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Association of Denture Use with Sleep‐disordered Breathing Among Older Adults
Author(s) -
Endeshaw Yohannes W.,
Katz Sheri,
Ouslander Joseph G.,
Bliwise Donald L.
Publication year - 2004
Publication title -
journal of public health dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.64
H-Index - 63
eISSN - 1752-7325
pISSN - 0022-4006
DOI - 10.1111/j.1752-7325.2004.tb02749.x
Subject(s) - edentulism , medicine , confidence interval , odds ratio , obstructive sleep apnea , dentures , logistic regression , sleep disordered breathing , sleep (system call) , sleep apnea , dentistry , physical therapy , oral health , computer science , operating system
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 ≥ 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.