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Localized aggressive periodontitis in a six-year-old: a case report
Kelly K Hilgers1, John W Dean, Gregory P Mathieu
1Department of Orthodontics and Pediatric Dentistry, University of Louisville School of Dentistry, Louisville, KY, USA. hilgersk@yahoo.com
Pediatric Dentistry
|September 4, 2004
Summary
This case study details treating aggressive periodontitis in a child using tooth extraction, antibiotics, and frequent check-ups. The successful approach stabilized the pediatric patient's periodontal health and eliminated pathogens.
Area of Science:
- Pediatric Dentistry
- Periodontology
- Infectious Diseases
Background:
- Localized aggressive periodontitis is a severe destructive disease affecting young patients.
- Early diagnosis and intervention are crucial to prevent permanent tooth loss.
Observation:
- A 6-year-old female presented with severe attachment loss around primary teeth, diagnosed as localized aggressive periodontitis.
- Extensive periodontal pathogen DNA was detected, despite normal immunological test results.
Findings:
- Treatment involved extraction of severely affected teeth, systemic antibiotics, and enhanced recall frequency.
- The patient achieved periodontal stability with undetectable pathogen levels 18 months post-treatment.
Implications:
- This minimally invasive treatment approach offers an effective alternative for managing pediatric aggressive periodontitis.
- Preventing disease progression is vital for the developing permanent dentition.

