Atypical localized juvenile periodontitis. A case report and review of current treatment considerations.

An atypical case of localized juvenile periodontitis is presented. The case exhibits a unique distribution of osseous defects, an unusually high dental lesion incidence, and an atypical Gram-staining and morphologic subgingival microflora. Past and current treatment regimens are reviewed. Based on our current understanding of the pathogenesis of juvenile periodontitis and the therapeutic effects of antibiotic and surgical treatment, a temporal treatment regimen is proposed which would overlap instead of superimpose effective stages of therapy.