Frequency of Obstructive Sleep Apnea in Patients Presenting with Tooth Fractures: A Prospective Controlled Study.
Autor: | Anitua, Eduardo, Flores, Carlos, Durán-Cantolla, Joaquín, Zamora Almeida, Gabriela, Alkhraisat, Mohammad Hamdan |
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Předmět: |
STATISTICS
DENTAL clinics EXOSTOSIS MYALGIA ANTHROPOMETRY MULTIPLE regression analysis AGE distribution CASE-control method HABIT MANN Whitney U Test TOOTH fractures T-test (Statistics) SLEEP apnea syndromes QUESTIONNAIRES PULMONARY function tests DESCRIPTIVE statistics DISEASE prevalence CHI-squared test DATA analysis PERIODONTICS LONGITUDINAL method |
Zdroj: | International Journal of Periodontics & Restorative Dentistry; Jan/Feb2023, Vol. 43 Issue 1, p121-127, 7p |
Abstrakt: | Several factors in the pathophysiology of obstructive sleep apnea (OSA) may increase the likelihood of excessive occlusal loads. Increased occlusal loads may compromise a tooth's mechanical resistance. This prospective controlled study assessed the frequency of OSA in patients presenting with tooth fracture. Patients with and without tooth fractures were selected in a consecutive manner from a private dental clinic between February 2018 and January 2020. Demographic and dental variables were registered. A parafunctional habits questionnaire, anthropometric measurements, and validated respiratory polygraphy were performed. Descriptive, comparative, and correlation statistical analyses were performed. Multiple regression analysis was also performed. Fifty-nine patients were included, and 29 presented tooth fracture. Patients with a tooth fracture formed the case group and patients without tooth fracture formed the control group. Patient age was significantly higher in the case group (59 ± 13 years) compared to the control group (44 ± 11 years). Most of the fractured teeth were molars, had a natural tooth as an antagonist, and were not endodontically treated. Twenty-one patients had OSA (apnea-hypopnea index: = 5 events per hour) in the case group compared with 12 patients in the control group (P = .027). Moreover, the patients in the case group had a significantly higher apnea-hypopnea index (P = .000). Multiple regression analysis showed that only age had a significant effect on tooth fracture (P = .002). However, there was a statistically significant relationship between OSA and the presence of tooth fracture in patients aged = 40 years (P = .041). OSA was more frequent in patients presenting with tooth fractures. [ABSTRACT FROM AUTHOR] |
Databáze: | Complementary Index |
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