Title: Conservative Surgical Management of Localized Aggressive Periodontitis: A Case Report
Author: Sajeev Shrestha
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.169
Abstract
The common form of periodontitis which generally occurs in the adult population above the age of 35 years is chronic periodontitis. When a rapid alveolar destruction is observed in the patient, age below 25 years without any local and systemic contributing factors, an aggressive form of periodontitis can be suspected. Although familial aggregation was generally observed among the patients, the mode of inheritance varies in different geographical location, population, and race. Further, when a presented patient has severe attachment loss and bone loss confined to permanent first molars and incisors, it is suggestive of localized aggressive periodontitis. Here, we presented a case of localized aggressive periodontitis which was managed by conservative flap surgery without the use of any bone graft materials.
Keywords: attachment loss, bone graft materials, flap surgery, inheritance, periodontitis.
References
1. Armitage GC. Development of a Classific-ation System for Periodontal Diseases and Conditions. Ann Periodontol. 1999;4(1):1-6. doi:10.1902/annals.1999.4.1.1.
2. Lang N, Bartold PM, Cullinan M, et al. Consensus Report: Aggressive Periodontitis. Ann Periodontol. 1999;4(1):53-53. doi:10.1902/annals.1999.4.1.53.
3. Ferreira DAC, Aguiar SMF, Nelson-Filho P, Mussolino De Queiroz A, De Rossi A. Localized aggressive periodontitis – clinical, radiographic, microbiological and immunol-ogical findings. RSBO. 2014;11(4):393-400. http://univille.edu.br/community/depto_odontologia/VirtualDisk.html?action=readFile&file=v11n4a12.pdf¤t=/ODONTOLOGIA/RSBO/RSBO_v11_n4_outubro-dezembro-2014.
4. Albandar JM, Rams TE. Global epidem-iology of periodontal diseases: an overview. Periodontol 2000. 2002;29:7-10.
5. Socransky SS, Haffajee AD. The bacterial etiology of destructive periodontal disease: current concepts. J Periodontol. 1992;63(4 Suppl):322-331. doi:10.1902/jop.1992.63.4s.322.
6. Parameter on Aggressive Periodontitis. J Periodontol. 2000;71(5-s):867-869.
7. Slots J, Research, Science and Therapy Committee. Systemic antibiotics in periodontics. J Periodontol. 2004;75(11): 1553-1565. doi:10.1902/jop.2004.75.11.1553.
8. Flemmig TF, Milián E, Karch H KB. Differential clinical treatment outcome after systemic metronidazole and amoxicillin in patients harboring Actinobacillus actinomycetemcomitans and/or Porphyromonas gingivalis. J Clin Periodontol. 1998;25(5):380-387.
9. Christersson LA, Slots J, Rosling BG, Genco RJ. Microbiological and clinical effects of surgical treatment of localized juvenile periodontitis. J Clin Periodontol. 1985;12(6):465-476.
10. Gunsolley JC, Zambon JJ, Mellott CA, Bro-oh CN, Kaugars CC. Periodontal Therapy in Young Adults With Severe Generalized Periodontitis. J Periodontol. 1994;65(3):268-273. doi:10.1902/jop.1994.65.3.268.