Oral Health Implications of Obstructive Sleep Apnea: A Literature Review

被引:1
|
作者
Maniaci, Antonino [1 ]
Lavalle, Salvatore [1 ]
Anzalone, Riccardo [2 ]
Lo Giudice, Antonino [3 ]
Cocuzza, Salvatore [4 ]
Parisi, Federica Maria [4 ]
Torrisi, Filippo [1 ]
Iannella, Giannicola [5 ]
Sireci, Federico [2 ]
Fadda, Gianluca [6 ]
Lentini, Mario [7 ]
Masiello, Edoardo [8 ]
La Via, Luigi [9 ]
机构
[1] Univ Enna Kore, Dept Med & Surg, I-94100 Enna, Italy
[2] Univ Palermo, Biomed Neurosci & Adv Diagnost Dept, Otorhinolaryngol Sect, I-90127 Palermo, Italy
[3] Catania Univ, Dept Biomed & Surg & Biomed Sci, I-95123 Catania, Italy
[4] Univ Catania, Dept Med Surg Sci & Adv Technol GF Ingrassia, ENT Sect, I-95124 Catania, Italy
[5] Sapienza Univ Rome, Otorhinolaryngol Dept, I-00161 Rome, Italy
[6] Univ Turin, San Luigi Gonzaga Hosp, Dept Otolaryngol, I-10043 Orbassano, Italy
[7] ASP Ragusa Hosp Giovanni Paolo II, I-97100 Ragusa, Italy
[8] IRCCS, San Raffaele Sci Inst, Dept Radiol, I-20132 Milan, Italy
[9] Azienda Osped Univ Policlin G Rodolico San Marco, Dept Anesthesia & Intens Care, I-95123 Catania, Italy
关键词
obstructive sleep apnea; oral health; bruxism; periodontal disease; temporomandibular joint disorders; oral appliance therapy; POSITIVE AIRWAY PRESSURE; APPLIANCE THERAPY; RISK-FACTORS; ASSOCIATION; XEROSTOMIA; MANAGEMENT; BRUXISM; SALIVA; PERIODONTITIS; ADVANCEMENT;
D O I
10.3390/biomedicines12071382
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Background: Obstructive sleep apnea (OSA) is a prevalent sleep disorder characterized by repeated episodes of partial or complete obstruction of the upper airway during sleep. While the systemic implications of OSA are well documented, the dental consequences are less frequently discussed yet equally significant. This review aims to elucidate the oral health impacts of OSA, emphasizing the importance of interdisciplinary care. Methods: A comprehensive literature search was conducted across several databases to identify studies examining the relationship between OSA and various oral health parameters. The review included observational studies, clinical trials, and systematic reviews published in English up to January 2024. Results: OSA was significantly associated with heightened risks of bruxism, dry mouth, periodontal disease, temporomandibular joint disorders, palatal and dental changes, and alterations in taste sensation. Mouth breathing associated with OSA was a critical factor in exacerbating xerostomia and dental caries. Furthermore, the systemic inflammation induced by OSA appeared to correlate with the severity of periodontal disease. Patients using oral appliance therapy for OSA also showed notable changes in dental occlusion and required ongoing dental monitoring. Conclusions: The findings underscore the bidirectional relationship between OSA and oral health, highlighting the need for dental professionals to be integral participants in the management of OSA. Early dental evaluation and intervention can contribute to the overall health and quality of life of individuals with OSA. The review advocates for the development of clinical guidelines to facilitate the early identification and management of OSA-related oral health issues within dental practice and encourages a collaborative approach to patient care.
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页数:20
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