Naslov
Do dentists and periodontists have a role in managing obesity? A case report
(Do dentists and periodontists have a role in managing obesity? A case report)

Autori
Musić, Larisa ; Jurlina, Davor ; Ćatović, Ivan ; Puhar, Ivan

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
5. Međunarodni kongres Stomatološkog fakulteta Sveučilišta u Zagrebu. U: Acta Stomatologica Croatica 2019. br.3 / Brkić, Hrvoje - Zagreb : Stomatolški fakultet Sveučilišta u Zagrebu, 2019, 288-288

Skup
5. Međunarodni kongres Stomatološkog fakulteta Sveučilišta u Zagrebu

Mjesto i datum
Zagreb, Hrvatska, 01.03.2019. - 02.03.2019

Vrsta sudjelovanja
Poster

Vrsta recenzije
Recenziran

Ključne riječi
periodontitis ; obesity

Sažetak
Aim: Obesity (BMI>30) is considered to be a major public health concern around the world and in Croatia, where it is estimated to affect 18, 7% of the adult population. It has been suggested that obesity is associated with an increased susceptibility to periodontitis. This case report presents a 33-year old obese woman (BMI ~36) with generalized periodontitis stage III, grade C undergoing non-surgical periodontal treatment, and the role of the periodontist in health behaviour change. Materials and methods: The woman, otherwise systemically healthy, was referred for ongoing severe gum bleeding, tooth migration and mobility. Clinical and radiographic examination revealed inflammed gingiva (FMBS 100%), inadequate oral hygiene (FMPS 83%), generalized pocketing up to 12mm of depth and bone loss up to the apical third. The attending periodontist addressed patient’s obesity, explained the association between the two conditions and conducted a motivational interview to strengthen the intrinsic motivation and commitment to change. Non-surgical periodontal treatment was carried out quadrant- wise with the adjuctive administration of systemic antibiotics follow-ing treatment, and repeated OHI and re-motivation. At the time of the treatment, the patient enrolled in physical activity. Results: Upon re-evaluation, patient presented reduction in periodontal pocket depths, gingival bleeding (PMBS 50%) and plaque (FMPS 20%) scores, yet there was a significant number of residual pockets, requiring corrective treatment. After 1 year, patient re-ported 10kg weightloss. Conclusions: Dentists and periodontists should be aware of the importance of motivational interview and periodontal treatment in patients with obesity.

Izvorni jezik
Hrvatski, engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA