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Juvenile Periodontitis

JP


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]
  • Abstract Historically, the patient with juvenile periodontitis (periodontosis) presented as somewhat of an unknown entity to the orthodontist.[unboundmedicine.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]
Pain
  • Patients may complain of food impaction, sensitivity to hot or cold because of the open root system, or dull pain radiating to the jaw. H. chronic Periodontitis in the dental implant tissues.[dent-wiki.com]
  • Recently I have been experiencing inflammation and pain, and a few of my teeth already seem as though they are about to fall out. I have a bridge on my molars but the whole thing is loose. If I lose my bridge will I have to get dentures? A.[falseteeth-inaba.jp]
  • If you waited till symptoms like red, swollen ad painful gums and bad breath started appearing, chances are that you will need surgery to treat the condition in the same way that adult periodontitis is treated.[dentority.com]
  • .  Sensitive root surfaces  Deep,dull,radiating pain may occur with mastication (irritation of the supporting tissues)  Periodontal abscess formation 10. Diastema 11. Denuded root surface 12.[slideshare.net]
Rigor
  • The viability of the invading bacteria was studied by selective culture of minced tissue specimens and a series of washing solutions, after a rigorous surface disinfection.[ncbi.nlm.nih.gov]
Recurrent Bacterial Infection
  • bacterial infection ( Otitis media and skin and upper respiratory tract infection are frequently seen) 9) periodontitis is refractory to antibiotic therapy b) LOCALIZED PREPUBERTAL PERIODONTITIS: b) LOCALIZED PREPUBERTAL PERIODONTITIS features: 1) age[authorstream.com]
Gingival Recession
  • 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]
  • 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]
  • Clinical examination should include full-mouth probing using a standard periodontal probe, tooth mobility assessment and gingival recession.[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

Eikenella
  • Gingival explant culture supernatant fluids were screened, via a standardized dot-immunobinding assay, for antibodies reactive to: Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Campylobacter rectus, Eikenella corrodens[ncbi.nlm.nih.gov]
Capnocytophaga Ochracea
  • ochracea, Eubacterium nodatum and Fusobacterium nucleatum and one nonoral microorganism, Porphyromonas asaccharolytica.[ncbi.nlm.nih.gov]

Treatment

  • Both treatment modalities resulted in significant benefit on an individual basis.[ncbi.nlm.nih.gov]

Prognosis

  • This article reviews the literature on the epidemiology, aetiology, pathogenesis, clinical features, histopathological and immunological findings, differential diagnosis, treatment and prognosis of JP.[ncbi.nlm.nih.gov]
  • 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.[unboundmedicine.com]
  • 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]

Etiology

  • The literature pertaining to proposed etiologic factors and treatment modalities for juvenile periodontitis is briefly reviewed.[ncbi.nlm.nih.gov]
  • This review discusses the etiology and pathogenesis of JP and recommends treatment regimens, according to patient diagnosis.[scholars.uthscsa.edu]

Epidemiology

  • It is observed that there are contradictory reports on the epidemiology, etiology and treatment of the disease and hence the need for further studies in these areas.[ncbi.nlm.nih.gov]
  • 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]
  • Saxby MS: Iuvenile periodontitis: An epidemiologic study in the West Midlands ot the United Kingdom. I ( lin Periodontol 1987; 14:594. 41. Saxen 1: Prevalence of juvenile periodontitis in Finland. I ( lin Periodontol 1980; 7:177 42. Schenkein I.A.[clicktocurecancer.info]
  • […] study is to highlight the prevalence of some other common bacterial pathogens that could be associated with juvenile periodontitis and their antimicrobial susceptibility patterns for an understanding by healthcare providers of the varying aetiology, epidemiology[caribbean.scielo.org]
Sex distribution
Age distribution

Pathophysiology

  • Abstract Decreased neutrophil chemotaxis has been implicated in the pathophysiology of the disease, localized juvenile periodontitis (LJP).[ncbi.nlm.nih.gov]
  • 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[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]

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