One form of early-onset periodontal disease is known as localized juvenile periodontitis. Juvenile periodontitis typically may be first observed in individuals around puberty, ages to 13. The two forms of juvenile periodontitis are generalized and localized. Periodontitis is a gum disease that leads to loss of bone that normally supports the teeth. With infection of the gums, the spongy bone decays and retreats.
The result is loosening of the teeth, and of course the risk of the infection taking more serious forms.
See aggressive periodontitis. A) LOCALIZED JUVENILE PERIODONTITIS (LJP) The term localized juvenile periodontitis was used in the past, and currently, it is known as “localized aggressive periodontitis “ (LAP) Defn: it is defined as “ a disease occurring in an otherwise healthy individuals under the age of years with destructive periodontitis localized to the first permanent. The present investigation was performed to study the effect on localized juvenile periodontitis (LJP) of a treatment program which included tetracycline administration , surgical elimination of inflamed tissues, scaling and root planing, and careful plaque control during healing. PERIODONTIUThe normal healthy periodontium consists of several tissues namely: 1. Diabetes: Perio infection can increase blood sugar levels.
Periodontal disease that progresses extremely rapidly with massive bone loss. Occurs more often in younger people. Involves severe gingival inflammation, rapid bone loss, and early loss of primary teeth.
Causes rapid and severe gingival inflammation.
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LJP: Now called localized aggressive periodontitis - it is a form of periodontitis where the bacteria a. Affects the molars and incisors of juvenile aged people. Aggressive periodontitis is much less common than chronic periodontitis and generally affects younger patients than the chronic form. The importance of early diagnosis among patients with localized aggressive periodontitis (LAP) cannot be overemphasize as delays in detection may result in poor outcomes. The localized form typically has a circumpubertal onset. Actinobacillus actinomycetemcomitans and neutrophil function abnormali-ties are common findings,as are robust serum antibody responses to the pathogens.
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. Patients with generalized aggressive periodontitis usually present with intense gingival inflammation, but that may or may not be the case with localized aggressive periodontitis. Although single monogenetic defect was not described so far for LAP, it was reported that LAP is linked to human chromosome 1qor chromosome 11q14. The latter overlaps a region containing the CTSC gene.
Neutrophil migration through the gingival crevice appears to be abnormal. Prepubertal periodontitis B. Generalized juvenile periodontitis 2. Localized juvenile periodontitis 1. The generalized form mostly affects the permanent dentition (Figure 1).
Controversy exists as to whether the two are distinct entities,. Incisors Generalized form, it may affect most of the dentition.
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