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Flashcards in Aggressive periodontitis Deck (22):
1

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

2

what is the prevalence of AP (aggressive perio) in primary dentition?

reported between 0.9% and 4.5%

3

T/F: the prevalence of AP in 13 to 20-year olds is more than 5%

FALSE

its less than 1%

4

what ethnicity is at the highest risk for AP?

african americans (2.6% in 13-30 year olds)

5

the normal CEJ-MBL distance (biologic width) in a 7-9-year-old is what?

less than 2 mm

6

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

7

when diagnosing aggressive perio, having no history of _______ disease or ________ infections is a critical sign

no history of systemic disease or recurrent infections

8

what are the parameters for "localized" aggressive periodontitis?

not more than 2 teeth are affected in addition to first molars and incisors

9

if more than ______ teeth are affected by aggressive periodontitis, it is considered generalized

two teeth

(not including first molars or incisors)

10

what is the clinical result of aggressive periodontitis?

Severe destruction of periodontal tissues in short time

11

what are the possible reasons for the destructive process of AP?

Aggressive causative agents,

and/or

High level of susceptibility

12

what bacterial species is routinely found in the gingival sulcus of patients with AP?

A. actinomycetemcomitans

13

A.a has been isolated from more than ____% of patients

90

14

what substance does A.a produce that kills host defense cells?

leukotoxin

15

T/F: in LOCALIZED Aggressive perio, Ab levels against Aa extremely high

true

16

GAP patients frequently have low titers to what bacteria?

A.a

17

inheritance of LAP (localized AP) is thought to be _________ ________

autosomal dominant

18

T/F: smoking can affect the risk for generalized AP

true

19

which immunoglobulin seems to play a critical role in LOCALIZED aggressive periodontitis?

IgG2

20

T/F: localized aggressive periodontitis seems to have a strong link to genetics

TRUE

21

how would you treat aggressive periodontitis?

Referral to periodontist

Elimination or suppression of microflora

Address environmental factors

Provide environment conducive to long-term maintenance

22

what Theory states that perio disease activity occurs during a limited time period followed by remission.

asynchronous multible burst theory