Periodontal Regenerative Surgical Treatment in Periodontitis Patient With Diabetes Mellitus: Case Reports

Abstract

Periodontal disease and DM have a close relationship. Diabetes is a predisposing factor for periodontitis, and periodontitis will worsen metabolic control in diabetic patients. This clinical case report describes the success of periodontal regenerative surgical treatment in periodontitis sufferers with diabetes mellitus. Cases: Case I was A 50-year-old male patient with uncontrolled diabetes who came with a complaint of bleeding gums when brushing teeth and uncomfortable feeling due to mobility of some teeth. Clinical and radiograph examination: periodontal pocket 6 mm on tooth 33 and vertical bone loss. HbA1c was 9.2%. Case II was a 40-year-old male patient with uncontrolled diabetes who came with complaints of frequent bleeding gums when brushing teeth and some tooth mobility. Clinical and radiograph examination: periodontal pocket 4 mm in teeth 46,45,44,43, abscess on tooth 17, furcation lesions in some teeth, and vertical bone loss. HbA1c was 7,8%. In both cases, periodontal regenerative surgery with guided tissue regeneration using bone graft and collagen membrane was performed to correct the periodontal pocket and bone destruction. Re-evaluation was done at follow- up in three months. Periodontal regenerative surgical treatment in chronic periodontitis patients with DM can still be performed to repair periodontal tissue damage. Regenerative periodontal therapy can be a potential treatment in individuals with controlled diabetes mellitus who have chronic periodontitis, resulting in increased density of the bone defect area and crest alveolar level and decreased periodontal pocket depth.