ABSTRACT
Se define a la periodontitis agresiva como una forma agresiva y rápidamente destructiva de enfermedad, caracterizada por la pérdida severa del ligamento periodontal y hueso alveolar. Si bien la mayor prevalencia se ubica en la población adulta, se han registrado casos en niños y adolescentes. Se reporta el caso clínico de un niño de 4 años de edad que concurre a la consulta en el año 2010 por pérdida prematura de piezas dentarias. La evaluación de los exámenes de rutina y las radiografías con las que acudió permitieron descartar una periodontitis como manifestación de una enfermedad sistémica. Se confirma el diagnóstico de periodontitis infantil agresiva, por medio de examen microbiológico y ténica PCR. El tratamiento indicado fue terapia básica, antibioticoterapia y controles periódicos. Luego de tre años no hay signos clínicos de la enfermedad. El diagnóstico preciso, sumado a la motivación constante y los controles periódicos, hacen posible la detención del avance de la enfermedad...
Subject(s)
Humans , Male , Child, Preschool , Anti-Bacterial Agents/therapeutic use , Aggressive Periodontitis/diagnosis , Aggressive Periodontitis/pathology , Aggressive Periodontitis/therapy , Dental Scaling/methods , Toothbrushing/methods , Follow-Up Studies , Oral Hygiene/education , Tooth Mobility/etiology , Tooth Loss/etiology , Aggressive Periodontitis/microbiologyABSTRACT
Aggressive periodontitis (AgP) comprises a group of rare, often severe, rapidly progressive forms of periodontitis mostly characterized by an early age of clinical manifestation and a distinctive tendency for cases to aggregate in families. Abnormal dental morphology and position have been associated with severe periodontal diseases. The purpose of this paper is to report a case of multiple dental anomalies associated with AgP. This paper reports a case of unusual association of multiple dental anomalies to AgP. Clinical findings and history led to the diagnosis of localized AgP, and radiologically. It was associated with multiple dental anomalies, especially supernumerary roots. Thus, the present case represents a very interesting demonstration of AgP association with supernumerary roots and the nature of this association merits further investigations.
Subject(s)
Abnormalities, Multiple/pathology , Aggressive Periodontitis/complications , Aggressive Periodontitis/pathology , Aggressive Periodontitis/therapy , Alveolar Bone Loss/complications , Alveolar Bone Loss/pathology , Alveolar Bone Loss/diagnostic imaging , Dentition, Permanent , Female , Humans , Mandibular Diseases/complications , Mandibular Diseases/pathology , Mandibular Diseases/therapy , Tooth Abnormalities/complications , Tooth Abnormalities/pathology , Tooth Crown/abnormalities , Tooth Crown/pathology , Tooth Extraction , Tooth Root/abnormalities , Tooth Root/pathology , Tooth, Supernumerary/complications , Tooth, Supernumerary/pathology , Treatment Outcome , Young AdultABSTRACT
Purpose of this study was to investigate the difference in amount and architecture [pattern] of alveolar bone loss between patients with chronic and aggressive periodontitis assessed through panoramic radiographs. One hundred patients ranging in age from 15-58 years with at least one sextant with a basic periodontal examination [BPE] score of 4 were recruited with strict selection criteria for study. Each subject was given a basic periodontal examination score from 1-6 per full mouth. Panoramic radiograph was taken for each subject using the same standard. Alveolar bone loss was measured for each tooth from most apical defect point to the cementoenamel junction as a percent of a root length and the total alveolar bone loss percentage for each jaw were averaged. Results of this study showed that the mean age of patients with aggressive periodontitis was significantly smaller than that of chronic periodontitis patients [P<0.05]. Localized aggressive periodontits group had the smallest mean age [22.71+55.22 years]. Mean alveolar bone loss was significantly higher in patients with aggressive periodontitis than chronic periodontitis [P<0.05]. There was no statistically significant difference in male/female proportions for having aggressive disease [P>0.05]. Correlation between basic periodontal examination and alveolar bone loss was highly significant [r=0.98, P<0.01]. The study concluded that patients with aggressive periodontitis had significantly higher alveolar bone loss and attachment loss in early age of life. Basic periodontal examination was significantly correlated with panoramic alveolar bone loss
Subject(s)
Humans , Male , Female , Aggressive Periodontitis/pathology , Chronic Periodontitis/diagnostic imaging , Chronic Periodontitis/pathology , Alveolar Bone Loss , Radiography, PanoramicABSTRACT
Papillon-Lefevre Syndrome (PLS) is an inherited autosomal recessive disorder presenting with Palmar plantar Keratoderma and Juvenile Periodontitis leading to early loss of both the dentitions. Two cases of PLS in a family with a history of consanguineous descent are presented.
Subject(s)
Adolescent , Adult , Aggressive Periodontitis/pathology , Consanguinity , Female , Genes, Recessive/genetics , Humans , Keratoderma, Palmoplantar/pathology , Male , Papillon-Lefevre Disease/genetics , Tooth Loss/pathology , Tooth Mobility/pathologyABSTRACT
Esta pesquisa se propôs avaliar a resposta clínica e microbiológica frente a um tratamento periodontal sequenciado em dois grupos de pacientes, um submetido à raspagem e outro à raspagem e antibiótico. Observou-se a resposta frente à raspagem (análise 1-0), os resultados da manutençäo com e sem antibiótico (análise 2-1) e a terapia mais efetiva em retardar a recidiva clínica e microbiológica (análise 3-2). Os dados obtidos permitiram concluir que com o estabelecimento de terapias de manutençäo com raspagem näo houve diferenças clínicas significantes entre os grupos com e sem antibiótico. O antibiótico foi incapaz de eliminar totalmente o actinobacillus actinomycetemcomitans, sendo mais eficiente na eliminaçäo dos microrganismos BANA positivos nas bolsas periodontais com o passar do tempo