Transcript AAP Classification- A case study

AAP Classification- A case study
Prof L Shangase
19/10/2011
AAP (contd)
• Destructive periodontal diseases
– Chronic periodontitis
– Aggressive periodontitis
– Periodontitis as a manifestation of systemic
diseases
– Necrotizing periodontal diseases
• NUG/NUP
– Abscesses of the periodontium
– Combined periodontic-endodontic lesions
Chronic vs Aggressive Periodontitis
Chronic
Aggressive
• Mostly in adults
• Circum-pubertal / under 30 yr
• Severity of destruction= irritant
• Severity of destruction ≠ irritant
• Sub-gingival calculus present
with signs of inflammation
• Sub-gingival calculus minimal/
absent with little or no signs of
inflammation
• Progression rate: slow-moderate
• No marked familial aggregation
• Localized (< 30% sites) or
Generalized (30%/ more sites)
• Severity graded: slight (mild),
moderate / severe
• Rapid rate of progression
• Marked familial aggregation
• Localized (1st molars and incisors)
or Generalized (at least 3
permanent teeth other than 1st
molar and incisors
CASE 1
Data: A 56 year- old male. Smokes 15 cig/ day and is an uncontrolled diabetic. Upon
examination the periodontal findings are as shown on the chart.
1. Diagnose this case using the AAP classification.
2. Justify your diagnosis and clearly indicate the teeth involved in each category
CASE 2
Data: A 24 yr old female. Complains of bad breath, does not smoke and is
systemically healthy. Clinical findings appear on the chart.
Answer questions 1 and 2 as they appear on CASE 1 above, for this case.
CASE 3
Data: A 32 year old female. No history of smoking nor systemic diseases. She
complains of bleeding gums and bad breath. She informs you that she is worried
about her teeth because in her family nobody has kept their natural teeth beyond the
age of 40.
Answer question 1 and 2 as in case 1 above.