Bimstein Enrique
J Clin Pediatr Dent. 2018;42(2):91-94. doi: 10.17796/1053-4628-42.2.2. Epub 2017 Oct 31.
To describe the prevalence by site and tooth of aggressive periodontists (AP) in primary teeth of children with AP, that will facilitate the early diagnosis of AP.
Radiographic evidence of AP by tooth and site of primary teeth of 29 children with AP was analyzed by gender, ethnicity, type of dentition (primary or mixed), alveolar bone site and type of tooth.
The range and mean ± standard error of number of sites and teeth per patient with AP were 4 to 28, 13.1±1.2 and 4 to 12, 8.3±0.5 respectively. The differences in prevalence of AP by gender, ethnicity, dentition and homologous sites at both sides of the mouth were not statistically significant (Chi square). AP was mostly diagnosed at the distal area of the maxillary canine, the proximal areas of the first maxillary primary molars, and the distal area of the mandibular first primary molar. The most affected teeth with AP were the first primary molars followed by the maxillary cuspid, and the second molars.
Examination of children's primary teeth should include abnormal mobility, when found it should be followed by radiographic evaluation for the presence of AP, taking in consideration the present findings.
描述侵袭性牙周炎（AP）患儿乳牙患AP的部位和牙齿的患病率，这将有助于AP的早期诊断。
对29例患AP儿童乳牙患AP的牙齿和部位的影像学证据按性别、种族、牙列类型（乳牙或混合牙列）、牙槽骨部位和牙齿类型进行分析。
每名患AP患者的患AP部位数和牙齿数的范围及均值±标准误分别为4至28、13.1±1.2和4至12、8.3±0.5。AP在性别、种族、牙列以及双侧同源部位的患病率差异无统计学意义（卡方检验）。AP最常诊断于上颌尖牙远中区域、上颌第一乳磨牙近中区域以及下颌第一乳磨牙远中区域。患AP最严重的牙齿是第一乳磨牙，其次是上颌尖牙和第二乳磨牙。
对儿童乳牙的检查应包括异常松动情况，发现异常后应根据本研究结果进行影像学评估以确定是否存在AP。
