Management of obstructive sleep apnea in edentulous patients: an overview of the literature
Identifieur interne : 000F82 ( Main/Exploration ); précédent : 000F81; suivant : 000F83Management of obstructive sleep apnea in edentulous patients: an overview of the literature
Auteurs : David S. P. Heidsieck [Pays-Bas] ; Maurits H. T. De Ruiter [Pays-Bas] ; Jan De Lange [Pays-Bas]Source :
- Sleep & Breathing = Schlaf & Atmung [ 1520-9512 ] ; 2015.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bouche édentée (), Bouche édentée (épidémiologie), Femelle, Gouttières occlusales, Humains, Mâle, Observance thérapeutique, Palais (), Polysomnographie, Prothèse dentaire complète, Rhinoplastie, Sujet âgé, Syndrome d'apnées obstructives du sommeil (), Syndrome d'apnées obstructives du sommeil (épidémiologie), Syndrome d'apnées obstructives du sommeil (étiologie), Trachéostomie, Ventilation en pression positive continue, Études transversales.
- MESH :
- épidémiologie : Bouche édentée, Syndrome d'apnées obstructives du sommeil.
- étiologie : Syndrome d'apnées obstructives du sommeil.
- Adulte d'âge moyen, Bouche édentée, Femelle, Gouttières occlusales, Humains, Mâle, Observance thérapeutique, Palais, Polysomnographie, Prothèse dentaire complète, Rhinoplastie, Sujet âgé, Syndrome d'apnées obstructives du sommeil, Trachéostomie, Ventilation en pression positive continue, Études transversales.
English descriptors
- KwdEn :
- Aged, Continuous Positive Airway Pressure, Cross-Sectional Studies, Denture, Complete, Female, Humans, Male, Middle Aged, Mouth, Edentulous (complications), Mouth, Edentulous (epidemiology), Mouth, Edentulous (therapy), Occlusal Splints, Palate (surgery), Patient Compliance, Polysomnography, Rhinoplasty, Sleep Apnea, Obstructive (epidemiology), Sleep Apnea, Obstructive (etiology), Sleep Apnea, Obstructive (therapy), Tracheostomy.
- MESH :
- complications : Mouth, Edentulous.
- epidemiology : Mouth, Edentulous, Sleep Apnea, Obstructive.
- etiology : Sleep Apnea, Obstructive.
- surgery : Palate.
- therapy : Mouth, Edentulous, Sleep Apnea, Obstructive.
- Aged, Continuous Positive Airway Pressure, Cross-Sectional Studies, Denture, Complete, Female, Humans, Male, Middle Aged, Occlusal Splints, Patient Compliance, Polysomnography, Rhinoplasty, Tracheostomy.
Abstract
A high prevalence of obstructive sleep apnea (OSA) is seen in edentulous individuals. Treatment options for edentulous OSA patients however are limited with continuous positive airway pressure therapy (CPAP) remaining the current therapy of choice. As CPAP is associated with high non-adherence rates and oral appliance therapy requiring sufficient dentition, there is a clinical need for effective treatment strategies aimed at edentulous OSA patients. The purpose of this study was to present a thorough overview of the literature regarding (1) the effects of nocturnal denture wearing on OSA, (2) the outcomes of oral appliance therapy, and (3) surgical treatment in edentulous OSA patients.
A computer-assisted literature search was performed in the MEDLINE database on “edentulism” and “obstructive sleep apnea.” The search yielded a total of 34 original articles.
A total of 20 studies were included after exclusion of non-relevant, duplicate, and non-English publications, comprising 4 randomized clinical trials, 12 case reports, and 4 cohort or cross-sectional studies. The outcomes of these studies were addressed in detail concerning nocturnal wearing of dentures, oral appliance therapy, and surgical treatment.
Currently, there is no consensus in the literature on the effects of nocturnal wearing of dentures on OSA. Several studies report the successful use of oral appliance therapy, including implant-retained mandibular advancement devices (MADs), in selected cases of edentulous patients with varying stages of OSA. Little evidence is available regarding outcomes of surgical procedures in edentulous patients. Based on the results of this literature overview, the paucity of effective evidence-based treatment strategies for edentulous OSA patients indicates the further need of clinical studies to improve clinical management.
Url:
DOI: 10.1007/s11325-015-1285-9
PubMed: 26585170
PubMed Central: 4792362
Affiliations:
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Le document en format XML
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<term>Continuous Positive Airway Pressure</term>
<term>Cross-Sectional Studies</term>
<term>Denture, Complete</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mouth, Edentulous (complications)</term>
<term>Mouth, Edentulous (epidemiology)</term>
<term>Mouth, Edentulous (therapy)</term>
<term>Occlusal Splints</term>
<term>Palate (surgery)</term>
<term>Patient Compliance</term>
<term>Polysomnography</term>
<term>Rhinoplasty</term>
<term>Sleep Apnea, Obstructive (epidemiology)</term>
<term>Sleep Apnea, Obstructive (etiology)</term>
<term>Sleep Apnea, Obstructive (therapy)</term>
<term>Tracheostomy</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Bouche édentée ()</term>
<term>Bouche édentée (épidémiologie)</term>
<term>Femelle</term>
<term>Gouttières occlusales</term>
<term>Humains</term>
<term>Mâle</term>
<term>Observance thérapeutique</term>
<term>Palais ()</term>
<term>Polysomnographie</term>
<term>Prothèse dentaire complète</term>
<term>Rhinoplastie</term>
<term>Sujet âgé</term>
<term>Syndrome d'apnées obstructives du sommeil ()</term>
<term>Syndrome d'apnées obstructives du sommeil (épidémiologie)</term>
<term>Syndrome d'apnées obstructives du sommeil (étiologie)</term>
<term>Trachéostomie</term>
<term>Ventilation en pression positive continue</term>
<term>Études transversales</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Mouth, Edentulous</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Mouth, Edentulous</term>
<term>Sleep Apnea, Obstructive</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Mouth, Edentulous</term>
<term>Sleep Apnea, Obstructive</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Bouche édentée</term>
<term>Syndrome d'apnées obstructives du sommeil</term>
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<term>Continuous Positive Airway Pressure</term>
<term>Cross-Sectional Studies</term>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Occlusal Splints</term>
<term>Patient Compliance</term>
<term>Polysomnography</term>
<term>Rhinoplasty</term>
<term>Tracheostomy</term>
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<term>Bouche édentée</term>
<term>Femelle</term>
<term>Gouttières occlusales</term>
<term>Humains</term>
<term>Mâle</term>
<term>Observance thérapeutique</term>
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<term>Prothèse dentaire complète</term>
<term>Rhinoplastie</term>
<term>Sujet âgé</term>
<term>Syndrome d'apnées obstructives du sommeil</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Purpose</title>
<p>A high prevalence of obstructive sleep apnea (OSA) is seen in edentulous individuals. Treatment options for edentulous OSA patients however are limited with continuous positive airway pressure therapy (CPAP) remaining the current therapy of choice. As CPAP is associated with high non-adherence rates and oral appliance therapy requiring sufficient dentition, there is a clinical need for effective treatment strategies aimed at edentulous OSA patients. The purpose of this study was to present a thorough overview of the literature regarding (1) the effects of nocturnal denture wearing on OSA, (2) the outcomes of oral appliance therapy, and (3) surgical treatment in edentulous OSA patients.</p>
</sec>
<sec><title>Methods</title>
<p>A computer-assisted literature search was performed in the MEDLINE database on “edentulism” and “obstructive sleep apnea.” The search yielded a total of 34 original articles.</p>
</sec>
<sec><title>Results</title>
<p>A total of 20 studies were included after exclusion of non-relevant, duplicate, and non-English publications, comprising 4 randomized clinical trials, 12 case reports, and 4 cohort or cross-sectional studies. The outcomes of these studies were addressed in detail concerning nocturnal wearing of dentures, oral appliance therapy, and surgical treatment.</p>
</sec>
<sec><title>Conclusion</title>
<p>Currently, there is no consensus in the literature on the effects of nocturnal wearing of dentures on OSA. Several studies report the successful use of oral appliance therapy, including implant-retained mandibular advancement devices (MADs), in selected cases of edentulous patients with varying stages of OSA. Little evidence is available regarding outcomes of surgical procedures in edentulous patients. Based on the results of this literature overview, the paucity of effective evidence-based treatment strategies for edentulous OSA patients indicates the further need of clinical studies to improve clinical management.</p>
</sec>
</div>
</front>
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<author><name sortKey="Unruh, Ml" uniqKey="Unruh M">ML Unruh</name>
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<affiliations><list><country><li>Pays-Bas</li>
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<region><li>Hollande-Septentrionale</li>
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<settlement><li>Amsterdam</li>
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<orgName><li>Université d'Amsterdam</li>
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<tree><country name="Pays-Bas"><region name="Hollande-Septentrionale"><name sortKey="Heidsieck, David S P" sort="Heidsieck, David S P" uniqKey="Heidsieck D" first="David S. P." last="Heidsieck">David S. P. Heidsieck</name>
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<name sortKey="De Ruiter, Maurits H T" sort="De Ruiter, Maurits H T" uniqKey="De Ruiter M" first="Maurits H. T." last="De Ruiter">Maurits H. T. De Ruiter</name>
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