Keywords
enfermedad periodontal
hipoapnea obstructiva del sueño
neumología
otorrinolaringología
periodoncia
periodontitis
síndrome de apnea o hipoapnea obstructiva del sueño (SAHOS)
How to Cite
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.
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
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.