title: [Aggressive generalized severe periodontitis and brittle diabetes mellitus Type I. Diagnosis, treatment and report of a case].
abstract: Poor metabolic control of diabetes mellitus has often been associated with the severity of periodontal disease. This case report describes the diagnosis, therapeutic concept, treatment steps, and long-term monitoring of a 22-year-old female with generalized aggressive periodontitis who had a history of type 1 brittle diabetes mellitus. The main objective was to treat the patient with periodontal surgery despite the difficult baseline situation to avoid tooth loss that would have been accompanied by a need for prosthodontic treatment. The mean of glycosylated hemoglobin [figure: see text] measurement (HbA1c) was used to indicate the long-term control of diabetes mellitus. This report proves the efficiency of periodontal therapy in the prevention of future periodontal breakdown and improvement of the HbA1c level in a systemically compromised patient.
authors.affiliation: Poliklinik für Zahnerhaltung und Parodontologie, Abteilung für Parodontologie, Bayerische Julius-Maximilians-Universität Würzburg. ruppertmartin@hotmail.com
authors.forename: Martin
authors.initials: M
authors.lastname: Ruppert
authors.forename: Frauke
authors.initials: F
authors.lastname: Berres
authors.forename: Carlo P
authors.initials: CP
authors.lastname: Marinello
mesh_terms: D000328:Adult; D016301:Alveolar Bone Loss / Q000601:surgery; D003773:Dental Plaque / Q000150:complications / Q000382:microbiology; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000378:metabolism / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D006943:Hyperglycemia; D007003:Hypoglycemia; D010518:Periodontitis / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology* / Q000628:therapy; D012907:Smoking / Q000009:adverse effects; D013357:Subgingival Curettage; D014727:Vestibuloplasty
chemical_list: D006442:Glycated Hemoglobin