Abstract

Periodontitis is a multifactorial disease with microbial dental plaque as the initiator of periodontal disease. However the manifestation and progression of the disease is influenced by a wide variety of determinants and factors. The strongest type of causal relationship is the association of systemic disease and periodontal disease. Similarly, we present a case of Hashimoto's thyroiditis which altered the periodontal therapy. Hashimoto's thyroiditis is an autoimmune disease seen in children and women. A female patient diagnosed as chronic periodontitis was treated with periodontal flap surgical procedure with bone grafting as and where required. The 3 month reassessment showed fair prognosis obvious changes. However a year later the patient's periodontal status was severely deteriorated. Medical reports revealed Hashimoto's thyroiditis. A possible association of Periodontitis and Hashimoto's thyroiditis is considered in the case report.

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