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

  • Sleep Breathing Physiology and Disorders • Review
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Abstract

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 (Tau2 = 1.34; Q-value = 59.32, df = 4 (P < 0.0001); I2 = 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 (Tau2 = 0.000; Q-value = 0.06, df = 1 (P = 0.80); I2 = 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 indicate the need for further randomized controlled trials for the development of clinical guideline.

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Acknowledgments

The authors would like to gratefully acknowledge the help of M. Patrice Dupont, librarian at the Université de Montréal, for the design of the search strategy.

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Authors and Affiliations

  1. Faculty of Dentistry, Pavillon Roger-Gaudry, Université de Montréal, C.P. 6128, succ. Centre-ville, Montreal, Quebec, H3C 3J7, Canada

    Elham Emami, Pierre Rompré, Gilles J. Lavigne & Nelly T. Huynh

  2. School of Public Health, Université de Montréal, 7101, avenue du Parc, 3e étage Montréal, Montreal, Québec, H3N 1X9, Canada

    Elham Emami

  3. Faculty of Odonto-Stomatology, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam

    Huy Phan The Nguyen

  4. Hopital du Sacré-Coeur de Montréal, Montreal, QC, Canada

    Gilles J. Lavigne

Authors
  1. Elham Emami
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  2. Huy Phan The Nguyen
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  4. Gilles J. Lavigne
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Corresponding author

Correspondence to Elham Emami.

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Funding

Dr. Emami holds a CIHR Clinician-Scientist award and funds for new investigators from the Fonds de Recherche du Québec-Santé (FRQ-S). Dr. Huynh holds funds for new investigators from the FRQ-S. Dr. Huy Phan The Nguyen received scholarships from the Agence Universitaire de la Francophonie and the Université de Montréal. This systematic review and meta-analysis is based on the randomized controlled trial that is being conducted by this research group and supported from the Canadian Institutes of Health Research (Funding reference number #134,135). The sponsor had no role in the design or conduct of this research.

Conflict of interest

The authors declare that they have no competing interests.

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Emami, E., Nguyen, H.P.T., Rompré, P. et al. The effect of nocturnal wear of dentures on the sleep quality: a systematic review and meta-analysis. Sleep Breath 21, 9–18 (2017). https://doi.org/10.1007/s11325-016-1369-1

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  • DOI: https://doi.org/10.1007/s11325-016-1369-1

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