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阻塞性睡眠呼吸暂停综合征与牙周炎的相关性:一项系统评价与Meta分析

Correlations between Obstructive Sleep Apnea Syndrome and Periodontitis: A Systematic Review and Meta-Analysis.

作者信息

Portelli Marco, Russo Ignazio, Bellocchio Angela Mirea, Militi Angela, Nucera Riccardo

机构信息

Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, 98125 Messina, Italy.

出版信息

Dent J (Basel). 2024 Jul 26;12(8):236. doi: 10.3390/dj12080236.

Abstract

The focus of this article was to evaluate the link between obstructive sleep apnea syndrome (OSAS) and periodontitis, considering various hypotheses supporting the relationship between respiratory disorders and periodontitis. The literature review for this study was performed using the PubMed, Google Scholar, Cochrane library, and Proquest databases. The review process was guided by the PRISMA guidelines. The PECOS protocol (Population, Exposure, Control, Outcome, Study) was followed in developing the search strategy to ensure consistent and accurate selection of articles. To evaluate quality, cross-sectional studies were reviewed using the Joanna Briggs Institute (JBI) critical appraisal tool. Case-control studies were assessed with the Newcastle-Ottawa Scale (NOS). The research included a total of 10 studies, encompassing 88,040 participants. The meta-analysis observed a statistically significant association between OSAS and periodontitis, with an odds ratio OR = 2.4620 (95%-CI: 1.7345-3.4946 ≤ 0.0001). The results suggest a potential association between OSA and periodontitis. Further investigations are warranted to confirm this association and elucidate its underlying mechanism.

摘要

本文的重点是评估阻塞性睡眠呼吸暂停综合征(OSAS)与牙周炎之间的联系,同时考虑支持呼吸障碍与牙周炎之间关系的各种假说。本研究的文献综述使用了PubMed、谷歌学术、Cochrane图书馆和Proquest数据库进行。综述过程遵循PRISMA指南。在制定检索策略时遵循了PECOS方案(人群、暴露因素、对照、结局、研究),以确保文章的一致和准确选择。为评估质量,使用乔安娜·布里格斯研究所(JBI)的批判性评价工具对横断面研究进行了综述。使用纽卡斯尔-渥太华量表(NOS)对病例对照研究进行了评估。该研究共纳入10项研究,涉及88040名参与者。荟萃分析观察到OSAS与牙周炎之间存在统计学上的显著关联,优势比OR = 2.4620(95%置信区间:1.7345 - 3.4946 ≤ 0.0001)。结果表明OSA与牙周炎之间可能存在关联。有必要进行进一步研究以证实这种关联并阐明其潜在机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4548/11352505/657b31a1cfff/dentistry-12-00236-g001.jpg

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