COMORBIDITIES INTERPLAY ON THE SEVERITY OF COVID-19 PANDEMIC AND GENERALIZED STAGE IV GRADE C, CURRENTLY UNSTABLE PERIODONTITIS. A CASE REPORT

ABSTRACT

[...]we hypothesize that improving oral health could decrease the severity of COVID-19 symptoms and reduce the associated morbidity. 2.CASE PRESENTATION Medical history The patient is a 48 year-old female diagnosed with COVID 19 in August 2020, admitted to the intensive care unit (ICU) three months after the infection at 'Thing Abdulaziz" Medical City- Riyadh, Saudi Arabia due to hypoxemic respiratory failure that required lifesupporting mechanical ventilation (MV). [...]Hemoglobin A1C (HbA1c), which is the average glucose level in the blood for the past three months, was assessed three times during the ICU admission and the results were 5.9, 6.1 and 9.3, respectively. The presented radiographic and clinical figures include probing depths (PD) and attachment loss (AL) up to 8 mm (Fig. 1) [15]. [...]radiographic bone loss (RBL) was measured to be at the mid-third of the root length or beyond, both of which qualifying the diagnosis of generalized stage IV grade C periodontitis (Fig 2). In most cases, the dental treatment included masticatory function stabilization. [...]because the teeth are already periodontally involved in secondary occlusal trauma cases, their selective grinding will not solve the problem.