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Publication
Síndrome de apneia obstrutiva do sono e bruxismo : modelos explicativos de associação
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Abstract(s)
Introdução: O bruxismo é considerado secundário quando é um sinal ou um sintoma de outra patologia subjacente, onde se inclui a Síndrome de Apneia Obstrutiva do Sono (SAOS). Neste caso, o bruxismo do sono (BS) atua como fator protetor, ao evitar o colapso da via aérea superior e permitir a passagem do ar durante um microdespertar.
Ambas as condições apresentam fatores em comum, sendo relevante investigar a sua correlação e associar com fatores sociodemográficos e clínicos.
Objetivo: Confirmar se existe uma correlação estatisticamente significativa entre a SAOS e o bruxismo na amostra do presente estudo e avaliar o efeito de variáveis sociodemográficas e clínicas através de um modelo explicativo de associação.
Materiais e métodos: Estudo quantitativo, descritivo, observacional, correlacional e transversal. A amostra inicial foi de 100 participantes que preencheram vários questionários via Google Forms, foram submetidos a um exame clínico para diagnóstico de bruxismo provável e realizaram uma poligrafia respiratória para o
diagnóstico de SAOS. Após exclusão dos participantes com poligrafias inválidas, a amostra final consistiu em 87 participantes.
Resultados: Não se verificou uma correlação estatisticamente significativa entre a SAOS e o bruxismo. Com efeito, realizaram-se dois modelos explicativos, um para a SAOS e outro para o bruxismo com as variáveis em estudo. Constatou-se uma correlação estatisticamente significativa entre a idade, o género masculino e a SAOS.
Discussão: Embora não tenha sido verificada uma correlação entre a SAOS e o bruxismo, os resultados da SAOS são coerentes com a evidência científica atual.
Conclusões: Esta investigação contribuiu para a literatura científica sobre a relação do bruxismo e da SAOS com fatores sociodemográficos e clínicos, analisados separadamente. Em termos clínicos, evidenciou a importância do médico dentista no diagnóstico precoce, encaminhamento e gestão de doentes com SAOS.
Introduction: Bruxism is considered secondary when it is a sign or symptom of another underlying pathology, including Obstructive Sleep Apnea Syndrome (OSAS). In this case, sleep bruxism (SB) acts as a protective factor by preventing the upper airway from collapsing and allowing air to pass through during a micro-awakening. Both conditions have factors in common and it is important to investigate their correlation and associate them with sociodemographic and clinical factors. Aim: To confirm whether there is a statistically significant correlation between OSAS and bruxism in the sample of this study and to evaluate the effect of sociodemographic and clinical variables through an explanatory model of association. Materials and Methods: This was a quantitative, descriptive, observational, correlational and cross-sectional study. The initial sample consisted of 100 participants who completed various questionnaires through Google Forms, underwent a clinical examination to diagnose probable bruxism and a respiratory polygraphy to diagnose OSAS. After excluding participants with invalid polygraphs, the final sample consisted of 87 participants. Results: There was no statistically significant correlation between OSAS and bruxism. In fact, two explanatory models were carried out, one for OSAS and the other for bruxism with the variables under study. A statistically significant correlation was found between age, male gender and OSAS. Discussion: Although no correlation was found between OSAS and Bruxism, the results for OSAS are consistent with current scientific evidence. Conclusions: This research contributed to the scientific literature on the relationship between bruxism and OSAS and sociodemographic and clinical factors, analysed separately. In clinical terms, it highlighted the importance of dentists in the early diagnosis, referral and management of patients with OSAS.
Introduction: Bruxism is considered secondary when it is a sign or symptom of another underlying pathology, including Obstructive Sleep Apnea Syndrome (OSAS). In this case, sleep bruxism (SB) acts as a protective factor by preventing the upper airway from collapsing and allowing air to pass through during a micro-awakening. Both conditions have factors in common and it is important to investigate their correlation and associate them with sociodemographic and clinical factors. Aim: To confirm whether there is a statistically significant correlation between OSAS and bruxism in the sample of this study and to evaluate the effect of sociodemographic and clinical variables through an explanatory model of association. Materials and Methods: This was a quantitative, descriptive, observational, correlational and cross-sectional study. The initial sample consisted of 100 participants who completed various questionnaires through Google Forms, underwent a clinical examination to diagnose probable bruxism and a respiratory polygraphy to diagnose OSAS. After excluding participants with invalid polygraphs, the final sample consisted of 87 participants. Results: There was no statistically significant correlation between OSAS and bruxism. In fact, two explanatory models were carried out, one for OSAS and the other for bruxism with the variables under study. A statistically significant correlation was found between age, male gender and OSAS. Discussion: Although no correlation was found between OSAS and Bruxism, the results for OSAS are consistent with current scientific evidence. Conclusions: This research contributed to the scientific literature on the relationship between bruxism and OSAS and sociodemographic and clinical factors, analysed separately. In clinical terms, it highlighted the importance of dentists in the early diagnosis, referral and management of patients with OSAS.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Bruxismo Síndrome de apneia obstrutiva do sono Medicina dentária do sono Diagnóstico