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CC BY-NC-ND 4.0 · Sleep Sci 2022; 15(S 02): 300-305
DOI: 10.5935/1984-0063.20210006
ORIGINAL ARTICLE

Correlation between duration of edentulism and severity of obstructive sleep apnea in elderly edentulous patients

Arvind Tripathi
1   Saraswati Dental College, Prosthodontics - lucknow - Uttar Pradesh - India.
,
Ashutosh Gupta
1   Saraswati Dental College, Prosthodontics - lucknow - Uttar Pradesh - India.
,
Praveen Rai
1   Saraswati Dental College, Prosthodontics - lucknow - Uttar Pradesh - India.
,
Piyush Sharma
2   Dental College Azamgarh, Orthodontics - Azamgarh - Uttar Pradesh - India.
,
Suryakant Tripathi
1   Saraswati Dental College, Prosthodontics - lucknow - Uttar Pradesh - India.
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ABSTRACT

Objectives: To investigate the correlation between duration of edentulism and severity of obstructive sleep apnea in elderly edentulous patients.

Material and Methods: 1,017 patients aged 55-65 years, with a history of edentulism of 12-60 months were screened. Detailed history of tooth loss and period of edentulism was recorded for the 414 patients who tested positive for OSA (obstructive sleep apnea). Complete dentures were prepared for each patient and they were trained to use the dentures as a mandibular advancement device (MAD) during sleep at night. Apnea-hypopnea index (AHI) data at pre-treatment, six months and one-year post-treatment time intervals was recorded. A correlation between the period of untreated edentulism and severity of OSA and improvement post-treatment was derived in this study.

Results: Mean duration of edentulism was 12.14±2.57 months and mean AHI was 16.62±13.24. For every three month increase in the duration of edentulism (after initial 6 months of total tooth loss), there was a statistically significant increase in severity of OSA. Patients who are edentulous for more than 15 months are increasingly vulnerable to OSA.

Discussion: Severity of OSA in afflicted long-term edentulous patients was in direct relation to the period of untreated edentulism and regressed likewise with concomitant denture wear and mandibular advancement during sleep at night. Early prosthetic rehabilitation of edentulous patients is imperative to obviate morbidity of OSA.

Keywords:

Obstructive Sleep Apnea - Edentulous - Mandibular Advancement Device

ETHICAL APPROVAL

Prior approval of the institutional ethical committee had been obtained.


INFORMED CONSENT

Written informed consent was obtained from all the subjects.




Publication History

Received: 29 October 2020

Accepted: 19 March 2021

Article published online:
01 December 2023

© 2023. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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