Imaging Science in Dentistry

  • 제46권3호
  • /
  • Pages.167-171
  • /
  • 2016
  • /
  • 2233-7822(pISSN)
  • /
  • 2233-7830(eISSN)
대한영상치의학회 (Korean Academy of Oral and Maxillofacial Radiology)
권호 표지
DOI QR코드

DOI QR Code

The role of oral physicians in predicting the risk of obstructive sleep apnea: A case-control study

  • Lavanya, Reddy (Department of Oral Medicine and Radiology, Panineeya Institute of Dental Sciences and Research Centre) ;
  • Babu, Dara Balaji Gandhi (Department of Oral Medicine and Radiology, Panineeya Institute of Dental Sciences and Research Centre) ;
  • Chavva, Sunandha (Department of Oral Medicine and Radiology, Panineeya Institute of Dental Sciences and Research Centre) ;
  • Boringi, Mamatha (Department of Oral Medicine and Radiology, Panineeya Institute of Dental Sciences and Research Centre) ;
  • Waghray, Shefali (Department of Oral Medicine and Radiology, Panineeya Institute of Dental Sciences and Research Centre) ;
  • Yeladandi, Mounica (Department of Oral Medicine and Radiology, Panineeya Institute of Dental Sciences and Research Centre)
  • 투고 : 2016.01.02
  • 심사 : 2016.04.17
  • 발행 : 2016.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Fusetti M, Fioretti AB, Valenti M, Masedu F, Lauriello M, Pagliarella M. Cardiovascular and metabolic comorbidities in patients with obstructive sleep apnoea syndrome. Acta Otorhinolaryngol Ital 2012; 32: 320-5.
  2. Huang QR, Qin Z, Zhang S, Chow CM. Clinical patterns of obstructive sleep apnea and its comorbid conditions: a data mining approach. J Clin Sleep Med 2008; 4: 543-50.
  3. Lavie P. Mortality in sleep apnoea syndrome: a review of the evidence. Eur Respir Rev 2007; 16: 203-10. https://doi.org/10.1183/09059180.00010610
  4. Grover M, Mookadam M, Armas D, Bozarth C, Castleberry T, Gannon M, et al. Identifying patients at risk for obstructive sleep apnea in a primary care practice. J Am Board Fam Med 2011; 24: 152-60. https://doi.org/10.3122/jabfm.2011.02.100193
  5. Armalaite J, Lopatiene K. Lateral teleradiography of the head as a diagnostic tool used to predict obstructive sleep apnea. Dentomaxillofac Radiol 2016; 45: 20150085. https://doi.org/10.1259/dmfr.20150085
  6. Sung MW, Lee WH, Wee JH, Lee CH, Kim E, Kim JW. Factors associated with hypertrophy of the lingual tonsils in adults with sleep-disordered breathing. JAMA Otolaryngol Head Neck Surg 2013; 139: 598-603. https://doi.org/10.1001/jamaoto.2013.3263
  7. Friedel ME, Johnston DR, Singhal S, Al Khalili K, Farrell CJ, Evans JJ, et al. Airway management and perioperative concerns in acromegaly patients undergoing endoscopic transsphenoidal surgery for pituitary tumors. Otolaryngol Head Neck Surg 2013; 149: 840-4. https://doi.org/10.1177/0194599813507236
  8. Sedaghat AR, Anderson IC, McGinley BM, Rossberg MI, Redett RJ, Ishman SL. Characterization of obstructive sleep apnea before and after tongue-lip adhesion in children with micrognathia. Cleft Palate Craniofac J 2012; 49: 21-6. https://doi.org/10.1597/10-240
  9. Pracharktam N, Nelson S, Hans MG, Broadbent BH, Redline S, Rosenberg C, et al. Cephalometric assessment in obstructive sleep apnea. Am J Orthod Dentofacial Orthop 1996; 109: 410-9. https://doi.org/10.1016/S0889-5406(96)70123-3
  10. Tangugsorn V, Skatvedt O, Krogstad O, Lyberg T. Obstructive sleep apnoea: a cephalometric study. Part I. Cervico-craniofacial skeletal morphology. Eur J Orthod 1995; 17: 45-56. https://doi.org/10.1093/ejo/17.1.45
  11. Szymanska J, Dobrowolska-Zarzycka M. The influence of upper airways diameter on the intensity of obstructive sleep apnea. Ann Agric Environ Med 2014; 21: 217-20. https://doi.org/10.5604/12321966.1095371
  12. Martin SE, Mathur R, Marshall I, Douglas NJ. The effect of age, sex, obesity and posture on upper airway size. Eur Respir J 1997; 10: 2087-90. https://doi.org/10.1183/09031936.97.10092087
  13. Gabbay IE, Lavie P. Age- and gender-related characteristics of obstructive sleep apnea. Sleep Breath 2012; 16: 453-60. https://doi.org/10.1007/s11325-011-0523-z
  14. Guttal KS, Burde KN. Cephalometric evaluation of upper airway in healthy adult population: a preliminary study. J Oral and Maxillofac Radiol 2013; 1: 55-60. https://doi.org/10.4103/2321-3841.120115
  15. Block AJ, Boysen PG, Wynne JW, Hunt LA. Sleep apnea, hypopnea and oxygen desaturation in normal subjects. A strong male predominance. N Engl J Med 1979; 300: 513-7. https://doi.org/10.1056/NEJM197903083001001
  16. Julia-Serda G, Perez-Penate G, Saavedra-Santana P, Ponce-Gonzalez M, Valencia-Gallardo JM, Rodriguez-Delgado R, et al. Usefulness of cephalometry in sparing polysomnography of patients with suspected obstructive sleep apnea. Sleep Breath 2006; 10: 181-7. https://doi.org/10.1007/s11325-006-0073-y

피인용 문헌

  1. Potential of Panoramic Radiography as a Screening Method for Oral Hypofunction in the Evaluation of Hyoid Bone Position vol.31, pp.3, 2016, https://doi.org/10.15369/sujms.31.227
  2. Evaluation of Patients for High-risk Obstructive Sleep Apnea from a Dental Perspective: A Cross-sectional Study vol.13, pp.1, 2016, https://doi.org/10.5005/jp-journals-10015-1898