Aggressive periodontitis Flashcards

1
Q

what are the overall characteristics of aggressive periodontitis?

A

1) Non-contributory medical history
2) Rapid Attachment Loss and Bone Loss
3) Familial aggregation of cases
4) Lack of consistency between bacterial deposits and severity of breakdown

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2
Q

what is the prevalence of AP (aggressive perio) in primary dentition?

A

reported between 0.9% and 4.5%

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3
Q

T/F: the prevalence of AP in 13 to 20-year olds is more than 5%

A

FALSE

its less than 1%

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4
Q

what ethnicity is at the highest risk for AP?

A

african americans (2.6% in 13-30 year olds)

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5
Q

the normal CEJ-MBL distance (biologic width) in a 7-9-year-old is what?

A

less than 2 mm

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6
Q

what set of conditions is a very specific indicator for periodontitis?

A

Marginal bone loss (in the presence of clinical attachment

loss), increased probing depth, and plaque

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7
Q

when diagnosing aggressive perio, having no history of _______ disease or ________ infections is a critical sign

A

no history of systemic disease or recurrent infections

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8
Q

what are the parameters for “localized” aggressive periodontitis?

A

not more than 2 teeth are affected in addition to first molars and incisors

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9
Q

if more than ______ teeth are affected by aggressive periodontitis, it is considered generalized

A

two teeth

not including first molars or incisors

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10
Q

what is the clinical result of aggressive periodontitis?

A

Severe destruction of periodontal tissues in short time

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11
Q

what are the possible reasons for the destructive process of AP?

A

Aggressive causative agents,

and/or

High level of susceptibility

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12
Q

what bacterial species is routinely found in the gingival sulcus of patients with AP?

A

A. actinomycetemcomitans

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13
Q

A.a has been isolated from more than ____% of patients

A

90

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14
Q

what substance does A.a produce that kills host defense cells?

A

leukotoxin

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15
Q

T/F: in LOCALIZED Aggressive perio, Ab levels against Aa extremely high

A

true

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16
Q

GAP patients frequently have low titers to what bacteria?

A

A.a

17
Q

inheritance of LAP (localized AP) is thought to be _________ ________

A

autosomal dominant

18
Q

T/F: smoking can affect the risk for generalized AP

A

true

19
Q

which immunoglobulin seems to play a critical role in LOCALIZED aggressive periodontitis?

A

IgG2

20
Q

T/F: localized aggressive periodontitis seems to have a strong link to genetics

A

TRUE

21
Q

how would you treat aggressive periodontitis?

A

Referral to periodontist

Elimination or suppression of microflora

Address environmental factors

Provide environment conducive to long-term maintenance

22
Q

what Theory states that perio disease activity occurs during a limited time period followed by remission.

A

asynchronous multible burst theory