| Autor: |
Seshima F; Department of Periodontology, Tokyo Dental College., Nishina M, Namba T, Saito A |
| Jazyk: |
angličtina |
| Zdroj: |
The Bulletin of Tokyo Dental College [Bull Tokyo Dent Coll] 2016; Vol. 57 (2), pp. 97-104. |
| DOI: |
10.2209/tdcpublication.2015-0041 |
| Abstrakt: |
We report a case of generalized chronic periodontitis and type 2 diabetes mellitus requiring periodontal treatment including regenerative therapy. The patient was a 66-year-old man who presented with the chief complaint of gingival inflammation and mobile teeth in the molar region. He had been being treated for type 2 diabetes mellitus since 1999. His glycated hemoglobin (HbA1c) level was 7.8%. An initial examination revealed sites with a probing depth of ≥7 mm in the molar region, and radiography revealed angular bone defects in this area. Based on a clinical diagnosis of generalized chronic periodontitis, the patient underwent initial periodontal therapy. An improvement was observed in periodontal conditions on reevaluation, and his HbA1c level showed a reduction to 6.9%. Periodontal regenerative therapy with enamel matrix derivative was then performed on #16, 26, and 27. Following another reevaluation, a removable partial denture was fabricated for #47 and the patient placed on supportive periodontal therapy (SPT). To date, periodontal conditions have remained stable and the patient's HbA1c level has increased to 7.5% during SPT. The results show the importance of collaboration between dentist and physician in managing periodontal and diabetic conditions in such patients. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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