Relation between palmar plantar hyperkeratosis and aggressive periodontitis in Egyptian children

ABSTRACT

Aggressive periodontitis describe three of the diseases formally classified as early onset of periodontitis as localized juvenile periodontitis, generalized juvenile periodontitis and rapidly progressive periodontitis. This study was conducted oil children with age range from seven to fifteen years while mean age was 10.2. Fifteen boys and fifteen girls. Five of them were having Papillon - Lefevere syndrome [group I], tell had only ectodermal dysplasia [group II] and the rest of the children were normal healthy children with no obvious systemic disease [group III]. All the children undertaken medical and dental history. Complete dental examination and basic periodontal examination [BPE] were conducted using WHO probe. Mobility and furcation involvement were also measured to detect any sign of aggressive periodontitis. Any children had diabetes or other systemic conditions rather than ectodermal dysplasia was excluded from the study. The results showed that all children with Papillon - Lefevere syndrome had generalized type of aggressive periodontitis with grade three or four mobility and furcation involvement. While in group II. Children with ectodermal dysplasia only two of ten children had generalized type of aggressive periodontitis and six had sign of gingivitis with no obvious sign of aggressive periodontitis either localized or generalized and two had only bleeding oil with no signs for periodontitis. In group III [normal healthy children], no one of them showed pocket formation or any other sign of localized or generalized aggressive periodontitis and only mild to moderate gingivitis was noticed. From this study we concluded that there are strong relation between generalized aggressive periodontitis and Papillon - Lefevere syndrome and there is some relation between ectodermal dysplasia and generalized aggressive periodontitis. Aggressive periodontitis is a disease that needs a special care from the pediatric dentist to detect it as early as possible and differentiate it from other periodontal disease and know its relation to other systemic syndrome and genetic disorders