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

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 as...

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Autores principales: Luzzi, Valeria, Altieri, Federica, Di Carlo, Gabriele, Guaragna, Mariana, Pirro, Valentina, Marasca, Beatrice, Cotticelli, Luisa, Mazur, Marta, Di Giacomo, Paola, Di Paolo, Carlo, Brunori, Marco, Piperno, Gabriele, Magliulo, Giuseppe, Martini, Agnese, Pietrafesa, Emma, Polimeni, Antonella
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105419/
https://www.ncbi.nlm.nih.gov/pubmed/35564910
http://dx.doi.org/10.3390/ijerph19095517
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author Luzzi, Valeria
Altieri, Federica
Di Carlo, Gabriele
Guaragna, Mariana
Pirro, Valentina
Marasca, Beatrice
Cotticelli, Luisa
Mazur, Marta
Di Giacomo, Paola
Di Paolo, Carlo
Brunori, Marco
Piperno, Gabriele
Magliulo, Giuseppe
Martini, Agnese
Pietrafesa, Emma
Polimeni, Antonella
author_facet Luzzi, Valeria
Altieri, Federica
Di Carlo, Gabriele
Guaragna, Mariana
Pirro, Valentina
Marasca, Beatrice
Cotticelli, Luisa
Mazur, Marta
Di Giacomo, Paola
Di Paolo, Carlo
Brunori, Marco
Piperno, Gabriele
Magliulo, Giuseppe
Martini, Agnese
Pietrafesa, Emma
Polimeni, Antonella
author_sort Luzzi, Valeria
collection PubMed
description 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.
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spelling pubmed-91054192022-05-14 OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities Luzzi, Valeria Altieri, Federica Di Carlo, Gabriele Guaragna, Mariana Pirro, Valentina Marasca, Beatrice Cotticelli, Luisa Mazur, Marta Di Giacomo, Paola Di Paolo, Carlo Brunori, Marco Piperno, Gabriele Magliulo, Giuseppe Martini, Agnese Pietrafesa, Emma Polimeni, Antonella Int J Environ Res Public Health Article 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. MDPI 2022-05-01 /pmc/articles/PMC9105419/ /pubmed/35564910 http://dx.doi.org/10.3390/ijerph19095517 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Luzzi, Valeria
Altieri, Federica
Di Carlo, Gabriele
Guaragna, Mariana
Pirro, Valentina
Marasca, Beatrice
Cotticelli, Luisa
Mazur, Marta
Di Giacomo, Paola
Di Paolo, Carlo
Brunori, Marco
Piperno, Gabriele
Magliulo, Giuseppe
Martini, Agnese
Pietrafesa, Emma
Polimeni, Antonella
OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities
title OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities
title_full OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities
title_fullStr OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities
title_full_unstemmed OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities
title_short OSAS Severity and Occlusal Parameters: A Prospective Study among Adult Subjects with Comorbidities
title_sort osas severity and occlusal parameters: a prospective study among adult subjects with comorbidities
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9105419/
https://www.ncbi.nlm.nih.gov/pubmed/35564910
http://dx.doi.org/10.3390/ijerph19095517
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