Department of Social and Pediatric Dentistry, School of Dentistry, São Paulo State University, Araçatuba, SP, Brazil.
Int J Paediatr Dent. 2012 Jul;22(4):310-6. doi: 10.1111/j.1365-263X.2011.01194.x. Epub 2011 Nov 9.
Generalized aggressive periodontitis (GAP) in primary teeth is a rare periodontal disease that occurs during or soon after eruption of the primary teeth. An association with systemic diseases is a possibility.
A 4-year-old Brazilian girl presented with GAP involving the entire primary dentition. The patient and her parents and sister were subjected to microbiological testing to identify the microorganisms involved in the disease. The patient underwent tooth extraction to eradicate the disease and received a prosthesis for the restoration of masticatory function. After the permanent teeth erupted, fixed orthodontic appliances were place to restore dental arch form and occlusion.
The results show the importance of an early diagnosis of GAP and of a multidisciplinary approach involving laboratory and clinical management to treat the disease and to restore masticatory function, providing a better quality of life for patients.
儿童广泛性侵袭性牙周炎（GAP）是一种罕见的牙周疾病，发生于乳牙萌出期间或萌出后不久。该病可能与全身疾病相关。
一名 4 岁巴西女孩患有 GAP，累及所有乳牙。对患者及其父母和姐姐进行了微生物检测，以确定与疾病相关的微生物。患者接受了拔牙以消除疾病，并安装义齿恢复咀嚼功能。当恒牙萌出后，使用固定正畸矫治器恢复牙弓形态和咬合。
结果表明，早期诊断 GAP 并采取多学科方法，包括实验室和临床管理，对治疗疾病和恢复咀嚼功能至关重要，从而为患者提供更好的生活质量。
