Hazan-Molina Hagai, Zigdon Hadar, Einy Shmuel, Aizenbud Dror
Orthodontic and Craniofacial Department, School of Graduate Dentistry, Rambam Health Care Campus, Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Pediatr Dent. 2012 May-Jun;34(3):254-8.
Aggressive periodontitis is diagnosed mainly by clinical and radiographic examination. Diagnosis in the primary dentition indicates a choice between conservative and radical treatment that involves extractions, depending on the severity of the case. The purpose of this report was to present a case of aggressive periodontitis in a systemically healthy child and to discuss the periodontal and orthodontic aspects. A 7-year-old girl presented with bleeding on probing of approximately half of the dentition, deep periodontal pockets around all primary molars, and increased tooth mobility. An individual oral hygiene program was initiated. The primary maxillary right molar and all primary mandibular molars were extracted, and clear vacuum-formed removable retainers were fabricated and used as space maintainers. The patient was followed longitudinally for 2 years, and no space loss was recorded. Clear vacuum-formed removable retainers mainly involve occlusal crown attachment and, therefore, decrease the risk of plaque accumulation, gingival irritation, and aggressive periodontitis in the permanent dentition.
侵袭性牙周炎主要通过临床和影像学检查来诊断。乳牙列的诊断表明，根据病情严重程度，在保守治疗和涉及拔牙的根治性治疗之间做出选择。本报告的目的是介绍一例全身健康儿童的侵袭性牙周炎病例，并讨论牙周和正畸方面的问题。一名7岁女孩出现约半数牙列探诊出血、所有乳牙磨牙周围有深牙周袋以及牙齿松动增加。启动了个性化口腔卫生计划。拔除了右上颌第一乳磨牙和所有下颌乳磨牙，并制作了透明真空成型可摘式保持器用作间隙保持器。对该患者进行了2年的纵向随访，未记录到间隙丧失。透明真空成型可摘式保持器主要涉及咬合冠附着，因此降低了恒牙列中菌斑积聚、牙龈刺激和侵袭性牙周炎的风险。
