Systemic (OSAS & BMI) Flashcards
Sleep APNEA and Periodontitis?
Latorre et al. in 2018 found a significant association between mild OSAS and periodontal disease (OR = 1.37): this association was more likely in women with arterial hypertension or hypertensive cardiomyopathy.
Nizam 2016 found correlation between OSAS change in the composition of microbe in the subgingival plaque particularly in subjects with severe OSAS. They also found that saliva and serum concentrations of IL-6 and apelin were higher in patients with OSAS and that the salivary levels of IL-6 were significantly related to predictors of OSAS severity such as AHI and ODI. Furthermore, the number of apnea episodes was related to CAL.
Gamisiz-Isik et al. 2017 in their case-controlled study found that IL-1β levels in crevicular fluid and high sensibility-C Reactive Protein (hs-CRP) in serum were significantly higher in the OSAS group. There was also a significant association between the levels of hs-CRP in serum and crevicular fluid and PD and CAL and between IL-1β concentration in crevicular fluid and PI, GI, CAL, PD, BoP, and percentage of PD ≥4 mm. The authors, therefore, concluded that OSAS is associated with higher periodontal indices and higher local inflammatory parameters.
CPAP and periodontitis
Overweight correlation?
Suvan 2015
1. Overweight & obese individuals seem to have an + risk of EP in comparison with normal BMI
2. Overweight: OR=2.5; Obese: OR=3
3. Cut-off point BMI:24.3
Cavagni 2016:
1. “Cafeteria” diet causes 10% increase in A.B.Loss.
2. Obesity and hyperlipidemia are potentiating factors for periodontal breakdown, especially when combined.
