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Localized gingival recession caused by a C-PAP mask: a case report
The Journal of the Michigan Dental Association
|November 28, 2002
Summary
Continuous Positive Air Pressure (CPAP) mask use can cause localized gingival recession. A connective tissue graft and protective splint successfully treated this dental complication in an obstructive sleep apnea patient.
Area of Science:
- Periodontology
- Dental Sleep Medicine
Background:
- Obstructive sleep apnea (OSA) is commonly treated with Continuous Positive Air Pressure (CPAP) therapy.
- CPAP devices, particularly nasal masks, can exert mechanical forces on oral tissues.
Observation:
- A patient using a CPAP machine for OSA developed localized gingival recession on the labial aspect of tooth #6.
- The recession exposed the root surface, prompting dental consultation.
Findings:
- Surgical intervention with a subepithelial connective tissue graft was performed to repair the gingival defect.
- A custom maxillary bite splint with protective extensions was fabricated to shield the grafted area.
Implications:
- This case highlights the potential for CPAP nasal masks to cause gingival recession, necessitating dental awareness.
- Combined surgical repair and protective splint use can effectively manage CPAP-induced gingival recession, allowing continued OSA treatment.