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Published on: December 6, 2016
Association of denture use with sleep-disordered breathing among older adults
Yohannes W Endeshaw1, Sheri Katz, Joseph G Ouslander
1Division of Geriatrics and Gerontology, Emory University, 1841 Clifton Road NE, 5th Floor, Atlanta, GA 30329, USA. yendesh@emory.edu
Objective:
This study investigates the relationship between sleep-disordered breathing and denture use.
Methods:
This was a cross-sectional study of community-dwelling older adults. Information about denture use was obtained using a questionnaire. Ambulatory sleep recording in subjects' homes was performed using Embletta PDS (Medcare, Iceland). Chi-square tests and logistic regression analysis were used for statistical analysis.
Results:
A total of 58 subjects completed the study. The mean apnea hypopnea (AHI) index was 15.1+/-16.1. Twenty-two subjects (38%) used dentures and most removed them before sleep. There was significant association between denture use and AHI > or = 15 per hour of sleep (odds ratio [OR]=6.29; 95% confidence interval [CI]= 1.71, 23.22; P=.006).
Conclusions:
This preliminary study found an association between sleep-disordered breathing and denture use, which may represent a proxy for a relationship between sleep-disordered breathing and edentulism. Given the common occurrence of both conditions among older adults, the observed relationship warrants a more detailed investigation of the mechanisms whereby loss of teeth leads to upper airway closure during sleep.
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