Laporan Kasus: Perawatan Splinting Wire pada Pasien Periodontitis disertai Diabetes Melitus

Abstract

Periodontitis causes destruction of tooth attachment to bone and may predispose to systemic disease. Diabetes mellitus is a risk factor for periodontal disease, these two diseases are correlated; periodontal disease can be favored by bacterial infection caused by an alteration of the immune system because of diabetes mellitus as well as chronic inflammation caused by periodontal disease leads to poor glycemic control in these patients. Case report: A 56 years old female complaining of mobility at anterior teeth. Intra oral examination was found oral hygiene tends to be poor, 11th grade 2 luxation, 6,5 mm clinical loss attachment, 3,5 mm gingival recession, and 3 mm probing depth. She had been diagnosed diabetes mellitus and 2 years ago and has medical treatment for this diseases. The therapy provided is in the form of education, scaling, and splinting wire. Discussion: Diabetes mellitus is associated with periodontal ligament destruction which subsequently can lead to tooth loss. Gingival crevicular fluids and saliva have higher concentrations of inflammatory mediators including different types of cytokines among diabetic patients with periodontitis as compared to non-diabetic individuals with periodontal disease. Conclusion: Chronic periodontitis in patients with diabetes melitus must be monitored periodically both blood glucose levels and plaque control in the oral cavity.