Evidence map›Paper›PMID 33955479›Full record

Trial reportSleep2021

Effects of nocturnal wearing of dentures on the quality of sleep and oral-health-related quality in edentate elders with untreated sleep apnea: a randomized cross-over trial.

Elham Emami, Gilles Lavigne, Jocelyne S Feine, Igor Karp, Pierre H Rompré, Fernanda R Almeida, Nelly T Huynh

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01868295 (The Effect of Nocturnal Wear of Dentures on Sleep and Oral Health Related Quality of Life), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01868295 nacompletednot on this map

The Effect of Nocturnal Wear of Dentures on Sleep and Oral Health Related Quality of Life: a Randomized Cross-Over Trial

TypeinterventionalSponsorUniversité de MontréalRan2014 to 2019Enrolled70ConditionsSleep Apnea, ObstructiveArmsSleeping with denture
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Association of edentulism and obstructive sleep apnea: A systematic review.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
    Pooled it
  2. Pooled it
  3. Article
  4. Current Denture Loss in Geriatric Facilities.Medicines (Basel, Switzerland) · 2022
    Article
  5. Comparison of anatomic and aerodynamic characteristics of the upper airway among edentulous mild, moderate, and severe obstructive sleep apnea in older adults.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Elham EmamiFaculty of Dentistry, McGill University, Montréal, Québec, Canada.
Gilles LavigneFaculty of Dentistry, Université de Montréal, Montréal, Québec, Canada.
Jocelyne S FeineFaculty of Dentistry, McGill University, Montréal, Québec, Canada.
Igor KarpDepartment of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario,Canada.
Pierre H RompréFaculty of Dentistry, Université de Montréal, Montréal, Québec, Canada.
Fernanda R AlmeidaFaculty of Dentistry, University of British Colombia, Vancouver, British Columbia, Canada.ORCID 0000-0002-8704-9506
Nelly T HuynhFaculty of Dentistry, Université de Montréal, Montréal, Québec, Canada.
Université de Montréal · CAMcGill University · CAUniversity of British Columbia · CAWestern University · CA

Funding

CIHR 325899
6 · The paper itself

Abstract

STUDY

objectivesThis study aims to assess whether the nocturnal wear of dentures has an effect on the quality of sleep and oral-health-related quality of life of the edentulous elderly with untreated sleep apnea.

methodsA single-blind randomized cross-over design with two sequences and two periods was used. Participants (n = 77) were randomly assigned either to sequence 1 (nocturnal wear followed by nocturnal nonwear of the denture for 30-30 days) or sequence 2 (nocturnal nonwear followed by nocturnal wear of denture for 30-30 days). The primary sleep outcome was the quality of sleep, assessed through sleep fragmentation measured as Apnea-Hypopnea Index (AHI) and respiratory arousal from portable polysomnography. Secondary outcomes were daytime sleepiness, sleep quality (Pittsburgh Sleep Quality Index, PSQI) and oral-health-related quality of life measured by validated questionnaires.

resultsThe mean paired difference in AHI scores for the period of wearing versus not wearing dentures at night was small 1.0 event per hour (p = 0.50; 95% confidence interval (CI) = -2.0 to 4.1). The mean respiratory arousal index was higher when wearing dentures at night than when not wearing dentures at night, with a mean paired difference of 2.3 events per hour (p = 0.05; 95% CI = 0.0 to 4.6). No difference in sleepiness and PSQI were noted. Wearing dentures at night resulted in a statistically significantly higher mean score of psychological discomfort when compared to not wearing dentures at night.

conclusionsThe results provide some support to usual practice guidelines to remove dentures at night in edentulous elders suffering from sleep apnea. CLINICAL

trial registrationNCT01868295.

Indexed as

Sleep Apnea, ObstructiveSleep Apnea SyndromesAgedCross-Over StudiesDenturesHumansQuality of LifeSingle-Blind MethodSleepedentulismnocturnal wear of complete dentureobstructive sleeping apneapolysomnographysleep disorders

Identifiers

PMID33955479
PMCPMC8503827
OpenAlexW3159326750

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.