Universidade Federal de São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.
Universidade Federal de São Paulo, Departamento de Psicobiologia, São Paulo SP, Brazil.
Arq Neuropsiquiatr. 2022 Feb;80(2):173-179. doi: 10.1590/0004-282X-ANP-2020-0368.
Loss of teeth has been associated with neurological and sleep disorders. It is considered to be a predictor of stroke and leads to modifications of airway patency and predisposition to obstructive sleep apnea.
To investigate sleep quality, risk of obstructive sleep apnea and excessive sleepiness among post-stroke patients with tooth loss attending the Neurovascular Clinic of the Federal University of São Paulo.
The prevalence rates of different types of stroke were assessed among 130 patients with different degrees of tooth loss, along with the presence of sleep disturbances, risk of obstructive sleep apnea and excessive daytime sleepiness.
The prevalence of ischemic stroke was 94.6%, with either no significant disability or slight disability. Our sample had poor sleep quality, and a high risk of obstructive sleep apnea, but without excessive daytime sleepiness. Half of our sample had lost between 9 and 31 teeth, and more than 25% had edentulism. The majority used full removable dental prostheses, and more than half of these individuals slept without removing the prosthesis.
We found high prevalence of poor sleep quality and high risk of obstructive sleep apnea among post-stroke patients with tooth loss. This indicates the need for further studies on treating and preventing sleep disturbances in stroke patients with tooth loss.
牙齿缺失与神经和睡眠障碍有关。它被认为是中风的预测因素，会导致气道通畅性改变，并易患阻塞性睡眠呼吸暂停。
研究在圣保罗联邦大学神经血管诊所就诊的伴有牙齿缺失的脑卒中患者的睡眠质量、阻塞性睡眠呼吸暂停风险和过度嗜睡情况。
评估了 130 名不同程度牙齿缺失患者的不同类型中风的患病率，以及睡眠障碍、阻塞性睡眠呼吸暂停风险和白天过度嗜睡的存在情况。
缺血性中风的患病率为 94.6%，患者要么无明显残疾，要么仅有轻微残疾。我们的样本睡眠质量较差，且存在阻塞性睡眠呼吸暂停的高风险，但不存在白天过度嗜睡。我们的样本中有一半的人缺失了 9 到 31 颗牙齿，超过 25%的人没有牙齿。大多数人使用全口可摘义齿，其中超过一半的人睡觉时不取下义齿。
我们发现伴有牙齿缺失的脑卒中患者睡眠质量差和阻塞性睡眠呼吸暂停风险高的患病率较高。这表明需要进一步研究治疗和预防伴有牙齿缺失的脑卒中患者的睡眠障碍。
