The nocturnal use of complete dentures and sleep stability in edentulous elders

Emami, Elham; Salah, M. Hamed; Rompré, Pierre; Huynh, Nelly; Beauchamp, Andrew; Feine, Jocelyne S.

doi:10.1016/j.jdent.2013.05.017

Cited by 11 publications

(8 citation statements)

References 29 publications

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“…The results of this study observed a change in CSA and OPV after 12-month from denture insertion. These findings are in accordance with previous studies that demonstrated significant changes in retropharyngeal space with wearing of complete dentures fabricated with acceptable vertical dimension of occlusion (2,3,6,23,26) .…”

Section: Discussionsupporting

confidence: 93%

“…Complete edentulism might be one of possible factors that contributing to increased pharyngeal collapsibility because of impaired function of muscles dilating the upper airway or pharyngeal inflammation from denture wearing (2,3,6,15) . Complete denture not only improves esthetics, mastication, and phonetics but also provide better support to orofacial musculature by restoring proper vertical dimension of the face.…”

Section: Discussionmentioning

confidence: 99%

“…Edentulous patients with prominent anatomical changes are subjected to muscular discomfort with altered phonetic and masticatory functions that may be functional in nature, namely, muscular hypotonicity (1,2) .…”

Section: Introductionmentioning

confidence: 99%

“…Emami et al (2) found that edentulous elderly with poor sleep quality suffered from low oral health quality of life independent of nocturnal prosthesis wearing. Impaired function of the genioglossus muscles and pharyngeal inflammation was reported also with dentures wearing (6,13) .…”

Section: Introductionmentioning

confidence: 99%

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Influence of Denture Palatal Contouring on the Oropharyngeal Space in Complete Denture Wearers: A Cross-Over Radiographic Study

Abdel-Khalek

Ibrahim

Aboelmaaty

2018

Egyptian Dental Journal

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Objectives: The aim of this 2-years cross-over study was to radiographically compare the influence of palatal contouring of maxillary denture on oro-pharyngeal airway space. Methods:The study was conducted on 20 healthy patients who were completely edentulous in the maxilla and mandible. All patients were randomly allocated in two equal groups to receive a mandibular denture opposed by a maxillary denture with either an arbitrary contoured palate (ACP) or a functional contoured palate (FCP) at the start of the study. The maxillary denture was exchanged after 1 year from insertion. The oropharyngeal volume (OPV) and minimum cross sectional area (CSA) were measured by using CBCT. Results:After 12 months of denture insertion, the mean OPV was more with FCP (29.9±3.1cm 3 ) compared to ACP denture (24.9±2.2 cm 3 ), also the mean CSA was more with FCP denture (363.7±67.3mm 2 ) compared to ACP denture (286.5±65.8mm 2 ). There was a high positive correlation between OPV and CSA with FCP denture ( r=0.90) and ACP denture (r= 0.61). Conclusion:Within this limited study, fabricating a complete denture with functionally contoured palatal surface may have a positive role in maintaining the oropharyngeal airway patency especially in old patients.(1598) -Khalek, et al. Abdel

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Influence of Denture Palatal Contouring on the Oropharyngeal Space in Complete Denture Wearers: A Cross-Over Radiographic Study

Abdel-Khalek

Ibrahim

Aboelmaaty

2018

Egyptian Dental Journal

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“…A cohort study assessed the effects of nocturnal wear of dentures with a follow-up period of 1 year. Again, no significant differences in sleep quality or daytime sleepiness were found [ 30 ]. In another cross-sectional study using self-reported enquiries, Tsuda et al [ 31 ] found no evidence that nocturnal denture wearing increased or reduced the risk of sleep disordered breathing.…”

Section: Resultsmentioning

confidence: 99%

Management of obstructive sleep apnea in edentulous patients: an overview of the literature

2015

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PurposeA high prevalence of obstructive sleep apnea (OSA) is seen in edentulous individuals. Treatment options for edentulous OSA patients however are limited with continuous positive airway pressure therapy (CPAP) remaining the current therapy of choice. As CPAP is associated with high non-adherence rates and oral appliance therapy requiring sufficient dentition, there is a clinical need for effective treatment strategies aimed at edentulous OSA patients. The purpose of this study was to present a thorough overview of the literature regarding (1) the effects of nocturnal denture wearing on OSA, (2) the outcomes of oral appliance therapy, and (3) surgical treatment in edentulous OSA patients.MethodsA computer-assisted literature search was performed in the MEDLINE database on “edentulism” and “obstructive sleep apnea.” The search yielded a total of 34 original articles.ResultsA total of 20 studies were included after exclusion of non-relevant, duplicate, and non-English publications, comprising 4 randomized clinical trials, 12 case reports, and 4 cohort or cross-sectional studies. The outcomes of these studies were addressed in detail concerning nocturnal wearing of dentures, oral appliance therapy, and surgical treatment.ConclusionCurrently, there is no consensus in the literature on the effects of nocturnal wearing of dentures on OSA. Several studies report the successful use of oral appliance therapy, including implant-retained mandibular advancement devices (MADs), in selected cases of edentulous patients with varying stages of OSA. Little evidence is available regarding outcomes of surgical procedures in edentulous patients. Based on the results of this literature overview, the paucity of effective evidence-based treatment strategies for edentulous OSA patients indicates the further need of clinical studies to improve clinical management.

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The effect of nocturnal wear of dentures on the sleep quality: a systematic review and meta-analysis

et al. 2016

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Purpose: The effect of nocturnal wear of denture on sleep quality and integrity is still not well understood. Therefore, this systematic review was conducted to provide evidence on this topic. Methods:Electronic searches were conducted from 1964 up to September 2015, using MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials. Only publications in English or French, in which sleep quality of edentate adult individuals wearing dentures at night was compared to those not wearing were included in the review. Random effects models were used to pool the effect sizes.Results: A total of 10 studies were included in the systematic review and 5 in the meta-analysis.No statistically significant difference between sleeping with denture and without denture was found for the Apnea-Hypopnea Index (AHI; Standard Mean Difference = -0.60, 95% CI: -1.67 -0.47; Z = -1.10; p = 0.27). However, there was considerable heterogeneity in the studies included in the meta-analysis (Tau 2 = 1.34; Q-value = 59.32, df = 4 (P<0.0001); I 2 = 93.3%). When results from randomized Controlled Trials (RCTs) were pooled in subgroup analyses of AHI, there was a tendency towards favoring sleeping without dentures (P = 0.059) and no evidence of heterogeneity between studies (Tau 2 = 0.000; Q-value = 0.06, df = 1 (P = 0.80); I 2 = 0.000%). Conclusion:The current evidence suggests that there is no difference in the sleep quality and integrity of individuals wearing or not wearing their denture during sleep. However the results of randomized controlled trials favoring sleeping without dentures and the likely presence of bias in the previous studies indicates the need for further randomized controlled trials for the development of clinical guideline.

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The nocturnal use of complete dentures and sleep stability in edentulous elders

Cited by 11 publications

References 29 publications

Influence of Denture Palatal Contouring on the Oropharyngeal Space in Complete Denture Wearers: A Cross-Over Radiographic Study

Influence of Denture Palatal Contouring on the Oropharyngeal Space in Complete Denture Wearers: A Cross-Over Radiographic Study

Management of obstructive sleep apnea in edentulous patients: an overview of the literature

The effect of nocturnal wear of dentures on the sleep quality: a systematic review and meta-analysis

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