INTERDISCIPLINARY APPROACH FOR ORAL REHABILITATION IN A YOUNG TYPE 1 DIABETES PATIENT

Abstract

Introduction. In addition to other systemic complications, oral and dental complications are also experienced frequently in diabetic patients. Periodontal disease is one of the most frequent oral complications of diabetes, which consists in progressive destruction of the supporting tissues of the teeth and the alveolar bone, which may eventuslly lead to tooth loss. The level of periodontal destruction is affected directly or indirectly by glycaemic control and by the individual’s immune system capacity in diabetes. Tooth loss, especially in young people, is a debilitating state, that can lead to functional and psychological problems.

Case report. This case report presents a type 1 diabetes young female patient with periodontal disease, poor decay control and tooth loss, that create functional and esthetic issues. After consulting the diabetes specialist, an interdisciplinary dental treatment plan which comprise surgical, periodontal, endodontic and prosthetic rehabilitation was initiated.  A minimally invasive prosthetic treatment with long-term interim CAD-CAM (computer aided design/computer aided manufacturing) fixed partial dentures was intended to stabilize the vertical dimension of occlusion (VDO) and to achieve in short term an adequate functional and esthetic rehabilitation.

Conclusion. This case reveals a consistent collaboration between the prosthodontist, periodontist and endodontist, with an effective monitoring from the diabetes specialist, that conduct to a successful oral rehabilitation for a young female patient with type I diabetes.