Edition V06N03 | Year 2012 | Editorial Caso Clínico | Pages 34 to 42
Introduction: It is unquestionable the influence of diabetes mellitus (DM) on the pathogenesis of periodontal disease. Both conditions have got a bidirectional relation on the inflammatory response. Patients with diabetes mellitus and without a proper metabolic control show a worse status of the periodontal disease and also more difficult in the glicemic control of DM. Types 1 and 2 of DM have their particularities and clinical differences related to the metabolic control or to the periodontal therapy.
Objective: This paper reports two cases of patients with diabetes mellitus and periodontal disease, being one of DM type 1 and the other of DM type 2.
Conclusion: The post-operatory result showed resolution of the periodontal inflammation in both cases. After therapy, there were no periodontal pockets nor suppuration or bleeding on probing. However, the clinical management of both forms of DM was individualized. The use of systemic antibiotics associated to periodontal therapy was necessary only for the patient with type 1 DM.