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Microbiological findings in prepubertal periodontitis. A case report
S Dibart1, I L Chapple, Z Skobe
1Department of Periodontology & Oral Biology, Boston University Goldman School of Dental Medicine, and Children's Hospital, MA 02118, USA.
Journal of Periodontology
|November 5, 1998
Summary
Generalized pre-pubertal periodontitis (GPP) in a child lacking systemic disease led to primary tooth loss. Pathogenic bacteria were found in both primary and developing secondary teeth, indicating potential early spread.
Area of Science:
- Pediatric Dentistry
- Periodontology
- Microbiology
Background:
- Generalized pre-pubertal periodontitis (GPP) is a rare, severe destructive periodontal disease typically associated with systemic conditions.
- Early-onset periodontitis presents a diagnostic and therapeutic challenge in pediatric patients.
Observation:
- A 7-year-old male without systemic disease presented with GPP, resulting in the loss of all primary teeth.
- Subgingival plaque analysis in mixed dentition identified key periodontopathogens.
Findings:
- Prevotella intermedia, Selenomonas noxia, Fusobacterium nucleatum, and Actinobacillus actinomycetemcomitans were detected.
- Potentially harmful microorganisms were found colonizing the sulcus of secondary teeth adjacent to diseased primary teeth.
Implications:
- This case highlights GPP occurring without systemic compromise in a pediatric patient.
- The presence of pathogens in developing secondary teeth suggests a risk for early-onset periodontitis progression.
- Further research is needed to understand the pathogenesis and long-term outcomes of GPP in healthy children.