Periodontal Status of Patients with Obstructive Sleep Apnea

Adriana Cuervo Monguí, María Constanza Martínez Pastrana, Gretty Marcela Sosa Quiroga, Melissa Hernández Torres, Catalina Latorre Uriza, Francina Escobar Arregocés, Juliana Velosa Porras

Abstract


Background: There are systemic diseases that are directly related to periodontal disease, so it is necessary to identify them, in order to control them and prevent the worsening of this condition. Objective: To describe the periodontal condition of patients who underwent polysomnographic analysis. Methods: This was a cross-sectional study. The sample included 166 patients with prior polysomnography, who underwent periodontal examination to determine periodontal diagnosis based on the classification of Armitage 1999 and sub-classified according to location. Results: Of the 166 patients evaluated, 99.40 % had periodontal diseases, of which 71.08 % had obstructive sleep apnea/hypopnea syndrome (OSA), periodontitis 58.4% and gingivitis 36.74 %. The most prevalent periodontal diseases corresponded to 60.39 % of the total sample and gingivitis with preexisting insertion loss, severe chronic periodontitis, and moderate chronic periodontitis affected 41.11 % of patients with the diagnosis of OSA and remaining 19.28 % did not have OSA. Conclusions: The most prevalent diagnosis in patients with polysomnographic examination was generalized gingivitis with preexisting insertion loss. The diagnosis of periodontitis in OSA patients was more related to the presence of local factors. A greater severity of periodontal diagnosis, fewer teeth present in the mouth, increased mobility, greater amount of furcation involvement, less frequent brushing, and higher age.


Keywords


apnea obstructiva del sueño; enfermedad periodontal; hipoapnea obstructiva del sueño; neumología; otorrinolaringología; periodoncia; periodontitis; síndrome de apnea o hipoapnea obstructiva del sueño (SAHOS)

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References


Armitage GC. Periodontal diagnoses and classification of periodontal diseases. Periodontoly 2000. 2004; 34: 9-21.

Mariotti A. Dental plaque-induced gingival diseases. Ann Periodontol. 1999 Dec; 4(1): 7-19.

Hou LT, Liu CM, Liu BY, Lin SJ, Liao CS, Rossomando EF. Interleukin-1beta, clinical parameters and matched cellular-histopathologic changes of biopsied gingival tissue from periodontitis patients. J Periodontal Res. 2003 Jun; 38(3): 247-54. doi:10.1034/j.1600-0765.2003.02601.x

Gorska R, Gregorek H, Kowalski J, Laskus-Perendyk A, Syczewska M, Madalinski K. Relationship between clinical parameters and cytokine profiles in inflamed gingival tissue and serum samples from patients with chronic periodontitis. J Clin Periodontol. 2003 Dec; 30(12): 1046-52.

Lester SR, Bain JL, Serio FG, Harrelson BD, Johnson RB. Relationship between gingival angiopoietin-1 concentrations and depth of the adjacent gingival sulcus. J Periodontol. 2009 Sep; 80(9): 1447-53.

Rayyan A. Kayal, The role of osteoimmunology in periodontal disease. BioMed Res Int. 2013 Aug: 1-12. doi: 10.1155/2013/639368

Gunaratnam K, Taylor B, Curtis B, Cistulli P. Obstructive sleep apnea and periodontitis: a novel association? Sleep Breath. 2009 Feb. 13(3): 233-9.

Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force. Sleep. 1999 Aug 1; 22(5): 667-89.

Mannarino MR, Di Filippo F, Pirro M. Obstructive sleep apnea syndrome. Eur J Int Med. 2012 Oct; 23(7): 586-93. doi: 10.1016/j.ejim.2012.05.013.

Shamsuzzaman AS, Gersh BJ, Somers VK. Obstructive sleep apnea: implications for cardiac and vascular disease. J Am Med Assoc. 2003 Oct 8; 290(14): 1906-14.

Al-Jewair TS, Al-Jasser R, Almas K. Periodontitis and obstructive sleep apnea’s bidirectional relationship: a systematic review and meta-analysis. Sleep Breath. 2015 Dec; 19(4): 1111-20. doi: 10.1007/s11325-015-1160-8.

Vijayan VK. Morbidities associated with obstructive sleep apnea. Expert Rev Respir Med. 2012 Nov; 6(5): 557-66. doi: 10.1586/ers.12.44.

Seo WH, Cho ER, Thomas RJ, An S-Y, Ryu J, Kim H, Shin C. The association between periodontitis and obstructive sleep apnea: a preliminary study. J Periodont Res. 2013 Aug; 48(4): 500-6. doi: 10.1111/jre.

Keller JJ, Wu CS, Chen YH, Lin HC. Association between obstructive sleep apnoea and chronic periodontitis: a population-based study. J Clin Periodontol. 2013 Feb; 40(2): 111-7. doi: 10.1111/jcpe.12036.

Loke W, Girvan T, Ingmundson P, Verrett R, Schoolfield J, Mealey BL. Investigating the association between obstructive sleep apnea and periodontitis. J Periodontol. 2015 Feb; 86(2): 232-43. doi: 10.1902/jop.2014.140229.

República de Colombia, Ministerio de Salud y Protección Social (MSPS). IV Estudio nacional de salud bucal ENSAB-IV. Situación de salud bucal. Bogotá, Colombia: MSPS; 2014.

Löe H, Theilade E, Jensen SB. Experimental gingivitis in man. J Periodontol. 1965 May- Jun; 36:177-87. doi: 10.1902/jop.1965.36.3.177




DOI: http://dx.doi.org/10.11144/Javeriana.uo35-74.cppa

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Copyright (c) 2016 Adriana Cuervo Monguí, María Constanza Martínez Pastrana, Gretty Marcela Sosa Quiroga, Melissa Hernández Torres, Catalina Latorre Uriza, Francina Escobar Arregocés, Juliana Velosa Porras

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