RT Journal Article T1 Sleep quality and risk of recurrent aphthous ulcers: A Spanish cohort study A1 Tohidinik, Hamid Reza A1 Rodríguez Fernández, María de la Almudena A1 Regueira Méndez, Carlos Manuel Pastor A1 Takkouche, Bahi K1 Adolescents K1 Aphthous stomatitis K1 Hypersomnia K1 Insomnia K1 Oral mucosa K1 Sleep AB Objective: Recurrent aphthous stomatitis (RAS) is a condition that affects 20% of the world population and is characterized by painful ulcers in the oral mucosa. So far, the epidemiology and risk factors of RAS have been infrequently studied. Our objective was to determine whether sleep-related factors are related to the occurrence of RAS in the first prospective study carried out on this topic.Methods: A cohort of 11210 Spanish students, 13–17 years old, was followed up for one year. Sleep disorders were assessed at baseline using a standard validated questionnaire.Results: We detected 2655 new cases of RAS with a total of 287,262 person-week of follow-up. Subjects with high (4th quartile) Insomnia Index showed an incidence rate ratio (IRR) of RAS of 1.29 (95% confidence interval (CI) 1.15–1.45), while subjects with high Hypersomnia Index presented an IRR of 1.42 (95% CI 1.26–1.61). A high score of sleep-related phenomena was also associated with an increased IRR: 1.53 (95% CI 1.37–1.69). Adolescents with high level of sleep satisfaction were at lower risk of RAS: 0.88 (95% CI 0.77–1.01).Conclusion: These findings suggest that sleep disorders are moderately associated with RAS in adolescents PB Wiley YR 2021 FD 2021 LK http://hdl.handle.net/10347/26621 UL http://hdl.handle.net/10347/26621 LA eng NO Tohidinik, H. R., Rodríguez, A., Regueira-Méndez, C., & Takkouche, B. (2021). Sleep quality and risk of recurrent aphthous ulcers: A Spanish cohort study. Oral Diseases, 00, 1– 9. https://doi.org/10.1111/odi.13955 NO This work was funded by the Regional Ministry of Education, Universities and Vocational Training (Consellería de Educación, Universidades y Formación Profesional) [Grant number ED431C 2018/20], Santiago de Compostela, Spain DS Minerva RD 24 abr 2026