Dynamic therapeutic approach for individuals affected with aggressive periodontitis.

Management of patients affected with aggressive periodontitis is complicated by several poorly understood etiological and modifying factors that create difficulty in establishing a universal treatment recommendation. The goal of this manuscript is to underscore the complexity of therapy and to provide some guidelines in the decision-making process and interdisciplinary therapy. A dynamic approach is presented to formulate strategies in diagnosis and treatment planning that is both patient-and site-specific.

[1]  A. Mombelli,et al.  Does adjunctive antimicrobial therapy reduce the perceived need for periodontal surgery? , 2011, Periodontology 2000.

[2]  L. Shapira,et al.  Genetic and environmental risk factors for chronic periodontitis and aggressive periodontitis. , 2010, Periodontology 2000.

[3]  B. Mealey,et al.  Response of chronic and aggressive periodontitis to treatment. , 2010, Periodontology 2000.

[4]  J. Slots Human viruses in periodontitis. , 2010, Periodontology 2000.

[5]  G. Armitage,et al.  Comparison of the clinical features of chronic and aggressive periodontitis. , 2010, Periodontology 2000.

[6]  N. Lang,et al.  Comparative biology of chronic and aggressive periodontitis vs. peri-implantitis. , 2010, Periodontology 2000.

[7]  A. Mombelli,et al.  Amoxicillin and metronidazole as an adjunct to full-mouth scaling and root planing of chronic periodontitis. , 2009, Journal of periodontology.

[8]  J. Slots,et al.  Clinical and microbiological determinants of ailing dental implants. , 2009, Clinical implant dentistry and related research.

[9]  P. Lenton,et al.  Persistence of extracrevicular bacterial reservoirs after treatment of aggressive periodontitis. , 2008, Journal of periodontology.

[10]  J. Shibli,et al.  Composition of supra- and subgingival biofilm of subjects with healthy and diseased implants. , 2008, Clinical oral implants research.

[11]  R. Mengel,et al.  Bioabsorbable membrane and bioactive glass in the treatment of intrabony defects in patients with generalized aggressive periodontitis: results of a 5-year clinical and radiological study. , 2003, Journal of periodontology.

[12]  Javier E Botero,et al.  Subgingival microbiota in peri-implant mucosa lesions and adjacent teeth in partially edentulous patients. , 2005, Journal of periodontology.

[13]  B. Ehmke,et al.  Adjunctive antimicrobial therapy of periodontitis: long-term effects on disease progression and oral colonization. , 2005, Journal of periodontology.

[14]  M. Tonetti,et al.  Relative contribution of patient-, tooth-, and site-associated variability on the clinical outcomes of subgingival debridement. I. Probing depths. , 2005, Journal of periodontology.

[15]  J. Suvan Effectiveness of mechanical nonsurgical pocket therapy. , 2005, Periodontology 2000.

[16]  T. Rees,et al.  Local anti-infective therapy: mechanical and physical approaches. A systematic review. , 2003, Annals of periodontology.

[17]  S. Socransky,et al.  Systemic anti-infective periodontal therapy. A systematic review. , 2003, Annals of periodontology.

[18]  Niklaus P. Lang,et al.  Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. , 2003, Clinical oral implants research.

[19]  V. Baelum,et al.  Defining and classifying periodontitis: need for a paradigm shift? , 2003, European journal of oral sciences.

[20]  M. Nunn,et al.  Aggressive periodontitis: 5-year follow-up of treatment. , 2002, Journal of periodontology.

[21]  J. Slots,et al.  Systemic antibiotics in the treatment of periodontal disease. , 2002, Periodontology 2000.

[22]  J. Slots,et al.  Effective, safe, practical and affordable periodontal antimicrobial therapy: where are we going, and are we there yet? , 2002, Periodontology 2000.

[23]  J. Bernimoulin,et al.  Local versus systemic adjunctive antibiotic therapy in 28 patients with generalized aggressive periodontitis. , 2001, Journal of periodontology.

[24]  M. Quirynen,et al.  The intra-oral translocation of periodontopathogens jeopardises the outcome of periodontal therapy. A review of the literature. , 2001, Journal of clinical periodontology.

[25]  W. Pfister,et al.  A 2-step non-surgical procedure and systemic antibiotics in the treatment of rapidly progressive periodontitis. , 2001, Journal of periodontology.

[26]  U. Velden Diagnosis of periodontitis. , 2000 .

[27]  B. Michalowicz,et al.  Human herpesviruses and Porphyromonas gingivalis are associated with juvenile periodontitis. , 2000, Journal of periodontology.

[28]  J. Slots,et al.  Herpesvirus in localized juvenile periodontitis. , 2000, Journal of periodontal research.

[29]  G. Armitage,et al.  Development of a classification system for periodontal diseases and conditions. , 1999, Annals of periodontology.

[30]  N. Lang,et al.  Persistence patterns of Porphyromonas gingivalis, Prevotella intermedia/nigrescens, and Actinobacillus actinomyetemcomitans after mechanical therapy of periodontal disease. , 2000, Journal of periodontology.

[31]  Shinya Murakami,et al.  Consensus Report: Aggressive Periodontitis , 1999 .

[32]  J. Slots,et al.  Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis in human periodontal disease: occurrence and treatment. , 1999, Periodontology 2000.

[33]  P. Gjermo,et al.  Clinical and Microbiologic Effects of Adjunctive Antibiotics in Treatment of Localized Juvenile Periodontitis. A Controlled Clinical Trial. , 1998, Journal of periodontology.

[34]  J. Flynn,et al.  Clinical and microbiological evaluation of a bioabsorbable and a nonresorbable barrier membrane in the treatment of periodontal intraosseous lesions. , 1998, Journal of periodontology.

[35]  M. Esposito,et al.  Immunohistochemistry of soft tissues surrounding late failures of Brånemark implants. , 1997, Clinical oral implants research.

[36]  G. Greenstein,et al.  Bacterial transmission in periodontal diseases: a critical review. , 1997, Journal of periodontology.

[37]  M. Quirynen,et al.  The influence of periodontitis on the subgingival flora around implants in partially edentulous patients. , 1996, Clinical oral implants research.

[38]  J. Flynn,et al.  The dynamics of microbial colonization of barrier membranes for guided tissue regeneration. , 1996, Journal of periodontology.

[39]  M. Jeffcoat,et al.  Comparison between 2 surgical techniques for the treatment of early-onset periodontitis. , 1996, Journal of periodontology.

[40]  A. V. van Winkelhoff,et al.  Systemic antibiotic therapy in periodontics. , 1996, Periodontology 2000.

[41]  N. Bissada,et al.  Comparative effectiveness of various regenerative modalities for the treatment of localized juvenile periodontitis. , 1995, Journal of periodontology.

[42]  M. Quirynen,et al.  Full- vs. Partial-mouth Disinfection in the Treatment of Periodontal Infections: Short-term Clinical and Microbiological Observations , 1995, Journal of dental research.

[43]  J. Gunsolley,et al.  Longitudinal assessment of early onset periodontitis. , 1995, Journal of periodontology.

[44]  M. Duncan,et al.  Interactions of Porphyromonas gingivalis with epithelial cells , 1993, Infection and immunity.

[45]  N. Skaug,et al.  Early effects of periodontal therapy on the detection frequency of four putative periodontal pathogens in adults. , 1992, Journal of periodontology.

[46]  A. V. van Winkelhoff,et al.  Microbiological and clinical results of metronidazole plus amoxicillin therapy in Actinobacillus actinomycetemcomitans-associated periodontitis. , 1992, Journal of periodontology.

[47]  S. Alaluusua,et al.  Recovery of A. actinomycetemcomitans from teeth, tongue, and saliva. , 1991, Journal of periodontology.

[48]  C. Lai,et al.  Intrafamilial transmission of Actinobacillus actinomycetemcomitans. , 1991, Journal of periodontology.

[49]  J. Slots,et al.  Antibiotics in periodontal therapy: advantages and disadvantages. , 1990, Journal of clinical periodontology.

[50]  C. Overall,et al.  Microbiota and crevicular fluid collagenase activity in the osseointegrated dental implant sulcus: a comparison of sites in edentulous and partially edentulous patients. , 1989, Journal of periodontal research.

[51]  R. Genco,et al.  Tissue localization of Actinobacillus actinomycetemcomitans in human periodontitis. I. Light, immunofluorescence and electron microscopic studies. , 1987, Journal of periodontology.

[52]  S. Socransky,et al.  The effect of treatment on Actinobacillus actinomycetemcomitans in localized juvenile periodontitis. , 1986, Journal of periodontology.

[53]  K. Kornman,et al.  Clinical and microbiological evaluation of therapy for juvenile periodontitis. , 1985, Journal of periodontology.

[54]  G. Greenstein,et al.  Treatment of juvenile periodontitis patients by control of infection and inflammation. Four case reports. , 1984, Journal of periodontology.

[55]  M. Barnett,et al.  The formation and healing of osseous lesions in a patient with localized juvenile periodontitis. Case report. , 1983, Journal of periodontology.

[56]  K. Lewin,et al.  Identification of tissue-invading bacteria in human periodontal disease. , 1982, Journal of periodontal research.

[57]  H. W. Hoge,et al.  Periodontosis: treatment results in 15-year-old girl. , 1980, Journal of the American Dental Association.

[58]  M. Sugarman,et al.  Precocious periodontitis: a clinical entity and a treatment responsibility. , 1977, Journal of periodontology.

[59]  P. Baer,et al.  The case for periodontosis as a clinical entity. , 1971, Journal of periodontology.

[60]  T. De Marco,et al.  The use of autogenous hip marrow in the treatment of juvenile periodontosis. A case report. , 1970, Journal of periodontology.