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Sleep and Breathing

, Volume 13, Issue 3, pp 233–239 | Cite as

Obstructive sleep apnoea and periodontitis: a novel association?

  • Kogulan Gunaratnam
  • Barbara Taylor
  • Bradley Curtis
  • Peter Cistulli
Original Article

Abstract

Purpose

Since both obstructive sleep apnoea (OSA) and periodontitis are associated with systemic inflammation and cardiovascular morbidity, we questioned whether there may be an association between these two disorders.

Materials and methods

A standard periodontal examination was undertaken in a group of 66 (54 men and 12 women) treatment-naïve patients diagnosed with OSA [apnoea–hypopnoea index (AHI) >5/h] to derive a number of quantitative variables which could then be used to determine the prevalence of periodontitis in a group of patients.

Results

The prevalence of periodontitis in our study group was 77–79%, depending on the definition used. This was almost four times that of historical controls derived from a recent national survey. When sleep-related variables were compared against periodontal variables, significant correlations were found between periodontal clinical attachment level and total sleep time.

Conclusion

Our pilot study suggests that OSA is associated with periodontitis. Further research is needed to elucidate the nature of this association.

Keywords

Obstructive sleep apnoea Periodontitis Prevalence Inflammation 

Notes

Acknowledgements

We thank the staff at the Royal North Shore Dental Clinic for their assistance with the periodontal examination. We thank the sleep technologists at the Department of Respiratory Medicine, Royal North Shore Hospital for their help with the data collection. We also thank Nathaniel Marshall PhD for his critical review of the manuscript.

Disclosure

This was not an industry-supported study. The authors have indicated no financial conflicts of interest.

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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Kogulan Gunaratnam
    • 1
  • Barbara Taylor
    • 2
    • 3
  • Bradley Curtis
    • 4
  • Peter Cistulli
    • 5
    • 6
    • 7
  1. 1.Discipline of Periodontics, Faculty of DentistryUniversity of SydneySydneyAustralia
  2. 2.Department of PeriodonticsSydney Dental HospitalSydneyAustralia
  3. 3.School of Dentistry and Health SciencesCharles Sturt UniversityWagga WaggaAustralia
  4. 4.Community Oral Health and Epidemiology, Faculty of DentistryUniversity of SydneySydneyAustralia
  5. 5.Department of Respiratory MedicineRoyal North Shore HospitalSt. LeonardsAustralia
  6. 6.Faculty of MedicineUniversity of SydneySydneyAustralia
  7. 7.Woolcock Institute of Medical ResearchSydneyAustralia

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