Effect of CPAP Therapy on Clinical Periodontal Status of Patients with Obstructive Sleep Apnea Syndrome: 6-year Follow-up

Yıl 2020, Cilt: 37 Sayı: 2, 42 - 47, 01.05.2020

Burcu Kanmaz Nejat Nizam Özen Kaçmaz Başoğlu M. Sezai Taşbakan Nurcan Buduneli

https://doi.org/10.17214/gaziaot.630740

Cited By: 1

Öz

Objective: The aim of this study is to evaluate the possible effect of the continuous positive airway pressure (CPAP) device on the periodontal status in obstructive sleep apnea syndrome (OSAS) patients.

Materials and Method: Comprehensive clinical periodontal examination was repeated 6 years after the treatment was started in 11 patients (3 moderate, 8 severe OSAS) who were diagnosed with OSAS and using CPAP device regularly. Probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP) and plaque index (PI) were recorded and compared with the baseline data.

Results: There was no significant difference between the moderate and severe OSAS groups in terms of CAL, PI measurements between the baseline and the 6th year after the treatment (p>0.05). Baseline, 6th year PD and the 6th year BOP values were higher in the moderate OSAS group (p = 0.024, p = 0.030 and p=0.014, respectively). No significant difference was found in the number of teeth present between the baseline and the 6th year in either of the groups or the whole population (p>0.05). When the clinical periodontal measurements were compared between the baseline and the 6th year in smokers and non-smokers, the results were found to be similar (p>0.05).

Conclusion: Within the limits of the present study, it can be concluded that long-term OSAS treatment with CPAP device does not have a significant effect on the clinical periodontal status.

Anahtar Kelimeler

continuous positive airway pressure, periodontal disease, sleep apnea syndrome

Obstrüktif uyku apne sendromu olan hastalarda CPAP tedavisinin klinik periodontal duruma etkisi: Altı yıllık takip

Öz

Amaç: Bu çalışmanın amacı, obstrüktif uyku apne sendromu (OUAS) hastalarında sürekli pozitif havayolu basıncı (CPAP) tedavisinin, klinik periodontal durum üzerine olası etkilerini değerlendirmektir.

Gereç ve Yöntem: OUAS tanısı konmuş olan ve düzenli CPAP cihazı kullanan toplam 11 hastada (3 hasta orta, 8 hasta ağır OUAS) tedavi başlandıktan 6 yıl sonra kapsamlı klinik periodontal muayene tekrarlandı. Tüm ağız ortalama sondalama derinliği (SD), klinik ataşman seviyesi (KAS), sondalamada kanama indeksi (SKİ) ve plak indeksi (Pİ) değerleri kaydedilerek başlangıç verileri ile karşılaştırıldı.

Bulgular: Orta ve ağır OUAS grupları arasında KAS, PI ölçümlerinde başlangıç ve tedavi sonrası 6. yıl verileri arasında anlamlı fark bulunmadı (p>0.05). Başlangıç, 6. yıl SD ve 6. yıl SKİ değerleri orta OUAS grubunda daha yüksek bulundu (sırasıyla p=0.024, p=0.030 ve p=0.014). Diş sayılarına bakıldığında her iki grupta ve tüm hastalarda başlangıç ve 6. yıl değerleri arasında anlamlı fark bulunmadı (p>0.05). Sigara içen ve içmeyen hastalarda başlangıç ve 6. yıl klinik periodontal ölçümleri karşılaştırdığımızda sonuçların benzer olduğu gözlendi (p>0.05).

Sonuç: Çalışmamızın sınırları içinde, CPAP cihazı ile yapılan uzun dönem OUAS tedavisinin klinik periodontal durum üzerine anlamlı etki göstermediği söylenebilir.

Anahtar Kelimeler

periodontal hastalık, sürekli pozitif havayolu basıncı, uyku apne sendromu

Kaynakça

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