Prevalence of Obstructive Sleep Apnea in Orthodontic Patients with Different Skeletal Classes Using STOP-BANG Questionnaire: An Observational Study

Authors

  • Hany A. Ghonim Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Future University in Egypt, Cairo, Egypt https://orcid.org/0000-0002-0954-7235
  • Essam M. Nassef Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Future University in Egypt, Cairo, Egypt.
  • Fouad A. El Sharaby Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dentistry, Future University in Egypt, Cairo, Egypt. https://orcid.org/0000-0002-7266-8806

DOI:

https://doi.org/10.3889/oamjms.2021.5892

Keywords:

osa, stiop bang, questionnaire, adult, orthodontic patients, skeletal classes

Abstract

AIM: The aim of the study was to determine the prevalence of obstructive sleep apnea (OSA) in orthodontic adult patients with different skeletal classes and no pathology in the airway as detected from the lateral cephalometric radiographs using the STOP-BANG questionnaire.

METHODS: The sample comprised 309 subjects (152 males and 157 females) collected from the Egyptian population presented to the orthodontic follicular unit extraction for treatment. The sample was divided into three groups based on the anteroposterior relationship between maxilla and mandible (ANB angle) as evident from pretreatment lateral cephalometric. Patients were asked to fill out general medical history, sign a consent form, and fill in the STOP-BANG questionnaire. Patient’s neck size and height were measured using tape measuring tool and weighing scale, respectively. Body mass index (BMI) was obtained. After submission of the questionnaire, scores were measured for each patient to evaluate the severity of OSA.

RESULTS: Comparison between OSA risk in the three classes showed no statistically significant difference (p = 0.791, effect size = 0.052).

CONCLUSIONS: STOP-BANG questionnaire showed that there was no statistically significant difference in the prevalence of OSA between different skeletal classes.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Laratta CR, Ayas NT, Povitz M, Pendharkar SR. Diagnosis and treatment of obstructive sleep apnea in adults. CMAJ. 2017;189(48):E1481-8. https://doi.org/10.1503/cmaj.170296 PMid:29203617 DOI: https://doi.org/10.1503/cmaj.170296

Ho ML, Brass SD. Obstructive sleep apnea. Neurol Int. 2011;3(3):e15. PMid:22368774 DOI: https://doi.org/10.4081/ni.2011.e15

Spicuzza L, Caruso D, di Maria G. Obstructive sleep apnoea syndrome and its management. Ther Adv Chronic Dis. 2015;6(5):273-85. https://doi.org/10.1177/2040622315590318 PMid:26336596 DOI: https://doi.org/10.1177/2040622315590318

Nagappa M, Liao P, Wong J, Auckley D, Ramachandran SK, Memtsoudis S, et al. Validation of the STOP-bang questionnaire as a screening tool for obstructive sleep apnea among different populations: A systematic review and meta-analysis. PLoS One. 2015;10(12):e0143697. h t t p s : / / d o i . o r g / 1 0 . 1 3 7 1 / j o u r n a l . p o n e . 0 1 4 3 6 9 7 PMid:26658438

Steiner CC. Cephalometrics for you and me. Am J Orthod Dentofacial Orthop. 1953;39(10):729-55. DOI: https://doi.org/10.1016/0002-9416(53)90082-7

Jayaraman G, Sharafkhaneh H, Hirshkowitz M, Sharafkhaneh A. Pharmacotherapy of obstructive sleep apnea. Ther Adv Respir Dis. 2008;2(6):375-86. https://doi.org/10.1177/1753465808098225 PMid:19124383 DOI: https://doi.org/10.1177/1753465808098225

Bronoosh P, Khojastepour L. Analysis of pharyngeal airway using lateral cephalogram vs CBCT images: A cross-sectional retrospective study. Open Dent J. 2015;9:263- 6. https://doi.org/10.2174/1874210601509010263 PMid:26464593 DOI: https://doi.org/10.2174/1874210601509010263

Ulfberg J, Carter N, Talbäck M, Edling C. Headache, snoring and sleep apnoea. J Neurol. 1996;243(9):621-5. https://doi.org/10.1007/bf00878656 PMid:8892061 DOI: https://doi.org/10.1007/BF00878656

Bailey DR. Oral evaluation and upper airway anatomy associated with snoring and obstructive sleep apnea. Dent Clin North Am. 2001;45(4):715-32. PMid:11699238 DOI: https://doi.org/10.1016/S0011-8532(22)00490-6

Korkalainen H, Töyräs J, Nikkonen S, Leppänen T. Mortality-risk-based apnea-hypopnea index thresholds for diagnostics of obstructive sleep apnea. J Sleep Res. 2019;28(6):e12855. https://doi.org/10.1111/jsr.12855 PMid:30941829 DOI: https://doi.org/10.1111/jsr.12855

Fleetham J, Ayas N, Bradley D, Fitzpatrick M, Oliver TK, Morrison D, et al. Canadian thoracic society 2011 guideline update: Diagnosis and treatment of sleep disordered breathing. Can Respir J. 2011;18(1):25-47. https://doi.org/10.1155/2011/506189 PMid:21369547 DOI: https://doi.org/10.1155/2011/506189

Kumar, Mohan V, Mallick HN, Shrivastava D. Demand for Affordable Sleep Study; 2018. p. 101-2. DOI: https://doi.org/10.1007/s41782-018-0054-9

Ogawa T, Enciso R, Shintaku WH, Clark GT. Evaluation of cross-section airway configuration of obstructive sleep apnea. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol. 2007;103(1):102-8. https://doi.org/10.1016/j.tripleo.2006.06.008 PMid:17178502 DOI: https://doi.org/10.1016/j.tripleo.2006.06.008

Amra B, Javani M, Soltaninejad F, Penzel T, Fietze I, Schoebel C, et al. Comparison of Berlin questionnaire, STOP-bang, and Epworth sleepiness scale for diagnosing obstructive sleep apnea in Persian patients. Int J Prev Med. 2018;9:28. https://doi.org/10.4103/ijpvm.ijpvm_131_17 PMid:29619152 DOI: https://doi.org/10.4103/ijpvm.IJPVM_131_17

Chung F, Abdullah HR, Liao P. STOP-bang questionnaire: A practical approach to screen for obstructive sleep apnea. Chest. 2016;149(3):631-8. https://doi.org/10.1378/chest.15-0903 PMid:26378880 DOI: https://doi.org/10.1378/chest.15-0903

Assal HH, Kamal E. Gender differences in polysomnographic findings in Egyptian patients with obstructive sleep apnea syndrome. Egypt J Chest Dis Tuberc. 2016;65(3):649-54. https://doi.org/10.1016/j.ejcdt.2016.03.009 DOI: https://doi.org/10.1016/j.ejcdt.2016.03.009

Bixler E, Vgontzas A, Have TT, Tyson K, Kales A. Effects of age on sleep apnea in men. Pneumologie. 1998;52(8):467-8.

Wosu AC, Vélez JC, Barbosa C, Andrade A, Frye M, Chen X, et al. The relationship between high risk for obstructive sleep apnea and general and central obesity: Findings from a sample of Chilean college students. ISRN Obes. 2014;2014:871681. https://doi.org/10.1155/2014/871681 PMid:24944841 DOI: https://doi.org/10.1155/2014/871681

Veloro LV, Sarte MA, Castañeda SS. Collar size as predictor of obstructive sleep apnea. Philipp J Otolaryngol Head Neck Surg. 2008;23(2):14-6. https://doi.org/10.32412/pjohns.v23i2.727 DOI: https://doi.org/10.32412/pjohns.v23i2.727

Paul D, Varma S, Ajith VV. Airway in Class I and Class II skeletal pattern: A computed tomography study. Contemp Clin Dent. 2015;6(3):293-8. https://doi.org/10.4103/0976-237x.161856 PMid:26321823 DOI: https://doi.org/10.4103/0976-237X.161856

Downloads

Published

2021-04-22

How to Cite

1.
Ghonim HA, Nassef EM, El Sharaby FA. Prevalence of Obstructive Sleep Apnea in Orthodontic Patients with Different Skeletal Classes Using STOP-BANG Questionnaire: An Observational Study. Open Access Maced J Med Sci [Internet]. 2021 Apr. 22 [cited 2024 May 24];9(D):87-91. Available from: https://oamjms.eu/index.php/mjms/article/view/5892