Dental Sleep Medicine Insider November DSM Insider | Page 6

JOHN TUCKER, DMD INTERESTED? JOIN ME AT THE NADSM SYMPOSIUM. REGISTER NOW 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.