Respiratory Factor

The Daily Grind

Facts about the link between nocturnal teeth grinding and obstructive sleep apnea.

According to new research presented at CHEST 2009, the 75th annual international scientific assembly of the American College of Chest Physicians (ACCP), there is a strong link between nocturnal teeth grinding, also called bruxism, and obstructive sleep apnea (OSA). Chew on the following facts:

Number of OSA patients who are also teeth grinders: 1 in 4

Fact 1: Nocturnal teeth grinding is more common in sleep apnea patients who are Caucasian than those who are of other ethnicities.

Fact 2: Nocturnal teeth grinding is more common in male than in female sleep apnea patients.

What Are the Connections?

  • Sleep apnea can result in anxiety, and anxiety can lead to bruxism.
  • Sleep apnea can cause someone to ingest large amounts of caffeine, which can lead to bruxism.
  • Sleep apnea events often end in arousal responses that manifest through the mouth, as in snoring, gasping, mumbling and grinding the teeth.

Multiple Risks

In addition to the serious health consequences of having untreated sleep apnea, people with OSA who also grind their teeth at night risk the following complications:

  • Excessive wear and tear on teeth, possibly leading to cracked enamel
  • Headaches
  • Tempomandibular joint syndrome (TMJ)
  • Enlargement of the jaw muscle
  • Hearing problems or loss
  • Continuous positive airway pressure (CPAP) therapy may work to eliminate bruxism.

8%
of the U.S. general population suffers from nocturnal teeth grinding.

9% to 24%
of the general U.S. population suffers from sleep apnea.

Sources: American College of Chest Physicians; Baylor College of Medicine, Houston, TX

This article originally appeared in the Respiratory & Sleep Management March 2010 issue of HME Business.

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