不稳定的牙周病及其与睡眠呼吸障碍的关联
General dentistry
|December 20, 2023
概括
未解决的牙周病可能表明睡眠呼吸障碍 (SDB). 皮囊出血指数 (PBI) 有效地查了患者的SDB,这表明口腔健康和睡眠质量之间存在联系.
科学领域:
- 牙周病学 牙周病学
- 睡眠医学 睡眠医学
- 一般牙科一般牙科
背景情况:
- 牙周病的管理对一些患者来说可能是具有挑战性的.
- 持续性牙周炎可能表明潜在的系统性问题,如睡眠呼吸障碍 (SDB).
研究的目的:
- 调查未解决的牙周病与SDB之间的关联.
- 为了评估皮囊出血指数 (PBI) 在确定牙周炎患者的SDB中的有效性.
主要方法:
- 一项临床研究涉及71名因牙周炎I或II阶段而接受牙周维护的患者.
- 患者使用家庭睡眠测试,PBI,爱普沃思睡眠度量 (ESS),STOP-Bang问卷和唾液皮质醇水平进行评估.
主要成果:
- 33名参与者可能患有阻塞性睡眠呼吸暂停 (呼吸暂停-呼吸暂停指数≥5).
- 在这些患者中,PBI (≥2) 确定了21名患者,显著超过ESS (2名患者) 和STOP-Bang (6名患者).
- 在皮质醇水平和PBI发现之间没有发现相关性.
结论:
- 在未解决的牙周病和SDB之间存在联系.
- PBI是普通牙医在患有持续性牙周炎的患者中查SDB的可靠,客观的工具.
- 识别和治疗SDB可能会改善牙周病的管理.
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