Improvement in periodontitis following conservative periodontal treatment in a type 1 diabetic patient

Abstract

We report a case of severe gingival bleeding in a 15-year old, type 1 diabetic female. Examination revealed severe gingival inflammation with periodontal pockets (<6 mm), indicating mild-moderate periodontitis. Periodontal therapy resulted in reduction of fructosamine level (-72.98) after four weeks, but HbA1c level checked 3 months after treatment increased (+0.7). Reduction in gingival bleeding and periodontal pockets improved the patient’s quality of life. Insulin resistance is offered as a possible reason for non-improvement in HbA1c levels.