PURPOSE: Obstructive sleep apnea (OSA) is a common medical disorder with serious complications if untreated. Dentists play a vital role in the early diagnosis of this condition, thereby improving patients' prognoses. The purpose of this study was to identify patients with a high risk of OSA using simple cephalometric measurements in patients receiving routine dental care. MATERIALS AND METHODS: The present study was conducted on 206 patients divided into a high-risk group and a control group after answering the Berlin questionnaire. Cephalometric analysis of a digital cephalogram was performed to measure the upper airway diameter (UAD) and mandibular-to-hyoid bone distance (MP-H) by 2 observers at 2 different times. RESULTS: Among 206 patients, 93 (45%) were included in the high-risk group and 113 (55%) were in the control group. No significant difference was present between the groups with regard to gender, and the patients ranged in age from 18 to 65 years. The UAD measurements in the high-risk group were significantly lower than in the control group, and the MP-H measurements were significantly higher in the high-risk group than in the control group. The UAD was lower in middle-aged patients in both groups. CONCLUSION: Our study found that the UAD was lower in individuals with a high risk of OSA. Also, we found that middle-aged individuals of both genders were more likely to develop OSA. Dentists play a vital role in diagnosing patients at a high risk for OSA via thorough clinical examinations, risk factor analyses, and simple cephalometric analyses.
PURPOSE:Obstructive sleep apnea (OSA) is a common medical disorder with serious complications if untreated. Dentists play a vital role in the early diagnosis of this condition, thereby improving patients' prognoses. The purpose of this study was to identify patients with a high risk of OSA using simple cephalometric measurements in patients receiving routine dental care. MATERIALS AND METHODS: The present study was conducted on 206 patients divided into a high-risk group and a control group after answering the Berlin questionnaire. Cephalometric analysis of a digital cephalogram was performed to measure the upper airway diameter (UAD) and mandibular-to-hyoid bone distance (MP-H) by 2 observers at 2 different times. RESULTS: Among 206 patients, 93 (45%) were included in the high-risk group and 113 (55%) were in the control group. No significant difference was present between the groups with regard to gender, and the patients ranged in age from 18 to 65 years. The UAD measurements in the high-risk group were significantly lower than in the control group, and the MP-H measurements were significantly higher in the high-risk group than in the control group. The UAD was lower in middle-aged patients in both groups. CONCLUSION: Our study found that the UAD was lower in individuals with a high risk of OSA. Also, we found that middle-aged individuals of both genders were more likely to develop OSA. Dentists play a vital role in diagnosing patients at a high risk for OSA via thorough clinical examinations, risk factor analyses, and simple cephalometric analyses.
Authors: Ahmad R Sedaghat; Iee Ching W Anderson; Brian M McGinley; Mark I Rossberg; Richard J Redett; Stacey L Ishman Journal: Cleft Palate Craniofac J Date: 2011-04-16
Authors: Gabriel Julià-Serdà; Gregorio Pérez-Peñate; Pedro Saavedra-Santana; Miguel Ponce-González; José Manuel Valencia-Gallardo; Raquel Rodríguez-Delgado; Pedro Cabrera-Navarro Journal: Sleep Breath Date: 2006-12 Impact factor: 2.816
Authors: Mark E Friedel; Doug R Johnston; Saurabh Singhal; Kenan Al Khalili; Christopher J Farrell; James J Evans; Gurston G Nyquist; Marc R Rosen Journal: Otolaryngol Head Neck Surg Date: 2013-10-03 Impact factor: 3.497
Authors: N Pracharktam; S Nelson; M G Hans; B H Broadbent; S Redline; C Rosenberg; K P Strohl Journal: Am J Orthod Dentofacial Orthop Date: 1996-04 Impact factor: 2.650
Authors: M Fusetti; A B Fioretti; M Valenti; F Masedu; M Lauriello; M Pagliarella Journal: Acta Otorhinolaryngol Ital Date: 2012-10 Impact factor: 2.124