Prepubertal periodontitis

Mention of periodontitis, many would think is a common oral disease in the elderly, but in 1983, a hospital reported five cases of periodontitis in deciduous teeth. Therefore, oral medicine community on the "prepubertal periodontitis" naming, and as an independent disease.

Prepubertal periodontitis cause is unknown, the incidence in the deciduous teeth eruption period, the age can be as early as 4 years old or earlier. Can be divided into two localized and diffuse types. Localized prepubertal periodontitis violated only a few teeth, location uncertain. Gingival inflammation, mild, or moderate, but may have deep pockets. Alveolar damage Dental Artcles diffuse faster than the slow, not associated with otitis media or other infections, this type of comparatively good response to treatment.

Diffuse Prepubertal periodontitis can affect the entire mouth teeth; permanent teeth can be involved, can also be affected, there are obvious and severe gingival inflammation, and proliferation and gums or gingival cleft gingival margin retreat, fast alveolar bone destruction , resulting in loose teeth quickly, and even fall off. Patients with peripheral blood neutrophils and mononuclear cells dysfunction. Often accompanied by otitis media in children and skin, recurrent upper respiratory tract infection. This type of poor response to antibiotic treatment.

Treatment of prepubertal periodontitis in principle anti-inflammatory treatment. Asked 4-year-old children to achieve strict control of the occurrence of plaque is difficult, but it also brings important for parents to help supervise the children should adhere carefully with a soft bristle toothbrush to brush your teeth, and let the children use chlorhexidine and other antimicrobial drugs with cough or periodontal rinse liquid. For patients with localized prepubertal periodontitis, systemic antibiotics, such as in the case of penicillin, the scaling and subgingival curettage, may prevent the disease continues to progress, should be long-term follow-up cases of poor prognosis diffuse type, the condition is not easy control. Even in the treatment of cases, gums tend to shrink, the rapid absorption of alveolar bone remained.