Cent Eur J Public Health 2024, 32(Suppl):S66-71 | DOI: 10.21101/cejph.a7891
Sleep apnoea from a dentist's point of view
- 1 First Dental Clinic, Faculty of Medicine, Pavol Jozef Šafárik University and Louis Pasteur University Hospital in Košice, Košice, Slovak Republic
- 2 Private Dental Practice, Prešov, Slovak Republic
- 3 Department of Dentistry and Maxillofacial Surgery, Faculty of Medicine, Pavol Jozef Šafárik University and Louis Pasteur University Hospital in Košice, Košice, Slovak Republic
- 4 Department of Dentistry and Maxillofacial Surgery Academia Košice, n.o., Košice, Slovak Republic
- 5 Department of Medical Physiology, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovak Republic
- 6 Department of Public Health and Hygiene, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovak Republic
Objectives: The aim of this study was to confirm the relevance of knowledge a dentist has regarding obstructive sleep apnoea (OSA), considering the fact that based on specific risk factors a dentist may be the first clinician to identify patients who are at risk of being affected by this serious condition.
Methods: The cohort consisted of 53 subjects who underwent a routine dental examination. Anthropometric data and data on tongue size (Mallampati classification), tonsil size (Friedman classification), daytime sleepiness (Epworth Sleepiness Scale) and systemic risk factors were recorded in a record sheet. On the basis of the monitored parameters, selected subjects underwent polysomnography in order to objectivise the parameters observed.
Results: Polysomnography confirmed a 96% success rate in our identifying subjects as being at high risk of developing OSA. This indicates that the parameters monitored during a routine dental examination were properly selected to identify patients with this condition in advance.
Conclusion: The relevance of information dentists have about the early identification of patients with OSA may be crucial in the management of further therapy to be provided to these patients.
Keywords: obstructive sleep apnoea, risk factors, dental examination
Received: May 24, 2023; Revised: June 16, 2024; Accepted: June 16, 2024; Published: December 31, 2024 Show citation
ACS | AIP | APA | ASA | Harvard | Chicago | Chicago Notes | IEEE | ISO690 | MLA | NLM | Turabian | Vancouver |
Attachments
Download file | SUPPLEMENTARY MATERIAL: Record sheet a7891_Supplementary_material.pdf |
References
- Rokyta R. [Physiology and pathological physiology for clinical practice]. Prague: Grada Publishing; 2015. Czech.
- Ebben M. Tongue protrusion force: a pilot study [Internet]. New York: National Library of Medicine; 2016 [cited 2024 Jun 16]. Available from: clinicaltrials.gov/ct2/show/NCT02781701.
- Faber J, Faber C, Faber AP. Obstructive sleep apnea in adults. Dental Press J Orthod. 2019 Aug 1;24(3):99-109.
Go to original source...
Go to PubMed...
- Borzová C, Jirák R, Holíková M, Kozelek P, Kostková T. [Insomnia and Other Sleep Disorders]. Prague: Grada Publishing; 2011. Czech.
- Nuttall FQ. Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutr Today. 2015 May;50(3):117-28.
Go to original source...
Go to PubMed...
- Caro P, Guerra X, Canals A, Weisstaub G, Sandaña C. Is neck circumference an appropriate tool to predict cardiovascular risk in clinical practice? A cross-sectional study in Chilean population. BMJ Open. 2019 Nov 7;9(11):e028305. doi: 10.1136/bmjopen-2018-028305.
Go to original source...
Go to PubMed...
- Friedman M, Hamilton C, Samuelson CG, Lundgren ME, Pott T. Diagnostic value of the Friedman tongue position and Mallampati classification for obstructive sleep apnea: a meta-analysis. Otolaryngol Head Neck Surg. 2013 Apr;148(4):540-7.
Go to original source...
Go to PubMed...
- Lapin BR, Bena JF, Walia HK, Moul DE. The Epworth Sleepiness Scale: validation of one-dimensional factor structure in a large clinical sample. J Clin Sleep Med. 2018 Aug 15;14(8):1293-301.
Go to original source...
Go to PubMed...
- Senaratna CV, Perret JL, Lodge CJ, Lowe AJ, Campbell BE, Matheson MC, et al. Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev. 2017 Aug;34:70-81.
Go to original source...
Go to PubMed...
- Subramani Y, Singh M, Wong J, Kushida CA, Malhotra A, Chung F. Understanding phenotypes of obstructive sleep apnea: applications in anesthesia, surgery, and perioperative medicine. Anesth Analg. 2017 Jan;124(1):179-91.
Go to original source...
Go to PubMed...
- Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014 Feb 22;383(9918):736-47.
Go to original source...
Go to PubMed...
- Hashim Z, Nath A, Gupta M, Khan A, Mishra R, Srivastava S, et al. Diagnosis of obstructive sleep apnea in women: is there any difference?- Experience from a tertiary care hospital of North India. J Family Med Prim Care. 2019 Oct 31;8(10):3276-81.
Go to original source...
Go to PubMed...
- Hinnes J. Age and sleep apnea: does age affect the prevalence of sleep apnea? [Internet]. Alaska Sleep Clinic; 2020 [cited 2024 Jun 16]. Available from: https://www.alaskasleep.com/blog/age-and-sleep-apnea-age-affect-prevalence-sleep-apnea.
- McMillan A, Morrell MJ. Sleep disordered breathing at the extremes of age: the elderly. Breathe (Sheff). 2016 Mar;12(1):50-60.
Go to original source...
Go to PubMed...
- Heiner V, Krahulec B, Pařízková J. [Basics of clinical obesitology]. Prague: Grada Publishing; 2011. Czech.
- Gray EL, McKenzie DK, Eckert DJ. Obstructive sleep apnea without obesity is common and difficult to treat: evidence for a distinct pathophysiological phenotype. J Clin Sleep Med. 2017 Jan 15;13(1):81-8.
Go to original source...
Go to PubMed...
- Rouatbi S, Ghannouchi I, Kammoun R, Ben Saad H. The ventilatory and diffusion dysfunctions in obese patients with and without obstructive Sleep Apnea-Hypopnea Syndrome. J Obes. 2020 Feb 10;2020:8075482. doi: 10.1155/2020/8075482.
Go to original source...
Go to PubMed...
- Shah JA, George A, Chauhan N, Francis S. Obstructive Sleep Apnea: role of an otorhinolaryngologist. Indian J Otolaryngol Head Neck Surg. 2016 Mar;68(1):71-4.
Go to original source...
Go to PubMed...
- Baradaranfar MH, Edalatkhah M, Dadgarnia MH, Atighechi S, Behniafard N, Mirvakili A, et al. The effect of uvulopalatopharyngoplasty with tonsillectomy in patients with obstructive sleep apnea. Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(Suppl 1):29-33.
Go to original source...
Go to PubMed...
- Stanley JJ, Shelgikar AV, Aronovich S, O'Brien LM. Efficacy of oral appliance therapy in patients following uvulopalatopharyngoplasty failure. Laryngoscope Investig Otolaryngol. 2019 Mar 4;4(2):269-73.
Go to original source...
Go to PubMed...
- Berg LM, Ankjell TKS, Sun YQ, Trovik TA, Sjögren A, Rikardsen OG, et al. Friedman Score in relation to compliance and treatment response in nonsevere obstructive sleep apnea. Int J Otolaryngol. 2020 Mar 19;2020:6459276. doi: 10.1155/2020/6459276.
Go to original source...
Go to PubMed...
- Omobomi O, Batool-Anwar S, Quan SF. Clinical and polysomnographic correlates of subjective sleepiness in mild obstructive sleep apnea. Sleep Vigil. 2019 Dec;3(2):131-8.
Go to original source...
Go to PubMed...
- Frigy A, Kocsis I. Hypertension and sleep apnea. In: Artis AS, editor. Blood pressure - from bench to bed. London: IntechOpen; 2018.
Go to original source...