Impact of soft palate visibility and tongue position on early diagnosis of obstructive sleep apnea among patients with tooth loss - An observational preliminary study.
OSA
STOP-BANG
edentulous
mallampatti score
sleep apnea
tongue position
Journal
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
ISSN: 1754-4505
Titre abrégé: Spec Care Dentist
Pays: United States
ID NLM: 8103755
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
revised:
10
11
2021
received:
22
07
2021
accepted:
11
11
2021
pubmed:
9
12
2021
medline:
22
7
2022
entrez:
8
12
2021
Statut:
ppublish
Résumé
Obstructive sleep apnea (OSA) was estimated to affect 15% to 30% of males and 5% to 15% of females with prevalence increasing with progressive tooth loss and its early identification can reduce the sequalae of OSA. Apnea-hypopnea index is confirmatory but unsuitable for clinical settings to detect OSA and concise screening tools are required to detect OSA in edentulous patients. To evaluate the impact of soft palate visibility and tongue position on incidence of OSA among edentulous patients. Thirty two edentulous participants aged between 30 and 65 years were grouped as partially edentulous (PE) and completely edentulous (CE). STOP-BANG Questionnaire (SBQ) was used to assess the scores in OSA risk factors. Mallampati score assessed soft palate visibility. Wright's Classification graded tongue position. Spearmann test evaluated the correlation between the soft palate visibility and tongue position on the OSA scores. Mann-Whitney U test evaluated influence of tooth loss and gender on OSA scores. Positive correlation existed between Mallampati scores, Wright's classification and OSA scores (p < .05). CE participants and male participants had more OSA scores at (p < .05) and (p < .01). SBQ and Mallampati score can assist in chairside screening of OSA. Early screening for OSA in edentulous patients will direct for early intervention and prevent unforeseen sequalae.
Sections du résumé
BACKGROUND
BACKGROUND
Obstructive sleep apnea (OSA) was estimated to affect 15% to 30% of males and 5% to 15% of females with prevalence increasing with progressive tooth loss and its early identification can reduce the sequalae of OSA. Apnea-hypopnea index is confirmatory but unsuitable for clinical settings to detect OSA and concise screening tools are required to detect OSA in edentulous patients.
AIM
OBJECTIVE
To evaluate the impact of soft palate visibility and tongue position on incidence of OSA among edentulous patients.
METHODOLOGY
METHODS
Thirty two edentulous participants aged between 30 and 65 years were grouped as partially edentulous (PE) and completely edentulous (CE). STOP-BANG Questionnaire (SBQ) was used to assess the scores in OSA risk factors. Mallampati score assessed soft palate visibility. Wright's Classification graded tongue position. Spearmann test evaluated the correlation between the soft palate visibility and tongue position on the OSA scores. Mann-Whitney U test evaluated influence of tooth loss and gender on OSA scores.
RESULTS
RESULTS
Positive correlation existed between Mallampati scores, Wright's classification and OSA scores (p < .05). CE participants and male participants had more OSA scores at (p < .05) and (p < .01).
CONCLUSIONS
CONCLUSIONS
SBQ and Mallampati score can assist in chairside screening of OSA. Early screening for OSA in edentulous patients will direct for early intervention and prevent unforeseen sequalae.
Types de publication
Journal Article
Langues
eng
Pagination
404-409Informations de copyright
© 2021 Special Care Dentistry Association and Wiley Periodicals LLC.
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