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Localized aggressive periodontitis in primary dentition: a case report.
Junji Suzuki1, Mitsugi Okada, Yurong Wang
1Department of Pediatric Dentistry, Hiroshima University Graduate School of Biomedical Sciences, Hiroshima, Japan. Junji-hma@umin.ac.jp
Journal of Periodontology
|August 23, 2003
Summary
Severe periodontal disease in a child led to tooth extraction. Treatment involving professional cleaning, irrigation, and antibiotics controlled bone loss, maintaining healthy probing depths.
Area of Science:
- Periodontology
- Pediatric Dentistry
- Microbiology
Background:
- A 5-year-old boy presented with severe gingival inflammation and mobility of primary incisors.
- Significant alveolar bone loss and deep periodontal pockets necessitated tooth extraction.
Observation:
- Clinical, radiographic, histological, and microbiological examinations were performed.
- Polymerase chain reaction (PCR) identified specific periodontal pathogens.
- Neutrophil chemotactic activity was assessed.
Findings:
- Multiple bacterial species including Tannerella, Capnocytophaga, Fusobacterium, Eikenella, A. actinomycetemcomitans, T. forsythensis, P. nigrescens, C. rectus, and C. gingivalis were detected.
- Neutrophil function was impaired in the patient compared to healthy controls.
Implications:
- Periodic professional mechanical teeth cleaning (PMTC), subgingival irrigation, and local antibiotics effectively controlled bone loss.
- Despite residual inflammation, periodontal health was maintained with probing depths within normal limits (≤2.5 mm).