Portaro Camila Palma, Chópite Yndira Gonzalez, Cárdenas Abel Cahuana
Pediatric Dentistry Master Program, University of Barcelona Dental School, Spain.
J Clin Pediatr Dent. 2008 Winter;33(2):155-9. doi: 10.17796/jcpd.33.2.a2825h0x75445k57.
Destructive forms of periodontal disease in children are uncommon. Severe periodontal destruction can be a manifestation of a systemic disease; however, in some patients, the underlying cause of increased susceptibility and early onset is still unknown.
To describe an effective therapeutic approach to GeneralizedAggressive Periodontitis (GAgP) in children, based on a 3-1/2 year-old male patient referred to the Hospital due to early loss of incisors, gingivitis, and tooth mobility in his primary dentition. Intraoral examination revealed severe gingival inflammation, dental abscesses, pathological tooth mobility, bleeding upon probing and attachment loss around several primary teeth. Dental radiographs revealed horizontal and vertical bone loss. Treatment consisted on the extraction of severely affected primary teeth, systemic antibiotics, deep scaling of remaining teeth and strict oral hygiene measures. Once the patient's periodontal condition was stabilized, function and esthetics were restored with "pedi-partials." After a follow-up period of nearly 4 years, the patient's periodontal status remains healthy, facilitating the eruption of permanent teeth.
Prompt diagnosis and good treatment regimen may provide an effective therapeutic management of Generalized Aggressive Periodontitis.
儿童牙周病的破坏性形式并不常见。严重的牙周破坏可能是全身性疾病的一种表现；然而，在一些患者中，易感性增加和发病早的潜在原因仍然未知。
基于一名3岁半男性患者因乳牙早期脱落、牙龈炎和牙齿松动而被转诊至医院的病例，描述一种针对儿童广泛侵袭性牙周炎（GAgP）的有效治疗方法。口腔检查发现严重的牙龈炎症、牙脓肿、病理性牙齿松动、探诊出血以及几颗乳牙周围的附着丧失。牙科X光片显示水平和垂直骨吸收。治疗包括拔除严重受累的乳牙、全身使用抗生素、对剩余牙齿进行深度洁治以及严格的口腔卫生措施。一旦患者的牙周状况稳定，用“儿童局部义齿”恢复功能和美观。经过近4年的随访期，患者的牙周状况保持健康，有利于恒牙萌出。
及时诊断和良好的治疗方案可能为广泛侵袭性牙周炎提供有效的治疗管理。
