De periodontitis agresiva a periodontitis: modificaciones en su clasificación y tratamiento a través del reporte de caso
PDF
XML

Palabras clave

Periodontitis agresiva
enfermedad periodontal estadio IV-grado C
clasificación periodontal
diagnóstico periodontal.

Cómo citar

Rustrián-Campillo, M., Russell-Hernández, M. H., García-Rivera, M. E., & Nachón-García, M. G. (2021). De periodontitis agresiva a periodontitis: modificaciones en su clasificación y tratamiento a través del reporte de caso. UVserva, (11), 93–104. https://doi.org/10.25009/uvs.v0i11.2748

Resumen

Introducción: En la Clasificación de las Enfermedades y Afecciones Periodontales y Periimplantarias de 2018, la periodontitis agresiva (PA) se considera como enfermedad periodontal estadio IV, grado C, patrón incisivo molar. Consiste en una patología bucal que ocurre en individuos aparentemente sanos, con periodontitis: rápida pérdida de inserción, destrucción ósea y agregación familiar. A lo largo de las décadas esta enfermedad ha sufrido cambios en su definición y clasificación. Objetivo: Describir, por medio de un caso clínico, las características y tratamiento de la periodontitis agresiva en la clasificación periodontal más reciente. Reporte de caso: hombre de 49 años, diagnosticado con periodontitis agresiva generalizada (PAG), con base en los hallazgos clínicos y radiográficos. Se realizó un tratamiento integral con seguimiento de tres años, observando recidiva de la enfermedad. Conclusión: la implementación del uso de indicadores séricos y exámenes microbiológicos podría mejorar la clasificación actual y facilitar el diagnóstico y manejo del paciente.

From aggressive periodontitis to periodontitis: modifications in its classification and treatment through the case report

Introduction: In the Classification of Periodontal and Peri-implant Diseases and Conditions of 2018, aggressive periodontitis (AP) is considered stage IV, grade C periodontal disease, molar incisor pattern. It consists of an oral pathology that occurs in apparently healthy individuals, with periodontitis, the rapid loss of attachment, bone destruction, and familial aggregation. Over the decades, this disease has changed its definition and classification. Objective: To describe aggressive periodontitis's characteristics and treatment in the most recent periodontal through the clinical case category. Case report: 49-year-old man, diagnosed with generalized aggressive periodontitis (PAG), based on clinical and radiographic findings. Comprehensive treatment was carried out, with a three-year follow-up, observing recurrence of the disease. Conclusion: The implementation of serum indicators and microbiological examinations could improve the current classification and facilitate the patient's diagnosis and management

Keywords: aggressive periodontitis, stage IV-grade C periodontal disease, periodontal classification, periodontal diagnosis.

 

https://doi.org/10.25009/uvs.v0i11.2748
PDF
XML

Citas

Albandar J. M. (2014). Aggressive periodontitis: case definition and diagnostic criteria. Periodontology 2000, 65(1), 13–26. https://doi.org/10.1111/prd.12014

Armitage G. C. (2004). Periodontal diagnoses and classification of periodontal diseases. Periodontology 2000, 34, 9–21.

https://doi.org/10.1046/j.0906-6713.2002.003421.x

Caton, J. G., Armitage, G., Berglundh, T., Chapple, I., Jepsen, S., Kornman, K. S., Mealey, B. L., Papapanou, P. N., Sanz, M., & Tonetti, M. S. (2018). A new classification scheme for periodontal and peri-implant diseases and conditions - Introduction and key changes from the 1999 classification. Journal of periodontology, 89 Suppl 1, S1–S8. https://doi.org/10.1002/JPER.18-0157

Fine, D. H., Armitage, G. C., Genco, R. J., Griffen, A. L., & Diehl, S. R. (2019). Unique etiologic, demographic, and pathologic characteristics of localized aggressive periodontitis support classification as a distinct subcategory of periodontitis. Journal of the American Dental Association (1939), 150(11), 922–931. https://doi.org/10.1016/j.adaj.2019.07.024

Fine, D. H., Patil, A. G., & Loos, B. G. (2018). Classification and diagnosis of aggressive periodontitis. Journal of clinical periodontology, 45 Suppl 20, S95–S111. https://doi.org/10.1111/jcpe.12942

Goyal, L., Bey, A., Gupta, N. D., & Sharma, V. K. (2014). Comparative evaluation of serum C-reactive protein levels in chronic and aggressive periodontitis patients and association with periodontal disease severity. Contemporary clinical dentistry, 5(4), 484–488. https://doi.org/10.4103/0976-237X.142816

Gronert, K., Kantarci, A., Levy, B. D., Clish, C. B., Odparlik, S., Hasturk, H., Badwey, J. A., Colgan, S. P., Van Dyke, T. E., & Serhan, C. N. (2004). A molecular defect in intracellular lipid signaling in human neutrophils in localized aggressive periodontal tissue damage. Journal of immunology (Baltimore, Md: 1950), 172(3), 1856–1861. https://doi.org/10.4049/jimmunol.172.3.1856

Holmstrup, P., & Glick, M. (2002). Treatment of periodontal disease in the immunodeficient patient. Periodontology 2000, 28, 190–205. https://doi.org/10.1034/j.1600-0757.2002.280108.x

Kinane D. F. (1998). Periodontal diseases' contributions to cardiovascular disease: an overview of potential mechanisms. Annals of periodontology, 3(1), 142–150. https://doi.org/10.1902/annals.1998.3.1.142

Mysak, J., Podzimek, S., Vasakova, J., Mazanek, J., Vinsu, A., & Duskova, J. (2017). C-reactive protein in patients with aggressive periodontitis. Journal of dental sciences, 12(4), 368–374. https://doi.org/10.1016/j.jds.2017.04.003

Manson, J. D., & Lehner, T. (1974). Clinical Features of Juvenile Periodontitis (Periodontosis). Journal of Periodontology, 45(8.2),636–640. http://doi:10.1902/jop.1974.45.8.2.636

Sanz, M., Herrera, D., Kebschull, M., Chapple, I., Jepsen, S., Beglundh, T., Sculean, A., Tonetti, M. S., & EFP Workshop Participants and Methodological Consultants (2020). Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. Journal of clinical periodontology, 47 Suppl 22, 4–60. https://doi.org/10.1111/jcpe.13290

Sgolastra, F., Petrucci, A., Gatto, R., & Monaco, A. (2012). Effectiveness of systemic amoxicillin/metronidazole as an adjunctive therapy to full-mouth scaling and root planing in the treatment of aggressive periodontitis: a systematic review and meta-analysis. Journal of periodontology, 83(6), 731–743. https://doi.org/10.1902/jop.2011.110432

Teughels, W., Dhondt, R., Dekeyser, C., & Quirynen, M. (2014). Treatment of aggressive periodontitis. Periodontology 2000, 65(1), 107–133. https://doi.org/10.1111/prd.12020

Tomita, S., Komiya-Ito, A., Imamura, K., Kita, D., Ota, K., Takayama, S., Makino-Oi, A., Kinumatsu, T., Ota, M., & Saito, A. (2013). Prevalence of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis and Tannerella forsythia in Japanese patients with generalized chronic and aggressive periodontitis. Microbial pathogenesis, 61-62, 11–15. https://doi.org/10.1016/j.micpath.2013.04.006

Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018). Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of periodontology, 89 Suppl 1, S159–S172. https://doi.org/10.1002/JPER.18-0006

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial 4.0.

Derechos de autor 2021 Michelle Rustrián-Campillo, Miguel Hazael Russell-Hernández, Miguel Eric García-Rivera, María Gabriela Nachón-García