hrvatski

Posljedice izostanka suradnje kod pacijenta oboljelog od parodontitisa kao manifestacije sustavne bolesti (diabetes mellitus tip 1)

INTRODUCTION Patient Z.M. (50y) was sent by his dentist because of sore and painful gums. He mentions frequent presence of pus around tooth 43 and frequent infections around existing dental bridges. CASE REPORT With careful examination we diagnosed the patient with periodontitis as a manifestation of systemic disease, diabetes mellitus type 1. Patient history states allergy to amoxicillin. Participation in the war and personal family tragedy indicates an increased level of stress. He regularly visits the dentist and performs mediocre oral hygiene. We noticed sweet breath and inappropriate edges of bridges. Level of glucose in his blood varied and averaged 9.4 mmol/L. Periodontal initial therapy was performed, and patient was given instructions on the proper oral hygiene. At reevaluation we observed a significant improvement and advised the patient to change inappropriate prosthetics, as well as regenerative therapy for vertical intrabony defects on teeth 43, 47 and 37. Following the completion of the surgery on the tooth 43 and a stable situation the patient is no longer showing on scheduled appointments. After 18 months patient showed up with new prosthetics that weren’t improved much and thus still hampered the proper conduct of oral hygiene. Examination revealed a drastic decline compared to the last visit. The reason of no-shows was “calm situation” until the last two months, and the inability of absence from work. It was necessary to repeat the initial therapy. CONCLUSION Patient compliance and regular appointments make supportive therapy possible.

parodontitis, šećerna bolest, suradnja

oral presentation