title: Complications associated with diabetes mellitus after guided tissue regeneration--a case report revisited.
abstract: Twelve to fourteen million individuals suffer from diabetes mellitus (DM), though the disease is undiagnosed in a large number of these people. Dentists must be aware of the signs and symptoms of DM so they can better manage the treatment of whatever dental therapy their patients with diabetes require. DM has been reclassified into type 1 and type 2, based on the individual's insulin requirements. The diabetic patient may present with, or develop, advanced periodontal disease, which may be more difficult to control because of metabolic status and commitment to dental care. This article includes a description of a type 2 diabetic who reportedly was well controlled, yet experienced complications after guided tissue regeneration. The postsurgical results were acceptable and the patient remained stable during supportive periodontal therapy. However, she became noncompliant with her dental care and converted from a type 2 to a type 1 diabetic with poor control. The case illustrates the rapid progression of periodontal disease in a side that had been successfully treated. It also discusses the interrelationships between diabetes and periodontal disease.
authors.affiliation: Department of Periodontics, Creighton University, School of Dentistry, Omaha, Nebraska, USA.
authors.forename: John S
authors.initials: JS
authors.lastname: Mattson
authors.forename: D Roselyn
authors.initials: DR
authors.lastname: Cerutis
authors.forename: Lawrence C
authors.initials: LC
authors.lastname: Parrish
mesh_terms: D016301:Alveolar Bone Loss / Q000150:complications* / Q000601:surgery*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000209:etiology / Q000378:metabolism; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000378:metabolism; D018450:Disease Progression; D005260:Female; D016557:Guided Tissue Regeneration, Periodontal; D006801:Humans; D008875:Middle Aged; D009910:Oral Hygiene / Q000706:statistics & numerical data; D010349:Patient Compliance; D017622:Periodontal Attachment Loss / Q000150:complications*