Sleep disruption and premolar absence, NHANES, 2017-2020: A cross-sectional study.

IF 1.8 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Community dentistry and oral epidemiology Pub Date : 2024-06-02 DOI:10.1111/cdoe.12983

R Constance Wiener, Michael Hnat, Peter Ngan

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引用次数: 0

Abstract

Objective: Orthodontic treatment often involves four first premolar extractions. There is concern that the retraction of the anterior teeth due to extraction of first premolars may constrict tongue space and will reduce oral cavity and oropharynx space. Constricted airways are often associated with sleep disordered breathing (SDB) and sleep disruption. The aim of this study was to determine if there is an association of SDB factors with the absence of first premolars.

Methods: A cross-sectional study was conducted using National Health and Nutrition Examination Survey (NHANES) 2017-March 2020 data on participants, aged 18-65 years (n = 4742). Variables of interest included self-reports of SDB (symptoms of disrupted sleep such as snoring, snorting, daytime sleepiness, and inappropriate number of hours of sleep). Data for the presence/absence of first premolars were gathered from the oral examination section of NHANES. An assumption was made that absence of four first premolars in dentate participants indicated extractions for orthodontic treatment. Data analyses were conducted with Rao Scott chi squared test.

Results: There were no significant associations of SDB and symptoms of disrupted sleep associated with the absence of four first premolars in dentate participants.

Conclusion: Concerns of the impact of first premolar extractions on SDB were not supported with this study.

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2017-2020年美国国家健康调查（NHANES）：睡眠中断与前磨牙缺失：一项横断面研究。

目的：正畸治疗通常需要拔除四颗第一前磨牙。人们担心，拔除第一前磨牙导致的前牙后缩可能会使舌头空间受限，并缩小口腔和口咽部空间。气道受限通常与睡眠呼吸紊乱（SDB）和睡眠中断有关。本研究旨在确定 SDB 因素是否与第一前磨牙缺失有关：利用美国国家健康与营养调查（NHANES）2017 年至 2020 年 3 月的数据开展了一项横断面研究，研究对象为 18-65 岁的参与者（n = 4742）。研究变量包括SDB（睡眠中断症状，如打鼾、打呼噜、白天嗜睡和睡眠时数不当）的自我报告。第一前臼齿有/无的数据来自 NHANES 的口腔检查部分。假设有牙齿的受试者没有四颗第一前臼齿，则表示曾拔牙进行正畸治疗。数据分析采用拉奥-斯科特卡方检验：结果：SDB和睡眠紊乱症状与无牙参与者缺失四颗第一乳磨牙无明显关联：结论：本研究未证实第一前磨牙拔除对睡眠障碍的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Community dentistry and oral epidemiology 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.40

自引率

8.70%

发文量

审稿时长

6 months

期刊介绍： The aim of Community Dentistry and Oral Epidemiology is to serve as a forum for scientifically based information in community dentistry, with the intention of continually expanding the knowledge base in the field. The scope is therefore broad, ranging from original studies in epidemiology, behavioral sciences related to dentistry, and health services research through to methodological reports in program planning, implementation and evaluation. Reports dealing with people of all age groups are welcome. The journal encourages manuscripts which present methodologically detailed scientific research findings from original data collection or analysis of existing databases. Preference is given to new findings. Confirmations of previous findings can be of value, but the journal seeks to avoid needless repetition. It also encourages thoughtful, provocative commentaries on subjects ranging from research methods to public policies. Purely descriptive reports are not encouraged, nor are behavioral science reports with only marginal application to dentistry. The journal is published bimonthly.