Fixed implant-supported prostheses help improve sleep disturbances: Study

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2021-12-07T09:00:14+05:30 | Updated On 7 Dec 2021 9:00 AM IST

Fixed implant-supported prostheses (FP) are associated with a positive influence on sleep disturbances, according to a recent study published in the Medicina Oral, Patologia Oral, Cirugia Buccal.

Edentulism and sleep disturbances are commonly seen among older people and cause serious negative effects on their daily lives. Edentulism can induce sleep problems by changing maxillo-mandibular anatomy and surrounding soft tissues. The effect of the treatment of complete edentulism on sleep disturbances is not sufficiently understood. The elderly population is rapidly growing, and life expectancy is increasing worldwide. Edentulism is one of the most common problems among older people, causing adverse effects on their health status and social well-being Anatomical changes associated with edentulism, such as decreasing the vertical size of occlusion and alteration in the position of the hyoid bone or mandible induce sleep disturbances in older people

The purpose of this cohort study is to detect how different treatment options affect sleep quality, daytime fatigue and sleep disorder breathing in totally edentulous elderly people.

Ninety-six individuals (50 male and 46 female) participated in this prospective cohort study. The patients were non-randomly assigned to three groups, fixed implant-supported prostheses (FP), removable implant-supported prostheses (RP) and conventional total prostheses (CP). The Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS) and the STOP-Bang questionnaire were calculated before (T0) and one year after (T1) their prosthetic rehabilitations.

The Results of the study are as follows:

Although there was no statistically significant difference between groups in terms of mean PSQI (p=0.524), ESS (p=0.410) and STOP-Bang (p=0.697) scores at T0, there was a significant difference between groups in terms of mean PSQI (p=0.011), ESS (p=0.030) and STOP-Bang (p=0.024) scores at T1. The FP group, when compared to CP group was associated with significantly better scores in the PSQI (Δ = -3.399, 95% CI= -4.612 to -2.187), ESS (Δ = -1.663, 95% CI= -3.149 to -0.176) and STOP-Bang (Δ = -0.994, 95% CI= -1.592 to -0.397).

Thus, the researchers concluded that within the limitations of this study FP was associated with a positive influence on sleep disturbances. Randomized controlled trials will be needed to provide reliable inference on this association.

Reference:

Effects of dental implant treatment on sleep quality in edentulous older people: A prospective cohort study by Fatih Karaaslan, et al. published in the Medicina Oral, Patologia Oral, Cirugia Buccal.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8141312/

Dental implantedentulismolder peoplesleep disturbances.Med Oral Patol Oral Cir Bucal

Source : Med Oral Patol Oral Cir Bucal

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751