Aggressive Periodontitis Flashcards
aggressive perio is a bacterial infection characterized by ___ destruction of PDL and supporting bone
rapid
what is patients response to therapy when they have aggressive perio
they have a poor response
male/females more commonly have aggressive perio?
females
at what age can chronic perio occur? dentition?
can occur at any age and is seen in both primary and permanent dentition
tissue destruction is _______ with presence of local etiologic factors
inconsistent
what is aggressive perio previously known as?
juvenile periodontitis
_____ amounts of bacterial plaque are evident
small
is it possible to have a genetic link and immune deficiency in aggressive perio?
yes
can the tissue appear clinically normal?
yes
interlekin ___ genotype is a genetic marker
1
elevated proportions of what 3 things?
AA bacteria
PGE2
cytokine IL-beta
____ or ______ have abnormalities
neutrophils or phagocytes
localized onset of aggressive perio is around _____
puberty
localized perio has a rapid tissue destruction around what teeth?
permanent first molars and incisors
localized perio is associated with ____ baceria and immune dysfunction of ______
aa bacteria
leukocytes or PMNs
how many teeth are involved in a quad with localized perio
no more than 2 teeth in a quad
generalized perio is frequently associated with what 2 bacteria
AA and P. gingivalis
in generalized perio, interproximal attachment loss affects at least ____ permanent teeth other than 1st molars
3
___ amounts of plaque that seems inconsistent with amount of perio destruction
small
type 1 inflammation appearance of GAP
- gingival tissues may appear actuely inflamed, ulcerated, and fiery red
- occurs in the destructive phase of disease progression
type 2 inflammation appearance of GAP
- gingival tissues appear pink
- deep pockets
- periods of inactivity
is it possible to have aggressive perio with good daily self-care by patient?
yes
can children be affected with aggressive perio?
yes
can we assume that young patients are healthy patients?
no
_____ is very important given the severity and rapid progression of agggressive perio
early detection
what xrays should be taken for caries screening and marginal bone loss
bitewings
what is the method of choice for screening adolescents and adults
periodontal probing
if the patient has a systemic disease and periodontitist what would they be classified as?
periodontitis as a manifestation of system disease
what treatment is used for patients with aggressive perio
- antimicrobial therapy
- removal or control of local factors
- surgical debridement of soft tissue
what are treatment goals
- slow down disease progression
- hope for significant reduction in gingival inflammation
- reduce dental plaque
- prevent further bone loss and attachment loss
what are long-term outcomes
- patient practices good oral hygiene
- patient completes scheduled recall appointments every 3 months
how can we tell if areas are not responding?
- increasing tooth mobility
- plaque levels not compatible with health
- increasing attachment loss
- inflamed gingival tissues
other less common forms of periodontitis
- periodontitis as a manifestation of systemic disease
- necrotizing periodontal disease
- abscesses of periodontitis
- developmental or acquired deformities and conditions
- occlusal trauma
manifestations of systemic disease with blood disorders
- leukemia
- acquired neutropenia
- blood clotting disorders
- HIV patients
- LGE (aids)
manifestations of systemic disease with genetic disorders
- down syndrome
- familial neutropenia
- leukocyte adhesion deficiency syndrome
- papillon-lefevere
- Chediak-higashi syndrome
- histocytosis-rare
- glycogen storage disease
- infantile genetic agranulocytosis
- cohen syndrome
- ehlers-danlos syndrome
- hypophosphatasia
acquired neutropenia characteristics
destruction of all teeth
ulcerations and necrossis of marginal gingiva
immune dysfunction interferes with what?
body’s resistance to bacterial infection
familial and cyclic neutropenia characteristics
decrease in neutrophils
characteristics of down syndrome
perio seen around incisors and molars
leukocyte adhesion deficiency characteristics
defect in the number of receptors on PMN-increase susceptibility to infectious disease
characteristics of papillon-lefevre syndrome
occurs before puberty; early loss of deciduous and permanent teeth in order of eruption
another name for papillon-lefevre syndrome
palmar-plantar hyperkeratosis
characteristics of chediak-higashi syndrome
localized destruction. rare genetic disease. generalized severe gingivitis, excessive loss of alveolar bone , extremely susceptible to bacterial infections
systemic diseases associated with PMN dysfunction
- acquired neutropenia
- down syndrome
- chediak-higashi syndrome
- leukocyte adhesion deficiency syndrome
blood disorders that contribute to perio
- aids/HIV infection
- leukemia
- acquired neutropenia
generalized destruction of alveolar bone in 6 year old includes
- down syndrome
- chediak-higashi
- prepubertal systemic condition
characteristics of ehlers-danlos syndrome
types 4 and 8 are most important
connective tissue disorder; defective collagen synthesis
characteristics of hypophosphatasia
decreased serum alkaline phosphatase, severe loss of alveolar bone, and premature loss of anterior deciduous teeth
