Department of Prosthodontics and Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea.
Department of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
Sci Rep. 2023 Aug 7;13(1):12768. doi: 10.1038/s41598-023-40055-2.
Obstructive sleep apnea (OSA) may be linked with oral health issues. This study evaluated the associations between OSA, dental pain, and chewing discomfort. Big data from a nationwide survey involving 6984 participants aged ≥ 40 years were analyzed. The STOP-Bang questionnaire was used to assess the OSA risk, categorizing the participants into low-, intermediate-, and high-risk groups. The associations of OSA risk with dental pain and chewing discomfort were evaluated using multivariate logistic regression analyses (α = 0.05). Results revealed that 50.33%, 37.50%, and 12.17% of the population belonged to the low-, intermediate-, and high-risk groups, respectively. After adjusting for covariates, a significant association emerged between OSA risk and dental pain, with adjusted odds ratios (95% confidence intervals) of 1 (reference), 1.208 (1.003-1.455), and 1.472 (1.131-1.916) for the low-, intermediate-, and high-risk groups, respectively (p = 0.0156). The adjusted odds ratio for chewing discomfort in the high-risk OSA group was 1.307 (0.977-1.748), although not significantly different from that of the low-risk group (p > 0.05). A high risk of OSA was associated with 1.472-fold increased risk of dental pain compared to those at low risk, implicating OSA as a potential risk indicator of poor oral health.
阻塞性睡眠呼吸暂停（OSA）可能与口腔健康问题有关。本研究评估了 OSA、牙痛和咀嚼不适之间的关联。对一项涉及 6984 名年龄≥40 岁的全国性调查的大数据进行了分析。使用 STOP-Bang 问卷评估 OSA 风险，将参与者分为低风险、中风险和高风险组。使用多变量逻辑回归分析（α=0.05）评估 OSA 风险与牙痛和咀嚼不适的关联。结果显示，人群中分别有 50.33%、37.50%和 12.17%属于低风险、中风险和高风险组。调整协变量后，OSA 风险与牙痛之间存在显著关联，低风险、中风险和高风险组的调整比值比（95%置信区间）分别为 1（参考）、1.208（1.003-1.455）和 1.472（1.131-1.916）（p=0.0156）。高风险 OSA 组咀嚼不适的调整比值比为 1.307（0.977-1.748），虽然与低风险组无显著差异（p>0.05）。与低风险相比，OSA 高风险与牙痛风险增加 1.472 倍相关，表明 OSA 是口腔健康不良的潜在风险指标。
