Joaquín Durán-Cantolla1,2,3,4,5, Mohammad Hamdan Alkhraisat6, Cristina Martínez-Null1,2,3,4, Jose Javier Aguirre6, Elena Rubio Guinea6, Eduardo Anitua1,6. 1. Sleep Disorders Unit, Clínica Eduardo Anitua, Vitoria, Spain. 2. Sleep Disorders Unit, Hospital Universitario Araba, Vitoria, Spain. 3. Research Service, BioAraba Project, Hospital Universitario Araba, Vitoria, Spain. 4. Centro de Investigación Biomédica en Red Enfermedades Respiratorias, (CIBERES), ISCIII, Madrid, Spain. 5. Faculty of Medicine, University of País Vasco UPV/EHU, Biscay, Spain. 6. Eduardo Anitua Foundation, Vitoria, Spain.
Abstract
STUDY OBJECTIVES: To estimate the frequency of obstructive sleep apnea syndrome (OSAS) in dental patients with tooth wear, and to assess the role of dentists in the identification of patients at risk of OSAS. METHODS: Dental patients with tooth wear and treated with occlusal splint were prospectively recruited to perform sleep study. The severity of tooth wear was established by the treating dentist before patient referral to sleep disorders unit. Sleep questionnaires, anthropometric measurements, and validated respiratory polygraphy were performed. RESULTS: All patients with dental wear were offered a sleepiness analysis. Of 31 recruited patients, 30 (77% males) participated in this study. Patients' mean age was 58.5 ± 10.7 years (range: 35-90 years) and the body mass index was 27.9 ± 3.4 kg/m(2). Tooth wear was mild in 13 patients, moderate in 8 and severe in 9. The mean apnea-hypopnea index (AHI) was 32.4 ± 24.9. AHI < 5 was reported in 2 patients, AHI of 5-29 in 17, and AHI ≥ 30 in 11. A statistically significant association was found between AHI severity and tooth wear severity (Spearman R = 0.505; p = 0.004). CONCLUSIONS: Tooth wear could be a tool to identify those patients at risk of having OSAS. This highlights the importance of dental professionals to identify and refer patients with OSAS.
STUDY OBJECTIVES: To estimate the frequency of obstructive sleep apnea syndrome (OSAS) in dental patients with tooth wear, and to assess the role of dentists in the identification of patients at risk of OSAS. METHODS: Dental patients with tooth wear and treated with occlusal splint were prospectively recruited to perform sleep study. The severity of tooth wear was established by the treating dentist before patient referral to sleep disorders unit. Sleep questionnaires, anthropometric measurements, and validated respiratory polygraphy were performed. RESULTS: All patients with dental wear were offered a sleepiness analysis. Of 31 recruited patients, 30 (77% males) participated in this study. Patients' mean age was 58.5 ± 10.7 years (range: 35-90 years) and the body mass index was 27.9 ± 3.4 kg/m(2). Tooth wear was mild in 13 patients, moderate in 8 and severe in 9. The mean apnea-hypopnea index (AHI) was 32.4 ± 24.9. AHI < 5 was reported in 2 patients, AHI of 5-29 in 17, and AHI ≥ 30 in 11. A statistically significant association was found between AHI severity and tooth wear severity (Spearman R = 0.505; p = 0.004). CONCLUSIONS:Tooth wear could be a tool to identify those patients at risk of having OSAS. This highlights the importance of dental professionals to identify and refer patients with OSAS.
Authors: Joaquín Durán-Cantolla; Felipe Aizpuru; Jose María Montserrat; Eugeni Ballester; Joaquín Terán-Santos; Jose Ignacio Aguirregomoscorta; Mónica Gonzalez; Patricia Lloberes; Juan Fernando Masa; Mónica De La Peña; Santiago Carrizo; Mercedes Mayos; Ferrán Barbé Journal: BMJ Date: 2010-11-24
Authors: F Lobbezoo; J Ahlberg; A G Glaros; T Kato; K Koyano; G J Lavigne; R de Leeuw; D Manfredini; P Svensson; E Winocur Journal: J Oral Rehabil Date: 2012-11-04 Impact factor: 3.837
Authors: M Maluly; M L Andersen; C Dal-Fabbro; S Garbuio; L Bittencourt; J T T de Siqueira; S Tufik Journal: J Dent Res Date: 2013-05-20 Impact factor: 6.116