OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities

Valeria Luzzi, Federica Altieri, Gabriele Di Carlo, Mariana Guaragna, Valentina Pirro, Beatrice Marasca, Luisa Cotticelli, Marta Mazur, Paola Di Giacomo, Carlo Di Paolo, Marco Brunori, Gabriele Piperno, Giuseppe Magliulo, Agnese Martini, Emma Pietrafesa and Antonella Polimeni
Additional contact information
Valeria Luzzi: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Federica Altieri: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Gabriele Di Carlo: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Mariana Guaragna: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Valentina Pirro: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Beatrice Marasca: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Luisa Cotticelli: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Marta Mazur: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Paola Di Giacomo: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Carlo Di Paolo: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Marco Brunori: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Gabriele Piperno: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy
Giuseppe Magliulo: Department of Sensory Organs, “Sapienza” University of Rome, 00161 Rome, Italy
Agnese Martini: Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00143 Rome, Italy
Emma Pietrafesa: Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00143 Rome, Italy
Antonella Polimeni: Department of Oral and Maxillo Facial Sciences, ”Sapienza” University of Rome, 00161 Rome, Italy

IJERPH, 2022, vol. 19, issue 9, 1-9

Abstract: Introduction: OSAS is an emerging public health problem. Early diagnosis in adults with comorbidities is the gold standard to avoid complications caused by a late diagnosis. The aim of the study, part of the SLeeP@SA project, was to identify within a population with dysmetabolic comorbidities the association of occlusal clinical signs, defined by orthodontic parameters, and of the anthropometric phenotype, with the severity of OSAS. Materials and Methods: A dedicated questionnaire containing questions regarding the presence of deep bite, augmented overjet, partial edentulism, and bruxism was completed by clinic staff. OSAS was evaluated using an unattended home PSG device, which recorded the AHI value. BMI and neck circumference were also measured. The Kolmogorov-Smirnov test was performed to evaluate the association of the AHI with occlusal clinical signs. The significance was set at p ≤ 0.05. The association of AHI with BMI and neck circumference was evaluated with the Pearson correlation coefficient. Results: In total, 199 subjects were evaluated. No statistically significant association between occlusal parameters and AHI was found, while the AHI showed a positive correlation with BMI and neck circumference. The neck circumference seemed to be a better clinical predictor for OSAS severity than BMI, especially for females. Conclusions: These results highlight how the orthodontic clinical data alone are not sufficient to establish an association between occlusal anomalies and OSAS severity, but further investigation involving a specialist orthodontic diagnosis is necessary.

Keywords: breathing; sleep disorder; apnea; obstructive sleep; comorbidities; OSAS (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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