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REM‐Related Parasomnias

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 REM sleep behavior disorder (RBD)

This is typically associated with what is known as dream enactment. Help is often requested after an injury has occurred. There are reports that this may be related to narcolepsy, to PLMs, and in some instances to medications especially antidepressants serotonin specific reuptake inhibitor (SSRIs). When a sleep study is conducted atonia may be absent for longer periods. The presence of this has been shown to be a sign that the risk of a neurodegenerative disorder (dementia, Alzheimer’s, or Parkinson’s) is present. RBD may be present as much as a decade before and is more common in men over 50.

 Nightmare disorder

These occur during the second half of the night and are related to REM sleep and to vivid dreams. They are more frequent in children, are associated with an awakening, and often the individual can provide a good description of the event.

Dental Management of Sleep Disorders

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