Management of obstructive sleep apnea in edentulous patients: an overview of the literature
Identifieur interne : 000C85 ( Pmc/Checkpoint ); précédent : 000C84; suivant : 000C86Management 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.
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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<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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<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Sleep Breath</journal-id>
<journal-id journal-id-type="iso-abbrev">Sleep Breath</journal-id>
<journal-title-group><journal-title>Sleep & Breathing = Schlaf & Atmung</journal-title>
</journal-title-group>
<issn pub-type="ppub">1520-9512</issn>
<issn pub-type="epub">1522-1709</issn>
<publisher><publisher-name>Springer Berlin Heidelberg</publisher-name>
<publisher-loc>Berlin/Heidelberg</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26585170</article-id>
<article-id pub-id-type="pmc">4792362</article-id>
<article-id pub-id-type="publisher-id">1285</article-id>
<article-id pub-id-type="doi">10.1007/s11325-015-1285-9</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Dentistry • Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>Management of obstructive sleep apnea in edentulous patients: an overview of the literature</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Heidsieck</surname>
<given-names>David S. P.</given-names>
</name>
<address><phone>+31 (0)20-5663899</phone>
<email>d.s.heidsieck@amc.uva.nl</email>
</address>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Ruiter</surname>
<given-names>Maurits H. T.</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>de Lange</surname>
<given-names>Jan</given-names>
</name>
<xref ref-type="aff" rid="Aff1"></xref>
</contrib>
<aff id="Aff1">Department of Oral and Maxillofacial Surgery, Suite A1-121, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands</aff>
</contrib-group>
<pub-date pub-type="epub"><day>19</day>
<month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>19</day>
<month>11</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub"><year>2016</year>
</pub-date>
<volume>20</volume>
<fpage>395</fpage>
<lpage>404</lpage>
<history><date date-type="received"><day>4</day>
<month>5</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>20</day>
<month>10</month>
<year>2015</year>
</date>
<date date-type="accepted"><day>28</day>
<month>10</month>
<year>2015</year>
</date>
</history>
<permissions><copyright-statement>© The Author(s) 2015</copyright-statement>
<license license-type="OpenAccess"><license-p><bold>Open Access</bold>
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract id="Abs1"><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>
</abstract>
<kwd-group xml:lang="en"><title>Keywords</title>
<kwd>Obstructive sleep apnea</kwd>
<kwd>Edentulism</kwd>
<kwd>Oral appliance therapy</kwd>
<kwd>Dentures</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name>
<meta-value>© Springer-Verlag Berlin Heidelberg 2016</meta-value>
</custom-meta>
</custom-meta-group>
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<affiliations><list><country><li>Pays-Bas</li>
</country>
<region><li>Hollande-Septentrionale</li>
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<settlement><li>Amsterdam</li>
</settlement>
<orgName><li>Université d'Amsterdam</li>
</orgName>
</list>
<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 Lange, Jan" sort="De Lange, Jan" uniqKey="De Lange J" first="Jan" last="De Lange">Jan De Lange</name>
<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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