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

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A meta-analysis on the association between obstructive sleep apnea and periodontitis
Sleep and Breathing ( IF 2.1 ) Pub Date : 2022-06-27 , DOI: 10.1007/s11325-022-02668-1
Junfei Zhu ₁ , Xuguang Yuan ₁ , Ying Zhang ₂ , Fang Wei ₁ , Yuli Hou ₂ , Ye Zhang ₁

Affiliation

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.

中文翻译：

阻塞性睡眠呼吸暂停与牙周炎相关性的荟萃分析

目的

本荟萃分析旨在定量评估最近关于阻塞性睡眠呼吸暂停 (OSA) 和牙周炎之间关联的科学证据。

方法

搜索的数据库是 PubMed、EMBASE、Scopus 和 Web of Science。根据纳入标准纳入出版物。评估了以下结果：牙周炎的患病率、探诊深度 (PD)、临床附着丧失 (CAL)、探诊出血部位的百分比 (BOP)、菌斑指数 (PI) 和牙龈指数 (GI)。使用软件STATA处理统计分析。

结果

共包括 31,800 名患者的 13 项符合条件的研究被纳入。荟萃分析显示，与对照组相比，OSA 人群中牙周炎的患病率增加。与对照组相比，OSA 人群的 PD 和 CAL 均有所增加。（牙周炎患病率：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)。该研究还发现，在澄清异质性后，OSA 患者的 BOP 显着增加。（SMD = 0.357，95% CI：0.079–0.635，Z = 2.52，P = 0.012）。

结论

研究结果表明，OSA 与牙周炎患病率增加有关。

更新日期：2022-06-27

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