Oral Health and Dental Management

Comprehensive treatment strategies for chronic periodontitis in metabolic syndrome cases

4^th Asia Pacific Congress & Expo on Dental and Oral Health

July 27-29, 2015 Brisbane, Australia

Rupali Agnihotri

Posters-Accepted Abstracts: Oral Health Dent Manag

Abstract:

Aim: Metabolic syndrome (MS), a cluster of diabetes, dyslipidemia, hypertension and obesity is closely associated with Chronic Periodontitis (CP) and often complicates its management. This study describes interdisciplinary management of severe CP in two patients with MS. Methods: Case 1- A 55 year old female with MS since eight years complained of bleeding while brushing and mobile teeth. She had relatively fair oral hygiene with Grade 2 bleeding on probing, generalized deep periodontal pockets of 7 mm and Grade2 mobility in relation to 26. She was managed with combined medical and periodontal therapy including surgery. Case 2: A 65 year old female with a history of MS for ten years complained of pain and pus discharge from lower front teeth since ten days. She had poor oral hygiene with multiple periodontal abscesses, generalized Grade 2 bleeding on probing, papillary enlargements in maxillary and mandibular anterior region and generalized 6 mm periodontal pockets. As the patient was geriatric with fluctuating systemic profile only palliative periodontal therapy along with replacement of antihypertensive agent was done. Results: Successful periodontal treatment in both the cases resulted in improvement of HbA1c levels and stable metabolic parameters during follow up for one year. Conclusion: This report highlights the importance of interdisciplinary management of patients with MS. CP isclosely associated with MS and often deteriorates the latter. Therefore its prompt management may not only improve existing systemic conditions but may prevent development of more serious cardiac complications.