Kristo D, Strollo PJ, Friedman N, Malhotra A, Patil SP, Ramar K, Rogers R, Schwab RJ, Weaver EM, Weinstein MD. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med 2009;5(3):263- 276. PMID: 19960649
25. Eckert DJ. Phenotypic approaches to obstructive sleep apnoea – new pathways for targeted therapy. Sleep Med Rev 2018; 37: 45–59. https://doi.org/10.1016/j.smrv.2016.12.003
26. Sheats R, Essick G, Grosdidier J, Katz S, Kim C, Levine M, Patel I. Identifying the appropriate therapeutic position of an oral appliance. J Dent Sleep Med. 2020;7(4). http://dx.doi.org/10.15331/jdsm.
27. Gianoni-Capenakas S, Kim DI, Mayoral P, Lagravère Vich. Mandibular advancement device effects on the upper airway anatomy and function: An umbrella review. J Dent Sleep Med. 2023;10(2). http://dx.doi.org/10.15331/jdsm.7290
28. Sutherland K, Chan AS, Cistulli PA. Three-dimensional assessment of anatomical balance and oral appliance treatment outcome in obstructive sleep apnoea. Sleep Breath. 2016;20:903–10. doi:10.1007/s11325-015-1304-x.
29. De Meyer MMD, Vanderveken OM, De Weerdt S, Marks LAM, Carcamo BA, Chavez AM. Use of mandibular advancement devices for the treatment of primary snoring with or without obstructive sleep apnea (OSA): a systematic review. Sleep Med Rev. 2021;56:101407. https://doi.org/10.1016/j.smrv.2020.101407
30. Van Holsbeke C, De Backer J, Vos W. Anatomical and functional changes in the upper airways of sleep apnea patients due to mandibular repositioning: a large scale study. J Biomech 2011;44:442–9. https://doi.org/10.1016/j.jbiomech.2010.09.026
31. Brown EC, Jugé L, Knapman FL, Burke PGR, Ngiam J, Sutherland K, Butler JE, Eckert DJ, Cistulli PA, Bilston LE (2021) Mandibular advancement splint response is associated with the pterygomandibular raphe. Sleep 44(4):zsaa222. https://doi.org/10.1093/sleep/zsaa222
32. Kim DI, Lagravère Vich M, Mayoral, P, Miguez M. Three-Dimensional Changes in Skeletal/ Dental Landmarks With Use of Mandibular Advancement Devices. J Dent Sleep Med. 2020;7(2). http://dx.doi.org/10.15331/jdsm.
33. Pae E-K, Harper RM. Elevated Hyoid Bone Position in Response to Mandibular Advancing Appliance Predicts Effectiveness of the Appliance for Obstructive Sleep Apnea. Front Dent Med 2021;2:1-9. doi: 10.3389/fdmed.2021.672936
34. Van de Perck E, Dieltjens M, Vroegop AV, Verbraecken J, Braem M, Vanderveken OM. Mandibular advancement device therapy in patients with epiglottic collapse. Sleep Breath 2022;26:1915–1920. doi: 10.1007/s11325-021-02532-8
35. Okuno K. Endoscopy evaluation to predict oral appliance outcomes in obstructive sleep apnoea. Eur Respir J. 2016;47(5):1410–1419. https://doi.org/10.1183/13993003.01088-2015
36. Tsuiki S, Ryan CF, Lowe AA, Inoue Y. Functional contribution of mandibular advancement to awake upper airway patency in obstructive sleep apnea. Sleep Breath 2007;11:245-51. https://doi.org/10.1007/s11325-007-0119-9
37. Juge L. Regional respiratory movement of the tongue is coordinated during wakefulness and is larger in severe obstructive sleep apnoea. J Physiol. 2020;598(3):581–597. https://doi.org/10.1113/jp278769
38. Laganà G, Osmanagiq V, Malara A, Venza N, Cozza P. Sleep bruxism and SDB in Albanian growing subjects: a cross-sectional study. Dent J (Basel). 2021;9:25, https://doi.org/10.3390/dj9030025
39. Winck M, Drummond M, Viana P, Pinho JC, Winck JC. Sleep bruxism associated with obstructive sleep apnoea syndrome – a pilot study using a new portable device. Rev Port Pneumol. 2017;23(1):22–26. https://doi.org/10.1016/j.rppnen.2016.07.001
40. Saito M, Yamaguchi T, Mikami S. Temporal association between sleep apnea-hypopnea and sleep bruxism events. J Sleep Res 2013; https://doi.org/10.1111/jsr.12099
41. Phillips BA, Okeson J, Paesani D, Gilmore R. Effect of sleep position on sleep apnea and parafunctional activity. Chest. 1986;90(3):424–429. https://doi.org/10.1378/chest.90.3.424
42. Gagnon Y, Mayer P, Morisson F, Rompré PH, Lavigne GJ. Aggravation of respiratory disturbances by the use of an occlusal splint in apneic patients: a pilot study. Int J Prosthodont. 2004;17(4): 447–453. PMID: 15382781
43. Nikolopoulou M, Naeije M, Aarab G. The effect of raising the bite without mandibular protrusion on obstructive sleep apnoea. J Oral Rehabil 2011;38:643–7. http://dx.doi.org/10.1111/j.1365-2842.2011.02221.x
44. Skármeta N. Occlusal stability and mandibular stability: the major part of dentistry we are still neglecting. Cranio 2017;35(4):201–203. http://dx.doi.org/10.1080/08869634.2017.1329686.
45. Anitua E, Durán-Cantolla J, Almeida GZ. Minimizing the mandibular advancement in an oral appliance for the treatment of obstructive sleep apnea. Sleep Med 2017;34:226–231. https://doi.org/10.1016/j.sleep.2016.12.019
46. Sheats RD, Schell TG, Blanton AO, Braga PM, Demko BG, Dort LC, Farquhar D, Katz SG, Masse JF, Rogers RR, Scherr SC, Schwartz DB, Spencer J. Management of side effects of oral appliance therapy for sleep-disordered breathing. Journal of Dental Sleep Medicine. 2017;4(4):111–125. http://dx.doi.org/10.15331/jdsm.6746
47. Mayoral P, Lagravère MO, Miguez M. Patient with severe obstructive sleep apnea treated with the orthoapnea mandibular advancement device: A case report. J Dent Sleep Med. 2020;7(3). http://dx.doi.org/10.15331/jdsm.7132
48. Anitua E, Mayoral P, Almeida GZ, Durán-Cantolla J, Alkhraisat MH. A Multicenter Prospective Study on the Use of a Mandibular Advancement Device in the Treatment of Obstructive Sleep Apnea. Dentistry Journal. 2023;11(11):247. https://doi.org/10.3390/dj11110247
Cómo citar
Mayoral Sanz, P., Lagravere Vich, M., & Correa, L. (2023). Bruxismo del sueño y apnea obstructiva del sueño. Prescripción de un dispositivo de avance mandibular desde una perspectiva dental. Universitas Odontologica, 42. https://doi.org/10.11144/Javeriana.uo42.sbos
Sección
Dossier: Trastornos Temporomandibulares, Dolor Orofacial, Bruxismo y Apnea del Sueño