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Effects of nocturnal complete denture usage on cardiorespiratory parameters: A pilot study
Alper Uyar1, Bulent Piskin2, Bugra Senel3
1Researcher, Department of Prosthetic Dentistry, Faculty of Dentistry, University of Health Sciences, Ankara, Turkey.
The Journal of Prosthetic Dentistry
|March 1, 2021
Summary
Wearing conventional complete dentures (CCDs) overnight improved cardiorespiratory stability in patients with obstructive sleep apnea (OSA). This study found significant improvements in oxygen desaturation index (ODI) and heart rate variability index (HRVI) when patients slept with their dentures.
Area of Science:
- Dental Prosthodontics
- Sleep Medicine
- Cardiorespiratory Physiology
Background:
- The impact of sleeping without conventional complete dentures (CCDs) on cardiorespiratory function in edentulous patients with obstructive sleep apnea (OSA) is debated.
- Lack of consensus exists regarding the necessity of nocturnal CCD usage for these patients.
Purpose of the Study:
- To evaluate the effect of wearing complete dentures overnight on cardiorespiratory stability.
- To utilize pulse oximetry (PO) for assessing nocturnal cardiorespiratory parameters.
Main Methods:
- Thirty conventional complete denture wearers underwent nocturnal pulse oximetry (PO) recordings.
- Baseline PO data were collected over three nights without dentures (WOD).
- After one month, PO data were collected over three nights with dentures (WID); data were analyzed using the Wilcoxon signed-rank test.
Main Results:
- Significant improvements were observed in total respiratory event (TRE), oxygen desaturation index (ODI), average low SpO2 (ALSpO2), total pulse event (TPE), and heart rate variability index (HRVI) when wearing dentures (WID) compared to sleeping without (WOD).
- The positive impact of nocturnal denture wear on these parameters was more pronounced with increased OSA severity.
Conclusions:
- Nocturnal wear of conventional complete dentures leads to significant improvements in cardiorespiratory parameters.
- Specifically, oxygen desaturation index (ODI) and heart rate variability index (HRVI) showed notable improvements, suggesting benefits for OSA patients.
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