Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report

Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report

Periodontitis is the commonest oral manifestation found in Diabetes Mellitus (DM) patients. Conventional treatment of scaling and root planning (SRP) in DM patients with periodontitis may be an effective way of treating the disease. However, the prediction of exponential increase of DM worldwide wou...

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Main Author: Yaacob, Munirah
Format: Conference or Workshop Item
Language:English
English
Published: 2012
Subjects:
RK Dentistry
Online Access:http://irep.iium.edu.my/26433/
http://irep.iium.edu.my/26433/1/POSTER_KUCHINGv1.doc
http://irep.iium.edu.my/26433/2/dr_munirah.pdf
id iium-26433
recordtype eprints
spelling iium-264332013-02-13T17:59:37Z http://irep.iium.edu.my/26433/ Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report Yaacob, Munirah RK Dentistry Periodontitis is the commonest oral manifestation found in Diabetes Mellitus (DM) patients. Conventional treatment of scaling and root planning (SRP) in DM patients with periodontitis may be an effective way of treating the disease. However, the prediction of exponential increase of DM worldwide would requisite a more efficacious, promising and time savings management to increase the capacity of treatment provided and dental health in this group. In this instance, antibiotics would be considered the best adjunct to SRP. This case was treated in 2010. The patient was 53 years, British, Male, with 15 years chronic history of Uncontrolled DM Type II. He had experienced tooth loss since 40’s plus frequent oral infections. However the main complaint was tooth migration. Random blood sugar (RBS) was 11 mmol/l at time. The baseline examination revealed multiple teeth loss with deep pockets average of 10mm at majority of sites. Prognosis of multiple teeth was considered poor and required extraction. The diagnosis of Generalised Severe Chronic Periodontitis was made. The patient had undergone a cycle of full mouth SRP with Azithromycin 500mg for 3 days. Re-evaluation at 3 months revealed complete resolution of all deep pockets with only few sites with 4 or 5mm and healthier appearance of gingiva. The RBS was 7mmo/l at time. The combination of Azithromycin seems promising to treat severe periodontitis despite the poor glycemic control in this patient. The reduction of level of RBS may be an indirect positive effect due to resolution of periodontitis. 2012-05-25 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/26433/1/POSTER_KUCHINGv1.doc application/pdf en http://irep.iium.edu.my/26433/2/dr_munirah.pdf Yaacob, Munirah (2012) Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report. In: Commonwealth Dental Association (CDA), Federal International Dental Association (FDI), Malaysia Conference 2012 Dental Association , 24- 28 May 2012, Kuching, Sarawak. (Unpublished)
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic RK Dentistry
spellingShingle RK Dentistry
Yaacob, Munirah
Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report
description Periodontitis is the commonest oral manifestation found in Diabetes Mellitus (DM) patients. Conventional treatment of scaling and root planning (SRP) in DM patients with periodontitis may be an effective way of treating the disease. However, the prediction of exponential increase of DM worldwide would requisite a more efficacious, promising and time savings management to increase the capacity of treatment provided and dental health in this group. In this instance, antibiotics would be considered the best adjunct to SRP. This case was treated in 2010. The patient was 53 years, British, Male, with 15 years chronic history of Uncontrolled DM Type II. He had experienced tooth loss since 40’s plus frequent oral infections. However the main complaint was tooth migration. Random blood sugar (RBS) was 11 mmol/l at time. The baseline examination revealed multiple teeth loss with deep pockets average of 10mm at majority of sites. Prognosis of multiple teeth was considered poor and required extraction. The diagnosis of Generalised Severe Chronic Periodontitis was made. The patient had undergone a cycle of full mouth SRP with Azithromycin 500mg for 3 days. Re-evaluation at 3 months revealed complete resolution of all deep pockets with only few sites with 4 or 5mm and healthier appearance of gingiva. The RBS was 7mmo/l at time. The combination of Azithromycin seems promising to treat severe periodontitis despite the poor glycemic control in this patient. The reduction of level of RBS may be an indirect positive effect due to resolution of periodontitis.
format Conference or Workshop Item
author Yaacob, Munirah
author_facet Yaacob, Munirah
author_sort Yaacob, Munirah
title Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report
title_short Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report
title_full Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report
title_fullStr Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report
title_full_unstemmed Azithromycin consideration in the phase 1 therapy of uncontrolled Diabetes Mellitus with severe generalised chronic periodontitis - A case report
title_sort azithromycin consideration in the phase 1 therapy of uncontrolled diabetes mellitus with severe generalised chronic periodontitis - a case report
publishDate 2012
url http://irep.iium.edu.my/26433/
http://irep.iium.edu.my/26433/1/POSTER_KUCHINGv1.doc
http://irep.iium.edu.my/26433/2/dr_munirah.pdf
first_indexed 2023-09-18T20:39:24Z
last_indexed 2023-09-18T20:39:24Z
_version_ 1777409263250964480

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