BRIDGING THE GAP: PROSTHODONTIC REHABILITATION OF JUVENILE PERIODONTITIS IN TYPE 1 DIABETIC ADOLESCENTS

Background: Juvenile periodontitis (JP), also referred to as molar-incisor pattern periodontitis, is a rapidly
progressing periodontal condition that can lead to early tooth loss. Its severity increases in the presence of
systemic diseases such as Type 1 diabetes mellitus (T1DM), which compromises host immune response and
delays wound healing.
Objective: To evaluate the effectiveness of prosthodontic rehabilitation in Type 1 diabetic patients with JP,
focusing on periodontal outcomes, prosthesis performance, and patient-reported satisfaction.
Methods: A total of 30 patients aged 12–25 years with confirmed JP and T1DM were enrolled. Following initial
periodontal therapy, patients received either resin-bonded fixed prostheses or removable partial dentures.
Periodontal indices and prosthesis satisfaction scores were recorded at baseline, 3 months, and 6 months.
Healing outcomes were compared based on glycemic control.
Results: Statistically significant reductions in plaque index, bleeding on probing, and improvements in clinical
attachment level were observed (p < 0.05). High satisfaction scores were reported in 86.7% of patients. Patients
with poorly controlled diabetes (HbA1c >8%) showed delayed healing and localized prosthesis-related
inflammation.
Conclusion: Coordinated periodontal and prosthodontic management in T1DM patients with JP results in
positive clinical and psychological outcomes. However, glycemic control remains essential for optimal healing
and long-term success.