2020 Volume 62 Issue 1 Pages 16-26
Diabetes is one of the well-known risk factors for periodontal disease. Herein, we report on comprehensive periodontal treatment, including initial periodontal therapy, orthodontic treatment, periodontal surgery (periodontal regenerative surgery and periodontal plastic surgery), and treatment for oral function recovery, provided to a 36-year-old woman with type I diabetes who was suffering from generalized aggressive periodontitis, in collaboration with her physician for maintaining appropriate glycemic control. At present, 10 years since her initial visit, both the periodontal health and stable occlusion are well-maintained. This case highlights the fact that for patients having advanced periodontal disease with malocclusion, it is important to create a periodontal environment that is conducive to infection control, stable occlusion, and SPT, based on an understanding of the systemic condition and local risks in patients with periodontitis.
