Presentation
Historically, the patient with juvenile periodontitis (periodontosis) presented as somewhat of an unknown entity to the orthodontist. [ncbi.nlm.nih.gov]
RADIOGRAPHIC PRESENTATION: RADIOGRAPHIC PRESENTATION Radiographically, there is no specific pattern of bone loss involvement. [authorstream.com]
[…] ju·ve·nile per·i·o·don·ti·tis [MIM*170650] a degenerative periodontal disease of adolescents in which the periodontal destruction is out of proportion to the local irritating factors present on the adjacent teeth; inflammatory changes become superimposed [medical-dictionary.thefreedictionary.com]
Entire Body System
- Pain
Other symptoms are rare except in patients with HIV infection or in whom abscesses develop, in which case pain and swelling are common. Diagnosis is based on inspection, periodontal probing, and x-rays. [msdmanuals.com]
Symptoms and Signs Pain is usually absent unless an acute infection forms in one or more periodontal pockets or if HIV-associated periodontitis is present. Impaction of food in the pockets can cause pain at meals. [merckmanuals.com]
This form of gingivitis is characterized by painful, bleeding gums, and death (necrosis) and erosion of gingival tissue between the teeth. [faqs.org]
Children who have chronically bleeding gums, open sores on the gums, or who complain of gum or tooth pain, should see a dentist promptly. [encyclopedia.com]
Jaw & Teeth
- Gingival Recession
recession K06.01 Gingival recession, localized K06.010 Localized gingival recession, unspecified K06.011 Localized gingival recession, minimal K06.012 Localized gingival recession, moderate K06.013 Localized gingival recession, severe K06.02 Gingival [icd10data.com]
ADA Class Description Type I Gingivitis No loss of attachment Bleeding on probing may be present Type II Early Periodontitis Pocket depth or attachment loss: 3-4mm Bleeding on probing may be present Localized area of gingival recession Possible grade [loveperio.com]
Periodontal pockets or gingival recession c. Fork participation in multirooted teeth (Fig. 15-5) d. Tooth mobility and/or drifting E. localized or Generalized inflammation 1. [dent-wiki.com]
Gingival recession. Gingivitis. Radiography. INTRODUCTION The term "aggressive periodontitis" was first introduced at the World Workshop on Periodontal Disease Classification 3. [scielo.br]
- Premature Loss of Teeth
loss of teeth Lumbar hyperlordosis Joint hypermobility Talipes Hyperlordosis Hamartoma Joint laxity Optic atrophy Hyperextensible skin Kyphosis Pneumonia Osteoporosis Brachycephaly Glaucoma Arthralgia Retinopathy Visual loss Bowing of the long bones [mendelian.co]
Workup
Microbiology
- Capnocytophaga
Capnocytophaga sp, F. nucleatum, P. intermedia, and E. corrodens were found in more than 75% of affected sites in LJP. [ncbi.nlm.nih.gov]
Localized Aggressive Periodontitis Bacteria Two main bacteria which cause localized aggressive periodontitis are A.actinomycetemcomitans and Capnocytophaga. [identalhub.com]
- Capnocytophaga Ochracea
ochracea, Eubacterium nodatum and Fusobacterium nucleatum and one nonoral microorganism, Porphyromonas asaccharolytica. [ncbi.nlm.nih.gov]
HLA Type
- HLA-DR2
Also, there appeared to be a significant association between JP and HLA-DR2 and HLA-A33 phenotypes. Fifty percent of the JP patients were HLA-DR2-positive, whereas only six percent of the matched controls were positive. [journals.sagepub.com]
- HLA-DR4
HLA DR4: Positive association with rapidly progressing periodontitis. J Periodontol 1987;58:607-10. 37. Shapira L, Eizenberg S, Sela MN, Soskolne A, Brautbar H. [jicdro.org]
Treatment
Both treatment modalities resulted in significant benefit on an individual basis. [ncbi.nlm.nih.gov]
This review discusses the etiology and pathogenesis of JP and recommends treatment regimens, according to patient diagnosis. AB - Juvenile periodontitis (JP) and its treatment has become a critical concern to the practicing dentist. [scholars.uthscsa.edu]
Prognosis
Therefore it is important to make regular appointments with your dentist to ensure that this condition is detected and treated early for a good prognosis. [intelligentdental.com]
Once the disease process has been arrested, the prognosis of each tooth is evaluated and possible rehabilitations, including orthodontic treatment and fixed prostheses, are planned. [ncbi.nlm.nih.gov]
Due to poor endodontic and periodontal prognosis, the first left upper premolar was extracted ( figures 23 and 24 ), nd then restored with an osseointegrated implant. [scielo.org.co]
CLASSIFICATION OF PERIODONTAL DISEASES The recognition that diseases affecting the periodontal tissues can present in different forms has been a major advance in our understanding of the nature and prognosis of those disease in the last decade. [adelaide.edu.au]
Etiology
This review discusses the etiology and pathogenesis of JP and recommends treatment regimens, according to patient diagnosis. [scholars.uthscsa.edu]
The literature pertaining to proposed etiologic factors and treatment modalities for juvenile periodontitis is briefly reviewed. [ncbi.nlm.nih.gov]
[…] disease, recent evidence suggests that periodontosis is inflammatory, with virulent gram-negative microorganisms, selective immune deficiencies, dysfunction of polymorphonuclear leukocytes, genetic predisposition, or any combination of these as possible etiologic [nyuscholars.nyu.edu]
Epidemiology
Global epidemiology of periodontal diseases in children and young persons JM Albandar, EMB Tinoco Periodontology 2000 29 (1), 153-176, 2002 397 2002 Evidence for the Role of Highly Leukotoxic Actinobacillus actinomycetemcomitans in the Pathogenesis of [scholar.google.co.in]
This conclusion agrees with results drawn from previous epidemiological studies [22]. [revodonto.bvsalud.org]
Google Scholar | Crossref | Medline | ISI Waerhaug, J. (1971): Epidemiology of Periodontal Disease. In: The Prevention of Periodontal Disease, J.E. Eastoe, D.C.A. Picton, and G.A. Alexander, Eds., London: H. Kimpton, pp. 1-19. [journals.sagepub.com]
[…] and Forensic Medicine (447) Paediatrics, Neonatology (442) Infectology (321) Physiology and Pathophysiology (318) Medical Chemistry and Biochemistry (298) Microbiology (281) Genetics (233) Surgery, Traumatology and Orthopaedics (232) Neurology (206) Epidemiology [portal.mefanet.cz]
Therefore, this paper was designed to provide an update for dental practitioners on epidemiology, microbiology, pathology, prevention, diagnosis, and treatment of periodontal diseases in children and adolescents. Methods. [hindawi.com]
Pathophysiology
Abstract Decreased neutrophil chemotaxis has been implicated in the pathophysiology of the disease, localized juvenile periodontitis (LJP). [ncbi.nlm.nih.gov]
Internal Medicine (550) Pathology and Forensic Medicine (447) Paediatrics, Neonatology (442) Infectology (321) Physiology and Pathophysiology (318) Medical Chemistry and Biochemistry (298) Microbiology (281) Genetics (233) Surgery, Traumatology and Orthopaedics [portal.mefanet.cz]
Pathophysiology Periodontitis usually develops when gingivitis, usually with abundant plaque and calculus beneath the gingival margin, has not been adequately treated. [merckmanuals.com]
As well as Aggregatibacter actinomycetemcomitans being associated with this, the synergism of the disease also accounts for both Capnocytophaga spp and Porphyromonas gingivalis.[5] Pathophysiology[edit] Aggressive periodontitis is a multifactorial disease [en.wikipedia.org]
Prevention
Regular prophylactic scaling and polishing with frequent recalls should result in early diagnosis and in preventing the rapid progression of this condition. [ncbi.nlm.nih.gov]
Periodontal disease is so prevalent that only possible solution to the problem is its “prevention” by maintaining the good oral hygiene. 26. [slideshare.net]