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The frequency of one of its biomarkers, rhythmic masticatory muscle activity (RMMA), remains elevated across ages. Obstructive sleep apnea (OSA) is associated with the brief and repetitive pause of breathing (apnea) and with transient reduction in oxygen (hypoxia). OSA is observed at all ages and in about 50% of older individuals with a male preponderance. SRB clinical assessment is based on self\u2010reporting of tooth grinding sound, awareness of clenching, jaw pain or headache, and clinical observation of tooth damage. OSA clinical assessment is based on sleepiness and fatigue, snoring, sleep quality, and awareness of breathing cessation, plus clinical examination of anatomical factors (e.g., obesity, retrognathia, large tonsil, macroglossia), age, gender, and body mass. Although the literature does not support association or causality between these two conditions, the co\u2010occurrence is reported in about 30%\u201350% of adults. To confirm a diagnosis of co\u2010occurring SRB and OSA, home sleep testing (HST) may be indicated. A sleep test is performed using electromyography (EMG) of jaw muscle (masseter or temporalis) and cardio\u2010respiratory variables (e.g., air flow, respiratory effort, oxygen level, heart rate). The management of co\u2010occurring SRB and OSA for individuals with prosthodontic needs is challenging to prevent compromising the oro\u2010pharyngeal space and breathing efficiency. OSA treatment in the presence of SRB includes continuous positive airway pressure (CPAP) use alone or with an occlusal splint or mandibular advancement device (MAD). In addition, the following may be considered: supine sleep correction device, myofuncional therapy, medications, and surgeries. All have limitations and risks. Individual variability suggests that phenotyping is mandatory to select the most efficient and personalized treatment.<\/jats:p>","DOI":"10.1111\/jopr.13966","type":"journal-article","created":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T06:09:52Z","timestamp":1730354992000},"page":"46-61","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Understanding the clinical management of co\u2010occurring sleep\u2010related bruxism and obstructive sleep apnea in adults: A narrative and critical review"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0424-9076","authenticated-orcid":false,"given":"Cibele","family":"Dal Fabbro","sequence":"first","affiliation":[{"name":"Faculty of Dental Medicine Universit\u00e9 de Montreal  Montreal Canada"},{"name":"Center for Advanced Research in Sleep Medicine CIUSS Nord lle de Montreal  Montreal 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