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

  • Dentistry • Review
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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.

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Funding

The authors thank you for financial support from CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior- Brazil).

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Authors and Affiliations

  1. Dentistry School Department of Prosthodontics, University of Pernambuco (UPE), Av. Governador Agamenon Magalhães, SN- Santo Amaro, Recife, PE, 50100-010, Brazil

    Taciana Emília Leite Vila-Nova, Rafaella de Souza Leão, Raquel Sâmela Costa Feitosa & Sandra Lúcia Dantas Moraes

  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

    Belmiro Cavalcanti do Egito Vasconcelos

  3. Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Araçatuba Dental School, José Bonifacio Street 1193, Araçatuba, SP, 1605000, Brazil

    Jéssica Marcela Luna Gomes & Eduardo Piza Pellizzer

Authors
  1. Taciana Emília Leite Vila-Nova
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  2. Belmiro Cavalcanti do Egito Vasconcelos
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  3. Rafaella de Souza Leão
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  4. Jéssica Marcela Luna Gomes
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  6. Eduardo Piza Pellizzer
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  7. Sandra Lúcia Dantas Moraes
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Contributions

Taciana Emília Leite Vila-Nova: study design, data collection and analysis, and manuscript draft.

Rafaella de Souza Leão: study design, data collection and analysis, and manuscript draft.

Belmiro Cavalcanti do Egito Vasconcelos: analysis and manuscript draft.

Jessica Marcela de Luna Gomes: analysis.

Raquel Sâmela Costa Feitosa: manuscript draft.

Eduardo Piza Pellizzer: manuscript review.

Sandra Lúcia Dantas Moraes: manuscript review.

All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sandra Lúcia Dantas Moraes.

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The authors declare that they have no conflict of interest.

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This article is part of the Topical Collection on Oral Appliance Therapy

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Vila-Nova, T.E.L., Vasconcelos, B.C.d., Leão, R.d. et al. Does nocturnal use of a complete denture interfere with the degree of obstructive sleep apnea? A systematic review and meta-analysis. Sleep Breath 25, 2289–2296 (2021). https://doi.org/10.1007/s11325-020-02265-0

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  • DOI: https://doi.org/10.1007/s11325-020-02265-0

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