# Association between Sleep Quality and Periodontal Status: A Case-Control Study

## TL;DR

This study found that people with periodontitis have worse sleep quality compared to those without the condition, but sleep quality is not linked to disease severity.

## Contribution

The study provides evidence of a significant association between sleep quality and periodontitis in a case-control design.

## Key findings

- Patients with periodontitis had significantly lower sleep quality scores compared to healthy controls.
- Sleep quality was not correlated with age, gender, occupation, or tooth brushing patterns.
- There was no significant correlation between sleep quality and the severity of periodontal disease.

## Abstract

In the literature, the relationship between sleep quality and periodontal diseases has been mentioned, but still there is a lack of consensus and a valid conclusion in the results obtained.

This study aimed to compare the sleep quality of patients with periodontitis and their healthy counterparts. The correlation between sleep quality score and age, gender, occupation, brushing pattern, and the severity of periodontal disease was also investigated.

This case-control study was conducted on 106 patients with periodontitis and 106 controls with healthy periodontium referring to the Periodontology Department of Yazd Dental School from December 2021 to April 2022. The sleep quality of the two groups was assessed by the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed by ANOVA, t-test, and linear regression to assess possible correlations between the sleep quality score and demographic variables, tooth brushing pattern, and presence of periodontitis and its severity (alpha=0.05).

Totally, 149 females (70.3%) and 63 males (29.7%) with the mean age of 34.17±8.29 years, participated in this study. The sleep quality score had no significant correlation with age, gender, occupation,
or tooth brushing pattern (p> 0.05). However, the sleep quality had a significant correlation with
periodontitis (OR= 1.15, CI 95%: 1.02-1.29, p= 0.01).
The sleep quality score had no significant correlation with the severity of periodontal disease (p= 0.225).

Sleep quality of patients with periodontitis was significantly lower than that of healthy controls.