Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Jul 26;12(8):236.
doi: 10.3390/dj12080236.

Correlations between Obstructive Sleep Apnea Syndrome and Periodontitis: A Systematic Review and Meta-Analysis

Affiliations
Review

Correlations between Obstructive Sleep Apnea Syndrome and Periodontitis: A Systematic Review and Meta-Analysis

Marco Portelli et al. Dent J (Basel). .

Abstract

The focus of this article was to evaluate the link between obstructive sleep apnea syndrome (OSAS) and periodontitis, considering various hypotheses supporting the relationship between respiratory disorders and periodontitis. The literature review for this study was performed using the PubMed, Google Scholar, Cochrane library, and Proquest databases. The review process was guided by the PRISMA guidelines. The PECOS protocol (Population, Exposure, Control, Outcome, Study) was followed in developing the search strategy to ensure consistent and accurate selection of articles. To evaluate quality, cross-sectional studies were reviewed using the Joanna Briggs Institute (JBI) critical appraisal tool. Case-control studies were assessed with the Newcastle-Ottawa Scale (NOS). The research included a total of 10 studies, encompassing 88,040 participants. The meta-analysis observed a statistically significant association between OSAS and periodontitis, with an odds ratio OR = 2.4620 (95%-CI: 1.7345-3.4946 p ≤ 0.0001). The results suggest a potential association between OSA and periodontitis. Further investigations are warranted to confirm this association and elucidate its underlying mechanism.

Keywords: OSAS; inflammation; oxidative stress; periodontitis; xerostomia.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Flow chart of study selection performed according tot PRISMA guidelines.
Figure 2
Figure 2
Forest plot of the association between OSAS and periodontitis [18,19,25,26,27,28,29,30,31,32].

References

    1. Lyons M.M., Bhatt N.Y., Pack A.I., Magalang U.J. Global burden of sleep-disordered breathing and its implications. Respirology. 2020;25:690–702. doi: 10.1111/resp.13838. - DOI - PubMed
    1. Varghese L., Rebekah G., Oliver A., Kurien R. Oxygen desaturation index as alternative parameter in screening patients with severe obstructive sleep apnea. Sleep Sci. 2022;15:224–228. doi: 10.5935/1984-0063.20200119. - DOI - PMC - PubMed
    1. Dai L., Guo J., Hui X., Wang X., Luo J., Huang R., Xiao Y. The potential interaction between chemosensitivity and the development of cardiovascular disease in obstructive sleep apnea. Sleep Med. 2024;114:266–271. doi: 10.1016/j.sleep.2024.01.010. - DOI - PubMed
    1. Xu H., Liang C., Zou J., Yi H., Guan J., Gu M., Feng Y., Yin S. Interaction between obstructive sleep apnea and short sleep duration on insulin resistance: A large-scale study. Respir. Res. 2020;21:151. doi: 10.1186/s12931-020-01416-x. - DOI - PMC - PubMed
    1. Meliante P.G., Zoccali F., Cascone F., Di Stefano V., Greco A., de Vincentiis M., Petrella C., Fiore M., Minni A., Barbato C. Molecular Pathology, Oxidative Stress, and Biomarkers in Obstructive Sleep Apnea. Int. J. Mol. Sci. 2023;24:5478. doi: 10.3390/ijms24065478. - DOI - PMC - PubMed

LinkOut - more resources