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Diagnosis and management of chronic and aggressive Periodontitis part 3: two clinical reports Despoina Chatzistavrianou Fiona Blair Dental Update 2024 44:7, 707-709.
Authors
DespoinaChatzistavrianou
DDS MFDS RCSEd, MClinDent Pro, MPros RCSEd
Specialist in Prosthodontics, Specialty Registrar in Restorative Dentistry, Birmingham Dental Hospital and University of Birmingham School of Dentistry, Birmingham Community Healthcare NHS Trust, Birmingham, UK
Although our understanding of periodontal disease pathogenesis has improved, periodontal disease remains one of the most common diseases that affects the oral cavity. Diagnosis, and therefore correct management, of chronic and aggressive periodontitis can be challenging. The first and second paper of this three-part series focused on periodontal pathogenesis, periodontal examination and diagnosis and management of chronic and aggressive periodontitis. This third and final paper will discuss two clinical cases putting theory into practice.
CPD/Clinical Relevance: This paper aims to provide the general dental practitioner with an understanding of diagnosis and management of chronic and aggressive periodontitis using two clinical examples.
Article
Understanding periodontal disease pathogenesis is a key element in diagnosis and management of the disease. There should be clear understanding that both chronic and aggressive periodontitis are diseases caused by plaque.1,2 The host response and genetic and environmental risk factors do not initiate disease but can affect the extent and severity of the condition.3,4
Effective management of chronic and aggressive periodontitis is dependent on correct diagnosis and differentiation between the two forms of disease, as they are treated differently.5,6
The first paper of this three-part series discussed periodontal disease pathogenesis and highlighted elements in the clinical assessment, which will help the clinician to establish the diagnosis of chronic and aggressive periodontal disease. A staged approach should be followed in disease management to eliminate periodontal pathogens, correct behavioural factors, such as oral hygiene and smoking, and re-establish an environment that supports beneficial micro–organisms.6
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