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[Aggressive generalized severe periodontitis and brittle diabetes mellitus Type I. Diagnosis, treatment and report of a case].

Poor metabolic control of diabetes mellitus has often been associated with the severity of periodontal disease. This case report describes the diagnosis, therapeutic concept, treatment steps, and long-term monitoring of a 22-year-old female with generalized aggressive periodontitis who had a history of type 1 brittle diabetes mellitus. The main objective was to treat the patient with periodontal surgery despite the difficult baseline situation to avoid tooth loss that would have been accompanied by a need for prosthodontic treatment. The mean of glycosylated hemoglobin [figure: see text] measurement (HbA1c) was used to indicate the long-term control of diabetes mellitus. This report proves the efficiency of periodontal therapy in the prevention of future periodontal breakdown and improvement of the HbA1c level in a systemically compromised patient.