Periodontitis associated with risk of obstructive sleep apnea in Peruvian adult patients: A cross-sectional study.

IF 1.8 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE Medicina Oral Patologia Oral Y Cirugia Bucal Pub Date : 2024-09-01 DOI:10.4317/medoral.26561
W-L Florian-Tirado, A-S Asmat-Abanto, D-M Ulloa-Cueva, O-M Del Castillo-Huertas
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Abstract

Background: Patients at high risk for obstructive sleep apnea (OSA) are characterized by intermittent transient hypoxias and upper respiratory tract collapse, with reactive oxygen production and oxidative imbalance which causes an inflammatory cascade. This can generate negative effects on the periodontium, causing severe tooth attachment loss. This study aimed to determine the association between periodontitis and the risk of OSA in adults who attend outpatient otolaryngology consultations.

Material and methods: A cross-sectional observational study was carried out with 118 patients seen in the otolaryngology service of the Hospital Victor Lazarte Echegaray-ESSALUD in Trujillo (Peru), between September and October 2023. The presence and severity of periodontitis were determined using the Page and Eke criteria, and the presence and severity of OSA risk were determined using the STOP-BANG questionnaire. The results were analyzed using Chi-square, Spearman correlation and logistic regression tests, considering a significance level of p<0.05.

Results: An association was found between periodontitis and risk of OSA (p=0.000), obtaining a positive relationship with rs=0.527. In addition, there was an association between periodontitis and DM2 (p=0.028) and bronchial asthma (0.017). No association was found between periodontitis and sex (0.503) or age (0.741).

Conclusions: There is an association between periodontitis and the risk of OSA in Peruvian adult patients who attended outpatient otolaryngology consultations. This association was also found according to age, sex, smoking, DM2 and asthma. In addition, an association was found between periodontitis and DM2 and asthma, but not with sex and age.

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秘鲁成年患者牙周炎与阻塞性睡眠呼吸暂停的风险相关:横断面研究
背景:阻塞性睡眠呼吸暂停(OSA)高风险患者的特点是间歇性短暂缺氧和上呼吸道塌陷,活性氧产生和氧化失衡导致炎症连锁反应。这会对牙周产生负面影响,导致严重的牙齿附着丧失。本研究旨在确定在耳鼻喉科门诊就诊的成年人中牙周炎与 OSA 风险之间的关联:这项横断面观察研究于 2023 年 9 月至 10 月间在秘鲁特鲁希略市维克托-拉扎尔特-埃切加雷-埃斯阿卢德医院耳鼻喉科就诊的 118 名患者中进行。采用佩奇和埃克标准确定牙周炎的存在和严重程度,采用 STOP-BANG 问卷确定 OSA 风险的存在和严重程度。研究结果采用卡方检验、斯皮尔曼相关检验和逻辑回归检验进行分析,显著性水平为 p:发现牙周炎与 OSA 风险之间存在关联(p=0.000),两者呈正相关,rs=0.527。此外,牙周炎与 DM2(p=0.028)和支气管哮喘(0.017)之间也有关联。牙周炎与性别(0.503)和年龄(0.741)之间没有关联:结论:在耳鼻喉科门诊就诊的秘鲁成年患者中,牙周炎与罹患 OSA 的风险之间存在关联。年龄、性别、吸烟、DM2 和哮喘也与这一关系有关。此外,还发现牙周炎与 DM2 和哮喘有关,但与性别和年龄无关。
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来源期刊
Medicina Oral Patologia Oral Y Cirugia Bucal
Medicina Oral Patologia Oral Y Cirugia Bucal DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
4.60
自引率
0.00%
发文量
52
审稿时长
3-8 weeks
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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