0558 Sleep Bruxism and Sleep Breathing Disorder

Abstract

Abstract Introduction Sleep bruxism (SB) is reported by 8-9% of the adult population and is mainly associated with rhythmic masticatory muscle activity (RMMA) characterized by repetitive jaw muscle contractions (3 bursts or more at a frequency of 1 Hz). The purpose of this study was to evaluate the relationship between the nature of sleep bruxism and the sleep breathing disoredr. Methods We prospectively studied 32 patients who were referred to the clinical sleep apnea laboratory for study. They underwent standard nocturnal polysomnographic examination; in addition, masticatory activity was measured with a masseter electromyogram. Patients slept in the supine and lateral decubitus positions. Results Nocturnal clenching was higher in patients with higher respiratory disturbance index. 28 among 32 patients were included in the criteria of obstructive sleep apnea; average respiratory disturbance index (RDI) was 12.7 280 clenches demonstrated in all patients. Conclusion We conclude that there is an association between sleep related breathing disorder and bruxisms that sleep position affects the incidence of both sleep disordered breathing and bruxisms, and that analysis of apneas and hypopneas and clenching events in both supine and lateral decubitus sleeping positions may be helpful. Support (if any)