Flashcards in Aggressive periodontitis Deck (22):
what are the overall characteristics of aggressive periodontitis?
1) Non-contributory medical history
2) Rapid Attachment Loss and Bone Loss
3) Familial aggregation of cases
4) Lack of consistency between bacterial deposits and severity of breakdown
what is the prevalence of AP (aggressive perio) in primary dentition?
reported between 0.9% and 4.5%
T/F: the prevalence of AP in 13 to 20-year olds is more than 5%
its less than 1%
what ethnicity is at the highest risk for AP?
african americans (2.6% in 13-30 year olds)
the normal CEJ-MBL distance (biologic width) in a 7-9-year-old is what?
less than 2 mm
what set of conditions is a very specific indicator for periodontitis?
Marginal bone loss (in the presence of clinical attachment
loss), increased probing depth, and plaque
when diagnosing aggressive perio, having no history of _______ disease or ________ infections is a critical sign
no history of systemic disease or recurrent infections
what are the parameters for "localized" aggressive periodontitis?
not more than 2 teeth are affected in addition to first molars and incisors
if more than ______ teeth are affected by aggressive periodontitis, it is considered generalized
(not including first molars or incisors)
what is the clinical result of aggressive periodontitis?
Severe destruction of periodontal tissues in short time
what are the possible reasons for the destructive process of AP?
Aggressive causative agents,
High level of susceptibility
what bacterial species is routinely found in the gingival sulcus of patients with AP?
A.a has been isolated from more than ____% of patients
what substance does A.a produce that kills host defense cells?
T/F: in LOCALIZED Aggressive perio, Ab levels against Aa extremely high
GAP patients frequently have low titers to what bacteria?
inheritance of LAP (localized AP) is thought to be _________ ________
T/F: smoking can affect the risk for generalized AP
which immunoglobulin seems to play a critical role in LOCALIZED aggressive periodontitis?
T/F: localized aggressive periodontitis seems to have a strong link to genetics
how would you treat aggressive periodontitis?
Referral to periodontist
Elimination or suppression of microflora
Address environmental factors
Provide environment conducive to long-term maintenance