OBJECTIVES: The aim of this study was to confirm the relevance of knowledge a dentist has regarding obstructive sleep apnoea (OSA), considering the fact that based on specific risk factors a dentist may be the first clinician to identify patients who are at risk of being affected by this serious condition. METHODS: The cohort consisted of 53 subjects who underwent a routine dental examination. Anthropometric data and data on tongue size (Mallampati classification), tonsil size (Friedman classification), daytime sleepiness (Epworth Sleepiness Scale) and systemic risk factors were recorded in a record sheet. On the basis of the monitored parameters, selected subjects underwent polysomnography in order to objectivise the parameters observed. RESULTS: Polysomnography confirmed a 96% success rate in our identifying subjects as being at high risk of developing OSA. This indicates that the parameters monitored during a routine dental examination were properly selected to identify patients with this condition in advance. CONCLUSION: The relevance of information dentists have about the early identification of patients with OSA may be crucial in the management of further therapy to be provided to these patients.

1st Dental Clinic Faculty of Medicine Pavol Jozef Safarik University and Louis Pasteur University Hospital in Kosice Kosice Slovak Republic

Department of Dentistry and Maxillofacial Surgery Academia Kosice n o Kosice Slovak Republic

Department of Dentistry and Maxillofacial Surgery Faculty of Medicine Pavol Jozef Safarik University and Louis Pasteur University Hospital in Kosice Kosice Slovak Republic

Department of Medical Physiology Faculty of Medicine Pavol Jozef Safarik University in Kosice Kosice Slovak Republic

Department of Public Health and Hygiene Faculty of Medicine Pavol Jozef Safarik University in Kosice Kosice Slovak Republic

Private Dental Practice Presov Slovak Republic

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Rokyta R. [Physiology and pathological physiology for clinical practice]. Prague: Grada Publishing; 2015. Czech.

Ebben M. Tongue protrusion force: a pilot study [Internet]. New York: National Library of Medicine; 2016 [cited 2024 Jun 16]. Available from: clinicaltrials.gov/ct2/show/NCT02781701.

Faber J, Faber C, Faber AP. Obstructive sleep apnea in adults. Dental Press J Orthod. 2019 Aug 1;24(3):99-109. DOI

Borzová C, Jirák R, Holíková M, Kozelek P, Kostková T. [Insomnia and Other Sleep Disorders]. Prague: Grada Publishing; 2011. Czech.

Nuttall FQ. Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutr Today. 2015 May;50(3):117-28. PubMed DOI

Caro P, Guerra X, Canals A, Weisstaub G, Sandaña C. Is neck circumference an appropriate tool to predict cardiovascular risk in clinical practice? A cross-sectional study in Chilean population. BMJ Open. 2019 Nov 7;9(11):e028305. doi: 10.1136/bmjopen-2018-028305. PubMed DOI

Friedman M, Hamilton C, Samuelson CG, Lundgren ME, Pott T. Diagnostic value of the Friedman tongue position and Mallampati classification for obstructive sleep apnea: a meta-analysis. Otolaryngol Head Neck Surg. 2013 Apr;148(4):540-7. DOI

Lapin BR, Bena JF, Walia HK, Moul DE. The Epworth Sleepiness Scale: validation of one-dimensional factor structure in a large clinical sample. J Clin Sleep Med. 2018 Aug 15;14(8):1293-301. DOI

Senaratna CV, Perret JL, Lodge CJ, Lowe AJ, Campbell BE, Matheson MC, et al. Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev. 2017 Aug;34:70-81. PubMed DOI

Subramani Y, Singh M, Wong J, Kushida CA, Malhotra A, Chung F. Understanding phenotypes of obstructive sleep apnea: applications in anesthesia, surgery, and perioperative medicine. Anesth Analg. 2017 Jan;124(1):179-91. DOI

Jordan AS, McSharry DG, Malhotra A. Adult obstructive sleep apnoea. Lancet. 2014 Feb 22;383(9918):736-47. PubMed DOI

Hashim Z, Nath A, Gupta M, Khan A, Mishra R, Srivastava S, et al. Diagnosis of obstructive sleep apnea in women: is there any difference?- Experience from a tertiary care hospital of North India. J Family Med Prim Care. 2019 Oct 31;8(10):3276-81. DOI

Hinnes J. Age and sleep apnea: does age affect the prevalence of sleep apnea? [Internet]. Alaska Sleep Clinic; 2020 [cited 2024 Jun 16]. Available from: https://www.alaskasleep.com/blog/age-and-sleep-apnea-age-affect-prevalence-sleep-apnea.

McMillan A, Morrell MJ. Sleep disordered breathing at the extremes of age: the elderly. Breathe (Sheff). 2016 Mar;12(1):50-60. DOI

Heiner V, Krahulec B, Pařízková J. [Basics of clinical obesitology]. Prague: Grada Publishing; 2011. Czech.

Gray EL, McKenzie DK, Eckert DJ. Obstructive sleep apnea without obesity is common and difficult to treat: evidence for a distinct pathophysiological phenotype. J Clin Sleep Med. 2017 Jan 15;13(1):81-8. PubMed DOI

Rouatbi S, Ghannouchi I, Kammoun R, Ben Saad H. The ventilatory and diffusion dysfunctions in obese patients with and without obstructive Sleep Apnea-Hypopnea Syndrome. J Obes. 2020 Feb 10;2020:8075482. doi: 10.1155/2020/8075482. PubMed DOI

Shah JA, George A, Chauhan N, Francis S. Obstructive Sleep Apnea: role of an otorhinolaryngologist. Indian J Otolaryngol Head Neck Surg. 2016 Mar;68(1):71-4. PubMed DOI

Baradaranfar MH, Edalatkhah M, Dadgarnia MH, Atighechi S, Behniafard N, Mirvakili A, et al. The effect of uvulopalatopharyngoplasty with tonsillectomy in patients with obstructive sleep apnea. Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(Suppl 1):29-33. PubMed DOI

Stanley JJ, Shelgikar AV, Aronovich S, O'Brien LM. Efficacy of oral appliance therapy in patients following uvulopalatopharyngoplasty failure. Laryngoscope Investig Otolaryngol. 2019 Mar 4;4(2):269-73. DOI

Berg LM, Ankjell TKS, Sun YQ, Trovik TA, Sjögren A, Rikardsen OG, et al. Friedman Score in relation to compliance and treatment response in nonsevere obstructive sleep apnea. Int J Otolaryngol. 2020 Mar 19;2020:6459276. doi: 10.1155/2020/6459276. PubMed DOI

Omobomi O, Batool-Anwar S, Quan SF. Clinical and polysomnographic correlates of subjective sleepiness in mild obstructive sleep apnea. Sleep Vigil. 2019 Dec;3(2):131-8. DOI

Frigy A, Kocsis I. Hypertension and sleep apnea. In: Artis AS, editor. Blood pressure - from bench to bed. London: IntechOpen; 2018. DOI