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European Archives of Paediatric Dentistry

, Volume 15, Issue 6, pp 443–447 | Cite as

Rare case of generalised aggressive periodontitis in the primary dentition

  • A. SpoerriEmail author
  • C. Signorelli
  • J. Erb
  • H. van Waes
  • P. R. Schmidlin
Case Report
  • 277 Downloads

Abstract

Background

Generalised aggressive periodontitis (AP) in the prepubescent age is an exceptionally rare disease in the primary dentition of otherwise healthy children. Characteristics of AP are gingival inflammation, deep periodontal pockets, bone loss, tooth mobility and even tooth loss. The most common way of treating this disease is the extraction of all the involved primary teeth.

Case report

A 4-year-old girl presented with signs of severe gingival inflammation. Clinical examination revealed deep pockets, increased tooth mobility and bone loss. Microbiological testing revealed the presence of a typical periopathogenic flora consisting of Aggregatibacter actinomycetemcomitans and the typical members of the red complex (Porphyromonas gingivalis, Prevotella intermedia and Treponema denticola). The patient underwent tooth extraction of all primary teeth except the primary canines, followed by thorough root debridement and treatment with systemic antibiotics (amoxicillin plus metronidazole).

Follow-up

Regular clinical and microbiological examinations over 4 years showed no signs of recurrence of a periodontitis, even in the erupted permanent teeth.

Conclusion

Early diagnosis and consequent early treatment of aggressive periodontitis can stop the disease and therefore avoid the development of a periodontal disease in the permanent dentition. A close collaboration between specialists of different disciplines is required for a favourable outcome.

Keywords

Aggressive periodontitis Aggregatibacter actinomycetemcomitans Microbiological test Periodontopathogen Periodontal diseases/therapy 

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Copyright information

© European Academy of Paediatric Dentistry 2014

Authors and Affiliations

  • A. Spoerri
    • 1
    Email author
  • C. Signorelli
    • 1
  • J. Erb
    • 1
  • H. van Waes
    • 1
  • P. R. Schmidlin
    • 2
  1. 1.Clinic of Orthodontics and Paediatric Dentistry, Center of Dental MedicineUniversity of ZurichZurichSwitzerland
  2. 2.Clinic of Preventive Dentistry, Periodontology and Cariology, Center of Dental MedicineUniversity of ZurichZurichSwitzerland

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