{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T19:25:51Z","timestamp":1774466751460,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sleep Breath"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1007\/s11325-026-03585-3","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T13:11:54Z","timestamp":1772197914000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unmasking the hidden role of sleep bruxism in obstructive sleep apnea patients\u2019 sleepiness"],"prefix":"10.1007","volume":"30","author":[{"given":"Emmanouil","family":"Verykakis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasileios","family":"Paraschou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eirini","family":"Kokiou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lamprini","family":"Athanasopoulou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stylianos","family":"Vagianos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Spyropoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandros","family":"Kakolyris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stylianos","family":"Loukides","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilia V","family":"Roussou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5117-2257","authenticated-orcid":false,"given":"Katerina","family":"Vlami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"issue":"5","key":"3585_CR1","doi-asserted-by":"publisher","first-page":"1387","DOI":"10.1378\/chest.14-0970","volume":"146","author":"MJ Sateia","year":"2014","unstructured":"Sateia MJ (2014) International classification of sleep disorders\u2014third edition: highlights and modifications. Chest 146(5):1387\u20131394. https:\/\/doi.org\/10.1378\/chest.14-0970","journal-title":"Chest"},{"issue":"8","key":"3585_CR2","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1016\/S2213-2600(19)30198-5","volume":"7","author":"AV Benjafield","year":"2019","unstructured":"Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ, Nunez CM, Patel SR, Penzel T, P\u00e9pin JL, Peppard PE, Sinha S, Tufik S, Valentine K, Malhotra A (2019) Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med 7(8):687\u2013698. https:\/\/doi.org\/10.1016\/S2213-2600(19)30198-5","journal-title":"Lancet Respir Med"},{"issue":"11","key":"3585_CR3","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1111\/joor.12663","volume":"45","author":"F Lobbezoo","year":"2018","unstructured":"Lobbezoo F, Ahlberg J, Raphael KG, Wetselaar P, Glaros AG, Kato T, Santiago V, Winocur E, De Laat A, De Leeuw R, Koyano K, Lavigne GJ, Svensson P, Manfredini D (2018) International consensus on the assessment of bruxism: report of a work in progress. J Oral Rehabil 45(11):837\u2013844. https:\/\/doi.org\/10.1111\/joor.12663","journal-title":"J Oral Rehabil"},{"issue":"2","key":"3585_CR4","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1177\/00220345010800020801","volume":"80","author":"GJ Lavigne","year":"2001","unstructured":"Lavigne GJ, Rompr\u00e9 PH, Poirier G, Huard H, Kato T, Montplaisir JY (2001) Rhythmic masticatory muscle activity during sleep in humans. J Dent Res 80(2):443\u2013448. https:\/\/doi.org\/10.1177\/00220345010800020801","journal-title":"J Dent Res"},{"issue":"3","key":"3585_CR5","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1111\/j.1365-2869.2006.00536.x","volume":"15","author":"N Huynh","year":"2006","unstructured":"Huynh N, Kato T, Rompr\u00e9 PH, Okura K, Saber M, Lanfranchi PA, Montplaisir JY, Lavigne GJ (2006) Sleep bruxism is associated to micro-arousals and an increase in cardiac sympathetic activity. J Sleep Res 15(3):339\u2013346. https:\/\/doi.org\/10.1111\/j.1365-2869.2006.00536.x","journal-title":"J Sleep Res"},{"issue":"2","key":"3585_CR6","doi-asserted-by":"publisher","first-page":"99","DOI":"10.11607\/jop.921","volume":"27","author":"D Manfredini","year":"2013","unstructured":"Manfredini D, Winocur E, Guarda-Nardini L, Paesani D, Lobbezoo F (2013) Epidemiology of bruxism in adults: a systematic review of the literature. J Orofac Pain 27(2):99\u2013110. https:\/\/doi.org\/10.11607\/jop.921","journal-title":"J Orofac Pain"},{"key":"3585_CR7","doi-asserted-by":"publisher","first-page":"34","DOI":"10.2174\/1874306401408010034","volume":"8","author":"S Hesselbacher","year":"2014","unstructured":"Hesselbacher S, Subramanian S, Rao S, Casturi L, Surani S (2014) Self-reported sleep bruxism and nocturnal gastroesophageal reflux disease in patients with obstructive sleep apnea: relationship to gender and ethnicity. Open Respir Med J 8:34\u201340. https:\/\/doi.org\/10.2174\/1874306401408010034","journal-title":"Open Respir Med J"},{"issue":"4","key":"3585_CR8","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1007\/s11325-014-0953-5","volume":"18","author":"H Hosoya","year":"2014","unstructured":"Hosoya H, Kitaura H, Hashimoto T, Ito M, Kinbara M, Deguchi T, Irokawa T, Ohisa N, Ogawa H, Takano-Yamamoto T (2014) Relationship between sleep bruxism and sleep respiratory events in patients with obstructive sleep apnea syndrome. Sleep Breath 18(4):837\u2013844. https:\/\/doi.org\/10.1007\/s11325-014-0953-5","journal-title":"Sleep Breath"},{"key":"3585_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.sleep.2023.12.006","volume":"114","author":"R Cid-Verdejo","year":"2024","unstructured":"Cid-Verdejo R, Dom\u00ednguez Gordillo AA, Hallal-Peche F, Ardizone Garc\u00eda I, Mart\u00ednez Orozco FJ (2024) Is there an association between sleep bruxism and obstructive sleep apnea? A case-control polysomnographic investigation. Sleep Med 114:1\u20137. https:\/\/doi.org\/10.1016\/j.sleep.2023.12.006","journal-title":"Sleep Med"},{"issue":"3","key":"3585_CR10","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1111\/j.1365-2869.2008.00659.x","volume":"17","author":"C Lombardi","year":"2008","unstructured":"Lombardi C, Parati G, Cortelli P, Provini F, Vetrugno R, Plazzi G, Vignatelli L, Di Rienzo M, Lugaresi E, Mancia G, Montagna P, Castiglioni P (2008) Daytime sleepiness and neural cardiac modulation in sleep-related breathing disorders. J Sleep Res 17(3):263\u2013270. https:\/\/doi.org\/10.1111\/j.1365-2869.2008.00659.x","journal-title":"J Sleep Res"},{"key":"3585_CR11","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2024.1387924","volume":"15","author":"D Amiri","year":"2024","unstructured":"Amiri D, Bracko O, Nahouraii R (2024) Revealing inconsistencies between Epworth scores and apnea-hypopnea index when evaluating obstructive sleep apnea severity: a clinical retrospective chart review. Front Neurol 15:1387924. https:\/\/doi.org\/10.3389\/fneur.2024.1387924","journal-title":"Front Neurol"},{"issue":"5","key":"3585_CR12","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1513\/AnnalsATS.202006-696FR","volume":"18","author":"C Lal","year":"2021","unstructured":"Lal C, Weaver TE, Bae CJ, Strohl KP (2021) Excessive daytime sleepiness in obstructive sleep apnea: mechanisms and clinical management. Ann Am Thorac Soc 18(5):757\u2013768. https:\/\/doi.org\/10.1513\/AnnalsATS.202006-696FR","journal-title":"Ann Am Thorac Soc"},{"issue":"6","key":"3585_CR13","doi-asserted-by":"publisher","first-page":"552","DOI":"10.1097\/MCP.0000000000000915","volume":"28","author":"J Verbraecken","year":"2022","unstructured":"Verbraecken J (2022) More than sleepiness: prevalence and relevance of nonclassical symptoms of obstructive sleep apnea. Curr Opin Pulm Med 28(6):552\u2013558. https:\/\/doi.org\/10.1097\/MCP.0000000000000915","journal-title":"Curr Opin Pulm Med"},{"issue":"3","key":"3585_CR14","doi-asserted-by":"publisher","first-page":"269","DOI":"10.11607\/ofph.2068","volume":"33","author":"MWY Tan","year":"2019","unstructured":"Tan MWY, Yap AU, Chua AP, Wong JCM, Parot MVJ, Tan KBC (2019) Prevalence of sleep bruxism and its association with obstructive sleep apnea in adult patients: a retrospective polysomnographic investigation. J Oral Facial Pain Headache 33(3):269\u2013277. https:\/\/doi.org\/10.11607\/ofph.2068","journal-title":"J Oral Facial Pain Headache"},{"issue":"1","key":"3585_CR15","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1378\/chest.103.1.30","volume":"103","author":"MW Johns","year":"1993","unstructured":"Johns MW (1993) Daytime sleepiness, snoring, and obstructive sleep apnea: the Epworth sleepiness scale. Chest 103(1):30\u201336. https:\/\/doi.org\/10.1378\/chest.103.1.30","journal-title":"Chest"},{"issue":"2","key":"3585_CR16","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1007\/s11325-004-0091-6","volume":"8","author":"V Tsara","year":"2004","unstructured":"Tsara V, Serasli E, Amfilochiou A, Constantinidis T, Christaki P (2004) Greek version of the Epworth sleepiness scale. Sleep Breath 8(2):91\u201395. https:\/\/doi.org\/10.1007\/s11325-004-0091-6","journal-title":"Sleep Breath"},{"issue":"5","key":"3585_CR17","doi-asserted-by":"publisher","first-page":"597","DOI":"10.5664\/jcsm.2172","volume":"8","author":"RB Berry","year":"2012","unstructured":"Berry RB, Budhiraja R, Gottlieb DJ, Gozal D, Iber C, Kapur VK, Marcus CL, Mehra R, Parthasarathy S, Quan SF, Redline S, Strohl KP, Ward SLD, Tangredi MM (2012) Rules for scoring respiratory events in sleep: update of the 2007 AASM manual. J Clin Sleep Med 8(5):597\u2013619. https:\/\/doi.org\/10.5664\/jcsm.2172","journal-title":"J Clin Sleep Med"},{"key":"3585_CR18","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1016\/j.sleep.2021.11.008","volume":"89","author":"B Kuang","year":"2022","unstructured":"Kuang B, Li D, Lobbezoo F, de Vries R, Hilgevoord A, de Vries N, Huynh N, Lavigne G, Aarab G (2022) Associations between sleep bruxism and other sleep-related disorders in adults: a systematic review. Sleep Med 89:31\u201347. https:\/\/doi.org\/10.1016\/j.sleep.2021.11.008","journal-title":"Sleep Med"},{"issue":"9","key":"3585_CR19","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1111\/j.1365-2842.2011.02203.x","volume":"38","author":"MC Carra","year":"2011","unstructured":"Carra MC, Rompr\u00e9 PH, Kato T, Parrino L, Terzano MG, Lavigne GJ, Macaluso GM (2011) Sleep bruxism and sleep arousal: an experimental challenge to assess the role of cyclic alternating pattern. J Rehabil 38(9):635\u2013642. https:\/\/doi.org\/10.1111\/j.1365-2842.2011.02203.x","journal-title":"J Rehabil"},{"issue":"4","key":"3585_CR20","first-page":"258","volume":"5","author":"JP Okeson","year":"1991","unstructured":"Okeson JP, Phillips BA, Berry DT et al (1991) Nocturnal Bruxing events in subjects with sleep-disordered breathing and control subjects. J Craniomandib Disorders 5(4):258\u2013264","journal-title":"J Craniomandib Disorders"},{"issue":"4","key":"3585_CR21","doi-asserted-by":"publisher","first-page":"1921","DOI":"10.1007\/s11325-021-02543-5","volume":"26","author":"SA Lee","year":"2022","unstructured":"Lee SA, Im K, Yang HR (2022) Factors associated with sleep state misperception in patients with obstructive sleep apnea. Sleep Breath 26(4):1921\u20131930. https:\/\/doi.org\/10.1007\/s11325-021-02543-5","journal-title":"Sleep Breath"},{"issue":"7","key":"3585_CR22","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1111\/j.1365-2842.2008.01881.x","volume":"35","author":"GJ Lavigne","year":"2008","unstructured":"Lavigne GJ, Khoury S, Abe S, Yamaguchi T, Raphael K (2008) Bruxism physiology and pathology: an overview for clinicians. J Rehabil 35(7):476\u2013494. https:\/\/doi.org\/10.1111\/j.1365-2842.2008.01881.x","journal-title":"J Rehabil"},{"key":"3585_CR23","doi-asserted-by":"publisher","DOI":"10.1080\/08869634.2024.2325405","author":"L Mezzofranco","year":"2024","unstructured":"Mezzofranco L, Zalunardo F, Savin S, Agostini L, Gracco ALT (2024) Patients\u2019 perceptions of the importance of improvements and side effects from mandibular advancement device therapy for obstructive sleep apnea and snoring. Cranio. https:\/\/doi.org\/10.1080\/08869634.2024.2325405","journal-title":"Cranio"},{"issue":"23","key":"3585_CR24","doi-asserted-by":"publisher","DOI":"10.3390\/app10238587","volume":"10","author":"DH Kim","year":"2020","unstructured":"Kim DH, Lee SH, Lee SH (2020) Sleep bruxism episodes in patients with obstructive sleep apnea syndrome determined by in-laboratory polysomnography. Appl Sci 10(23):8587. https:\/\/doi.org\/10.3390\/app10238587","journal-title":"Appl Sci"},{"issue":"11","key":"3585_CR25","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1093\/sleep\/20.11.982","volume":"20","author":"GG Bader","year":"1997","unstructured":"Bader GG, Kampe T, Tagdae T, Karlsson S, Blomqvist M (1997) Descriptive physiological data on a sleep bruxism population. Sleep 20(11):982\u2013990. https:\/\/doi.org\/10.1093\/sleep\/20.11.982","journal-title":"Sleep"},{"issue":"1","key":"3585_CR26","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsz202","volume":"43","author":"A Kishi","year":"2020","unstructured":"Kishi A, Haraki S, Toyota R, Shiraishi Y, Kamimura M, Taniike M, Yatani H, Kato T (2020) Sleep stage dynamics in young patients with sleep bruxism. Sleep 43(1):zsz202. https:\/\/doi.org\/10.1093\/sleep\/zsz202","journal-title":"Sleep"},{"key":"3585_CR27","doi-asserted-by":"publisher","DOI":"10.1111\/joor.70022","author":"M Pollis","year":"2025","unstructured":"Pollis M, Lobbezoo F, Guarda-Nardini L, Manfredini D, Marchese-Ragona R (2025) The relation between daytime sleepiness and awake and sleep bruxism report in patients with obstructive sleep apnoea. J Oral Rehabilitation Adv Online Publication. https:\/\/doi.org\/10.1111\/joor.70022","journal-title":"J Oral Rehabilitation Adv Online Publication"},{"issue":"4","key":"3585_CR28","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1177\/154405910308200408","volume":"82","author":"T Kato","year":"2003","unstructured":"Kato T, Montplaisir JY, Guitard F, Sessle BJ, Lund JP, Lavigne GJ (2003) Evidence that experimentally induced sleep bruxism is a consequence of transient arousal. J Dent Res 82(4):284\u2013288. https:\/\/doi.org\/10.1177\/154405910308200408","journal-title":"J Dent Res"},{"issue":"1","key":"3585_CR29","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1378\/chest.119.1.53","volume":"119","author":"MM Ohayon","year":"2001","unstructured":"Ohayon MM, Li KK, Guilleminault C (2001) Risk factors for sleep bruxism in the general population. Chest 119(1):53\u201361. https:\/\/doi.org\/10.1378\/chest.119.1.53","journal-title":"Chest"}],"container-title":["Sleep and Breathing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11325-026-03585-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11325-026-03585-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11325-026-03585-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T18:14:05Z","timestamp":1774462445000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11325-026-03585-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["3585"],"URL":"https:\/\/doi.org\/10.1007\/s11325-026-03585-3","relation":{},"ISSN":["1520-9512","1522-1709"],"issn-type":[{"value":"1520-9512","type":"print"},{"value":"1522-1709","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,27]]},"assertion":[{"value":"26 May 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 December 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 January 2026","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 February 2026","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee Attikon General Hospital of Athens University School of Medicine Review Board and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Approval was granted by the Ethics Committee of Attikon General Hospital of Athens University School of Medicine Review Board (\u0395\u0392\u0394192\/06032024)","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers\u2019 bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.None.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"69"}}