Department of Periodontology, The Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
J Clin Periodontol. 2010 Mar;37(3):283-7. doi: 10.1111/j.1600-051X.2009.01526.x. Epub 2010 Jan 19.
The objective was to assess the recurrence of disease in subjects with a history of localized aggressive periodontitis (LAP).
Initially, 11 children (7-13 years) with LAP were examined. Samples from the subgingival microbiota and soft tissue biopsies were obtained. Non-surgical periodontal therapy was performed and the affected deciduous and two permanent molars were extracted. The subjects were enrolled in a recall programme within the public dental services. Fourteen to 19 years after the initial examination, the subjects were recalled for clinical and radiographic examinations.
The re-examination disclosed that two of the subjects exhibited recurrence of disease with probing pocket depth > or = 6 mm and bone loss of 3-4 mm at several teeth, while another two subjects presented a limited number of sites with the disease. While bleeding on probing was a general finding in the group, no further loss of attachment was detected in seven subjects. Advanced attachment loss at the deciduous teeth as well as the presence of Aggregatibacter actinomycetemcomitans and its specific clone JP at the initial examination did not correlate with the recurrence of disease at the 14-19-year follow-up.
Children treated for LAP do not always exhibit recurrence of periodontitis in the absence of supportive periodontal therapy over periods of 14-19 years.
评估有局部侵袭性牙周炎（LAP）病史的患者的疾病复发情况。
最初，检查了 11 名患有 LAP 的儿童（7-13 岁）。采集龈下微生物群和软组织活检样本。进行非手术牙周治疗，并拔除受影响的乳牙和两颗恒牙。这些患者在公共牙科服务中被纳入召回计划。在初次检查后 14-19 年，召回这些患者进行临床和影像学检查。
重新检查发现，有两名患者的几处牙齿出现了疾病复发，探诊深度>或=6 毫米且有 3-4 毫米的骨损失，另有两名患者出现了有限数量的疾病部位。虽然探诊出血是该组的普遍发现，但在七名患者中未发现进一步的附着丧失。在最初的检查中，乳牙的附着丧失进展以及存在伴放线放线杆菌及其特定克隆 JP 与 14-19 年随访时的疾病复发无关。
在没有支持性牙周治疗的情况下，接受 LAP 治疗的儿童并不总是会在 14-19 年内出现牙周炎复发。
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