Answer :
Final answer:
Periodontitis in geriatric patients is often associated with diabetes, particularly due to increased inflammation and impaired tissue repair. Poor glycemic control exacerbates periodontal conditions, leading to tooth loss and other health issues. Good oral hygiene and appropriate medical management are critical for these patients.
Explanation:
Periodontitis in geriatric patients has a well-documented link with diabetes, particularly in those who have poor glycemic control. This chronic disease can contribute to the exacerbation of periodontal conditions by increasing inflammation and impacting the body's ability to repair gum tissue. In advanced cases, as depicted by the increased gingival pocket depth in the patient described, teeth can become loose and eventually fall out. This tooth loss is not only a detriment to the patient's ability to eat and maintain nutrition but also to their overall health. Good oral hygiene is vital for managing periodontitis, and in cases of severe disease, antibiotics may be prescribed to target the microbes causing the infection.
Geriatric patients, such as the 78-year-old male in the clinic, often experience a decline in cellular insulin sensitivity which complicates the management of diabetes. This condition, if not adequately controlled, can lead to multiple systemic complications that exacerbate periodontal disease. For instance, diabetes can lead to neuropathy which may reduce sensation in various body parts, hindering the ability to detect and address oral infections early.
