Keywords
Tooth loss
edentulism
sleep apnea syndrome
obstuctive sleep apnea
edentulism
sleep apnea syndrome
obstuctive sleep apnea
How to Cite
AMMAR, S., MABROUK, Y., LABIDI, A., MANSOUR, L., & TRABELSI, M. (2021). Relationship between edentulism and sleep apnea: a systematic review of the literature . International Arab Journal of Dentistry (IAJD), 12(1), 48-57. https://doi.org/10.70174/iajd.v12i1.595
Abstract
Edentulism could be the cause of impaired respiratory function, especially during sleep. The aim of this systematic review of the literature was to study the relationship between edentulism and sleep apnea. The search was performed on MEDLINE (PubMed), with different Boolean equations. A manual search was also carried out. 19 articles were selected. 17 have shown that edentulism promotes the onset of obstructive sleep apnea. In 6 studies, an improvement in sleep apnea was noted with wearing the prosthesis at night, unlike the other 4 studies reported a deterioration in sleep quality with wearing the prosthesis. A strong relation was proven between obstructive sleep apnea and edentulism. This relationship has been justified mainly by the anatomical changes linked to the loss of teeth and responsible for the reduction of the retro-pharyngeal space.
References
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2. Pouyssegur V., Mahler P. Odontologie gériatrique ; guide pratique, Editions CDP, Paris, 2001
3. Huynh NT, Emami E, Helman JI, Chervin RD.Interactions between sleep disorders and oral diseases. Oral Dis 2014;20:236-45.
4. Dong Zou , Xiao-song Dong , Fang Han , Shao-xia Pan , Hai-lan Feng. Effects of wearing dentures on sleep breathing among edentulous people: a preliminary study. Beijing Da Xue Xue Bao Yi Xue Ban. 2014 Apr 18;46(2):299-301
5. Ira L Shapira. The Nun Study. J Am Dent Assoc. 2008 Feb;139(2):130-1
6. Bulent Piskin , Alper Uyar , Bugra Senel , Hakan Avsever , Omer Karakoc , Canturk Tasci , Gurkan Rasit Bayar. Can nocturnal use of implant-retained overdenture improve cardiorespiratory stability of a patient with obstructive sleep apnea? A clinical report. J Prosthet Dent. 2017 Jun;117(6):706-708.
7. Metin Sencimen , Gurkan Rasit Bayar, Timur Akcam, Hasan Ayberk Altug, Handan Altug, Aydin Gulses, Aydin Ozkan. Management of obstructive sleep apnea by maxillomandibular advancement surgery in an edentulous patient. J Craniofac Surg. 2012 Nov;23(6):e582-5.
8. Santosh Nelogi , Amit Porwal, Hc Naveen. Modified mandibular advancement appliance for an edentulous obstructive sleep apnea patient: a clinical report. J Prosthodont Res. 2011 Jul;55(3):179-83.
9. Ogawa T, Ito T, Cardoso MV, Kawata T, Sasaki K. Oral appliance treatment for obstructive sleep apnoea patients with severe dental condition.J Oral Rehabil. 2011 Mar;38(3):202-7.
10. Giannasi LC, Magini M, Costa MS, Oliveira CS, Oliveira LV . Oral appliance treatment for obstructive sleep apnea in a partly edentulous patient.Am J Orthod Dentofacial Orthop. 2010 Apr;137(4):548-51.
11. Piskin B, Sentut F, Sevketbeyoglu H, Avsever H, Gunduz K, Kose M, Oguz D, Uyar S Efficacy of a modified mandibular advancement device for a totally edentulous patient with severe obstructive sleep apnea. .Sleep Breath. 2010 Feb;14(1):81-5
12. Ogawa T, Ito T, Cardoso MV, Kawata T, Sasaki K . Treatment using oral appliance for obstructive sleep apnea syndrome patients with multiple missing teeth.Sleep Med. 2009 Aug;10(7):809-11.
13. Kurtulmus H, Cotert HS. Management of obstructive sleep apnea with a mandibular and tongue advancement splint (MTAS) in a completely edentulous patient. A clinical report. J Prosthodont. 2009 Jun;18(4):348-52.
14. Kurtulmus H, Cotert HS. Management of obstructive sleep apnea in an edentulous patient with a combination of mandibular advancement splint and tongue-retaining device: a clinical report.Sleep Breath. 2009 Mar;13(1):97-102.
15. Giannasi LC, Magini M, de Oliveira CS, de Oliveira LV. Treatment of obstructive sleep apnea using an adjustable mandibular repositioning appliance fitted to a total prosthesis in a maxillary edentulous patient.Sleep Breath. 2008 Mar;12(1):91-5
16. Nayar S, Knox J. Management of obstructive sleep apnea in an edentulous patient with a mandibular advancement splint: a clinical report..J Prosthet Dent. 2005 Aug;94(2):108
17. Bucca C, Carossa S, Pivetti S, Gai V, Rolla G, Preti G. Edentulism and worsening of obstructive sleep apnoea..Lancet. 1999 Jan 9;353(9147):121-2
18. Knudson RC, Meyer JB. Managing obstructive sleep apnea.J Am Dent Assoc. 1993 Aug;124(8):75-8
19. Alvarez CM, Lessin ME, Gross PD. Mandibular advancement combined with horizontal advancement genioplasty for the treatment of obstructive sleep apnea in an edentulous patient. A case report.Oral Surg Oral Med Oral Pathol. 1987 Oct;64(4):402-6.
20. Emami E, Nguyen HP, Rompré P, Lavigne GJ, Huynh NT. The effect of nocturnal wear of dentures on the sleep quality: a systematic review and meta-analysis.Sleep Breath. 2017 Mar;21(1):9-18
21. Kobayashi Y. Critical commentary on the occlusal interface. Int J Prosthodont. 2005 Jul-Aug;18(4):302-4.
22. Bagchi S, Tripathi A, Tripathi S, Kar S, Tiwari SC, Singh J. Obstructive Sleep Apnea and Neurocognitive Dysfunction in Edentulous Patients.J Prosthodont. 2019 Feb;28(2):e837-e842.
23. Heidsieck DS, de Ruiter MH, de Lange J.Management of obstructive sleep apnea in edentulous patients: an overview of the literature.Sleep Breath. 2016 Mar;20(1):395-404.
24. Tripathi A, Gupta A, Sarkar S, Tripathi S, Gupta N. Changes in Upper Airway Volume in Edentulous Obstructive Sleep Apnea Patients Treated with Modified Mandibular Advancement Device.J Prosthodont. 2016 Aug;25(6):453-8.
25. Emami E, Nguyen PT, Almeida FR, Feine JS, Karp I, Lavigne G, Huynh N. The effect of nocturnal wear of complete dentures on sleep and oral health related quality of life: study protocol for a randomized controlled trial.Trials. 2014 Sep 13;15:358.
26. Hoekema A, de Vries F, Heydenrijk K, Stegenga B. Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome.Clin Oral Implants Res. 2007 Jun;18(3):383-7
27. Eskafi M, Ekberg E, Cline C, Israelsson B, Nilner M. Use of a mandibular advancement device in patients with congestive heart failure and sleep apnoea. Gerodontology. 2004 Jun;21(2):100-7
28. Robertson CJ. Obstructive sleep apnoea. Part II: Treatment with a customised dental appliance.N Z Dent J. 1997 Mar;93(411):4-9.
29. Meyer JB Jr, Knudson RC.Fabrication of a prosthesis to prevent sleep apnea in edentulous patients.J Prosthet Dent. 1990 Apr;63(4):448-51.
30. Godlewski AE, Veyrune JL, Nicolas E. Obesity and oral health: risk factors of obese patients in dental practice.Odontostomatol Trop. 2008 Sep;31(123):25-32.
31. Tripathi A, Bagchi S, Singh J, Tripathi S, Gupta NK, Arora V.Incidence of Obstructive Sleep Apnea in Elderly Edentulous Patients and the Possible Correlation of Serum Serotonin and Apnea-Hypopnea Index. J Prosthodont. 2019 Feb;28(2):e843-e848
32. Chen Q, Zou D, Feng H, Pan S. Will wearing dentures affect edentulous patients' breathing during sleep? Sleep Breath. 2017 Sep;21(3):589-594.
33. Sanders AE, Akinkugbe AA, Slade GD, Essick GK.Tooth loss and obstructive sleep apnea signs and symptoms in the US population. Sleep Breath. 2016 Sep;20(3):1095-102.
34. Zou D, Lu R, Zeng J, Feng H, Pan S. An epidemiological survey of obstructive sleep apnea-hypopnea syndrome among edentulous population based on modified Berlin questionnaire.Sleep Breath. 2016 Mar;20(1):413-8.
35. Okşayan R, Sökücü O, Uyar M, Topçuoğlu T. Effects of edentulism in obstructive sleep apnea syndrome.Niger J Clin Pract. 2015 Jul-Aug;18(4):502-5.
36. Almeida FR, Furuyama RJ, Chaccur DC, et al. Complete denture wear during sleep in elderly sleep apnea patients a preliminary study. Sleep Breath 2012;16:855-63.
37. Tsuda H, Almeida FR, Walton JN, Lowe AA. Questionnaire-based study on sleep-disordered breathing among edentulous subjects in a university oral health center. Int J Prosthodont 2010;23:503-6.
38. Emami E, Lavigne G, de Grandmont P, Rompré PH, Feine JS. Perceived sleep quality among edentulous elders. Gerodontology 2012; 29:128-34.
39. Arisaka H, Sakuraba S, Tamaki K, Watanabe T, Takeda J, Yoshida K. Effects of wearing complete dentures during sleep on the apnea-hypopnea index. Int J Prosthodont 2009;22:173-7.
40. Bucca C, Cicolin A, Brussino L, et al. Tooth loss and obstructive sleep apnoea. Respir Res 2006; 7:8.
41. Erovigni F, Graziano A, Ceruti P, Gassino G, De Lillo A, Carossa S. Cephalometric evaluation of the upper airway in patients with complete dentures.Minerva Stomatol 2005;54:293-301.
42. Endeshaw YW, Katz S, Ouslander JG, Bliwise DL. Association of denture use with sleep-disordered breathing among older adults. J Public Health Dent 2004;64:181-3.
43. Cinar AB, Oktay I, Schou L. Relationship between oral health, diabetes management and sleep apnea. Clin Oral Investig 2013; 17:967-74.
44. Bucca CB, Carossa S, Colagrande P, et al. Effect of edentulism on spirometric tests. Am J Respir Crit Care Med 2001; 162:1018-20.
45. Chaccur DC, Bittencourt LR, Lucchesi L, et al. Assessment of the impact of vertical dimension alterations on the quality of sleep in elderly patients wearing upper and lower full dentures. Sleep Sci 2012;5:1-6.
46. Gupta P, Thombare R, Pakhan AJ, Singhal S. Cephalometric evaluation of the effect of complete dentures on retropharyngeal space and its effect on spirometric values in altered vertical dimension. ISRN Dent 2011;51:69-79.
47. Gassino G, Cicolin A, Erovigni F, Carossa S, Preti G. Obstructive sleep apnea, depression, and oral status in elderly occupants of residential homes. Int J Prosthodont 2005;18:316-22.
48. Gokce HS, Gokce SM, Akin E, Bengi O. Effects of complete denture wearing on the head posture and posterior airway space: A cephalometric study. J Dent Sci 2011; 6:6-13.
49. Emami E, Salah MH, Rompré P, Huynh N, Beauchamp A, Feine JS. The nocturnal use of complete dentures and sleep stability in edentulous elders. J Dent 2013;41:703-9.
50. Huynh NT, Emami E, Helman JI, Chervin RD. Interactions between sleep disorders and oral diseases.Oral Dis 2014;20:236-45.
51. Nordenstrom J. Evidence-based medicine: in Sherlock Holmes’ Footsteps. Oxford: Blackwell Publishing, 2007.
52. Spicuzza L, Caruso D, Di Maria G. Obstructive sleep apnoea syndrome and its management. Ther Adv Chronic Dis 2015, Vol. 6(5) 273–285
53. S, Schneider H, Schwartz A, Smith P. Adult obstructive sleep apnea: pathophysiology and diagnosis. Chest.2007 Jul;132(1):325-37
54. Kryger MH, Roth T, Dement WC. Principles and practice of sleep medicine, 3rd edition. Philadelphia, PA: W.B Saunders Company; 2000.
55. Chesson AL Jr, Berry RB, Pack A. Practice parameters for the use of portable monitoring devices in the investigation of suspected obstructive sleep apnea in adults. Sleep 2003; 26:907-13.
2. Pouyssegur V., Mahler P. Odontologie gériatrique ; guide pratique, Editions CDP, Paris, 2001
3. Huynh NT, Emami E, Helman JI, Chervin RD.Interactions between sleep disorders and oral diseases. Oral Dis 2014;20:236-45.
4. Dong Zou , Xiao-song Dong , Fang Han , Shao-xia Pan , Hai-lan Feng. Effects of wearing dentures on sleep breathing among edentulous people: a preliminary study. Beijing Da Xue Xue Bao Yi Xue Ban. 2014 Apr 18;46(2):299-301
5. Ira L Shapira. The Nun Study. J Am Dent Assoc. 2008 Feb;139(2):130-1
6. Bulent Piskin , Alper Uyar , Bugra Senel , Hakan Avsever , Omer Karakoc , Canturk Tasci , Gurkan Rasit Bayar. Can nocturnal use of implant-retained overdenture improve cardiorespiratory stability of a patient with obstructive sleep apnea? A clinical report. J Prosthet Dent. 2017 Jun;117(6):706-708.
7. Metin Sencimen , Gurkan Rasit Bayar, Timur Akcam, Hasan Ayberk Altug, Handan Altug, Aydin Gulses, Aydin Ozkan. Management of obstructive sleep apnea by maxillomandibular advancement surgery in an edentulous patient. J Craniofac Surg. 2012 Nov;23(6):e582-5.
8. Santosh Nelogi , Amit Porwal, Hc Naveen. Modified mandibular advancement appliance for an edentulous obstructive sleep apnea patient: a clinical report. J Prosthodont Res. 2011 Jul;55(3):179-83.
9. Ogawa T, Ito T, Cardoso MV, Kawata T, Sasaki K. Oral appliance treatment for obstructive sleep apnoea patients with severe dental condition.J Oral Rehabil. 2011 Mar;38(3):202-7.
10. Giannasi LC, Magini M, Costa MS, Oliveira CS, Oliveira LV . Oral appliance treatment for obstructive sleep apnea in a partly edentulous patient.Am J Orthod Dentofacial Orthop. 2010 Apr;137(4):548-51.
11. Piskin B, Sentut F, Sevketbeyoglu H, Avsever H, Gunduz K, Kose M, Oguz D, Uyar S Efficacy of a modified mandibular advancement device for a totally edentulous patient with severe obstructive sleep apnea. .Sleep Breath. 2010 Feb;14(1):81-5
12. Ogawa T, Ito T, Cardoso MV, Kawata T, Sasaki K . Treatment using oral appliance for obstructive sleep apnea syndrome patients with multiple missing teeth.Sleep Med. 2009 Aug;10(7):809-11.
13. Kurtulmus H, Cotert HS. Management of obstructive sleep apnea with a mandibular and tongue advancement splint (MTAS) in a completely edentulous patient. A clinical report. J Prosthodont. 2009 Jun;18(4):348-52.
14. Kurtulmus H, Cotert HS. Management of obstructive sleep apnea in an edentulous patient with a combination of mandibular advancement splint and tongue-retaining device: a clinical report.Sleep Breath. 2009 Mar;13(1):97-102.
15. Giannasi LC, Magini M, de Oliveira CS, de Oliveira LV. Treatment of obstructive sleep apnea using an adjustable mandibular repositioning appliance fitted to a total prosthesis in a maxillary edentulous patient.Sleep Breath. 2008 Mar;12(1):91-5
16. Nayar S, Knox J. Management of obstructive sleep apnea in an edentulous patient with a mandibular advancement splint: a clinical report..J Prosthet Dent. 2005 Aug;94(2):108
17. Bucca C, Carossa S, Pivetti S, Gai V, Rolla G, Preti G. Edentulism and worsening of obstructive sleep apnoea..Lancet. 1999 Jan 9;353(9147):121-2
18. Knudson RC, Meyer JB. Managing obstructive sleep apnea.J Am Dent Assoc. 1993 Aug;124(8):75-8
19. Alvarez CM, Lessin ME, Gross PD. Mandibular advancement combined with horizontal advancement genioplasty for the treatment of obstructive sleep apnea in an edentulous patient. A case report.Oral Surg Oral Med Oral Pathol. 1987 Oct;64(4):402-6.
20. Emami E, Nguyen HP, Rompré P, Lavigne GJ, Huynh NT. The effect of nocturnal wear of dentures on the sleep quality: a systematic review and meta-analysis.Sleep Breath. 2017 Mar;21(1):9-18
21. Kobayashi Y. Critical commentary on the occlusal interface. Int J Prosthodont. 2005 Jul-Aug;18(4):302-4.
22. Bagchi S, Tripathi A, Tripathi S, Kar S, Tiwari SC, Singh J. Obstructive Sleep Apnea and Neurocognitive Dysfunction in Edentulous Patients.J Prosthodont. 2019 Feb;28(2):e837-e842.
23. Heidsieck DS, de Ruiter MH, de Lange J.Management of obstructive sleep apnea in edentulous patients: an overview of the literature.Sleep Breath. 2016 Mar;20(1):395-404.
24. Tripathi A, Gupta A, Sarkar S, Tripathi S, Gupta N. Changes in Upper Airway Volume in Edentulous Obstructive Sleep Apnea Patients Treated with Modified Mandibular Advancement Device.J Prosthodont. 2016 Aug;25(6):453-8.
25. Emami E, Nguyen PT, Almeida FR, Feine JS, Karp I, Lavigne G, Huynh N. The effect of nocturnal wear of complete dentures on sleep and oral health related quality of life: study protocol for a randomized controlled trial.Trials. 2014 Sep 13;15:358.
26. Hoekema A, de Vries F, Heydenrijk K, Stegenga B. Implant-retained oral appliances: a novel treatment for edentulous patients with obstructive sleep apnea-hypopnea syndrome.Clin Oral Implants Res. 2007 Jun;18(3):383-7
27. Eskafi M, Ekberg E, Cline C, Israelsson B, Nilner M. Use of a mandibular advancement device in patients with congestive heart failure and sleep apnoea. Gerodontology. 2004 Jun;21(2):100-7
28. Robertson CJ. Obstructive sleep apnoea. Part II: Treatment with a customised dental appliance.N Z Dent J. 1997 Mar;93(411):4-9.
29. Meyer JB Jr, Knudson RC.Fabrication of a prosthesis to prevent sleep apnea in edentulous patients.J Prosthet Dent. 1990 Apr;63(4):448-51.
30. Godlewski AE, Veyrune JL, Nicolas E. Obesity and oral health: risk factors of obese patients in dental practice.Odontostomatol Trop. 2008 Sep;31(123):25-32.
31. Tripathi A, Bagchi S, Singh J, Tripathi S, Gupta NK, Arora V.Incidence of Obstructive Sleep Apnea in Elderly Edentulous Patients and the Possible Correlation of Serum Serotonin and Apnea-Hypopnea Index. J Prosthodont. 2019 Feb;28(2):e843-e848
32. Chen Q, Zou D, Feng H, Pan S. Will wearing dentures affect edentulous patients' breathing during sleep? Sleep Breath. 2017 Sep;21(3):589-594.
33. Sanders AE, Akinkugbe AA, Slade GD, Essick GK.Tooth loss and obstructive sleep apnea signs and symptoms in the US population. Sleep Breath. 2016 Sep;20(3):1095-102.
34. Zou D, Lu R, Zeng J, Feng H, Pan S. An epidemiological survey of obstructive sleep apnea-hypopnea syndrome among edentulous population based on modified Berlin questionnaire.Sleep Breath. 2016 Mar;20(1):413-8.
35. Okşayan R, Sökücü O, Uyar M, Topçuoğlu T. Effects of edentulism in obstructive sleep apnea syndrome.Niger J Clin Pract. 2015 Jul-Aug;18(4):502-5.
36. Almeida FR, Furuyama RJ, Chaccur DC, et al. Complete denture wear during sleep in elderly sleep apnea patients a preliminary study. Sleep Breath 2012;16:855-63.
37. Tsuda H, Almeida FR, Walton JN, Lowe AA. Questionnaire-based study on sleep-disordered breathing among edentulous subjects in a university oral health center. Int J Prosthodont 2010;23:503-6.
38. Emami E, Lavigne G, de Grandmont P, Rompré PH, Feine JS. Perceived sleep quality among edentulous elders. Gerodontology 2012; 29:128-34.
39. Arisaka H, Sakuraba S, Tamaki K, Watanabe T, Takeda J, Yoshida K. Effects of wearing complete dentures during sleep on the apnea-hypopnea index. Int J Prosthodont 2009;22:173-7.
40. Bucca C, Cicolin A, Brussino L, et al. Tooth loss and obstructive sleep apnoea. Respir Res 2006; 7:8.
41. Erovigni F, Graziano A, Ceruti P, Gassino G, De Lillo A, Carossa S. Cephalometric evaluation of the upper airway in patients with complete dentures.Minerva Stomatol 2005;54:293-301.
42. Endeshaw YW, Katz S, Ouslander JG, Bliwise DL. Association of denture use with sleep-disordered breathing among older adults. J Public Health Dent 2004;64:181-3.
43. Cinar AB, Oktay I, Schou L. Relationship between oral health, diabetes management and sleep apnea. Clin Oral Investig 2013; 17:967-74.
44. Bucca CB, Carossa S, Colagrande P, et al. Effect of edentulism on spirometric tests. Am J Respir Crit Care Med 2001; 162:1018-20.
45. Chaccur DC, Bittencourt LR, Lucchesi L, et al. Assessment of the impact of vertical dimension alterations on the quality of sleep in elderly patients wearing upper and lower full dentures. Sleep Sci 2012;5:1-6.
46. Gupta P, Thombare R, Pakhan AJ, Singhal S. Cephalometric evaluation of the effect of complete dentures on retropharyngeal space and its effect on spirometric values in altered vertical dimension. ISRN Dent 2011;51:69-79.
47. Gassino G, Cicolin A, Erovigni F, Carossa S, Preti G. Obstructive sleep apnea, depression, and oral status in elderly occupants of residential homes. Int J Prosthodont 2005;18:316-22.
48. Gokce HS, Gokce SM, Akin E, Bengi O. Effects of complete denture wearing on the head posture and posterior airway space: A cephalometric study. J Dent Sci 2011; 6:6-13.
49. Emami E, Salah MH, Rompré P, Huynh N, Beauchamp A, Feine JS. The nocturnal use of complete dentures and sleep stability in edentulous elders. J Dent 2013;41:703-9.
50. Huynh NT, Emami E, Helman JI, Chervin RD. Interactions between sleep disorders and oral diseases.Oral Dis 2014;20:236-45.
51. Nordenstrom J. Evidence-based medicine: in Sherlock Holmes’ Footsteps. Oxford: Blackwell Publishing, 2007.
52. Spicuzza L, Caruso D, Di Maria G. Obstructive sleep apnoea syndrome and its management. Ther Adv Chronic Dis 2015, Vol. 6(5) 273–285
53. S, Schneider H, Schwartz A, Smith P. Adult obstructive sleep apnea: pathophysiology and diagnosis. Chest.2007 Jul;132(1):325-37
54. Kryger MH, Roth T, Dement WC. Principles and practice of sleep medicine, 3rd edition. Philadelphia, PA: W.B Saunders Company; 2000.
55. Chesson AL Jr, Berry RB, Pack A. Practice parameters for the use of portable monitoring devices in the investigation of suspected obstructive sleep apnea in adults. Sleep 2003; 26:907-13.