成年患者牙弓形状与OSA严重程度的相关性:一项观察性研究。

IF 4.8 2区 医学 Q1 Dentistry
Domenico Ciavarella, Alessandra Campobasso, Elisa Conte, Giuseppe Burlon, Laura Guida, Graziano Montaruli, Michele Cassano, Michele Laurenziello, Gaetano Illuzzi, Michele Tepedino
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引用次数: 1

摘要

背景:牙间宽度和腭形态对阻塞性睡眠呼吸暂停(OSA)发展的影响尚未在成人患者中得到很好的研究。本文的目的是评估上颌和下颌牙弓在三维(3D)模型上的形态,并将这些测量结果与OSA的严重程度联系起来。方法:回顾性分析64例诊断为轻中度OSA的患者(女8例,男56例,平均年龄52.4岁)。对每位患者进行家庭睡眠呼吸暂停测试和三维牙齿模型。记录呼吸暂停低通气指数(AHI)和氧去饱和指数(ODI),以及臼齿间距离、上颌弓前后宽度、上下弓长度、腭高、腭表面积等牙齿测量数据。然后将呼吸和牙齿变量关联起来。结果:ODI与下弓前宽、上颌弓长、腭高、腭面积呈显著负相关。AHI与下颌弓前宽、上颌长呈显著负相关。结论:上颌和下颌骨形态与呼吸参数呈显著负相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Correlation between dental arch form and OSA severity in adult patients: an observational study.

Correlation between dental arch form and OSA severity in adult patients: an observational study.

Correlation between dental arch form and OSA severity in adult patients: an observational study.

Background: The role of interdental widths and palatal morphology on the development of obstructive sleep apnea (OSA) has not been well investigated in adult patients yet. The aim of this paper was to assess the morphology of maxilla and mandibular dental arches on three-dimensional (3D) casts and to correlate these measurements with the severity of OSA.

Methods: Sixty-four patients (8 women and 56 men, mean age 52.4) with a diagnosis of mild-to-moderate OSA were retrospectively enrolled. On each patient, home sleep apnea test and 3D dental models were collected. Apnea-hypopnea index (AHI) and oxygen desaturation index (ODI) were recorded, as well as the dental measurements including inter-molar distance, anterior and posterior widths of maxillary and mandibular arches, upper and lower arch lengths, palatal height, and palatal surface area. The respiratory and dental variables were then correlated.

Result: A statistically inverse correlation was found between ODI and anterior width of lower arch, maxillary arch length, palatal height, and palatal area. AHI showed a significant inverse correlation with anterior width of mandibular arch and maxillary length.

Conclusion: A significant inverse correlation between maxillary and mandibular morphology and respiratory parameters was shown in the present paper.

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来源期刊
Progress in Orthodontics
Progress in Orthodontics Dentistry-Orthodontics
CiteScore
7.30
自引率
4.20%
发文量
45
审稿时长
13 weeks
期刊介绍: Progress in Orthodontics is a fully open access, international journal owned by the Italian Society of Orthodontics and published under the brand SpringerOpen. The Society is currently covering all publication costs so there are no article processing charges for authors. It is a premier journal of international scope that fosters orthodontic research, including both basic research and development of innovative clinical techniques, with an emphasis on the following areas: • Mechanisms to improve orthodontics • Clinical studies and control animal studies • Orthodontics and genetics, genomics • Temporomandibular joint (TMJ) control clinical trials • Efficacy of orthodontic appliances and animal models • Systematic reviews and meta analyses • Mechanisms to speed orthodontic treatment Progress in Orthodontics will consider for publication only meritorious and original contributions. These may be: • Original articles reporting the findings of clinical trials, clinically relevant basic scientific investigations, or novel therapeutic or diagnostic systems • Review articles on current topics • Articles on novel techniques and clinical tools • Articles of contemporary interest
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