Journal of Shanghai Jiao Tong University (Medical Science) >

2026 , Vol. 46 >Issue 2: 181 - 187

DOI: https://doi.org/10.3969/j.issn.1674-8115.2026.02.006

Clinical research

Correlation between obstructive sleep-disordered breathing and temporomandibular joint condylar absorption in adolescents

  • Shen Pei ,
  • Zhang Dahe ,
  • Chen Xinwei ,
  • Zhang Shanyong ,
  • Yang Chi
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  • Department of Oral Surgery, Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology, Shanghai 200011, China
Yang Chi, E-mail: yangchi6318@163.com.

Received date: 2025-06-19

  Accepted date: 2025-09-08

  Online published: 2026-02-28

Supported by

National Natural Science Foundation of China(82370980,82071134)

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Abstract

Objective ·To investigate the correlation between obstructive sleep-disordered breathing (OSDB) and temporomandibular joint (TMJ) condylar resorption in adolescents. Methods ·From September 2018 to December 2023, consecutive adolescents (aged 10 to 19 years) who visited the TMJ Clinic at Shanghai Ninth People′s Hospital, Shanghai Jiao Tong University School of Medicine, were recruited in the present study. Patients were divided into the OSDB group and the non-OSDB group based on whether the frequency of snoring was ≥3 nights per week. Demographic information, history of upper airway-related diseases, tongue habits, and mouth-breathing habits were collected for both groups. The presence or absence of TMJ condylar absorption was assessed, and condylar height was measured. Intergroup differences in the above variables were compared. To further explore the association between various factors and OSDB, variables with statistical significance in the univariate analysis were included in a logistic regression model for multivariable analysis. Results ·A total of 439 adolescent patients were enrolled during the study period, including 30 cases in the OSDB group and 409 cases in the non-OSDB group. There was no significant difference in demographic information between the two groups (P>0.05). The proportions of patients with a history of adenoid and tonsil diseases and adverse tongue habits in the OSDB group were significantly higher than those in the non-OSDB group (P=0.001 and P=0.040, respectively). The incidence of TMJ condylar resorption was significantly higher in the OSDB group than that in the non-OSDB group (P=0.004), and condylar height in the OSDB group was significantly lower than that in the non-OSDB group (P<0.001). Multivariate logistic regression analysis revealed that condylar resorption (OR=4.837, 95%CI 1.889‒12.336, P<0.001) and decreased condylar height (OR=0.547, 95%CI 0.426‒0.678, P<0.001) were closely associated with the occurrence of OSDB. Conclusion ·These results suggest that TMJ condylar resorption is closely related to the occurrence of OSDB in adolescents.

Key words： temporomandibular joint; condylar resorption; obstructive sleep-disordered breathing; adolescent

Cite this article

Shen Pei , Zhang Dahe , Chen Xinwei , Zhang Shanyong , Yang Chi . Correlation between obstructive sleep-disordered breathing and temporomandibular joint condylar absorption in adolescents[J]. Journal of Shanghai Jiao Tong University (Medical Science), 2026 , 46(2) : 181 -187 . DOI: 10.3969/j.issn.1674-8115.2026.02.006

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