A compromised medical condition may affect the progression of periodontal
disease due to the strong association between oral and systemic health.
Uncontrolled diabetes can result in significant periodontal damage, potentially
leading to severe complications such as tooth loss. This case report highlights the
management of an elderly patient diagnosed with 'Generalised Periodontitis
Stage IV Grade C,' complicated by uncontrolled Type 2 Diabetes Mellitus
(T2DM), partial edentulous arches, reduced vertical dimension, and tooth surface
loss. A comprehensive approach was employed, emphasising the interplay
between periodontal health and systemic conditions, particularly diabetes. Initial
management included debridement and the prescription of antibiotics, followed
by extraction of hopeless teeth and the provision of an upper immediate
overdenture. Non-surgical periodontal therapy was conducted alongside
restorative and prosthodontic treatments. The patient’s HbA1c levels improved
from 8.5% to 7.0% over three months, demonstrating the positive impact of
periodontal therapy on glycemic control. A multidisciplinary treatment plan was
formulated, addressing defective restorations and constructing provisional and
definitive prostheses. Emphasis was placed on maintaining excellent oral
hygiene, which was reinforced during follow-ups. This case underscores the
importance of integrated dental care in managing complex cases, particularly in
elderly patients with multiple comorbidities, to enhance overall quality of life.
Comprehensive dental management, meticulous periodontal care, and
collaboration among specialists were crucial in restoring the patient’s oral health
and function, highlighting the bidirectional relationship between periodontal
disease and diabetes management. This approach ensures long-term treatment
success and improved oral health-related quality of life (OHRQoL) for the
patient.
Keywords: Periodontitis, Diabetes, Tooth surface loss, Geriatric, Shortened
Dental Arch