Tooth loss and obstructive sleep apnoea
Identifieur interne : 001870 ( Ncbi/Checkpoint ); précédent : 001869; suivant : 001871Tooth loss and obstructive sleep apnoea
Auteurs : Caterina Bucca [Italie] ; Alessandro Cicolin ; Luisa Brussino [Italie] ; Andrea Arienti [Italie] ; Alessandra Graziano [Italie] ; Francesco Erovigni [Italie] ; Paolo Pera [Italie] ; Valerio Gai [Italie] ; Roberto Mutani ; Giulio Preti [Italie] ; Giovanni Rolla [Italie] ; Stefano Carossa [Italie]Source :
- Respiratory Research [ 1465-9921 ] ; 2006.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Syndrome d'apnées obstructives du sommeil.
- épidémiologie : Bouche édentée, Syndrome d'apnées obstructives du sommeil.
- Comorbidité, Facteurs de risque, Femelle, Humains, Incidence, Mâle, Sujet âgé, Évaluation des risques.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Sleep Apnea, Obstructive.
- epidemiology : Mouth, Edentulous, Sleep Apnea, Obstructive.
- methods : Risk Assessment.
- Aged, Comorbidity, Female, Humans, Incidence, Male, Risk Factors.
Abstract
Complete tooth loss (edentulism) produces anatomical changes that may impair upper airway size and function. The aim of this study was to evaluate whether edentulism favours the occurrence of obstructive sleep apnoea (OSA).
Polysomnography was performed in 48 edentulous subjects on two consecutive nights, one slept with and the other without dentures. Upper airway size was assessed by cephalometry and by recording forced mid-inspiratory airflow rate (FIF50). Exhaled nitric oxide (eNO) and oral NO (oNO), were measured as markers of airway and oropharyngeal inflammation.
The apnoea/hypopnoea index (AHI) without dentures was significantly higher than with dentures (17·4 ± 3·6 versus 11·0 ± 2·3. p = 0·002), and was inversely related to FIF50 (p = 0·017) and directly related to eNO (p = 0·042). Sleeping with dentures, 23 subjects (48%) had an AHI over 5, consistent with OSA, but sleeping without dentures the number of subjects with abnormal AHI rose to 34 (71%). At cephalometry, removing dentures produced a significant decrease in retropharyngeal space (from 1·522 ± 0·33 cm to 1·27 ± 0·42 cm, p = 0·006). Both morning eNO and oNO were higher after the night slept without dentures (eNO 46·1 ± 8·2 ppb versus 33·7 ± 6·3 ppb, p = 0·035, oNO 84·6 ± 13·7 ppb versus 59·2 ± 17·4 ppb, p = 0·001).
These findings suggest that complete tooth loss favours upper airway obstruction during sleep. This untoward effect seems to be due to decrease in retropharyngeal space and is associated with increased oral and exhaled NO concentration.
Url:
DOI: 10.1186/1465-9921-7-8
PubMed: 16417639
PubMed Central: 1368974
Affiliations:
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Auxologico Italiano</nlm:aff><wicri:noCountry code="subfield">Italy and IRCCS Ist. Auxologico Italiano</wicri:noCountry></affiliation></author><author><name sortKey="Brussino, Luisa" sort="Brussino, Luisa" uniqKey="Brussino L" first="Luisa" last="Brussino">Luisa Brussino</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Biomedical Sciences and Human Oncology, University of Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical Sciences and Human Oncology, University of Turin</wicri:regionArea><wicri:noRegion>University of Turin</wicri:noRegion></affiliation></author><author><name sortKey="Arienti, Andrea" sort="Arienti, Andrea" uniqKey="Arienti A" first="Andrea" last="Arienti">Andrea Arienti</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Biomedical Sciences and Human Oncology, University of Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical Sciences and Human Oncology, University of Turin</wicri:regionArea><wicri:noRegion>University of Turin</wicri:noRegion></affiliation></author><author><name sortKey="Graziano, Alessandra" sort="Graziano, Alessandra" uniqKey="Graziano A" first="Alessandra" last="Graziano">Alessandra Graziano</name><affiliation wicri:level="3"><nlm:aff id="I3">S. Giovanni Battista Hospital, Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>S. Giovanni Battista Hospital, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Erovigni, Francesco" sort="Erovigni, Francesco" uniqKey="Erovigni F" first="Francesco" last="Erovigni">Francesco Erovigni</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Biomedical Sciences and Human Oncology, University of Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical Sciences and Human Oncology, University of Turin</wicri:regionArea><wicri:noRegion>University of Turin</wicri:noRegion></affiliation></author><author><name sortKey="Pera, Paolo" sort="Pera, Paolo" uniqKey="Pera P" first="Paolo" last="Pera">Paolo Pera</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Biomedical Sciences and Human Oncology, University of Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical Sciences and Human Oncology, University of Turin</wicri:regionArea><wicri:noRegion>University of Turin</wicri:noRegion></affiliation></author><author><name sortKey="Gai, Valerio" sort="Gai, Valerio" uniqKey="Gai V" first="Valerio" last="Gai">Valerio Gai</name><affiliation wicri:level="3"><nlm:aff id="I3">S. Giovanni Battista Hospital, Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>S. Giovanni Battista Hospital, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Mutani, Roberto" sort="Mutani, Roberto" uniqKey="Mutani R" first="Roberto" last="Mutani">Roberto Mutani</name><affiliation><nlm:aff id="I2">Sleep Medicine Center, Department of Neurosciences, University of Turin, Italy and IRCCS Ist. Auxologico Italiano</nlm:aff><wicri:noCountry code="subfield">Italy and IRCCS Ist. Auxologico Italiano</wicri:noCountry></affiliation></author><author><name sortKey="Preti, Giulio" sort="Preti, Giulio" uniqKey="Preti G" first="Giulio" last="Preti">Giulio Preti</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Biomedical Sciences and Human Oncology, University of Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical Sciences and Human Oncology, University of Turin</wicri:regionArea><wicri:noRegion>University of Turin</wicri:noRegion></affiliation></author><author><name sortKey="Rolla, Giovanni" sort="Rolla, Giovanni" uniqKey="Rolla G" first="Giovanni" last="Rolla">Giovanni Rolla</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Biomedical Sciences and Human Oncology, University of Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical Sciences and Human Oncology, University of Turin</wicri:regionArea><wicri:noRegion>University of Turin</wicri:noRegion></affiliation></author><author><name sortKey="Carossa, Stefano" sort="Carossa, Stefano" uniqKey="Carossa S" first="Stefano" last="Carossa">Stefano Carossa</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Biomedical Sciences and Human Oncology, University of Turin, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Biomedical Sciences and Human Oncology, University of Turin</wicri:regionArea><wicri:noRegion>University of Turin</wicri:noRegion></affiliation></author></analytic><series><title level="j">Respiratory Research</title><idno type="ISSN">1465-9921</idno><idno type="eISSN">1465-993X</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Mouth, Edentulous (epidemiology)</term><term>Risk Assessment (methods)</term><term>Risk Factors</term><term>Sleep Apnea, Obstructive (diagnosis)</term><term>Sleep Apnea, Obstructive (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Bouche édentée (épidémiologie)</term><term>Comorbidité</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Mâle</term><term>Sujet âgé</term><term>Syndrome d'apnées obstructives du sommeil (diagnostic)</term><term>Syndrome d'apnées obstructives du sommeil (épidémiologie)</term><term>Évaluation des risques ()</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Sleep Apnea, Obstructive</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Syndrome d'apnées obstructives du sommeil</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mouth, Edentulous</term><term>Sleep Apnea, Obstructive</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Risk Assessment</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term><term>Syndrome d'apnées obstructives du sommeil</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Comorbidity</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Comorbidité</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Mâle</term><term>Sujet âgé</term><term>Évaluation des risques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Complete tooth loss (edentulism) produces anatomical changes that may impair upper airway size and function. The aim of this study was to evaluate whether edentulism favours the occurrence of obstructive sleep apnoea (OSA).</p></sec><sec sec-type="methods"><title>Methods</title><p>Polysomnography was performed in 48 edentulous subjects on two consecutive nights, one slept with and the other without dentures. Upper airway size was assessed by cephalometry and by recording forced mid-inspiratory airflow rate (FIF<sub>50</sub>). Exhaled nitric oxide (eNO) and oral NO (oNO), were measured as markers of airway and oropharyngeal inflammation.</p></sec><sec><title>Results</title><p>The apnoea/hypopnoea index (AHI) without dentures was significantly higher than with dentures (17·4 ± 3·6 versus 11·0 ± 2·3. p = 0·002), and was inversely related to FIF<sub>50 </sub>(p = 0·017) and directly related to eNO (p = 0·042). Sleeping with dentures, 23 subjects (48%) had an AHI over 5, consistent with OSA, but sleeping without dentures the number of subjects with abnormal AHI rose to 34 (71%). At cephalometry, removing dentures produced a significant decrease in retropharyngeal space (from 1·522 ± 0·33 cm to 1·27 ± 0·42 cm, p = 0·006). Both morning eNO and oNO were higher after the night slept without dentures (eNO 46·1 ± 8·2 ppb versus 33·7 ± 6·3 ppb, p = 0·035, oNO 84·6 ± 13·7 ppb versus 59·2 ± 17·4 ppb, p = 0·001).</p></sec><sec><title>Conclusion</title><p>These findings suggest that complete tooth loss favours upper airway obstruction during sleep. This untoward effect seems to be due to decrease in retropharyngeal space and is associated with increased oral and exhaled NO concentration.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country><region><li>Piémont</li></region><settlement><li>Turin</li></settlement></list><tree><noCountry><name sortKey="Cicolin, Alessandro" sort="Cicolin, Alessandro" uniqKey="Cicolin A" first="Alessandro" last="Cicolin">Alessandro Cicolin</name><name sortKey="Mutani, Roberto" sort="Mutani, Roberto" uniqKey="Mutani R" first="Roberto" last="Mutani">Roberto Mutani</name></noCountry><country name="Italie"><noRegion><name sortKey="Bucca, Caterina" sort="Bucca, Caterina" uniqKey="Bucca C" first="Caterina" last="Bucca">Caterina Bucca</name></noRegion><name sortKey="Arienti, Andrea" sort="Arienti, Andrea" uniqKey="Arienti A" first="Andrea" last="Arienti">Andrea Arienti</name><name sortKey="Brussino, Luisa" sort="Brussino, Luisa" uniqKey="Brussino L" first="Luisa" last="Brussino">Luisa Brussino</name><name sortKey="Carossa, Stefano" sort="Carossa, Stefano" uniqKey="Carossa S" first="Stefano" last="Carossa">Stefano Carossa</name><name sortKey="Erovigni, Francesco" sort="Erovigni, Francesco" uniqKey="Erovigni F" first="Francesco" last="Erovigni">Francesco Erovigni</name><name sortKey="Gai, Valerio" sort="Gai, Valerio" uniqKey="Gai V" first="Valerio" last="Gai">Valerio Gai</name><name sortKey="Graziano, Alessandra" sort="Graziano, Alessandra" uniqKey="Graziano A" first="Alessandra" last="Graziano">Alessandra Graziano</name><name sortKey="Pera, Paolo" sort="Pera, Paolo" uniqKey="Pera P" first="Paolo" last="Pera">Paolo Pera</name><name sortKey="Preti, Giulio" sort="Preti, Giulio" uniqKey="Preti G" first="Giulio" last="Preti">Giulio Preti</name><name sortKey="Rolla, Giovanni" sort="Rolla, Giovanni" uniqKey="Rolla G" first="Giovanni" last="Rolla">Giovanni Rolla</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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