Search our Database of Scientific Publications and Authors

I’m looking for a

    Details and Download Full Text PDF:
    Prevalence of probable obstructive sleep apnea risk and severity in a population of dental patients.

    Sleep Breath 2008 Nov 9;12(4):303-9. Epub 2008 Apr 9.
    Advanced Brain Monitoring, Inc., 2237 Faraday Avenue, Suite 100, Carlsbad, CA 92008, USA.
    Obstructive sleep apnea is a commonly undiagnosed chronic disease. While dentists represent an important resource for identifying people at risk for primary snoring and sleep apnea, less than 50% of dentists are capable of identifying the common signs and symptoms of sleep disordered breathing. The aim of this study is to assess the prevalence of probable obstructive sleep apnea/sleep disordered breathing and symptoms associated with this condition in a population of dental patients using a validated questionnaire and software that could be administered in a dental office. A retrospective analysis conducted at two dental practices using questionnaire responses obtained from 175 men and 156 women, and sleep study data obtained in the patient's homes from 75 men and 30 women with a portable recorder. Forty-six percent of the men and 19% of the women reported snoring frequently or always. Of the 67% of the men and 28% of the women identified as having a high pre-test probability (high risk) of having at least mild sleep apnea, over 33% of the men and 6% of the women surveyed were predicted to have moderate or severe sleep apnea. In a subgroup of 105 patients classified at high risk who completed an overnight sleep study, 96% had an apnea hypopnea index (AHI) greater than five events per hour. Seventy percent of those predicted to have moderate or severe OSA by questionnaire had an AHI greater than 20. All patients previously diagnosed with sleep apnea were correctly classified at high risk by ARES questionnaire. There was a high concordance between the predicted OSA risk and the degree of sleep disordered breathing. The high prevalence of undiagnosed sleep apnea in dental patients suggests that dentists could provide a valuable service to their patients by incorporating sleep apnea screening and treatment into their practice. Those who practice sedation dentistry should consider additional precautions when managing patients with risk of sleep apnea.
    PDF Download - Full Text Link
    ( Please be advised that this article is hosted on an external website not affiliated with PubFacts.com)
    Source Status
    http://dx.doi.org/10.1007/s11325-008-0180-zDOI ListingPossible

    Similar Publications

    Polysomnography in patients with obstructive sleep apnea: an evidence-based analysis.
    • Authors:
    Ont Health Technol Assess Ser 2006 1;6(13):1-38. Epub 2006 Jun 1.
    Objective: The objective of this health technology policy assessment was to evaluate the clinical utility and cost-effectiveness of sleep studies in Ontario.

    Clinical Need: TARGET POPULATION AND CONDITION Sleep disorders are common and obstructive sleep apnea (OSA) is the predominant type. Obstructive sleep apnea is the repetitive complete obstruction (apnea) or partial obstruction (hypopnea) of the collapsible part of the upper airway during sleep. Read More
    Obstructive sleep apnea in patients undergoing bariatric surgery--a tertiary center experience.
    Obes Surg 2011 Mar 11;21(3):316-27. Epub 2009 Aug 11.
    Penn Sleep Center, University of Pennsylvania, Philadelphia, PA, USA.
    Background: The patient population that is evaluated for bariatric surgery is characterized by a very high body mass index (BMI). Since obesity is the most important risk factor for obstructive sleep apnea (OSA), sleep disordered breathing is highly prevalent in this population. If undiagnosed before bariatric surgery, untreated OSA can lead to perioperative and postoperative complications. Read More
    The utility of perioperative polygraphy in the diagnosis of obstructive sleep apnea.
    Sleep Med 2016 09 4;25:151-155. Epub 2016 May 4.
    Department of Anaesthesiology and Intensive Care, St. Anna's University Hospital, Brno, Czech Republic.
    Objective/background: Obstructive sleep apnea (OSA) is highly prevalent and often undiagnosed in surgical patients. The aim of this study was to compare polygraphy (PG) performed on sedated patients during surgery to overnight polysomnography (PSG). It was hypothesized that perioperative PG may be used to diagnose OSA. Read More
    Nocturia and snoring: predictive symptoms for obstructive sleep apnea.
    Sleep Breath 2010 Dec 29;14(4):337-43. Epub 2009 Oct 29.
    Sleep and Human Health Institute, 6739 Academy NE, Suite 380, Albuquerque, NM 87109, USA.
    Purpose: Current screening for obstructive sleep apnea (OSA) emphasizes self-reported snoring and other breathing symptoms. Nocturia, a symptom with a precise pathophysiological link to sleep apnea, has not been assessed as a screening tool for this common disorder of sleep respiration. In a large sample of adults presenting to area sleep centers, we aimed to determine the predictive power of nocturia for OSA and compare findings with other markers of OSA commonly used to screen for this disease. Read More