牙症和阻塞性睡眠呼吸暂停的关联:一个系统的审查
Aspasia Pachiou1, Panagiotis Roulias2, Paschalis Steiropoulos3
1Department of Prosthodontics, School of Dentistry, National Kapodistrian University of Athens, Athens, Greece.
概括
牙磨损或牙损失与阻塞性睡眠呼吸暂停 (OSA) 相关,这是一个常见的呼吸障碍. 失去牙可能会通过引起解剖学变化增加OSA风险,尽管需要更多的研究.
科学领域:
- 睡眠医学 睡眠医学
- 牙科医学 牙科医学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍的,往往未被诊断的,与睡眠有关的呼吸障碍.
- 牙病,即失去所有天然牙,是一个重要的口腔健康状况.
研究的目的:
- 系统地审查现有关于阻塞性睡眠呼吸暂停 (OSA) 和牙周病之间的联系的科学证据.
- 评估牙脱落与OSA风险和严重程度之间的关系.
主要方法:
- 在PubMed,Scopus和Cochrane图书馆进行了全面的电子文献搜索,截至2024年1月.
- 系统性审查方法遵循PRISMA指南,仅包括英语临床研究.
- 不包括涉及动物研究,体外实验,病例报告或专家意见的研究.
主要成果:
- 1999年至2023年间发表的23项临床研究符合纳入标准.
- 所有纳入的研究都表明,牙症和OSA之间存在积极的关联.
- 牙损失导致了可以恶化呼吸的解剖学变化,OSA的严重程度与牙的程度和持续时间相关.
结论:
- 牙磨损和OSA之间存在一个合理的联系,牙损失增加了OSA的风险.
- 有限且异质的临床数据需要进一步研究才能得出最终的结论.
- 假牙在睡眠期间与OSA相关的作用仍然存在争议,需要进一步调查.
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