J Periodontal Implant Sci.  2010 Oct;40(5):249-253. 10.5051/jpis.2010.40.5.249.

Clinical case report on treatment of generalized aggressive periodontitis

• Jung MH
• Park JW
• Suh JY
• Lee JM

• KMID: 1783567
• DOI: http://doi.org/10.5051/jpis.2010.40.5.249

Abstract

PURPOSE
The purpose of this study was to evaluate the improvement of periodontal health of generalized aggressive periodontitis (GAgP) diagnosed patients treated with non-surgical periodontal therapy accompanying systemic antibiotics administration.
METHODS
Two patients with GAgP were chosen for this study. Clinical indices were taken and a radiographic examination was performed at the baseline of the study and they were treated by periodontal therapy accompanying systemic antibiotics administration. Post-surgical visits were scheduled at regular intervals to check clinical and radiographic changes.
RESULTS
Through non-surgical periodontal therapy accompanying systemic antibiotics administration, GAgP patients showed decreased probing pocket depth, sulcus bleeding index, and increased attachment level and clinical index when comparing the initial and six month follow up data. In the six month follow-up radiographic examination after non-surgical periodontal therapy, resolution of the bony defect was observed.
CONCLUSIONS
Non-surgical therapy combined with systemic antibiotics administration in GAgP patients is suggested to be an effective approach to enhance the periodontal health.

Keyword

Aggregatibacter actinomycetemcomitans; Periodontitis

MeSH Terms

Aggressive Periodontitis
Anti-Bacterial Agents
Follow-Up Studies
Hemorrhage
Humans
Periodontitis
Anti-Bacterial Agents

Figure

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  Figure 1 Initial clinical photographs of case 1 patient.

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  Figure 2 Baseline periodontal scores of case 1 patient. PD: probing pocket depth, SBI: sulcus bleeding index, Mob: tooth mobility.

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  Figure 3 Initial radiographs of case 1 patient. Note the discrete vertical bone defects.

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  Figure 4 Clinical photographs of case 1 patient after 1 year therapy. Additional orthodontic appliance was attached for malocclusion.

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  Figure 5 Periodontal scores of case 1 patient after 1 year therapy. PD: probing pocket depth, SBI: sulcus bleeding index, Mob: tooth mobility.

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  Figure 6 Radiographs of case 1 patient after 1 year therapy. Note that marked fill of the bony defects and sharp contours of the gained hard tissues.

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  Figure 7 Initial clinical photographs of case 2 patient.

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  Figure 8 Baseline periodontal scores of case 2 patient. PD: probing pocket depth, SBI: sulcus bleeding index, Mob: tooth mobility.

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  Figure 9 RInitial radiographs of case 2 pateint. Note the discrete vertical bone defects and missing teeth.

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  Figure 10 Clinical photographs of case 2 patient after 1 year therapy. There are no clinical signs of gingival inflammation.

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  Figure 11 Periodontal scores of case 2 patient after 1 year therapy. PD: probing pocket depth, SBI: sulcus bleeding index, Mob: tooth mobility.

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