Three case reports of aggressive periodontitis associated with Porphyromonas gingivalis(PG) in younger patients 4/23/10

Department of Pediatric Dentistry
Resident’s Name: Murphy Program: Lutheran Medical Center - Providence

Article title: Three case reports of aggressive periodontitis associated with Porphyromonas gingivalis(PG) in younger patients.

Author(s): Kawashima, Ishikawa, et al.
Journal: Journal of Periodontal Research
Year. Volume (number). Page #’s: 2002. 37. 324-332
Major topic: Bacterial culprits in aggressive periodontitis
Overview of method of research: Review of 3 cases

Findings: In 1999, the terms ‘early onset periodontitis’ and ‘juvenile periodontitis’ were replaced by the term aggressive periodontitis. Aggressive periodontitis is defined as a specific type of perio. that has been distinguished from chronic perio. LP and GP are characterized by rapid attachment loss and bone destruction.
At least three bacterial species, including AA, PG, and BF have been identified as etiologic agents of perio. in susceptible hosts.
In this report, the cases of 3 Japanese women, age 14, 24 and 27 were reviewed. Microbial analysis was completed on each case, and it was found that in each case, PG was the main bacterial component. BF was also found, however AA was not. Treatment included OHI, SCRP, and frequent recalls. At the recall visits, PG was not found in the subgingival pockets(although it was found in the saliva).

Key points/Summary:
-AA is not necessarily the lone ‘bad guy’ in young patients affected by AP
-PG can be integrally involved AP
-PG can be easily eradicated by conventional methods

Assessment of Article: Good article. No shenaynaygaaaans.