Monday, April 17, 2017

Aggressive perio

A number of systemic conditions, such as diabetes and cardiovascular disease, have been implicated in the development of periodontitis in susceptible. Chronic periodontitis is also considered a progressive disease, but it usually progresses slowly, and typically occurs in older people who suffer from chronic illness and practice poor dental hygiene. In chronic periodontitis, there is no well-defined pattern of bone loss.


In generalized aggressive periodontitis , most permanent teeth are affected. In localized aggressive periodontitis , there is no agreement on the number of teeth include but in one case series, about three to six teeth were included. Teeth affected were molars and incisors.

It tends to affect families and causes rapid progression of bone and tooth loss if untreated. Aggressive periodontitis usually begins in childhood or early adulthood and affects only a small number of people. A contemporary case definition of this disease is presented. Population studies show that the disease is more prevalent in certain geographic regions and ethnic groups. It can present in a localized or generalized form.


Common features include rapid attachment loss and bone destruction and familial aggregation. It is mostly observed in individuals with normal immune system, in the absence of any contributory (underlying) health conditions. Description of disease: Chronic periodontitis: Widespread destruction of all periodontal tissue, usually in an older patient, slow progression.

The most obvious features of the disease include hasty attachment loss and bone obliteration and genetic aggregation of the teeth. As previously mentione the old system categorized periodontal diseases as chronic or aggressive, but now they are grouped under a single category—periodontitis. Staging is based on the severity of the disease and the complexity of the disease management. Periodontitis is then further characterized by a staging and grading system. The aim of the study was to compare the efficacy of chlorhexidine gluconate 2. Periochip) and Minocycline hydrochloride mg (Arestin) as local drug delivery agents in the management of chronic periodontitis.


It differs from chronic periodontitis (CP) depending on age of onset of the disease, rate of progression of the disease, structure and composition of the associated subgingival microflora, changes in host response and familial predisposition. It can occur localized or generalized in an otherwise clinically healthy patient but with probable selective immune dysfunction. A deep periodontal pocket occurs in case of aggressive periodontitis. Small amount of plaque forms on tooth and rarely mineralizes to become calculus. Most common initial symptom in case of aggressive periodontitis is mobility and migration of first molars and incisors.


Generalized connective tissue attachment loss between teeth is seen affecting at least three permanent teeth other than the first molars and front teeth. Determine the importance of highly leukotoxic A. Examination of an African-American family suggested a shift occurs from highly leukotoxic strains to minimally leukotoxic strains with age. Localized Aggressive Perio.


TWO permanent teeth, one of which is a 1M, and involving NO MORE than TWO teeth other than first molars and incisors. In its early stage, called gingivitis, the gums become swollen, re and may bleed. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out.

Bad breath may also occur. Periodontal disease is generally due to bacteria in the mouth infecting the tissue around the teeth.

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