Durán-Cantolla Joaquín, Alkhraisat Mohammad Hamdan, Martínez-Null Cristina, Aguirre Jose Javier, Guinea Elena Rubio, Anitua Eduardo
Sleep Disorders Unit, Clínica Eduardo Anitua, Vitoria, Spain.
Sleep Disorders Unit, Hospital Universitario Araba, Vitoria, Spain.
J Clin Sleep Med. 2015 Apr 15;11(4):445-50. doi: 10.5664/jcsm.4602.
To estimate the frequency of obstructive sleep apnea syndrome (OSAS) in dental patients with tooth wear, and to assess the role of dentists in the identification of patients at risk of OSAS.
Dental patients with tooth wear and treated with occlusal splint were prospectively recruited to perform sleep study. The severity of tooth wear was established by the treating dentist before patient referral to sleep disorders unit. Sleep questionnaires, anthropometric measurements, and validated respiratory polygraphy were performed.
All patients with dental wear were offered a sleepiness analysis. Of 31 recruited patients, 30 (77% males) participated in this study. Patients' mean age was 58.5 ± 10.7 years (range: 35-90 years) and the body mass index was 27.9 ± 3.4 kg/m(2). Tooth wear was mild in 13 patients, moderate in 8 and severe in 9. The mean apnea-hypopnea index (AHI) was 32.4 ± 24.9. AHI < 5 was reported in 2 patients, AHI of 5-29 in 17, and AHI ≥ 30 in 11. A statistically significant association was found between AHI severity and tooth wear severity (Spearman R = 0.505; p = 0.004).
Tooth wear could be a tool to identify those patients at risk of having OSAS. This highlights the importance of dental professionals to identify and refer patients with OSAS.
评估牙齿磨损的牙科患者中阻塞性睡眠呼吸暂停综合征（OSAS）的发生率，并评估牙医在识别OSAS风险患者中的作用。
前瞻性招募接受咬合夹板治疗的牙齿磨损牙科患者进行睡眠研究。在患者被转介到睡眠障碍科之前，由主治牙医确定牙齿磨损的严重程度。进行睡眠问卷调查、人体测量和经过验证的呼吸多导睡眠图检查。
所有牙齿磨损患者均接受了嗜睡分析。在招募的31名患者中，30名（77%为男性）参与了本研究。患者的平均年龄为58.5±10.7岁（范围：35 - 90岁），体重指数为27.9±3.4kg/m²。13名患者牙齿磨损为轻度，8名中度，9名重度。平均呼吸暂停低通气指数（AHI）为32.4±24.9。2名患者AHI<5，17名患者AHI为5 - 29，11名患者AHI≥30。发现AHI严重程度与牙齿磨损严重程度之间存在统计学显著关联（Spearman R = 0.505；p = 0.004）。
牙齿磨损可能是识别有OSAS风险患者的一种工具。这凸显了牙科专业人员识别和转诊OSAS患者的重要性。
