Holistic Approach of Periodontitis Patient with Diabetes Mellitus: A Case Report

• Published in: IIUM Medical Journal Malaysia
• Main Author: Ariffin F.; Ali S.N.; Mat Azmi I.S.M.
• Format: Article
• Language: English
• Published: International Islamic University Malaysia 2023
• Online Access: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85154033528&doi=10.31436%2fIMJM.V22I2.1957&partnerID=40&md5=f2b4535b425b2b8e6f2fa7b1802a74f3

Diabetes mellitus (DM) is a common risk factor for patients with periodontal disease. Periodontitis patients with poor glycaemic control present with severe and advanced periodontal tissue destruction. A multidisciplinary approach between the periodontist and medical practitioner is clinically proven to maintain the patient's periodontal health and general well-being. This case report aims to raise the awareness and provide a basic guideline for medical and dental practitioners in identifying and managing periodontitis patients with undiagnosed DM particularly if patient is presented with recurrent periodontal abscess. A 34-year-old Malay lady presented with recurrent periodontal abscess and diagnosed with Periodontitis Stage III Grade C was treated holistically by the periodontist and a medical practitioner. The patient's compliance towards the periodontal treatment, routine medical check-ups, and medications has helped the patient achieved better periodontal health and controlled glycaemic level. Following her sixth periodontal re-evaluation in two years improvement in oral hygiene, resolution of gingival swelling and bleeding were seen after sequences of non-surgical, surgical periodontal treatment and patient’s compliance towards her medications and follow-up. © 2023, IIUM Medical Journal Malaysia. All Rights Reserved.