Oral findings as predictors of obstructive sleep apnea- A case-control study

Objective: To evaluate the role of dental parameters that may contribute to increasing apneic activity in patients with or without obstructive sleep apnea (OSA). Materials and Method: The study comprises a total of 120 patients (60 diagnosed with sleep apnea visiting a sleep center at Delhi and 60 c...

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Main Authors: Asifa Ashraf, Ipseeta Menon, Ritu Gupta, Vikram Arora, Iram Ahsan, Dipshikha Das
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5263;epage=5267;aulast=Ashraf
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author Asifa Ashraf
Ipseeta Menon
Ritu Gupta
Vikram Arora
Iram Ahsan
Dipshikha Das
author_facet Asifa Ashraf
Ipseeta Menon
Ritu Gupta
Vikram Arora
Iram Ahsan
Dipshikha Das
author_sort Asifa Ashraf
collection DOAJ
description Objective: To evaluate the role of dental parameters that may contribute to increasing apneic activity in patients with or without obstructive sleep apnea (OSA). Materials and Method: The study comprises a total of 120 patients (60 diagnosed with sleep apnea visiting a sleep center at Delhi and 60 controls). Patients were assessed based on body mass index, age, neck circumference, and gender (BANG), which were recorded for both the patients and controls. Oral and general examination was carried out using predetermined criteria for Angle's class of malocclusion, maxillary arch constriction, facial profile, Mallampati score for uvula, tongue size, depth of palatal vault, mouth breathing, and periodontitis. Results: Among 120 study subjects, 92 were males and 28 females, with a mean age of 49.08 + 13.13 years in the study group and 45.28 + 14.78 years in the control group. All the variables except Angle's class of malocclusion, periodontitis, mouth breathing, and hypertension showed significant differences in the study group. Multivariate analysis for patients with OSA revealed that obese patients were almost 1.5 times more possibly to report OSA symptoms than their non-obese counterparts. It was also found that patients with OSA were 4.12 times more likely to have neck circumference >40 cm, 2.25 times more likely to have maxillary arch constriction, 1.43 times deeper palatal vault, 8.7 times macroglossia, and 1.7 times class III & IV Mallampati score for uvula. Conclusion: The oral structural findings appear to be more closely related with OSA.
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spelling doaj.art-99d3b9d11e8f491c931e4c2404ebd5092022-12-22T03:41:39ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011195263526710.4103/jfmpc.jfmpc_582_21Oral findings as predictors of obstructive sleep apnea- A case-control studyAsifa AshrafIpseeta MenonRitu GuptaVikram AroraIram AhsanDipshikha DasObjective: To evaluate the role of dental parameters that may contribute to increasing apneic activity in patients with or without obstructive sleep apnea (OSA). Materials and Method: The study comprises a total of 120 patients (60 diagnosed with sleep apnea visiting a sleep center at Delhi and 60 controls). Patients were assessed based on body mass index, age, neck circumference, and gender (BANG), which were recorded for both the patients and controls. Oral and general examination was carried out using predetermined criteria for Angle's class of malocclusion, maxillary arch constriction, facial profile, Mallampati score for uvula, tongue size, depth of palatal vault, mouth breathing, and periodontitis. Results: Among 120 study subjects, 92 were males and 28 females, with a mean age of 49.08 + 13.13 years in the study group and 45.28 + 14.78 years in the control group. All the variables except Angle's class of malocclusion, periodontitis, mouth breathing, and hypertension showed significant differences in the study group. Multivariate analysis for patients with OSA revealed that obese patients were almost 1.5 times more possibly to report OSA symptoms than their non-obese counterparts. It was also found that patients with OSA were 4.12 times more likely to have neck circumference >40 cm, 2.25 times more likely to have maxillary arch constriction, 1.43 times deeper palatal vault, 8.7 times macroglossia, and 1.7 times class III & IV Mallampati score for uvula. Conclusion: The oral structural findings appear to be more closely related with OSA.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5263;epage=5267;aulast=Ashrafneck circumferenceobstructive sleep apneapolysomnographysleep-disordered breathingtongue size
spellingShingle Asifa Ashraf
Ipseeta Menon
Ritu Gupta
Vikram Arora
Iram Ahsan
Dipshikha Das
Oral findings as predictors of obstructive sleep apnea- A case-control study
Journal of Family Medicine and Primary Care
neck circumference
obstructive sleep apnea
polysomnography
sleep-disordered breathing
tongue size
title Oral findings as predictors of obstructive sleep apnea- A case-control study
title_full Oral findings as predictors of obstructive sleep apnea- A case-control study
title_fullStr Oral findings as predictors of obstructive sleep apnea- A case-control study
title_full_unstemmed Oral findings as predictors of obstructive sleep apnea- A case-control study
title_short Oral findings as predictors of obstructive sleep apnea- A case-control study
title_sort oral findings as predictors of obstructive sleep apnea a case control study
topic neck circumference
obstructive sleep apnea
polysomnography
sleep-disordered breathing
tongue size
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=9;spage=5263;epage=5267;aulast=Ashraf
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