Correlation between edentulism and sleep apnea (Master thesis)

Παχιού, Ασπασία/ Pachiou, Aspasia

Purpose: Sleep apnea is a common and underdiagnosed sleep-related breathing disorder. This systematic review aimed to evaluate the scientific evidence regarding the association between obstructive sleep apnea (OSA) and edentulism. Materials and Methods: An electronic search was conducted through PubMed (MEDLINE), Scopus and Cochrane Library, up to January 2024. The literature search intended to retrieve all relevant clinical studies about any possible association between OSA and edentulism. Only publications in English language were selected with animal studies, in vitro studies, case reports, case series, technique presentation articles and expert opinions being excluded. Results: A total of 23 studies met the inclusion criteria and were included in this systematic review. They were published between 1999 and 2023 and were all clinical studies. These studies examined for a possible association between OSA and edentulism and all of them agreed on their positive relation. Tooth loss favors anatomic alterations that deteriorate breathing. The severity of OSA was related to the extent and duration of edentulism. Mean Apnea- Hypopnea Index (AHI) scores in edentulous patients were found to be two to three times higher in comparison to dentate individuals, although the statistical data about it are scarce. No agreement is reached, however, about the use of dentures or not during sleep time, since the data are controversial. Conclusions: Our findings suggest that there is a plausible association between edentulism and OSA. Tooth loss impairs significant anatomic alterations and increases the risk for OSA. Edentulous patients should be encouraged to seek for prosthetic restoration of the tooth loss, so that orofacial structures are better supported and, consequently, less OSA symptoms may be experienced.
Alternative title / Subtitle: συστηματική ανασκόπηση
systematic review
Institution and School/Department of submitter: Δημοκρίτειο Πανεπιστήμιο Θράκης. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Subject classification: Sleep apnea syndromes
Keywords: Sleep apnea,Edentulism,Tooth loss,Υπνική άπνοια,Νωδότητα,Απώλεια δοντιών
URI: https://repo.lib.duth.gr/jspui/handle/123456789/18154
http://dx.doi.org/10.26257/heal.duth.16887
Appears in Collections:Π.Μ.Σ. ΙΑΤΡΙΚΗ ΤΟΥ ΥΠΝΟΥ

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https://repo.lib.duth.gr/jspui/handle/123456789/18154
http://dx.doi.org/10.26257/heal.duth.16887
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