Improving the Treatment and Prevention of Dental Diseases in Iron Deficiency Anemia in Military Personnel

Inflammatory periodontal diseases in patients with iron deficiency anemia (IDA) are characterized by increased severity and reduced responsiveness to standard dental treatment. This study aimed to evaluate the effectiveness of conventional periodontal therapy in military personnel with normal hemoglobin levels and those with IDA and to  determine the benefits of complex therapy including hematological management. A total of 108 patients were examined and divided into four groups according to the type of periodontal disease and hemoglobin status. Clinical assessments included oral hygiene, bleeding index (Muhlemann), papillary-marginal-alveolar (PMA) index, and periodontal pocket depth. Results showed that patients with IDA exhibited persistent inflammation, higher PMA and bleeding indices, and slower recovery despite professional hygiene and local anti-inflammatory therapy. After four months of combined periodontal and hematological treatment, 88–91% of patients with IDA achieved stable remission, demonstrating significant improvement in periodontal indices and reduction of inflammatory signs. These findings indicate that management of underlying iron deficiency is essential for achieving effective treatment outcomes in patients with periodontal disease, highlighting the importance of integrated multidisciplinary care.