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Submitted: 05 April 2017 Modified: 07 April 2017
HERDIN Record #: PCHRD17040510453822

Managing periodontitis in type 1 diabetic patients improves glycemic control: A case report.

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This case report describes the long-term follow-up of a 22-year-old, female patient with type 1 diabetes managed by conservative oral care and glycemic control measures. She is on a twice a day insulin regimen. Tooth numbers 13 and 37 had pockets less than 6 mm while all remaining teeth had greater than 6 mm. Periodontal management consisted of root planing combined with instructions on diabetes self-management skills at home. Nine weeks after the first sextant was treated, pocket depth measurements in 93 (81.6%) out of 114 sites and bleeding on probing (BOP) scores in 11 (57.9%) out of 19 teeth decreased. There was a 50% reduction in the C reactive Protein and a 46.7% decrease in the fructosamine assay levels. Initial glycohemoglobin level of 8.3% decreased substantially to 7.1%. The goal of the dentist is no longer just the improvement of oral health but ultimately the overall health of the patient and the physician's goal is to include oral health in the promotion of overall health.

Publication Type
Journal
Publication Sub Type
Case report
Title
Journal of the ASEAN Federation of Endocrine Societies
Frequency
Semi-Annual
Publication Date
November 2016
Volume
31
Issue
2
Page(s)
160-165
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No.116 Fulltext Print Format (Request Document)