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.
Aim: The purpose of the study is to comparison of the effectiveness of teachers and dentists in oral health education for 6-7 year old children affected by their families. Material and Methods: The 160 children who attended to primary school were divided into two groups, in this study. The teacher gave oral dental health education to group A, the dentist gave to group B. Oral hygiene, plaque index, deft index (decayed extracted filled primary tooth), def-s index (decayed extracted filled primary tooth surface), DMF-T index (decayed extracted filled permanent tooth) and DMF-S index (decayed extracted filled permanent tooth surface) were evaluted before and after oral health education. The differences between the educations given by the teacher and the dentists were evaluated. Results: After education oral hygiene improved in both groups, plaque index value did not decrease. The values of deft , def-s, DMF-T and DMF-S index were similar before and after oral health education. There was no difference between the oral health education by the school teacher and the dentist considering these index values. Conclusions: It was concluded that oral health education was provided by school teachers and dentist was similar and that the school teachers were suitable for oral health education. It is believed that there is a need for further work to be carried out at regular intervals, where the teacher and family take part.
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