Taciana Emília Leite Vila-Nova1, Belmiro Cavalcanti do Egito Vasconcelos2, Rafaella de Souza Leão1, Jéssica Marcela Luna Gomes3, Raquel Sâmela Costa Feitosa1, Eduardo Piza Pellizzer3, Sandra Lúcia Dantas Moraes4. 1. Dentistry School Department of Prosthodontics, University of Pernambuco (UPE), Av. Governador Agamenon Magalhães, SN- Santo Amaro, Recife, PE, 50100-010, Brazil. 2. Department of Oral and Maxillofacial Surgery, School of Dentistry, Pernambuco University (UPE), Oswaldo Cruz Hospital, University of Pernambuco, R. Arnóbio Marquês 310 - Santo Amaro, Recife, PE, 50100-130, Brazil. 3. Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Araçatuba Dental School, José Bonifacio Street 1193, Araçatuba, SP, 1605000, Brazil. 4. Dentistry School Department of Prosthodontics, University of Pernambuco (UPE), Av. Governador Agamenon Magalhães, SN- Santo Amaro, Recife, PE, 50100-010, Brazil. sandra.moraes@upe.br.
Abstract
BACKGROUND: The impact of a complete denture on obstructive sleep apnea is not well understood. Therefore, this study aimed to evaluate the relationship between nighttime use of complete dentures and obstructive sleep apnea and determine if wearing a complete denture during sleep changes the degree of obstructive sleep apnea. METHODS: This systematic review followed the notification items for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was recorded in the International Prospective Registry of Systematic Reviews (PROSPERO) under number CRD42020183167. An electronic search in the PubMed/MEDLINE, Scopus, and Cochrane Library databases for articles published until September 2020 was conducted. The search strategy used the terms (complete denture OR denture OR edentulous OR edentulism) AND (quality of sleep OR sleep OR apnea OR obstructive sleep apnea). Only prospective, retrospective, controlled, and randomized clinical studies of patients wearing complete dentures, studies comparing sleep with and without the prosthesis, and studies in which patients were diagnosed with obstructive sleep apnea by polysomnography were included in the review. RESULTS: In total, four articles were selected for the qualitative and quantitative analyses. A total of 144 patients, with an average age of 60 years, were studied. The meta-analysis showed that there was no statistical difference in the apnea-hypopnea index between using and not using the prosthesis during sleep. CONCLUSIONS: The use of complete dentures during sleep does not influence the degree of obstructive sleep apnea.
BACKGROUND: The impact of a complete denture on obstructive sleep apnea is not well understood. Therefore, this study aimed to evaluate the relationship between nighttime use of complete dentures and obstructive sleep apnea and determine if wearing a complete denture during sleep changes the degree of obstructive sleep apnea. METHODS: This systematic review followed the notification items for Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and was recorded in the International Prospective Registry of Systematic Reviews (PROSPERO) under number CRD42020183167. An electronic search in the PubMed/MEDLINE, Scopus, and Cochrane Library databases for articles published until September 2020 was conducted. The search strategy used the terms (complete denture OR denture OR edentulous OR edentulism) AND (quality of sleep OR sleep OR apnea OR obstructive sleep apnea). Only prospective, retrospective, controlled, and randomized clinical studies of patients wearing complete dentures, studies comparing sleep with and without the prosthesis, and studies in which patients were diagnosed with obstructive sleep apnea by polysomnography were included in the review. RESULTS: In total, four articles were selected for the qualitative and quantitative analyses. A total of 144 patients, with an average age of 60 years, were studied. The meta-analysis showed that there was no statistical difference in the apnea-hypopnea index between using and not using the prosthesis during sleep. CONCLUSIONS: The use of complete dentures during sleep does not influence the degree of obstructive sleep apnea.