Sunday, February 15, 2009

Obstructive sleep apnoea and periodontitis: a novel association?

Sleep and Breathing
DOI 10.1007/s11325-008-0244-0
Saturday, February 07, 2009
Kogulan Gunaratnam, Barbara Taylor, Bradley Curtis and Peter Cistulli

Abstract
Purpose Since both obstructive sleep apnoea (OSA) and periodontitis are associated with systemic inflammation and cardiovascular morbidity, we questioned whether there may be an association between these two disorders.
Materials and methods A standard periodontal examination was undertaken in a group of 66 (54 men and 12 women) treatment-naïve patients diagnosed with OSA [apnoea–hypopnoea index (AHI) >5/h] to derive a number of quantitative variables which could then be used to determine the prevalence of periodontitis in a group of patients.
Results The prevalence of periodontitis in our study group was 77–79%, depending on the definition used. This was almost four times that of historical controls derived from a recent national survey. When sleep-related variables were compared against periodontal variables, significant correlations were found between periodontal clinical attachment level and total sleep time.
Conclusion Our pilot study suggests that OSA is associated with periodontitis. Further research is needed to elucidate the nature of this association.

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