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A cephalometric and dental cast study of obstructive sleep apnea patients  

Jung, Mi-Ra (Department of Orthodontics, Dong-San Medical Center, College of Medicine, Keimyung University)
Nam, Ki-Young (Department of Oral & Maxillofacial Surgery, Dong-San Medical Center, College of Medicine, Keimyung University)
Kim, Jong-Bae (Department of Oral & Maxillofacial Surgery, Dong-San Medical Center, College of Medicine, Keimyung University)
Kwon, Oh-Won (Department of Orthodontics, College of Dentistry, Kyungpook National University)
Hwang, Sang-Hee (Department of Orthodontics, Dong-San Medical Center, College of Medicine, Keimyung University)
Publication Information
The korean journal of orthodontics / v.36, no.3, 2006 , pp. 228-236 More about this Journal
Abstract
To evaluate the cephalometric and dental characteristics of obstructive sleep apnea (OSA) patients, 23 OSA patients and 15 control, non-OSA, patients who visited the Sleep Disorder Clinic Center, Keimyung University were investigated. Patients who suffered from apnea-hypopnea episodes over 10times per hour were diagnosed as having OSA after polysomnograph testing, Impressions were taken with alginate. Cephalometric radiographs were taken at maximum intercuspation. The dental cast measurements, including transpalatal width, intercanine width, intermolar width and palatal depth did not differ between the control and OAS groups and did not have a positive correlation with the apnea-hypopnea index (AHI). Upper airway width was statistically narrower than the control group. Upper airway width had a low negative correlation with AHI, but, lower airway width had a low positive correlation, and, the higher the AHI score, the longer the mandibular border to hyoid distance.
Keywords
Obstructive sleep apnea; Apnea-hypopnea index; Dental cast; Cephalogram;
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1 Rivlin J, Hoffstein V, Kalbfleisch J, McNicholas W, Zamel N, Bryan AC. Upper airway morphology in patients with idiopathic obstructive sleep apnea. Am Rev Respir Dis 1984;129:355-60
2 Lowe AA, Takada K, Yamagata Y, Sakada M. Dentoskeletal and tongue soft tissue correlates: a cephalometric analysis of rest position. Am J Orthod 1985;88:333-41   DOI   ScienceOn
3 Sher AE, Schechtman KB, Piccirillo JF. The efficacy of surgical modifications of the upper airway in adults with obstructive sleep apnea syndrome. Sleep 1996:19:156-77   DOI
4 Finkelstein Y, Wexler D, Horowitz E, Berger G, Nachmani A, Shapiro-Feinberg M, Ophir D. Frontal and lateral cephalometry in patients with sleep-disordered breathing. Laryngoscope 2001;111:634-41   DOI   ScienceOn
5 He J, Kryger MH, Zorik FJ, Conway W, Roth T. Mortality and apnea index in obstructive sleep apnea. Experience in 385 male patients. Chest 1988;94:9-14   DOI   ScienceOn
6 Orr WC, Martin RJ. Obstructive sleep apnea associated with tonsillar hypertrophy in adults. Arch Intern Med 1981;141:990-2   DOI
7 Sleep-related breathing disorders in adults: recommendation for syndrome definition and measurement techniques in clinical research. The report of an American Academy of Sleep Medicine Task Force. Sleep 1999;22:667-89   DOI
8 Perks WH, Horrocks PM, Cooper RA, Bradbury S, Allen A, Baldock N, Prowse K, van't Hoff W. Sleep apnoea in acromegaly. Br Med J 1980;280:894-7   DOI
9 Kwon TG, Cho YW, Ahn BH, Sub YS. Cephalometric predictors of obstructive sleep apnea. J Kor Oral Maxillofac Surg 2000;29:338-45
10 Wittels EH, Thompson S. Obstructive sleep apnea and obesity. Otolaryngol Clin North Am 1990;23:751-60
11 Jamieson A, Guilleminault C, Partinen M, Quera-Salva MA. Obstructive sleep apneic patients have craniomandibular abnormalities. Sleep 1986;9:469-77   DOI
12 Fujita S, Conway W, Zorick F, Roth T. Surgical correction of anatomic abnormalities in obstructive sleep apnea syndrome: uvulopalatopharyngoplasty, Otolaryngol Head Neck Surg 1981:89:923-34   DOI
13 Zorick F, Roth T, Kramer M, Flessa H. Exacerbation of upper airway sleep apnea by lymphocytic lymphoma. Chest 1980;77:689-90   DOI   ScienceOn
14 Liu Y, Lowe AA, Zeng X, Fu M, Fleetham JA. Cephalometric comparisons between Chinenese and Caucasian patients with obstructive sleep apnea. Am J Orthd Dentofacial Orthop 2000;117:479-85   DOI   ScienceOn
15 배응권, Lowe AA, 박영철. 폐쇄성 수면 무호흡환자의 안면 및 혀의 크기에 대한 연구. 대치교정지 1997;27:865-70
16 Shepard JW Jr, Gefter WB, Guilleminault C, Hoffman EA, Hoffstein V, Hudgel DW, Suratt PM, White DP. Evaluation of the upper airway in patients with obstructive sleep apnea. Sleep 1991;14:361-71   DOI
17 Conway WA, Bower GC, Barnes ME. Hypersomnolence and intermittent upper airway obstruction. Occurrence caused by micrognathia. JAMA 1977;237:2740-2   DOI
18 Riley R, Guilleminault C, Herran J, Powell N. Cephalometric analyses and flow-volume loops in obstructive sleep apnea patients. Sleep 1983;6:303-11   DOI
19 Mezon BJ, West P, MaClean JP, KRyger MH. Sleep apnea in acromegaly. Am J Med 1980;69:615-8   DOI   ScienceOn
20 Ong KC, Clerk AA. Comparison of the severity of sleep-disordered breathing in Asian and Caucasian patients seen at a sleep disorders center. Respir Med 1998;92:843-8   DOI   ScienceOn
21 Goldberg AN, Schwab RJ. Identifying the patient with sleep apnea: upper airway assessment and physical examination. Otolaryngol Clin North Am 1998;31:919-30   DOI
22 Young T, Palta M, Dempsey J, Skatrud J, Weber S, Badr S. The occurrence of sleep-disordered breathing among middle-aged adults. N Engl J Med 1993;328:1230-5   DOI   ScienceOn
23 Kripke DF, Ancoli-Israel S, Klauber MR, Wingard DL, Mason WJ, Mullaney DJ. Prevalence of sleep-disordered breathing in ages 40-64 years: a population-based survey. Sleep 1997;20:65-76   DOI
24 Lowe AA, Santamaria JD, Fleetham JA, Price C. Facial morphology and obstructive sleep apnea. Am J Orthod Dentofacial Orthop 1986;90:484-91   DOI   ScienceOn
25 Li KK Powell NB, Kushida C, Riley RW, Adornato B, Guilleminault C. A comparison of Asian and white patients with obstructive sleep apnea syndrome. Laryngoscope 1999:109:1937-40   DOI   ScienceOn