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Original Article
- Risk of chronic periodontitis in patients with obstructive sleep apnea in Korea: a nationwide retrospective cohort study
- Seon-Rye Kim, Minkook Son, Yu-Rin Kim
- Epidemiol Health. 2023;45:e2023032. Published online March 6, 2023
- DOI: https://doi.org/10.4178/epih.e2023032
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- 5 Web of Science
- 5 Crossref
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Abstract
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Supplementary Material -
AbstractOBJECTIVES
The aim of this study was to determine whether the development of chronic periodontitis is more likely among patients who have been newly diagnosed with obstructive sleep apnea (OSA) through an analysis of representative data from the general population.METHODSA nationwide, population-based, retrospective cohort study was conducted using patient records from the Korean National Health Insurance Service database. For the period 2004-2019, patient data were categorized into 2 groups: a diagnosis of OSA (747 subjects) and no diagnosis of OSA (1,494 subjects). Subsequently, 1:2 propensity score matching was performed to ensure the homogeneity of the 2 groups. To analyze the risk of incident chronic periodontitis, a Cox proportional-hazards model was used to calculate hazard ratios (HRs) with 95% confidence intervals (CIs).RESULTSIn the Kaplan-Meier curve, the disease-free probability was significantly lower in the OSA group than in the non-OSA group (p for log-rank test=0.001). The crude HR for the association between OSA and chronic periodontitis was 1.29 (95% CI, 1.16 to 1.43). The multivariable-adjusted HR was calculated at 1.28 (95% CI, 1.15 to 1.42).CONCLUSIONSThis study confirmed a relationship between OSA and chronic periodontitis. Therefore, OSA patients require oral care to prevent the progression of chronic periodontitis from mild to severe. -
SummaryKorean summary
폐쇄성수면무호흡증 환자의 만성치주염 발생위험 차이를 분석한 결과, 폐쇄성수면무호흡증 그룹에서 만성치주염의 발생위험이 높았다. 따라서 폐쇄성수면무호흡증 환자의 만성치주염 초기치료 및 질환의 진행이 되지 않도록 전문가의 효과적인 구강관리가 필요할 것이다.Key Message
As a result of analyzing the difference in the risk of chronic periodontitis among patients with obstructive sleep apnea, the risk of chronic periodontitis was higher in the obstructive sleep apnea group. Therefore, effective oral care by experts will be necessary to prevent the initial treatment of chronic periodontitis and progression of the disease in patients with obstructive sleep apnea. -
Citations
Citations to this article as recorded by
- Diagnosis and Management of Obstructive Sleep Apnea: Updates and Review
Shan Luong, Liz Lezama, Safia Khan
Journal of Otorhinolaryngology, Hearing and Balance Medicine.2024; 5(2): 16. CrossRef - Oral Health Implications of Obstructive Sleep Apnea: A Literature Review
Antonino Maniaci, Salvatore Lavalle, Riccardo Anzalone, Antonino Lo Giudice, Salvatore Cocuzza, Federica Maria Parisi, Filippo Torrisi, Giannicola Iannella, Federico Sireci, Gianluca Fadda, Mario Lentini, Edoardo Masiello, Luigi La Via
Biomedicines.2024; 12(7): 1382. CrossRef - Association between nonalcoholic fatty liver disease scores and chronic periodontitis: A retrospective cohort study
Kwangmin Joo, Yeo Wool Kang, Sang Yi Moon, Yang Hyun Baek, Minkook Son
Journal of Periodontology.2024;[Epub] CrossRef - Sleep and periodontal health
Maria Clotilde Carra, Pauline Balagny, Philippe Bouchard
Periodontology 2000.2024; 96(1): 42. CrossRef - Exploring the links between periodontal diseases and obstructive sleep apnoea: An overview for clinicians
MC Carra, PA Cistulli
Australian Dental Journal.2024;[Epub] CrossRef
- Diagnosis and Management of Obstructive Sleep Apnea: Updates and Review
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