Does nocturnal use of a complete denture interfere with the degree of obstructive sleep apnea? A systematic review and meta-analysis

• Published in: Sleep & breathing Vol. 25; no. 4; pp. 2289 - 2296
• Main Authors: Vila-Nova, Taciana Emília Leite, Vasconcelos, Belmiro Cavalcanti do Egito, Leão, Rafaella de Souza, Gomes, Jéssica Marcela Luna, Feitosa, Raquel Sâmela Costa, Pellizzer, Eduardo Piza, Moraes, Sandra Lúcia Dantas
• Format: Journal Article
• Language: English
• Published: Cham Springer International Publishing 01-12-2021; Springer Nature B.V
• Subjects: Apnea; Dentistry; Dentistry • Review; Denture, Complete; Dentures; Humans; Internal Medicine; Medicine; Medicine & Public Health; Meta-analysis; Neurology; Oral Appliance Therapy; Otorhinolaryngology; Patient Acuity; Patients; Pediatrics; Pneumology/Respiratory System; Prostheses; Sleep; Sleep apnea; Sleep Apnea, Obstructive - physiopathology; Sleep disorders; Systematic review; Dentures; Sleep; Complete denture; Obstructive sleep apnea
• ISSN: 1520-9512; 1522-1709
• DOI: 10.1007/s11325-020-02265-0

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.