The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 22 , ISSUE 10 ( October, 2021 ) > List of Articles

REVIEW ARTICLE

Influence of Complete Denture Use on Respiratory Capacity: A Systematic Review

Bruna R Neves, Rafaella S Leão, Andressa S Carneiro da Silva, Joel F Santiago Junior, Belmiro C do Egito Vasconcelos, Eduardo P Pellizzer, Sandra L Dantas Moraes

Keywords : Airways, Denture, Respiratory function tests, Spirometry

Citation Information : Neves BR, Leão RS, da Silva AS, Junior JF, Vasconcelos BC, Pellizzer EP, Moraes SL. Influence of Complete Denture Use on Respiratory Capacity: A Systematic Review. J Contemp Dent Pract 2021; 22 (10):1197-1205.

DOI: 10.5005/jp-journals-10024-3206

License: CC BY-NC 4.0

Published Online: 07-02-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim and objective: This study aimed to determine whether the use of complete dentures has an influence on the respiratory capacity, assessed by the spirometry examination. Materials and methods: A systematic review was conducted following the Preferred Reporting Items for Systematic Review and Meta-Analysis and registered in the International Prospective Register of Systematic Reviews (CRD42021255224). The PICO question (population/exposure/comparison/outcome) was “Does the use of complete dentures influence the respiratory capacity of a toothless subject?” A search strategy was adapted for the PubMed/MEDLINE, The Cochrane Library, OpenGrey, Lilacs, Scopus, and Embase databases. Inclusion criteria were prospective and retrospective studies. The new castle ottawa (NOS) scale and the Methodological Index for Non-randomized studies were selected to assess the quality of the included studies. Results: Four studies were selected, totalizing the evaluation of 242 participants, aged ranging from 40 to 73 years old. Two studies concluded that the use of complete dentures can negatively affect the respiratory capacity. One study stated that it did not interfere regardless of its use during spirometric measurements, and the other reported that dental prosthesis was required in cases of evaluation of the extrathoracic airways. Conclusion: The use of complete dentures did not represent relevant changes from the reference values for pulmonary function in the spirometry test. Considering the results of this review, it is not yet possible to establish a clinical protocol for the use of complete dentures during the test. Clinical significance: Oral rehabilitation with conventional complete dentures is widely used for the treatment of edentulism, especially in elderly patients. In addition, with aging, many complex changes in immunity and respiratory function contribute to the increase in the development of lung diseases. Therefore, it is important to establish a guidance regarding the use or not of the removable dental prostheses in the respiratory capacity test through spirometry examination.


HTML PDF Share
  1. Indrakumar HS, Venkatesh D, Adoni VV, et al. Spirometric assessment of impact of complete dentures on respiratory performance: an in vitro study. J Contemp Dent Pract 2018;19(2):177–180. DOI: 10.5005/JP-JOURNALS-10024-2233.
  2. Lee DJ, Saponaro PC. Management of edentulous patients. Dent Clin North Am 2019;63(2):249–261. DOI: 10.1016/j.cden.2018.11.006.
  3. El Osta N, Haddad E, Fakhouri J, et al. Comparison of psychometric properties of GOHAI, OHIP-14, and OHIP-EDENT as measures of oral health in complete edentulous patients aged 60 years and more. Qual Life Res 2021;30(4):1199–1213. DOI: 10.1007/s11136-020-02709-w.
  4. Lowery EM, Brubaker AL, Kuhlmann E, et al. The aging lung. Clin Interv Aging 2013;8:1489–1496. DOI: 10.2147/CIA.S51152.
  5. Beeckman-Wagner L-AF, Freeland D. Spirometry quality assurance: common errors and their impact on test results. Department of Health and Human services [En ligne] 2012;200(8):E70–E88. DOI: 10.1164/rccm.201908-1590ST.
  6. Bulent P, Cumhur S, Omer K, Arzu A, Faruk C, et al. Effects of complete dentures on respiratory performance: Spirometric evaluation. Gerodontology 2012;31(1):19–24. DOI: 10.1111/j.1741-2358.2012.00687.x.
  7. Pierce R. Spirometry: an essential clinical measurement. Aust Fam Physician 2005;34(7):535–539. PMID: 15999163.
  8. Behr J, Furst DE. Pulmonary function tests. Rheumatology 2009;47(SUPPL. 5):65–67. DOI: 10.1093/rheumatology/ken313.
  9. Douglass JB, Meader L, Kaplan A, et al. Cephalometric evaluation of the changes in patients wearing complete dentures: a 20-year study. J Prosthet Dent 1993;69(3):270–275. DOI: 10.1016/0022-3913(93)90105-W.
  10. Murali Mohan S, Mahesh Gowda E, Banari AS. Obstructive sleep apnea (OSA): a prosthodontic perspective. Med J Armed Forces India 2015;71(0):S395–S399. DOI: 10.1016/j.mjafi.2013.09.007.
  11. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372. DOI: 10.1136/bmj.n71.
  12. van Westrhenen A, Muskens IS, Verhoeff JJC, et al. Ischemic stroke after radiation therapy for pituitary adenomas: a systematic review. J Neurooncol 2017;135(1):1–11. DOI:10.1007/s11060-017-2530-9.
  13. Slim K, Nini E, Forestier D, et al. Methodological index for non-randomized studies (Minors): development and validation of a new instrument. ANZ J Surg 2003;73(9):712–716. DOI: 10.1046/j.1445-2197.2003.02748.x.
  14. Santiago Junior JF, Biguetti CC, Matsumoto MA, et al. Can genetic factors compromise the success of dental implants? A systematic review and meta-analysis. Genes (Basel) 2018;9(9):1–15. DOI: 10.3390/genes9090444.
  15. Borenstein, M, Hedges LV, Higgins JPT, et al. Introduction to meta-analysis. Chichester, United Kingdom: Wiley, Ltd; 2009. DOI: 10.1002/9780470743386.
  16. Bucca CB, Carossa S, Colagrande P, et al. Effect of edentulism on spirometric tests. Am J Respir Crit Care Med 2001;163(4):1018–1020. DOI: 10.1164/ajrccm.163.4.2005022.
  17. Gupta P, Thombare R, Pakhan AJ, et al. Cephalometric evaluation of the effect of complete dentures on retropharyngeal space and its effect on spirometric values in altered vertical dimension. ISRN Dentistry 2011;2011:1–9. DOI: 10.5402/2011/516969.
  18. Culver BH, Graham BL, Coates AL, et al. Recommendations for a standardized pulmonary function report. An official American Thoracic Society technical statement. Am J Respir Crit Care Med 2017;196(11):1463–1472. DOI: 10.1164/rccm.201710-1981ST.
  19. Pereira CA de C. Espirometry. J Pneumol 2002;28(3).
  20. De Castro Pereira CA, Sato T, Rodrigues SC. New reference values for forced spirometry in white adults in Brazil. J Bras Pneumol 2007;33(4):397–406. DOI: 10.1590/s1806-37132007000400008.
  21. Parreira VF, Bueno CJ, França DC, et al. Breathing pattern and thoracoabdominal motion in healthy individuals: influence of age and sex. Rev Bras Fisioter 2010;14(5):411–416. DOI: 10.1590/S1413-35552010000500010.
  22. Choi JK, Hur YK, Lee JM, et al. Effects of mandibular advancement on upper airway dimension and collapsibility in patients with obstructive sleep apnea using dynamic upper airway imaging during sleep. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109(5):712–719. DOI: 10.1016/j.tripleo.2009.11.034.
  23. Pauloski BR. Rehabilitation of dysphagia following head and neck cancer. Phys Med Rehabil Clin N Am 2008;19(4):889-x. DoI:10.1016/j.pmr.2008.05.010.
  24. Douglass CW. Prosthodontics. Clinical practice–delivery of services. Review of the literature. J Prosthet Dent 1990;64(3):275–283. DOI: 10.1016/0022-3913(90)90007-Y.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.