Juvenile Periodontitis

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Based on our clinical findings and the patient’s complaint, I believe the patient has symptomatic apical periodontitis. The likely anatomical structures affected are the pulp of #31 (needing root canal therapy), the periodontium surrounding #31, possible involvement of the gingiva surrounding #30 (tooth directly anterior to #31). Depending on the path the infection has taken, it could have caused bone resorption and the infection could be cause nerve pain if allowed to progress. Infectious material courses through the path of least resistance, so it likely would have traveled from the apex of #31 into the surrounding gingiva, and up through the sulcus. The infection could also spread into the vestibule or floor of the mouth causing swelling

Beitler, J. R., Guérin, C., Ayzac, L., Mancebo, J., Bates, D. M., Malhotra, A., & Talmor, D.

van Krieken, R., Habibis, D., Smith, P., Hutchins, B., Martin, G. & Maton, K. (2006).

     Periodontal disease is more commonly known as gum disease or gingivitis. This infection is serious enough, that it can lead to tooth loss if left untreated. This chronic infection starts around the tooth and it affects the supporting bone and gums. Periodontal disease can affect anywhere from one tooth to all thirty-two teeth. The disease pathology starts with the plaque that builds up on your teeth everyday.

The Effects of Full Mouth Disinfection on Insulin Sensitivity in Type 2 Diabetes with and without Chronic Periodontitis study identified the problem of the high periodontal disease prevalence amongst individuals with poorly controlled type 2 diabetes. The researchers found periodontal prevalence rates to be generally higher in diabetics than in those free of the systemic disease (as cited Srirangarajan, Setty, Satvanaravan, & Shetty S, 2016).

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Cohen, B., Choi, Y.J., Hyman, S., Furuya, E.Y., Neidell, M., & Larson, E. (2013). General

Blanchard, J., Madden, J. M., Ross-Degnan, D., Gresenz, C. R., & Soumerai, S. B. (2013). The

J., Courtens, A. M., Zwakhalen, S. G., van Kleef, M., & de Witte, L. P. (2015).

Easter, A., Bye, A., Taborelli, E., Corfield, F., Schmidt, U., Treasure, J., & Micali, N. (2013).

Aggressive periodontitis is a rapidly progressing disease which affects the otherwise systemically healthy individuals. It is characterized by a marked episodic and rapid destruction of periodontal tissues that results in early tooth loss. It is a challenge for the periodontists to treat this disease as there are no established protocols and guidelines for the efficient control of the disease. Photodynamic therapy (PDT) or Laser assisted pocket therapy could become new methods of antibacterial treatment and may be used as adjunct to conventional therapy for treating aggressive periodontitis. The study aims at finding a treatment modality that will be free of side-effects of currently used modalities for the treatment of aggressive periodontitis