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Maturity Onset Diabetes of the Young and Generalized Stage III Grade C Periodontitis: A Case Report
Author(s) -
Chew Ren Jie Jacob,
Chee Hoe Kit
Publication year - 2021
Publication title -
clinical advances in periodontics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.182
H-Index - 2
eISSN - 2163-0097
pISSN - 2573-8046
DOI - 10.1002/cap.10114
Subject(s) - medicine , diabetes mellitus , periodontitis , quadrant (abdomen) , debridement (dental) , metronidazole , dentistry , surgery , endocrinology , antibiotics , microbiology and biotechnology , biology
Maturity onset diabetes of the young (MODY) is a rare form of diabetes mellitus resulting from single nucleotide polymorphisms. There is a lack of evidence describing their periodontal condition and the management of these patients. The objective of this case report is to present the 6‐month outcomes following non‐surgical periodontal treatment of a patient diagnosed with MODY 5, the Renal Cyst and Diabetes Syndrome. Case Presentation This case report describes the periodontal presentation and non‐surgical management of a 21‐year‐old patient, diagnosed with hyperglycemia (HbA1c >14%) and stage 4 chronic kidney disease. She presented with generalized severe chronic periodontitis and multiple periodontal abscesses. She was treated with quadrant debridement with adjunctive systemic amoxicillin and metronidazole and 0.2% chlorhexidine mouth rinse. Significant improvement was observed after treatment, remaining stable 6‐month post‐treatment, with only two sites with probing depths ≥5 mm. This was consistent with a reduction of the periodontal inflamed surface area from 3165 to 500 mm 2 . HbA1c was also reduced to 8.7% 6 months after treatment. Conclusions MODY patients presenting with periodontitis can be successfully treated non‐surgically, concurrent with diabetic management.

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