TY - JOUR T1 - The Effect of Bruxism on the Severity of OSAS in Patients with OSAS and Headache TT - Baş Ağrısı Olan OUAS’lı Hastalarda Bruksizmin OUAS Şiddetine Etkisi AU - Yavlal, Figen AU - Boncuk, Sena AU - Güzey Aras, Yeşim PY - 2023 DA - March DO - 10.31832/smj.1223058 JF - Sakarya Tıp Dergisi PB - Sakarya Üniversitesi WT - DergiPark SN - 2146-409X SP - 95 EP - 102 VL - 13 IS - 1 LA - en AB - 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 (p KW - sleep bruxism KW - obstructive sleep apnea syndrome KW - headache N2 - 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 İndeksi'ne (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 %31,5'i migren, %41,9'u gerilim tipi baş ağrısı (TTH), %2,1'i küme, %24,6'sı diğer baş ağrısı tipleri olarak sınıflandırıldı. Hastaların %76'sında SB yokken, %24'ünde SB vardı. SB olan grupta TTH oranı SB olmayan gruba göre anlamlı olarak (p CR - 1-Johnson, KG, Ziemba, AM, & Garb, JL. Improvement in Headaches With Continuous Positive Airway Pressure for Obstructive Sleep Apnea: A Retrospective Analysis. Headache: The Journal of Head and Face Pain, 2013; 53(2): 333–343. https://doi.org/10.1111/j.1526-4610.2012.02251.x CR - 2-Neau, JP, Paquereau, J, Bailbe, M, Meurice, JC, Ingrand, P, Gil, R. Relationship Between Sleep Apnoea Syndrome, Snoring and Headaches. Cephalalgia, 2002; 22(5): 333–339. CR - 3- Acar T., Acar BA. Relationship Between Alexithymia, Depression and Anxiety in Migraine and Medical Overuse Headache. Sakarya Med J, 2018; 8(3): 525-530 CR - 4- de Tommaso M, Fernández-de-las-Penas, C. Tension Type Headache. Current Rheumatology Reviews, 2016; 12(2): 127–139. https://doi.org/10.2174/ 1573397112666151231113625 CR - 5-de Tommaso M, Sciruicchio V. Migraine and Central Sensitization: Clinical Features, Main Comorbidities and Therapeutic Perspectives. Current Rheumatology Reviews, 2016; 12(2): 113–126. CR - 6- de Luca Canto G, Singh, V, Bigal ME, Major PW, Flores-Mir C. Association between tension-type headache and migraine with sleep bruxism: A systematic review. Headache, 2014; 54(9): 1460–1469. https://doi.org/10.1111/head.12446 CR - 7- Gonçalves DAG, Camparis CM, Speciali JG, Franco AL, Castanharo S M, & Bigal M E. Temporomandibular Disorders Are Differentially Associated With Headache Diagnoses. The Clinical Journal of Pain, 2011; 27(7): 611–615. CR - 8- de Holanda TA, Castagno CD, Barbon FJ, Costa YM, Goettems ML, & Boscato N. Sleep architecture and factors associated with sleep bruxism diagnosis scored by polysomnography recordings: A case-control study. Archives of Oral Biology, 2020; 112: 104685. https://doi.org/10.1016/j.archoralbio.2020.104685 CR - 9- Troeltzsch M, Troeltzsch M, Cronin RJ, Brodine AH, Frankenberger R, & Messlinger K. Prevalence and association of headaches, temporomandibular joint disorders, and occlusal interferences. The Journal of Prosthetic Dentistry, 2011; 105(6): 410–417. CR - 10- Eıtner S, Urschıtz MS, Guenther A, Urschıtz-Duprat PM, Bohnhorst B Schlaud M, & Poets CF. Sleep problems and daytime somnolence in a German population-based sample of snoring school-aged children. Journal of Sleep Research, 2007; 16(1): 96–101. https://doi.org/10.1111/j.1365-2869.2007.00560.x CR - 11- Sheldon, SH. Obstructive Sleep Apnea and Bruxism in Children. Sleep Medicine Clinics, 2010; 5(1): 163–168. CR - 12- Isik U, Ersu RH, Ay P, Save D, Arman AR, Karakoc F. & Dagli E. Prevalence of Headache and its Association With Sleep Disorders in Children. Pediatric Neurology, 2007; 36(3): 146–151. https://doi.org/10.1016/j.pediatrneurol.2006.11.006 CR - 13- Liljeström MR, le Bell Y, Anttila P, Aromaa M, Jämsä T, Metsähonkala L, Helenius H, Viander S, Jäppilä E, Alanen P, & Sillanpää M. Headache Children with Temporomandibular Disorders have Several Types of Pain and other Symptoms. Cephalalgia, 2007; 25(11): 1054–1060. https://doi.org/10.1111/j.1468-2982.2005.00957.x CR - 14 -The AASM Manual for the Scoring of Sleep and Associated Events – Rules, Terminology and Technical Specifications Version 2.5. USA, 2018 CR - 15- Iber C, The AASM Manual for the Scoring of Sleep and Associated Events: Rules, terminology, and technical specifications, 1st ed. Westchester, IL: American Academy of Sleep Medicine, 2007 CR - 16- Darien I. American Academy of Sleep Medicine (AASM) ed. International Classification of Sleep Disorders. Diagnosis and Coding Manual. Section on Sleep Related Bruxism. In American Academy of Sleep Medicine 2014; Vol. 3.ed CR - 17- Freedom T, Evans RW. Headache and sleep. Headache. 2013; Sep;53(8):1358-66. doi: 10.1111/head.12178. CR - 18- Almoznino G, Benoliel R, Sharav Y, Haviv Y. Sleep disorders and chronic craniofacial pain: Characteristics and management possibilities. Sleep Med Rev. 2017 Jun; 33: 39-50. doi: 10.1016/j.smrv.2016.04.005. CR - 19- Mitsikostas DD, Viskos A, Papadopoulos D. Sleep and headache: the clinical relationship. Headache. 2010 Jul; 50(7): 1233-45. doi: 10.1111/j.1526-4610.2010.01729.x. CR - 20- Grechi TH, Trawitzki LVV, de Felício CM, Valera FCP, Alnselmo-Lima WT. Bruxism in children with nasal obstruction. Int J Pediatr Otorhinolaryngol. 2008 Mar; 72(3): 391-6. doi: 10.1016/j.ijporl.2007.11.014. CR - 21- Ohayon MM, Roth T. What are the contributing factors for insomnia in the general population? J Psychosom Res. 2001 Dec; 51(6): 745-55. doi: 10.1016/s0022-3999(01)00285-9. UR - https://doi.org/10.31832/smj.1223058 L1 - https://dergipark.org.tr/tr/download/article-file/2847878 ER -