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The role of oral physicians in predicting the risk of obstructive sleep apnea: A case-control study

Imaging Science in Dentistry 2016³â 46±Ç 3È£ p.167 ~ 171
Lavanya Reddy, Babu Dara Balaji Gandhi, Chavva Sunandha, Boringi Mamatha, Waghray Shefali, Yeladandi Mounica,
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 ( Lavanya Reddy ) - Panineeya Institute of Dental Sciences and Research Center Department of Oral Medicine and Radiology
 ( Babu Dara Balaji Gandhi ) - Panineeya Institute of Dental Sciences and Research Center Department of Oral Medicine and Radiology
 ( Chavva Sunandha ) - Panineeya Institute of Dental Sciences and Research Center Department of Oral Medicine and Radiology
 ( Boringi Mamatha ) - Panineeya Institute of Dental Sciences and Research Center Department of Oral Medicine and Radiology
 ( Waghray Shefali ) - Panineeya Institute of Dental Sciences and Research Center Department of Oral Medicine and Radiology
 ( Yeladandi Mounica ) - Panineeya Institute of Dental Sciences and Research Center Department of Oral Medicine and Radiology

Abstract


Purpose: Obstructive sleep apnea (OSA) is a common medical disorder with serious complications if untreated. Dentists play a vital role in the early diagnosis of this condition, thereby improving patients¡¯ prognoses. The purpose of this study was to identify patients with a high risk of OSA using simple cephalometric measurements in patients receiving routine dental care.

Materials and Methods: The present study was conducted on 206 patients divided into a high-risk group and a control group after answering the Berlin questionnaire. Cephalometric analysis of a digital cephalogram was performed to measure the upper airway diameter (UAD) and mandibular-to-hyoid bone distance (MP-H) by 2 observers at 2 different times.

Results: Among 206 patients, 93 (45%) were included in the high-risk group and 113 (55%) were in the control group. No significant difference was present between the groups with regard to gender, and the patients ranged in age from 18 to 65 years. The UAD measurements in the high-risk group were significantly lower than in the control group, and the MP-H measurements were significantly higher in the high-risk group than in the control group. The UAD was lower in middle-aged patients in both groups.

Conclusion: Our study found that the UAD was lower in individuals with a high risk of OSA. Also, we found that middle-aged individuals of both genders were more likely to develop OSA. Dentists play a vital role in diagnosing patients at a high risk for OSA via thorough clinical examinations, risk factor analyses, and simple cephalometric analyses.

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Sleep Apnea; Obstructive; Cephalometry; Snoring; Obesity

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