Sleep and Orofacial Pain

Dent Clin North Am. 2018 Oct;62(4):629-656. doi: 10.1016/j.cden.2018.06.005. Epub 2018 Aug 14.


Sleep and pain share a bidirectional relationship. Therefore, it is important for practitioners managing patients experiencing either sleep and/or pain issues to recognize and understand this complex association from a neurobiological perspective involving neuroanatomic and neurochemical processes. Accounting for the influence of pain on the various aspects of sleep and understanding its impact on various orofacial pain disorders assists in developing a prudent management approach. Screening for sleep disorders benefits practitioners in identifying these individuals. Instituting evidence-based multidisciplinary management strategies using both behavioral and pharmacologic strategies enhances the delivery of appropriate care.

Keywords: Chronic pain; Management strategies; Orofacial pain; Screening; Sleep; Sleep disorders; Sleep stages.

Publication types

  • Review

MeSH terms

  • Facial Pain / complications*
  • Facial Pain / pathology
  • Facial Pain / physiopathology
  • Facial Pain / therapy
  • Humans
  • Sleep / physiology
  • Sleep Wake Disorders / complications*
  • Sleep Wake Disorders / pathology
  • Sleep Wake Disorders / physiopathology
  • Sleep Wake Disorders / therapy