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Complete denture wear during sleep in elderly sleep apnea patients—a preliminary study

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Abstract

Objectives

There is no consensus in the literature about the impact of complete denture wear on obstructive sleep apnea (OSA). The goal of this randomized clinical study was to assess if complete denture wear during sleep interferes with the quality of sleep.

Materials and methods

Elderly edentulous OSA patients from a complete denture clinic were enrolled and received new complete dentures. An objective sleep analysis was determined with polysomnography performed at the sleep laboratory for all patients who slept either with or without their dentures.

Results

Twenty-three patients (74% females) completed the study with a mean age of 69.6 years and a mean body mass index of 26.7 kg/m2. The apnea and hypopnea index (AHI) was significantly higher when patients slept with dentures compared to without (25.9 ± 14.8/h vs. 19.9 ± 10.2/h; p > 0.005). In the mild OSA group, the AHI was significantly higher when patients slept with the dentures (16.6 ± 6.9 vs. 8.9 ± 2.4; p < 0.05), while in moderate to severe OSA patients, the AHI was not significantly different when sleeping with dentures (.30.8 ± 15.6 vs. 25.7 ± 7.5; p = 0.2). The supine AHI in mild patients was related to a higher increase in AHI while wearing dentures (12.7 ± 8.4/h vs. 51.9 ± 28.6/h; p < 0.001). A limitation of the study is that the mild OSA patients had a higher BMI when compared to the moderate to severe OSA patients. Ten out of 14 patients who preferred to sleep with their upper and lower dentures showed an increase in their AHI while wearing dentures to sleep.

Conclusions

Contrary to previous studies, we found that OSA patients may experience more apneic events if they sleep with their dentures in place. Specifically, in mild OSAS patients, the use of dentures substantially increases the AHI especially when in the supine position.

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Acknowledgments

The authors wish to thank the AFIP (Associação Fundo de Incentivo a Psicofarmacologia–Brazil) for the polysomnography exams, Ms. Mary Wong for providing statistical analysis, and Mrs. Clare Davies for editorial assistance. Author collaborations for this study were supported by Foreign Affairs and International Trade Canada by a grant agreement for Emerging Leaders in the Americas.

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Authors and Affiliations

  1. Department of Oral Health Sciences, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada

    Fernanda R. Almeida, Alan A. Lowe & Hui Chen

  2. Department of Prosthodontics, Universidade de São Paulo, Avenida Professor Lineu Prestes, 2227, Cidade Universitaria, 05508-000, São Paulo, São Paulo, Brazil

    Ricardo Jun Furuyama, Danilo Chucralla Chaccur & Maria L. M. A. Frigeiro

  3. Department of Psicobiologia, Universidade Federal de São Paulo, Rua Botucatu, 862-1° andar 04023-062, São Paulo, São Paulo, Brazil

    Lia Rita Bittencourt

  4. General Oral Care, Kyushu University Hospital, 3-1-1 Maidashi Higashiku, Fukuoka, Japan

    Hiroko Tsuda

Authors
  1. Fernanda R. Almeida
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  2. Ricardo Jun Furuyama
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Correspondence to Fernanda R. Almeida.

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Almeida, F.R., Furuyama, R.J., Chaccur, D.C. et al. Complete denture wear during sleep in elderly sleep apnea patients—a preliminary study. Sleep Breath 16, 855–863 (2012). https://doi.org/10.1007/s11325-011-0587-9

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  • DOI: https://doi.org/10.1007/s11325-011-0587-9

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