Periodontal disease frequency was screened and compared in 15 acromegalic patients with age and sex matched 50 healthy subjects. Periodontal evaluation included panographic radiography, plaque and gingival index and depth determination and clinical parameters. Estimated disease duration was 210 years in acromegalic patients (8 female, 7 male patients, 52±13 years). Five patients on somatostain analog therapy had inactive disease for at least 2 years and 10 patients had active acromegaly. Oral examination revealed macroglossia nad prognatism in all patiernts. Gingivitis was found in 6 and chronic periodontitis was diagnosed in 9 patients. Presence of chronic periodontitis was found to be correlated wit serum GH/IGF1 levels. Presence of macroglossia and impared glucose metabolism were not found to be corraleted with periodontal disease. Gingivitis incidence was similar with the general population in our healthy control group which reached to about 80%. On the other hand all of the acromegalic patients revealed gingivitis or periodonditis. Routine periodontal examination is strongly recommended for acromeagalic patients as it is almost always a problem.
30 Apr - 04 May 2011
European Society of Endocrinology