The association between sleep disturbances and tooth loss among post-stroke patients.
Journal
Arquivos de neuro-psiquiatria
ISSN: 1678-4227
Titre abrégé: Arq Neuropsiquiatr
Pays: Germany
ID NLM: 0125444
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
03
03
2021
revised:
17
05
2021
accepted:
15
06
2021
entrez:
30
3
2022
pubmed:
31
3
2022
medline:
2
4
2022
Statut:
ppublish
Résumé
Loss of teeth has been associated with neurological and sleep disorders. It is considered to be a predictor of stroke and leads to modifications of airway patency and predisposition to obstructive sleep apnea. To investigate sleep quality, risk of obstructive sleep apnea and excessive sleepiness among post-stroke patients with tooth loss attending the Neurovascular Clinic of the Federal University of São Paulo. The prevalence rates of different types of stroke were assessed among 130 patients with different degrees of tooth loss, along with the presence of sleep disturbances, risk of obstructive sleep apnea and excessive daytime sleepiness. The prevalence of ischemic stroke was 94.6%, with either no significant disability or slight disability. Our sample had poor sleep quality, and a high risk of obstructive sleep apnea, but without excessive daytime sleepiness. Half of our sample had lost between 9 and 31 teeth, and more than 25% had edentulism. The majority used full removable dental prostheses, and more than half of these individuals slept without removing the prosthesis. We found high prevalence of poor sleep quality and high risk of obstructive sleep apnea among post-stroke patients with tooth loss. This indicates the need for further studies on treating and preventing sleep disturbances in stroke patients with tooth loss.
Sections du résumé
BACKGROUND
Loss of teeth has been associated with neurological and sleep disorders. It is considered to be a predictor of stroke and leads to modifications of airway patency and predisposition to obstructive sleep apnea.
OBJECTIVE
To investigate sleep quality, risk of obstructive sleep apnea and excessive sleepiness among post-stroke patients with tooth loss attending the Neurovascular Clinic of the Federal University of São Paulo.
METHODS
The prevalence rates of different types of stroke were assessed among 130 patients with different degrees of tooth loss, along with the presence of sleep disturbances, risk of obstructive sleep apnea and excessive daytime sleepiness.
RESULTS
The prevalence of ischemic stroke was 94.6%, with either no significant disability or slight disability. Our sample had poor sleep quality, and a high risk of obstructive sleep apnea, but without excessive daytime sleepiness. Half of our sample had lost between 9 and 31 teeth, and more than 25% had edentulism. The majority used full removable dental prostheses, and more than half of these individuals slept without removing the prosthesis.
CONCLUSIONS
We found high prevalence of poor sleep quality and high risk of obstructive sleep apnea among post-stroke patients with tooth loss. This indicates the need for further studies on treating and preventing sleep disturbances in stroke patients with tooth loss.
Identifiants
pubmed: 35352755
pii: S0004-282X2022000200173
doi: 10.1590/0004-282X-ANP-2020-0368
pmc: PMC9648926
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
173-179Références
J Stroke Cerebrovasc Dis. 2018 Dec;27(12):3578-3586
pubmed: 30318258
N Engl J Med. 1990 Feb 8;322(6):373-82
pubmed: 2405268
Sleep Med. 2012 Apr;13(4):450-1
pubmed: 22386388
Neurology. 2016 Sep 27;87(13):1407-16
pubmed: 27488603
J Clin Sleep Med. 2018 Jan 15;14(1):95-100
pubmed: 29117882
Ann Acad Med Stetin. 2007;53(2):14-9
pubmed: 18557372
J Prosthet Dent. 2017 Jun;117(6):706-708
pubmed: 27964849
J Adv Prosthodont. 2010 Dec;2(4):122-7
pubmed: 21264190
Arq Neuropsiquiatr. 2017 Nov;75(11):785-788
pubmed: 29236821
Anaesthesia. 1987 May;42(5):487-90
pubmed: 3592174
Sleep Breath. 2016 Sep;20(3):1095-102
pubmed: 26779902
Sleep Med Rev. 2019 Jun;45:127-128
pubmed: 31080163
BMC Oral Health. 2017 Jun 23;17(1):101
pubmed: 28645271
Sleep Med. 2014 Jul;15(7):776-81
pubmed: 24891079
J Stroke. 2018 Jan;20(1):12-32
pubmed: 29402071
Stroke. 1993 Jan;24(1):35-41
pubmed: 7678184
J Am Heart Assoc. 2017 Mar 29;6(4):
pubmed: 28356279
J Prosthet Dent. 2005 Aug;94(2):108-11
pubmed: 16046963
BMJ Open Respir Res. 2021 Mar;8(1):
pubmed: 33664122
Psychiatry Res. 1989 May;28(2):193-213
pubmed: 2748771
Eur J Clin Invest. 2019 Mar 18;:e13103
pubmed: 30883728
Auris Nasus Larynx. 2018 Jun;45(3):499-503
pubmed: 28807529
Arq Neuropsiquiatr. 2015 Sep;73(9):746-50
pubmed: 26352491
Diabetes Spectr. 2018 Aug;31(3):234-245
pubmed: 30140139
Minerva Stomatol. 2000 Sep;49(9):399-404
pubmed: 11256199
Sleep Med. 2018 Dec;52:18-22
pubmed: 30195198
Biomed Res Int. 2018 Oct 24;2018:6434872
pubmed: 30474041
Sleep Med Disord. 2018;2(5):120-125
pubmed: 30680373
Eur Respir J. 2012 Apr;39(4):906-12
pubmed: 21965227
Circulation. 2016 Jan 26;133(4):e38-360
pubmed: 26673558
BMJ Open. 2017 Dec 22;7(12):e013983
pubmed: 29275335
Sleep Breath. 2016 Mar;20(1):413-8
pubmed: 26374426
Sci Rep. 2020 May 26;10(1):8690
pubmed: 32457400
Sleep Breath. 2012 Sep;16(3):855-63
pubmed: 21938436
Circulation. 2006 Feb 14;113(6):e85-151
pubmed: 16407573
Sleep. 1991 Dec;14(6):540-5
pubmed: 1798888
Arq Neuropsiquiatr. 2013 May;71(5):294-300
pubmed: 23689406
Neurology. 2009 Oct 20;73(16):1313-22
pubmed: 19841384
Sleep Breath. 2021 Dec;25(4):2289-2296
pubmed: 33415655
Niger J Clin Pract. 2015 Jul-Aug;18(4):502-5
pubmed: 25966722