This condition occurs in the presence of good plaque control and may be related to an immune deficiency
Causes
- Actinobacillus (Haemophilus) actinomycetemcomitans is the main pathogen together with Capnocytophaga
sp, Eikenella corrodens, and Bacteroides intermedius organisms
Clinical features
- Progressive periodontal destruction; classically in the permanent incisor and first molar regions in the presence of good oral hygiene
- The gingiva around the affected tooth may appear entirely normal, but deep pockets are detected on probing
- Early tooth loss
MANAGEMENT
- Give instructions on oral hygiene
- Oral rinses with mouthwash consisting of chlorhexidine solution 0.2% 3 times a day
- Refer to a dentist for scaling, root planing, and polishing to remove plaque and calculus deposits