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Periodontal Regenerative Therapy in Patient with Chronic Periodontitis and Type 2 Diabetes Mellitus: A Case Report.

Identifieur interne : 000142 ( Main/Exploration ); précédent : 000141; suivant : 000143

Periodontal Regenerative Therapy in Patient with Chronic Periodontitis and Type 2 Diabetes Mellitus: A Case Report.

Auteurs : Fumi Seshima ; Makiko Nishina ; Takashi Namba ; Atsushi Saito

Source :

RBID : pubmed:27320299

Descripteurs français

English descriptors

Abstract

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.

DOI: 10.2209/tdcpublication.2015-0041
PubMed: 27320299


Affiliations:


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Le document en format XML

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<term>Aged (MeSH)</term>
<term>Alveolar Bone Loss (etiology)</term>
<term>Alveolar Bone Loss (surgery)</term>
<term>Alveolar Process (transplantation)</term>
<term>Blood Glucose (metabolism)</term>
<term>Bone Transplantation (methods)</term>
<term>Chronic Periodontitis (complications)</term>
<term>Chronic Periodontitis (therapy)</term>
<term>Comorbidity (MeSH)</term>
<term>Dental Enamel Proteins (therapeutic use)</term>
<term>Dental Plaque Index (MeSH)</term>
<term>Dental Scaling (MeSH)</term>
<term>Diabetes Mellitus, Type 2 (complications)</term>
<term>Diabetes Mellitus, Type 2 (therapy)</term>
<term>Gingivitis (etiology)</term>
<term>Gingivitis (therapy)</term>
<term>Glycated Hemoglobin A (chemistry)</term>
<term>Glycated Hemoglobin A (metabolism)</term>
<term>Guided Tissue Regeneration, Periodontal (methods)</term>
<term>Health Education, Dental (MeSH)</term>
<term>Hepatitis B (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Malocclusion, Angle Class I (therapy)</term>
<term>Molar (pathology)</term>
<term>Molar (surgery)</term>
<term>Oral Hygiene (education)</term>
<term>Patient Care Planning (MeSH)</term>
<term>Periodontal Attachment Loss (etiology)</term>
<term>Periodontal Attachment Loss (therapy)</term>
<term>Periodontal Index (MeSH)</term>
<term>Periodontal Pocket (surgery)</term>
<term>Quality of Life (MeSH)</term>
<term>Root Planing (MeSH)</term>
<term>Tooth Extraction (MeSH)</term>
<term>Tooth Mobility (etiology)</term>
<term>Tooth Mobility (therapy)</term>
<term>Tooth, Impacted (surgery)</term>
<term>Treatment Outcome (MeSH)</term>
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<term>Comorbidité (MeSH)</term>
<term>Dent enclavée (chirurgie)</term>
<term>Diabète de type 2 (complications)</term>
<term>Diabète de type 2 (thérapie)</term>
<term>Détartrage dentaire (MeSH)</term>
<term>Extraction dentaire (MeSH)</term>
<term>Gingivite (thérapie)</term>
<term>Gingivite (étiologie)</term>
<term>Glycémie (métabolisme)</term>
<term>Humains (MeSH)</term>
<term>Hygiène buccodentaire (enseignement et éducation)</term>
<term>Hémoglobine A glycosylée (composition chimique)</term>
<term>Hémoglobine A glycosylée (métabolisme)</term>
<term>Hépatite B (MeSH)</term>
<term>Indice de plaque dentaire (MeSH)</term>
<term>Indice parodontal (MeSH)</term>
<term>Malocclusion de classe I (thérapie)</term>
<term>Mobilité dentaire (thérapie)</term>
<term>Mobilité dentaire (étiologie)</term>
<term>Molaire (anatomopathologie)</term>
<term>Molaire (chirurgie)</term>
<term>Mâle (MeSH)</term>
<term>Parodontite chronique (complications)</term>
<term>Parodontite chronique (thérapie)</term>
<term>Perte d'attache parodontale (thérapie)</term>
<term>Perte d'attache parodontale (étiologie)</term>
<term>Planification des soins du patient (MeSH)</term>
<term>Poche parodontale (chirurgie)</term>
<term>Processus alvéolaire (transplantation)</term>
<term>Protéines de l'émail dentaire (usage thérapeutique)</term>
<term>Qualité de vie (MeSH)</term>
<term>Régénération tissulaire guidée parodontale (méthodes)</term>
<term>Résorption alvéolaire (chirurgie)</term>
<term>Résorption alvéolaire (étiologie)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Surfaçage radiculaire (MeSH)</term>
<term>Transplantation osseuse (méthodes)</term>
<term>Éducation en santé dentaire (MeSH)</term>
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<term>Glycated Hemoglobin A</term>
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<term>Blood Glucose</term>
<term>Glycated Hemoglobin A</term>
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<term>Molaire</term>
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<term>Dent enclavée</term>
<term>Molaire</term>
<term>Poche parodontale</term>
<term>Résorption alvéolaire</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Chronic Periodontitis</term>
<term>Diabetes Mellitus, Type 2</term>
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<keywords scheme="MESH" qualifier="composition chimique" xml:lang="fr">
<term>Diabète de type 2</term>
<term>Hémoglobine A glycosylée</term>
<term>Parodontite chronique</term>
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<term>Oral Hygiene</term>
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<term>Hygiène buccodentaire</term>
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<term>Alveolar Bone Loss</term>
<term>Gingivitis</term>
<term>Periodontal Attachment Loss</term>
<term>Tooth Mobility</term>
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<term>Transplantation osseuse</term>
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<term>Chronic Periodontitis</term>
<term>Diabetes Mellitus, Type 2</term>
<term>Gingivitis</term>
<term>Malocclusion, Angle Class I</term>
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<term>Gingivite</term>
<term>Malocclusion de classe I</term>
<term>Mobilité dentaire</term>
<term>Parodontite chronique</term>
<term>Perte d'attache parodontale</term>
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<term>Alveolar Process</term>
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<term>Aged</term>
<term>Comorbidity</term>
<term>Dental Plaque Index</term>
<term>Dental Scaling</term>
<term>Health Education, Dental</term>
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<term>Male</term>
<term>Patient Care Planning</term>
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<term>Extraction dentaire</term>
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<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
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<div type="abstract" xml:lang="en">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. </div>
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<name sortKey="Namba, Takashi" sort="Namba, Takashi" uniqKey="Namba T" first="Takashi" last="Namba">Takashi Namba</name>
<name sortKey="Nishina, Makiko" sort="Nishina, Makiko" uniqKey="Nishina M" first="Makiko" last="Nishina">Makiko Nishina</name>
<name sortKey="Saito, Atsushi" sort="Saito, Atsushi" uniqKey="Saito A" first="Atsushi" last="Saito">Atsushi Saito</name>
<name sortKey="Seshima, Fumi" sort="Seshima, Fumi" uniqKey="Seshima F" first="Fumi" last="Seshima">Fumi Seshima</name>
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