TY - JOUR T1 - Obstructive sleep apnea and periodontitis among patients attending primary health care setting in Jordan JF - European Respiratory Journal JO - Eur Respir J VL - 40 IS - Suppl 56 SP - P3861 AU - Basheer Khassawneh AU - Rola Al Habashneh AU - Yousef Khader AU - Yousef Abu-jamous Y1 - 2012/09/01 UR - http://erj.ersjournals.com/content/40/Suppl_56/P3861.abstract N2 - Objectives: To determine the association between periodontitis and the high risk for obstructive sleep apnea (HR-OSA).Methods: 296 males with a mean (SD) age 40 (8.5) years were enrolled. Participants completed the Berlin questionnaire (BQ) after periodontal examination. Periodontitis was defined as the presence of four or more teeth with one or more sites with pocket depth (PPD) ≥4mm and clinical attachment level (CAL≥ 3mm). OSA risk was assessed using BQ. Scoring positive in two or more categories of Berlin questionnaire was considered HR-OSA.Results: Based on the BQ, 15% of patients were considered as at HR-OSA. Patients with HR-OSA showed higher mean score of PPD and CAL compared with those with low risk for obstructive sleep apnea (LR-OSA) (2.35 (0. 69) vs. 1.97(0.34) p=0.000) and (2.95(0.82) vs. 2.12 (0.55) p=0.000, respectively). The extent of periodontitis as assessed by CAL was significantly higher among patients with HR-OSA. Patients with HR-OSA were more likely to have periodontitis (OR = 2.3 (95% CI: 1.03, 5.10)) compared to patients with LR-OSA. Prevalence of periodontitis varies significantly only among patients according to their response to category 1 (37% in those responded positive and 20% in those responded negative (P=0.003). When the OSA variable was replaced by the individual categories (1,2, and 3), patients with positive category 1 (OR2.27, 95% CI: 11.14,4.45) were more likely to have periodontitis compared to patients with negative response.Conclusions: Periodontitis risk in HR-OSA patients doubles that of LR-OSA patients. Habitual snoring was a risk factor for periodontitis. Further studies are needed to clarify this relationship. ER -