TY - JOUR
T1 - Relationship of obstructive sleep apnea with periodontal condition and its local and systemic risk factors
AU - Arango Jimenez, Natalia
AU - Morales Vera, Darena Z.
AU - Latorre Uriza, Catalina
AU - Velosa-Porras, Juliana
AU - Téllez Corral, Mayra A.
AU - Escobar Arregocés, Francina Maria
N1 - Publisher Copyright:
© 2023, The Author(s).
© 2023. The Author(s).
PY - 2023/6
Y1 - 2023/6
N2 - Objective: Obstructive sleep apnea (OSA) and periodontitis share risk factors, such as age, obesity, stress, and cardiovascular events, which have a bidirectional cause-effect relationship through systemic inflammation. Our objective was to determine the relationship between OSA and the periodontal condition and its associated local and systemic risk factors. Material and methods: This was an observational case-control study involving 60 patients. Local oral risk factors and the systemic condition of each patient were evaluated. All patients underwent polysomnography for the diagnosis of OSA. Chi-squared, one-way ANOVA, and Bonferroni’s tests were performed. Results: A higher percentage of patients with periodontitis had severe OSA (66.66%); however, no statistically significant association was found between the two pathologies (p = 0.290). In terms of systemic risk factors, an association was found between arterial hypertension and severe OSA (p = 0.038), and in terms of local factors, an association was found between the use of removable prostheses and severe OSA (p = 0.0273). Conclusion: In the general population, patients with periodontitis showed a higher prevalence of severe OSA. Obesity and hypothyroidism were the most prevalent systemic findings in patients with OSA and periodontitis. Arterial hypertension and osteoarthritis were found to be associated with severe OSA. The local risk factors associated with periodontitis and severe OSA were removable partial dentures and misfit resins. Clinical relevance: To study the factors that can facilitate the progression of OSA and periodontitis, physicians and dentists should be advised to provide comprehensive care for patients with both pathologies.
AB - Objective: Obstructive sleep apnea (OSA) and periodontitis share risk factors, such as age, obesity, stress, and cardiovascular events, which have a bidirectional cause-effect relationship through systemic inflammation. Our objective was to determine the relationship between OSA and the periodontal condition and its associated local and systemic risk factors. Material and methods: This was an observational case-control study involving 60 patients. Local oral risk factors and the systemic condition of each patient were evaluated. All patients underwent polysomnography for the diagnosis of OSA. Chi-squared, one-way ANOVA, and Bonferroni’s tests were performed. Results: A higher percentage of patients with periodontitis had severe OSA (66.66%); however, no statistically significant association was found between the two pathologies (p = 0.290). In terms of systemic risk factors, an association was found between arterial hypertension and severe OSA (p = 0.038), and in terms of local factors, an association was found between the use of removable prostheses and severe OSA (p = 0.0273). Conclusion: In the general population, patients with periodontitis showed a higher prevalence of severe OSA. Obesity and hypothyroidism were the most prevalent systemic findings in patients with OSA and periodontitis. Arterial hypertension and osteoarthritis were found to be associated with severe OSA. The local risk factors associated with periodontitis and severe OSA were removable partial dentures and misfit resins. Clinical relevance: To study the factors that can facilitate the progression of OSA and periodontitis, physicians and dentists should be advised to provide comprehensive care for patients with both pathologies.
KW - OSAHS
KW - Obstructive sleep apnea (OSA)
KW - Periodontal disease
KW - Periodontitis
KW - Risk factors
KW - Humans
KW - Risk Factors
KW - Hypertension/complications
KW - Sleep Apnea, Obstructive/complications
KW - Periodontitis/complications
KW - Case-Control Studies
KW - Obesity/complications
KW - Gingival Diseases
UR - http://www.scopus.com/inward/record.url?scp=85148370446&partnerID=8YFLogxK
U2 - 10.1007/s00784-023-04869-8
DO - 10.1007/s00784-023-04869-8
M3 - Article
C2 - 36800028
AN - SCOPUS:85148370446
SN - 1432-6981
VL - 27
SP - 2823
EP - 2832
JO - Clinical Oral Investigations
JF - Clinical Oral Investigations
IS - 6
ER -