{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:35:04Z","timestamp":1790735704631,"version":"4.1.0"},"reference-count":54,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Oral Rehabilitation"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Obstructive sleep apnea (OSA) is a very common condition in patients with temporomandibular disorders (TMD). However, there is little evidence of a connection between them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this systematic review and meta\u2010analysis is to assess the association between OSA and TMD in adult population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Case\u2013control, cross\u2010sectional and cohort studies on the association between TMD and OSA were searched in the EMBASE, LILACS, LIVIVO, PubMed\/MEDLINE, Scopus, Web of Science, Google Scholar, Open Grey and Pro Quest databases. TMD should be assessed using Research Diagnostic Criteria (RDC\/TMD) or Diagnostic Criteria (DC\/TMD) and OSA using polysomnography (PSG) and\/or a validated questionnaire. The risk of bias was evaluated using the Joanna Briggs Institute Critical Assessment Checklists; and an association meta\u2010analysis was performed. The effect measure included the odds ratio (OR) in dichotomous variables and a 95% confidence interval (CI). Certainty of evidence was determined by analysing groups using the Grading of Recommendations Assessment, Development and Evaluation (GRADE).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of the 1024 articles screened, 7 met the inclusion criteria for the qualitative synthesis, and 6 for quantitative analysis. All articles were classified at low risk of bias. A positive association with OSA was found in patients with TMD (OR\u2009=\u20092.61; 95% CI\u2009=\u20092.31, 2.95). A significant association was also found irrespective to the OSA diagnostic methods applied (for studies using PSG\u2009+\u2009validated questionnaires: OR\u2009=\u20092.74; 95% CI\u2009=\u20092.11, 3.57; for studies using validated questionnaires only: OR\u2009=\u20092.55; 95% CI\u2009=\u20092.22, 2.92). GRADE was moderate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with TMD presented a significant association with OSA regardless of the OSA diagnostic method (PSG and\/or validated questionnaires). OSA screening should be part of the TMD examination routine. Furthermore, due to the different OSA assessment methods used and the small number of studies included, there is a need to include a larger number of studies using PSG to better elucidate this association.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/joor.13794","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T05:49:20Z","timestamp":1721022560000},"page":"2220-2233","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Association between obstructive sleep apnea and temporomandibular disorders: A meta\u2010analysis"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5508-8378","authenticated-orcid":false,"given":"Cl\u00e1udia Aparecida de Oliveira","family":"Machado","sequence":"first","affiliation":[{"name":"Federal University of Uberlandia  Uberl\u00e2ndia MG Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camila Maria Bastos Machado","family":"de Resende","sequence":"additional","affiliation":[{"name":"Instituto de Educa\u00e7\u00e3o Superior de Bras\u00edlia  Bras\u00edlia DF Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7805-5672","authenticated-orcid":false,"given":"Juliana","family":"Stuginski\u2010Barbosa","sequence":"additional","affiliation":[{"name":"Bauru Orofacial Pain Group  Bauru SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 Lu\u00eds","family":"Porporatti","sequence":"additional","affiliation":[{"name":"Laboratoire de Neurobiologie OroFaciale Service Odontologie Universit\u00e9 de Paris\u2010Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Clotilde","family":"Carra","sequence":"additional","affiliation":[{"name":"Service Odontologie. Universit\u00e9 de Paris  Cit\u00e9 France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ambra","family":"Michelloti","sequence":"additional","affiliation":[{"name":"Universit\u00e0 degli Studi di Napoli Federico II  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"Boucher","sequence":"additional","affiliation":[{"name":"Laboratoire de Neurobiologie OroFaciale Service Odontologie Universit\u00e9 de Paris\u2010Cit\u00e9  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo Cezar","family":"Simamoto\u00a0Junior","sequence":"additional","affiliation":[{"name":"Federal University of Uberlandia  Uberl\u00e2ndia MG Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"143","volume-title":"Orofacial Pain: Guidelines for Assessment, Diagnosis, and Management\/American Academy of Orofacial Pain","author":"De Leeuw R","year":"2018"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.11607\/ofph.2076"},{"key":"e_1_2_9_4_1","first-page":"117","article-title":"Craniofacial muscle pain: review of mechanisms and clinical manifestations","volume":"15","author":"Svensson P","year":"2001","journal-title":"J Orofac Pain"},{"key":"e_1_2_9_5_1","unstructured":"National Institute of Dental and Craniofacial Research. 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