A Collaborative Approach to Care for Patients with Periodontitis and Diabetes

Ota, Mikio; Seshima, Fumi; Okubo, Nobuki; Kinumatsu, Takashi; Tomita, Sachiyo; Okubo, Taketo; Saitô, Atsushi

doi:10.2209/tdcpublication.54.51

Cited by 4 publications

(4 citation statements)

References 20 publications

(19 reference statements)

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“…The present patient showed an improvement of −0.9% in his HbA1c following initial periodontal therapy, which is consistent with this earlier finding. As we reported previously 9) , such an improvement could be attributed to a combination of non-surgical periodontal therapy and diabetic treatment by a physician.…”

Section: Discussionsupporting

confidence: 67%

See 1 more Smart Citation

Periodontal Regenerative Therapy in Patient with Chronic Periodontitis and Type 2 Diabetes Mellitus: A Case Report

Seshima

Nishina

Namba³

et al. 2016

Bull. Tokyo Dent. Coll.

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We report a case of generalized chronic periodontitis and type 2 diabetes mellitus requiring periodontal treatment including regenerative therapy. The patient was a 66-year-old man who presented with the chief complaint of gingival inflammation and mobile teeth in the molar region. He had been being treated for type 2 diabetes mellitus since 1999. His glycated hemoglobin (HbA1c) level was 7.8%. An initial examination revealed sites with a probing depth of ≥7 mm in the molar region, and radiography revealed angular bone defects in this area. Based on a clinical diagnosis of generalized chronic periodontitis, the patient underwent initial periodontal therapy. An improvement was observed in periodontal conditions on reevaluation, and his HbA1c level showed a reduction to 6.9%. Periodontal regenerative therapy with enamel matrix derivative was then performed on #16, 26, and 27. Following another reevaluation, a removable partial denture was fabricated for #47 and the patient placed on supportive periodontal therapy (SPT). To date, periodontal conditions have remained stable and the patient's HbA1c level has increased to 7.5% during SPT. The results show the importance of collaboration between dentist and physician in managing periodontal and diabetic conditions in such patients.

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Section: Discussionsupporting

confidence: 67%

“…In this regard, it has been reported that sharing of information between the periodontist and physician is critical in effectively treating periodontitis and DM 9) . In the present case, such cooperation resulted in an improvement in both periodontal and diabetic conditions.…”

Section: Discussionmentioning

confidence: 99%

Periodontal Regenerative Therapy in Patient with Chronic Periodontitis and Type 2 Diabetes Mellitus: A Case Report

Seshima

Nishina

Namba³

et al. 2016

Bull. Tokyo Dent. Coll.

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“…In Japan, CPs have been implemented in hospitals since the 1990s (7)(8)(9)(10). In dentistry, CPs have mainly been used for oral surgery (11) and multidisciplinary collaborationbased treatment (12). However, some previous studies mentioned that CPs were used for dental and medical outpatients.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a clinical pathway for complete denture adjustment

et al. 2019

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This study was performed to evaluate the usefulness of a developed clinical pathway (CP) to determine the sequence of dental treatment in patients who are edentulous and use maxillary and mandibular complete dentures. Sixty-two edentulous patients with maxillary and mandibular complete dentures were randomly allocated either to with (31 subjects) or without (31 subjects) a CP. The main categories of the CP were the examination, instructions, practice, idle time, evaluation sheet, preparation, and other steps. The subcategories were made with respect to the main categories. The participants were categorized as dentists, assistants, or patients. There was no significant difference in mean chair time between with a CP (27.5 min) and without a CP (28.0 min). The CP led to a significant reduction in idle time (waiting in the chair or no treatment) of dentists, assistants, and patients. In contrast, the instances of medical examination, patients' instructions, and the number of patients reporting improvement of symptoms significantly increased. These results indicated that there is an opportunity to improve the complete denture treatment with a CP.

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“…With diabetes in the oral cavity develops dysbiosis, which aggravates the course of pathological processes in the periodontium [1][2][3]. Against this background, carrying out orthodontic, orthopedic and any surgical operations is fraught with the development of possible complications [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%