Alkharouby Shahad A, Alkhudhayri Sumayyah L, Alhassani Shahad L, Alghamdi Hamed S, Alsahafi Rashed A, Mariappan Nivetha, Barashi Mohammed A, Alhazmi Hesham A
College of Dentistry, Umm Al-Qura University, Makkah 24211, Saudi Arabia.
Department of Oral and Maxillofacial Surgery and Diagnostic Science, College of Dentistry, Umm Al-Qura University, Makkah 24211, Saudi Arabia.
Dent J (Basel). 2025 Apr 24;13(5):187. doi: 10.3390/dj13050187.
This systematic review aimed to evaluate general dentists and dental specialists' knowledge regarding obstructive sleep apnea (OSA) diagnosis, referral, risk factors, and treatment. A systematic search of databases, including Web of Science, PubMed, and ProQuest, was conducted for studies published up to 25 September 2023, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Inclusion criteria included cross-sectional studies that assessed the knowledge of general dentists or dental specialists. A quality assessment was performed using the Newcastle-Ottawa Quality Assessment Scale. The seven included studies demonstrated varied knowledge levels among respondents regarding polysomnography as the gold standard for diagnosing OSA, with percentages ranging from 40.18% to 90%. While recognition of craniofacial structure as a risk factor for OSA was consistently high, knowledge about body weight as a risk factor varied. Additionally, the understanding of continuous positive airway pressure as the standard treatment showed discrepancies across the studies. Given that some of the included articles displayed a moderate to high risk of bias, the results highlight the varying levels of OSA knowledge among dentists and specialists across the studies. This indicates a potential need for targeted educational programs to improve their understanding and management of OSA.
本系统评价旨在评估普通牙医和牙科专家关于阻塞性睡眠呼吸暂停（OSA）诊断、转诊、危险因素及治疗方面的知识。按照系统评价与Meta分析的首选报告项目指南，对包括科学网、PubMed和ProQuest在内的数据库进行了系统检索，纳入截至2023年9月25日发表的研究。纳入标准包括评估普通牙医或牙科专家知识的横断面研究。使用纽卡斯尔-渥太华质量评估量表进行质量评估。纳入的七项研究表明，受访者对多导睡眠图作为诊断OSA的金标准的知识水平各不相同，比例从40.18%到90%不等。虽然将颅面结构视为OSA危险因素的认知一直较高，但对体重作为危险因素的认识各不相同。此外，对持续气道正压通气作为标准治疗方法的理解在各项研究中也存在差异。鉴于部分纳入文章显示出中度至高度的偏倚风险，结果突出了不同研究中牙医和专家对OSA知识水平的差异。这表明可能需要有针对性的教育项目来提高他们对OSA的理解和管理能力。
