Skip to main content
Erschienen in: Sleep and Breathing 2/2023

27.06.2022 | Sleep Breathing Physiology and Disorders • Original Article

A meta-analysis on the association between obstructive sleep apnea and periodontitis

verfasst von: Junfei Zhu, Xuguang Yuan, Ying Zhang, Fang Wei, Yuli Hou, Ye Zhang

Erschienen in: Sleep and Breathing | Ausgabe 2/2023

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The present meta-analysis aimed to evaluate quantitively the recent scientific evidence regarding the association between obstructive sleep apnea (OSA) and periodontitis.

Methods

Databases searched were PubMed, EMBASE, Scopus, and Web of Science. Publications were included according to the inclusion criteria. The following outcomes were evaluated: the prevalence of periodontitis, probing depth (PD), clinical attachment loss (CAL), the percentage of sites with bleeding on probing (BOP), plaque index (PI), and gingival index (GI). The statistical analysis was processed using the software STATA.

Results

Thirteen eligible studies comprising a total of 31,800 patients were included. The meta-analysis showed an increased prevalence of periodontitis in OSA populations compared to controls. Both PD and CAL were increased in OSA populations compared with controls. (Prevalence of periodontitis: OR 2.348; 95%CI 2.221–2.482; PD: SMD = 0.681, 95% CI: 0.062–1.301, Z = 2.61, P = 0.031; CAL: SMD = 0.694, 95% CI: 0.167–1.22, Z = 2.58, P = 0.01). The study also found significantly increased BOP in patients with OSA after heterogeneity was clarified. (SMD = 0.357, 95% CI: 0.079–0.635, Z = 2.52, P = 0.012).

Conclusions

The findings suggest that OSA was associated with an increased prevalence of periodontitis.
Literatur
1.
2.
Zurück zum Zitat Fischer RG et al (2020) Periodontal disease and its impact on general health in Latin America. Section V: Treatment of periodontitis. Braz Oral Res 34(1):e026CrossRefPubMed Fischer RG et al (2020) Periodontal disease and its impact on general health in Latin America. Section V: Treatment of periodontitis. Braz Oral Res 34(1):e026CrossRefPubMed
3.
Zurück zum Zitat Shangase SL et al (2013) The association between periodontitis and systemic health: an overview. Sadj 68(1):8, 10-2PubMed Shangase SL et al (2013) The association between periodontitis and systemic health: an overview. Sadj 68(1):8, 10-2PubMed
4.
Zurück zum Zitat Gunaratnam K et al (2009) Obstructive sleep apnoea and periodontitis: a novel association? Sleep Breath 13(3):233–239CrossRefPubMed Gunaratnam K et al (2009) Obstructive sleep apnoea and periodontitis: a novel association? Sleep Breath 13(3):233–239CrossRefPubMed
5.
Zurück zum Zitat Maspero C et al (2015) Obstructive sleep apnea syndrome: a literature review. Minerva Stomatol 64(2):97–109PubMed Maspero C et al (2015) Obstructive sleep apnea syndrome: a literature review. Minerva Stomatol 64(2):97–109PubMed
7.
Zurück zum Zitat Liu X et al (2020) The relationship between inflammation and neurocognitive dysfunction in obstructive sleep apnea syndrome. J Neuroinflamm 17(1):229CrossRef Liu X et al (2020) The relationship between inflammation and neurocognitive dysfunction in obstructive sleep apnea syndrome. J Neuroinflamm 17(1):229CrossRef
8.
9.
Zurück zum Zitat Quercioli A, Mach F, Montecucco F (2010) Inflammation accelerates atherosclerotic processes in obstructive sleep apnea syndrome (OSAS). Sleep Breath 14(3):261–269CrossRefPubMed Quercioli A, Mach F, Montecucco F (2010) Inflammation accelerates atherosclerotic processes in obstructive sleep apnea syndrome (OSAS). Sleep Breath 14(3):261–269CrossRefPubMed
10.
Zurück zum Zitat Al Habashneh R et al (2016) Association between obstructive sleep apnea and periodontitis among male adults attending a primary healthcare facility in Jordan. Oral Health Prev Dent 14(2):157–164PubMed Al Habashneh R et al (2016) Association between obstructive sleep apnea and periodontitis among male adults attending a primary healthcare facility in Jordan. Oral Health Prev Dent 14(2):157–164PubMed
11.
Zurück zum Zitat Durhan M et al (2019) Does obstructive sleep apnea affect oral and periodontal health in children with down syndrome? A preliminary study. Niger J Clin Pract 22(9):1175–1179CrossRefPubMed Durhan M et al (2019) Does obstructive sleep apnea affect oral and periodontal health in children with down syndrome? A preliminary study. Niger J Clin Pract 22(9):1175–1179CrossRefPubMed
12.
Zurück zum Zitat Gamsiz-Isik H et al (2017) Does obstructive sleep apnea increase the risk for periodontal disease? A case-control study. J Periodontol 88(5):443–449CrossRefPubMed Gamsiz-Isik H et al (2017) Does obstructive sleep apnea increase the risk for periodontal disease? A case-control study. J Periodontol 88(5):443–449CrossRefPubMed
13.
Zurück zum Zitat Kale SS, Kakodkar P, Shetiya SH (2018) Assessment of oral findings of dental patients who screen high and no risk for obstructive sleep apnea (OSA) reporting to a dental college - a cross sectional study. Sleep Sci 11(2):112–117CrossRefPubMedPubMedCentral Kale SS, Kakodkar P, Shetiya SH (2018) Assessment of oral findings of dental patients who screen high and no risk for obstructive sleep apnea (OSA) reporting to a dental college - a cross sectional study. Sleep Sci 11(2):112–117CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Latorre C et al (2018) Association between obstructive sleep apnea and comorbidities with periodontal disease in adults. J Indian Soc Periodontol 22(3):215–220CrossRefPubMedPubMedCentral Latorre C et al (2018) Association between obstructive sleep apnea and comorbidities with periodontal disease in adults. J Indian Soc Periodontol 22(3):215–220CrossRefPubMedPubMedCentral
15.
Zurück zum Zitat Al-Jewair TS, Al-Jasser R, Almas K (2015) Periodontitis and obstructive sleep apnea’s bidirectional relationship: a systematic review and meta-analysis. Sleep Breath 19(4):1111–1120CrossRefPubMed Al-Jewair TS, Al-Jasser R, Almas K (2015) Periodontitis and obstructive sleep apnea’s bidirectional relationship: a systematic review and meta-analysis. Sleep Breath 19(4):1111–1120CrossRefPubMed
16.
Zurück zum Zitat Zhu J et al (2017) Association of circulating leptin and adiponectin with periodontitis: a systematic review and meta-analysis. BMC Oral Health 17(1):104CrossRefPubMedPubMedCentral Zhu J et al (2017) Association of circulating leptin and adiponectin with periodontitis: a systematic review and meta-analysis. BMC Oral Health 17(1):104CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Zhu J et al (2016) Interleukin-6-174G/C Polymorphism contributes to periodontitis susceptibility: an updated meta-analysis of 21 case-control studies. Dis Markers 2016:9612421CrossRefPubMedPubMedCentral Zhu J et al (2016) Interleukin-6-174G/C Polymorphism contributes to periodontitis susceptibility: an updated meta-analysis of 21 case-control studies. Dis Markers 2016:9612421CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Ahmad NE et al (2013) Obstructive sleep apnea in association with periodontitis: a case-control study. J Dent Hyg 87(4):188–199PubMed Ahmad NE et al (2013) Obstructive sleep apnea in association with periodontitis: a case-control study. J Dent Hyg 87(4):188–199PubMed
19.
Zurück zum Zitat Ai-Hammad NS, Hakeem LA, Salama FS (2015) Oral health status of children with obstructive sleep apnea and snoring. Pediatr Dent 37(1):35–39 Ai-Hammad NS, Hakeem LA, Salama FS (2015) Oral health status of children with obstructive sleep apnea and snoring. Pediatr Dent 37(1):35–39
20.
Zurück zum Zitat Keller JJ et al (2013) Association between obstructive sleep apnoea and chronic periodontitis: a population-based study. J Clin Periodontol 40(2):111–117CrossRefPubMed Keller JJ et al (2013) Association between obstructive sleep apnoea and chronic periodontitis: a population-based study. J Clin Periodontol 40(2):111–117CrossRefPubMed
21.
Zurück zum Zitat Loke W et al (2015) Investigating the association between obstructive sleep apnea and periodontitis. J Periodontol 86(2):232–243CrossRefPubMed Loke W et al (2015) Investigating the association between obstructive sleep apnea and periodontitis. J Periodontol 86(2):232–243CrossRefPubMed
22.
Zurück zum Zitat Nizam N et al (2016) Is there an association between obstructive sleep apnea syndrome and periodontal inflammation? Clin Oral Invest 20(4):659–668CrossRef Nizam N et al (2016) Is there an association between obstructive sleep apnea syndrome and periodontal inflammation? Clin Oral Invest 20(4):659–668CrossRef
23.
Zurück zum Zitat Sales-Peres SHC et al (2016) Periodontal status in morbidly obese patients with and without obstructive sleep apnea syndrome risk: a cross-sectional study. J Periodontol 87(7):772–782CrossRefPubMed Sales-Peres SHC et al (2016) Periodontal status in morbidly obese patients with and without obstructive sleep apnea syndrome risk: a cross-sectional study. J Periodontol 87(7):772–782CrossRefPubMed
24.
Zurück zum Zitat Seo WH et al (2013) The association between periodontitis and obstructive sleep apnea: a preliminary study. J Periodontal Res 48(4):500–506CrossRefPubMed Seo WH et al (2013) The association between periodontitis and obstructive sleep apnea: a preliminary study. J Periodontal Res 48(4):500–506CrossRefPubMed
25.
Zurück zum Zitat Al-Jewair T et al (2020) An update on the association between periodontitis and obstructive sleep apnea. Curr Oral Health Rep 7(3):189–201CrossRef Al-Jewair T et al (2020) An update on the association between periodontitis and obstructive sleep apnea. Curr Oral Health Rep 7(3):189–201CrossRef
26.
Zurück zum Zitat Bradley TD, Floras JS (2009) Obstructive sleep apnoea and its cardiovascular consequences. Lancet 373(9657):82–93CrossRefPubMed Bradley TD, Floras JS (2009) Obstructive sleep apnoea and its cardiovascular consequences. Lancet 373(9657):82–93CrossRefPubMed
27.
Zurück zum Zitat Hegde S et al (2019) Obesity and its association with chronic periodontitis: a cross-sectional study. J Educ Health Promot 8:222PubMedPubMedCentral Hegde S et al (2019) Obesity and its association with chronic periodontitis: a cross-sectional study. J Educ Health Promot 8:222PubMedPubMedCentral
28.
Zurück zum Zitat Nizam N et al (2015) Do salivary and serum collagenases have a role in an association between obstructive sleep apnea syndrome and periodontal disease? A preliminary case-control study. Arch Oral Biol 60(1):134–143CrossRefPubMed Nizam N et al (2015) Do salivary and serum collagenases have a role in an association between obstructive sleep apnea syndrome and periodontal disease? A preliminary case-control study. Arch Oral Biol 60(1):134–143CrossRefPubMed
29.
Zurück zum Zitat Carra MC (2019) Obstructive sleep disordered breathing, sleep bruxism and periodontal diseases. Orthod Fr 90(3–4):301–310CrossRefPubMed Carra MC (2019) Obstructive sleep disordered breathing, sleep bruxism and periodontal diseases. Orthod Fr 90(3–4):301–310CrossRefPubMed
30.
Zurück zum Zitat Maluly M et al (2020) Sleep bruxism and its associations with insomnia and OSA in the general population of Sao Paulo. Sleep Med 75:141–148CrossRefPubMed Maluly M et al (2020) Sleep bruxism and its associations with insomnia and OSA in the general population of Sao Paulo. Sleep Med 75:141–148CrossRefPubMed
31.
Zurück zum Zitat Ono Y et al (2008) Effects of sleep bruxism on periodontal sensation and tooth displacement in the molar region. Cranio 26(4):282–286CrossRefPubMed Ono Y et al (2008) Effects of sleep bruxism on periodontal sensation and tooth displacement in the molar region. Cranio 26(4):282–286CrossRefPubMed
32.
Zurück zum Zitat Restrepo CC, Tirado M, Jimenez KJ (2016) Association of sleep bruxism and dental plaque factors on signs of periodontal disease in children in the mixed dentition. Int J Paediatr Dent 26(6):477–485CrossRefPubMed Restrepo CC, Tirado M, Jimenez KJ (2016) Association of sleep bruxism and dental plaque factors on signs of periodontal disease in children in the mixed dentition. Int J Paediatr Dent 26(6):477–485CrossRefPubMed
33.
Zurück zum Zitat Alexander AG (1970) Habitual mouthbreathing and its effect on gingival health. Parodontologie 24(2):49–55PubMed Alexander AG (1970) Habitual mouthbreathing and its effect on gingival health. Parodontologie 24(2):49–55PubMed
35.
Zurück zum Zitat Karatas O et al (2020) Evaluation of apoptosis and hypoxia-related factors in gingival tissues of smoker and non-smoker periodontitis patients. J Periodontal Res 55(3):392–399CrossRefPubMed Karatas O et al (2020) Evaluation of apoptosis and hypoxia-related factors in gingival tissues of smoker and non-smoker periodontitis patients. J Periodontal Res 55(3):392–399CrossRefPubMed
37.
Zurück zum Zitat Liu KZ et al (2014) Assessment of tissue oxygenation of periodontal inflammation in smokers using optical spectroscopy. J Clin Periodontol 41(4):340–347CrossRefPubMed Liu KZ et al (2014) Assessment of tissue oxygenation of periodontal inflammation in smokers using optical spectroscopy. J Clin Periodontol 41(4):340–347CrossRefPubMed
38.
Zurück zum Zitat Zhang C et al (2014) Assessment of tissue oxygenation of periodontal inflammation in patients with coronary artery diseases using optical spectroscopy. BMC Oral Health 14:25CrossRefPubMedPubMedCentral Zhang C et al (2014) Assessment of tissue oxygenation of periodontal inflammation in patients with coronary artery diseases using optical spectroscopy. BMC Oral Health 14:25CrossRefPubMedPubMedCentral
39.
Zurück zum Zitat Sehirli A et al (2021) The circadian clock gene Bmal1: role in COVID-19 and periodontitis. Chronobiol Int 38(6):779–784CrossRefPubMed Sehirli A et al (2021) The circadian clock gene Bmal1: role in COVID-19 and periodontitis. Chronobiol Int 38(6):779–784CrossRefPubMed
41.
Zurück zum Zitat Janjić K et al (2017) Expression of circadian core clock genes in fibroblasts of human gingiva and periodontal ligament is modulated by L-mimosine and hypoxia in monolayer and spheroid cultures. Arch Oral Biol 79:95–99CrossRefPubMed Janjić K et al (2017) Expression of circadian core clock genes in fibroblasts of human gingiva and periodontal ligament is modulated by L-mimosine and hypoxia in monolayer and spheroid cultures. Arch Oral Biol 79:95–99CrossRefPubMed
42.
Zurück zum Zitat Kapur VK et al (2017) Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine Clinical Practice guideline. J Clin Sleep Med 13(3):479–504CrossRefPubMedPubMedCentral Kapur VK et al (2017) Clinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American Academy of Sleep Medicine Clinical Practice guideline. J Clin Sleep Med 13(3):479–504CrossRefPubMedPubMedCentral
Metadaten
Titel
A meta-analysis on the association between obstructive sleep apnea and periodontitis
verfasst von
Junfei Zhu
Xuguang Yuan
Ying Zhang
Fang Wei
Yuli Hou
Ye Zhang
Publikationsdatum
27.06.2022
Verlag
Springer International Publishing
Erschienen in
Sleep and Breathing / Ausgabe 2/2023
Print ISSN: 1520-9512
Elektronische ISSN: 1522-1709
DOI
https://doi.org/10.1007/s11325-022-02668-1

Weitere Artikel der Ausgabe 2/2023

Sleep and Breathing 2/2023 Zur Ausgabe

Sleep Breathing Physiology and Disorders • Original Article

Positional obstructive sleep apnea in patients with atrial fibrillation

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Nach Herzinfarkt mit Typ-1-Diabetes schlechtere Karten als mit Typ 2?

29.05.2024 Herzinfarkt Nachrichten

Bei Menschen mit Typ-2-Diabetes sind die Chancen, einen Myokardinfarkt zu überleben, in den letzten 15 Jahren deutlich gestiegen – nicht jedoch bei Betroffenen mit Typ 1.

15% bedauern gewählte Blasenkrebs-Therapie

29.05.2024 Urothelkarzinom Nachrichten

Ob Patienten und Patientinnen mit neu diagnostiziertem Blasenkrebs ein Jahr später Bedauern über die Therapieentscheidung empfinden, wird einer Studie aus England zufolge von der Radikalität und dem Erfolg des Eingriffs beeinflusst.

Costims – das nächste heiße Ding in der Krebstherapie?

28.05.2024 Onkologische Immuntherapie Nachrichten

„Kalte“ Tumoren werden heiß – CD28-kostimulatorische Antikörper sollen dies ermöglichen. Am besten könnten diese in Kombination mit BiTEs und Checkpointhemmern wirken. Erste klinische Studien laufen bereits.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.