Non-apnea sleep disorder increases the risk of periodontal disease: A retrospective population-based cohort study

Chun Feng Lee, Ming Chia Lin., Cheng Li Lin, Chia Ming Yen, Y. J. Chang, Chia Hung Kao

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13 Citations (Scopus)


The aim of this study is to determine whether patients with a non-apnea sleep disorder (NA-SD) and comorbidity have an increased risk of periodontal disease. Methods: Patients newly diagnosed with NA-SDs in 1997 to 2010 were identified as the study cohort from the Taiwan National Health Insurance database. For each patient with NA-SD, two matched controls without sleep disorders were randomly selected for comparison. Results: The overall incidence rate ratio of severe periodontal diseases was 39% higher in the NA-SD cohort than in the comparison cohort (7.93 versus 5.69 per 1,000 person- years), with an adjusted hazard ratio (HR) of 1.36 (95% confidence interval [CI]: 1.30 to 1.43). The effect of NA-SD on the risk of severe periodontal diseases was higher in young and middle-aged patients compared with patients <65 years of age (<35 years of age, HR: 1.13, 95% CI: 1.04 to 1.24; 35 to 49 years of age, HR: 1.73, 95% CI: 1.61 to 1.86; 50 to 64 years of age, HR: 1.69, 95% CI: 1.58 to 1.81; >65, HR: [reference] 1.0). Conclusion: NA-SD might increase the risk of periodontal disease. J Periodontol 2014;85:e65-e71.

Original languageEnglish
Pages (from-to)e65-e71
JournalJournal of Periodontology
Issue number4
Publication statusPublished - 2014 Apr
Externally publishedYes



  • Cohort studies
  • Comorbidity
  • National health programs
  • Nonapnea sleep syndrome
  • Periodontal disease
  • Sleep disorders

ASJC Scopus subject areas

  • Periodontics

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