Author- Dr Aparna Pandya( Mrs India Vivacious 2019)
Aggressive periodontitis describes a type of periodontal complaint as defined by the 1999 Classification system. It's of 2 types-
LAP as the name suggests is localized. It is generally seen in first molar or incisor interproximal attachment loss, whereas GAP is the interproximal attachment loss affecting at least three teeth other than incisors and first molar. Aggressive periodontitis is much less common than generalized aggressive periodontitis and generally affects younth cases than does the older individuals.
Aggressive periodontitis is frequently characterised by a rapid loss of periodontal attachment associated with largely pathogenic bacteria and causes lot of attachment loss in vulnerable individuals. Various studies have associated Aggregatibacter actinomycetemcomitans, formerly known as Actinobacillus actinomycetemcomitans, with aggressive periodontitis.
According to the 1999 International Workshop for the classification of Periodontal conditions, aggressive periodontitis was defined according to 3 primary features, These features are common for both localized and generalized form of aggressive periodontitis.
The LAP form begins around the age of puberty where there's interproximal loss of attachment of the first molar, and or incisors. on at least two teeth( one which is a first molar) and no involvement teeth other than the first molars and incisors, lack of inflammation and deep periodontal pockets with advanced bone loss. There's also a fairly fast progression of periodontal attachment loss.
Following the original assessment, a treatment plan is generally developed for each individual . As the overall treatment generalities and pretensions for AgP aren't significantly different from that of GAP, the different treatment phases ( cause related remedy; reappraisal for response to remedy; definitive remedy; and conservation) are analogous for both types of periodontitis.
Nonetheless, the considerable quantum of bone loss relative to the youthful age of the existent in AgP necessitates frequently more aggressive treatment approach, to halt farther periodontal destruction and recapture as important periodontal attachment as possible. The ideal of treatment is to produce a conducive clinical condition for retaining as numerous teeth, for as long as possible.
This stage involves discussion of the complaint with the case.
Aggressive periodontitis has a high vulnerability for progression of complaint in individuals with high threat and hence it's important to keep the case on frequent recall check up and maintaining periodontal health after active periodontal remedy.
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