Lauren, Monica and Shanae

Aggressive Periodontitis: Is periodontal destruction that becomes clinically significant during adolescence or early adulthood. Classified into two types: Localized and generalized.

Localized: Is characterized by bone loss around the first molars and incisors.
1. What this type of gingival disease would look like clinically:
- Interproximal attachment loss on at least two permanent teeth, one is the first molar, and involving no more than two teeth other than first molars and incisors.
-Striking feature is lack of clinical inflammation despite the presence of deep pockets and advanced bone loss. Many cases the amount of plaque is minimal.
2. What this type of gingival disease would look like radiographically:
-Vertical loss of alveolar bone around the first molar and incisors. Bone defects are wider.
3. Specific organism associated with the gingival disease:
-A. actinomycetemitans is found in high numbers
4. How would you diagnosis this- what would your differential diagnosis be?
-Can be diagnosed by the age of onset, usually develops around the time of puberty. The disease progression is rapid and involves the first molars and incisors, and no more than two other teeth that have greater than 3mm attachment loss.
Treatment involves scaling and root planing while the patient takes systemic antibiotics (usually a form of tetracycline).
Differential diagnosis: Chronic periodontitis-there is no well-defined pattern of bone loss.

Generalized: Is characterized by a more widespread pattern of periodontal destruction.
1. What this type of gingival disease would look like clinically?
Generalized proximal attachment loss affecting at least three teeth other than the first molars and incisors. Occurs in episodes with rapid period of destruction followed by a laintent variable of length. Small amount of bacterial plaque present.


2.What this type of gingival disease would look like radiographically?
Severe bone loss with the minima number of teeth to advanced bone loss affecting the majority of the teeth. Osseous destruction of about 25% to 60%. Will be able to see progress since last radiograph examination.
3. Specific organism assoicated with the gingival disease?

Actinobacillus actinomycetemcomitans and Aggregatibacter actinomycetemcomitans and Eikenella corrodens, P. gingivalis.

4. How would you diagnosis this- what would your differential diagnosis be?
Compared to localized aggressive periodontitis, there would be a significant amount of inflammation of the gums as well as heavy plaque and calculus formation. Diagnosis would depend on the age of the patient due to this type of periodontal disease happening most in young adults, but is usually associated with other factors as well (smoking). It would also be diagnosed by the extend of involvement of the teeth. Differential Diagnosis: Chronic Periodontitis.