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Plaque-host imbalance in severe periodontitis. A discussion based on two cases
Journal of Clinical Periodontology
|March 1, 1983
Summary
Severe periodontitis in a child and adult was linked to underlying systemic health issues. Bacterial analysis revealed gram-negative cocci, suggesting host response influences periodontal flora composition.
Area of Science:
- Periodontology
- Microbiology
- Immunology
Background:
- Severe periodontitis can be associated with systemic health conditions.
- Understanding the microbial composition of periodontal pockets is crucial for diagnosis and treatment.
Observation:
- A child with severe periodontitis had chronic neutropenia.
- An adult with severe periodontitis presented with late yaws, iron deficiency, and possible rheumatoid arthritis.
Findings:
- Predominant bacteria in both cases were gram-negative cocci, resembling Bacteroides asaccharolyticus and Actinobacillus actinomycetemcomitans.
- The study indicated that the host's immune response, rather than the bacteria, primarily determined the periodontal flora.
Implications:
- Thorough systemic health investigations are essential for diagnosing and treating severe periodontitis.
- This approach may lead to more effective treatment strategies for patients with severe periodontal disease.