Naslov
Posljedice izostanka suradnje kod pacijenta oboljelog od parodontitisa kao manifestacije sustavne bolesti (diabetes mellitus tip 1)
(The consequences of non-complaint patient suffering from periodontitis as a manifestation of systemic disease (diabetes mellitus type 1))

Autori
Vražić, Domagoj ; Puhar, Ivan ; Badovinac, Ana ; Božić, Darko ; Plančak, Darije

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

Izvornik
Acta Stomatologica Croatica / Puhar, Ivan - , 2013, 183-183

Skup
Hrvatski parodontološki dani 2013.

Mjesto i datum
Zagreb, Hrvatska, 26.04.2013. - 27.04.2013

Vrsta sudjelovanja
Ostalo

Vrsta recenzije
Domaća recenzija

Ključne riječi
parodontitis, šećerna bolest, suradnja
(periodontitis, diabetes mellitus, compliance)

Sažetak
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.

Izvorni jezik
Hrvatski

Znanstvena područja
Dentalna medicina

Napomena
Oral presentation

POVEZANOST RADA