Dental Sleep Medicine Insider November DSM Insider | Page 6
JOHN TUCKER, DMD
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ed slightly forward. These
observed changes were not
significantly affected by the
sex of the patient or by the
denture technique employed. 15
Dental implants date back in
history to 3000 B.C. 16
Dental implants are now
regarded as the “Standard
of Care” for the edentulous
mandible. “The panelists
reached consensus that they
would recommend an IRMOD
(Implant Retained Mandibu-
lar Over Denture) instead of a
CD (Complete Denture) as the
first-choice standard of care
for patients who are healthy
or have mild systemic disease,
but not for patients with se-
vere systemic disease.” 17
References:
DR. JOHN TUCKER, DMD
DICOI, DABDSM
John Tucker has main-
tained a private practice in
Erie, PA since 1982. He is a
graduate of the Universi-
ty of Pittsburgh School of
Dental Medicine and along
with many other accoplish-
ments, was named one of
the Best Sleep Doctors in
2012 & 2013.
After twenty years the com-
plete denture patient expe-
riences loss of the vertical
dimension of occlusion as
viewed from the right pro-
file. The mandible rotates in
a counterclockwise fashion
leading to an increase in
relative prognathism. Maxil-
lary alveolus remained stable
while the mandibular alveolus
resorbed. Dentures rotated
counter- clockwise and shift-
1. Malhotra A, White DP. Obstructive sleep apnea. Lancet 2002; 360:237–245.
2. Young T, Evans L, Finn L, Palta M. Estimation of the clinically diagnosed proportion
of sleep apnea syndrome in middle-aged men and women. Sleep 1997;20:705–706.
3. Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in
men with obstructive sleep apnoea-hypopnoea with or without treatment with con-
tinuous positive airway pressure: An observational study. Lancet 2005;365:1046 1053
4. Punjabi NM, Caffo BS, Goodwin JL, et al. Sleep-disordered breathing and Mortality: A
prospective cohort study. PLoS Med 2009; 6:e1000132.
5. Nieto FJ, Peppard PE, Young T, Finn L, Hla KM, Farre R. Sleep-disordered breathing
And cancer mortality: Results from the Wisconsin sleep cohort study. Am J Respir Crit
Care Med 2012;186:190–194.
6. Douglass CW, Shih A, Ostry L (2002) Will there be a need for complete dentures in the
united states in 2020? J Prosthet Dent 87:5–8
7. Ancoli-Israel S, Kripke DF, Klauber MR, Mason WJ, Fell R, Kaplan O (1991) Sleep-disor-
dered breathing in community dwelling elderly. Sleep 14:486–495
8. Endeshaw YW, Katz S, Ouslander JG, Bliwise DL (2004) Association of denture use
with sleep-disordered breathing among older adults. J Public Health Dent 64:181–183
9. C. Bucca, A. Cicolin, L. Brussino et al., “Tooth loss and obstructive sleep apnoea,”
Respiratory Research, vol. 7, article 8,2006.
10. C. Bucca, S. Carossa, S. Pivetti, V. Gai, G. Rolla, and G. Preti, “Edentulism and worsen-
ing of obstructive sleep apnoea,” The Lancet, vol. 353, no. 9147, pp. 121–122, 1999.
11. Almeida FR, Furuyama RJ, Chaccur DC, Lowe AA, Chen H, Bittencourt LR, Frigeiro
ML, Tsuda H.Complete denture wear during sleep in elderly sleep apnea patients-a pre-
liminary study. Sleep and Breathing September 2012, Volume 16, Issue 3, pp 855-863.
12. Carlsson GE. Clinical morbidity and sequelae of treatment with complete dentures. J
Prosthet Dent. 1998;79:17-23
13. Atwood DA, Coy WA. Clinical, cephalometric, and densitometric study of reduction
of residual ridges. J Prosthet Dent 1971;26:280-95
14. Tallgren A. The continuing reduction of the residual alveolar ridges in complete
denture wearers: a mixed-longitudinal study covering 25 years. J Prosthet Dent.
1972;27:120-32
15. Douglass JB, Meader L, Kaplan A, Ellinger CW Cephalometric evaluation of the
changes in patients wearing complete dentures: a 20-year study. J Prosthet Dent. 1993
Mar;;69(3):270-5.
16. Ring M E. Pause for a moment in dental history: A thousand years of dental im-
plants: A definitive history -Part 1. Compendium 1995;16:1060-1069.
17. Kavitha P. Das, BDS, MPH, MS; Leila Jahangiri, BDS, DMD, MMSc; Ralph V. Katz,
DMD, MPH, PhD. The first-choice standard of care for an edentulous mandible. JADA
2012;143(8):881-889.