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Chronic vs Aggressive Periodontitis

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Chronic vs Aggressive Periodontitis Powered By Docstoc
					CHRONIC PERIODONTITIS


        VS
AGGRESSIVE PERIODONTITIS

                18 April 2011
CHRONIC
PERIODONTITIS
AGRESSIVE
PERIODONTITIS
CLASSIFICATION OF PERIODONTITIS

DISEASE DISTRIBUTION
     localized periodontitis (less 30% of desruction site), usually in incisior and
        first molar
     generalized periodontitis (30%or more of desruction site)


DISEASE SEVERITY
     mild periodontitis
     moderate periodontitis
     severe periodontitis


DISEASE PROGRESSION
    Chronic periodontitis
     aggressive periodontitis
       CLASSIFICATION OF PERIODONTITIS

CHRONIC PERIODONTITIS               AGGRESSIVE PERIODONTITIS


Localized chronic periodontitis     Localized aggressive periodontitis=LAP
                                    Localized juvenile periodontitis = LJP
Generalized chronic periodontitis
                                    Generalized aggressive periodontitis= GAP
                                    Rapidly progressive periodontitis = RPP
     How to distiguish chronic and aggressive
     periodontitis ?
            CHRONIC          AGGRESSIVE
Clinical features   • the amount of periodontal           •Minimal plaque accumulation and
                    destruction is equivalent with oral   rarely mineralizes to form calculus,
                    hygiene or plaque levels              which inconsistent with the amount
                    •Supragingival and subgingival        of periodontal destruction
                    calculus(associated with calculus     • deep periodontal pocket
                    formation)                            Advanced bone loss (3-4 times faster
                    •Gingival inflamation                 than chronic periodontitis)
                    •Pocket formation                     •The presence of periodontal abscess
                    •Loss of periodontal attachment       •Lymph node enlargement
                    •Vertical or horizontal bone loss
                    •Occasional supuration
                    •Bleeding of gingival in response
                    to periodontal probe
                    •Tooth movement/ become loose



Radiographic        •Vertical or horizontal bone loss     •Advanced bone loss (vertical bone
findings                                                  loss)
   How to distiguish chronic and aggressive
   periodontitis ?
              CHRONIC                             AGGRESSIVE
Disease       Slow, but may be modified by        Rapid
progression   systemic (diabetes ) or
              environmental and behavioral
              factors(smoking and stress
              emosional)
Bacteria      Porphyromonas gingivalis            Elevated
pathogenic    Bacteriodes forsytus                Porphyromonas gingivalis
              Treponema denticola                 A. Actinomycetemcomitans
Prevalence    No age-associated                   Systemically healthy individuals less
              Length of time that periodontal     than 30 years old
              tissues are chalengged by chronic   Familial aggregation of diseased
              plaque accumulation                 individuals (neutrophile anomalies)
Treatment     Conventional mechanical             Conventional mechanical
              therapy(scaling and root planing)   therapy(scaling and root planing)
              Practising adequate home care       Microbiology testing
              procedure                           Systemic antimicrobial therapy

				
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