The occurrence of respiratory events in young subjects with a frequent rhythmic masticatory muscle activity: a pilot study

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  • Tsujisaka Akiko
    Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry
  • Haraki Shingo
    Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry
  • Nonoue Shigeru
    Sleep Medicine Center, Osaka University Hospital Department of Psychiatry, Osaka University Graduate School of Medicine
  • Mikami Akira
    Sleep Medicine Center, Osaka University Hospital Health and Counseling Center, Osaka University Department of Psychiatry, Osaka University Graduate School of Medicine
  • Adachi Hiroyoshi
    Sleep Medicine Center, Osaka University Hospital Health and Counseling Center, Osaka University Department of Psychiatry, Osaka University Graduate School of Medicine
  • Mizumori Takahiro
    Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry
  • Yatani Hirofumi
    Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry
  • Yoshida Atsushi
    Department of Oral Anatomy and Neurobiology, Osaka University Graduate School of Dentistry
  • Kato Takafumi
    Sleep Medicine Center, Osaka University Hospital Department of Oral Anatomy and Neurobiology, Osaka University Graduate School of Dentistry Department of Oral Physiology, Osaka University Graduate School of Dentistry

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<p>Purpose: Concomitant occurrence of respiratory events can be often overlooked in the clinical practice of SB. This study assessed physiological characteristics of rhythmic masticatory muscle activity (RMMA) and concomitant respiratory events in young sleep bruxism (SB) subjects asymptomatic to obstructive sleep apnea (OSA).</p><p>Methods: Twenty-two subjects (age: 24.1±1.9 years; F 8: M 14; BMI: 20.2±1.9 kg/m2) were polysomnographically diagnosed as moderate-severe SB. Sleep architecture, oromotor (RMMA and nonspecific masseter activity [NSMA]) and apnea/hypopnea events were scored.</p><p>Results: All subjects showed normal sleep architecture whereas 6 exhibited respiratory events at a mild level of OSA. In all subjects, RMMA predominantly occurred in Stage N1 + N2 while NSMA occurred in Stage N1 + N2 (approximately 60 %) and in Stage R (up to 30 %). Up to 50 % of respiratory events were scored in Stage R. RMMA occurred more frequently in close association (e.g., within 10 s) with respiratory events in 6 subjects with OSA than those without. The percentage of RMMA occurring closely to respiratory events was positively correlated with apnea–hypopnea index (AHI) in Stage N1 + N2 only while that of NSMA was positively correlated with AHI in Stage N1 + N2 and Stage R. A sub-analysis in 6 subjects with OSA, RMMA after respiratory events was followed to arousals while those before respiratory events were mostly associated with central apnea.</p><p>Conclusions: A subpopulation of young SB subjects can show concomitant respiratory events. Further large sample studies are needed to demonstrate that the occurrence of subclinical respiratory events represents a clinical subtype of SB.</p>

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  • Journal of Prosthodontic Research

    Journal of Prosthodontic Research 62 (3), 317-323, 2018

    公益社こうえきしゃ団だん法人ほうじん 日本にっぽん補綴ほてつ歯科しか学会がっかい

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