Hatice Selin YILDIRIM, Nimet Gül GÖRGÜLÜ, Kübra KUNDAK, Leyla KURU

Kronik Periodontitis ile Agresif Periodontitisin Farklılıkları

Özet Periodontitis dişlerin destek dokularını etkileyen enflamatuar bir hastalıktır ve insanlarda görülen en yaygın mikrobiyal enfeksiyonlardan biridir. Güncel olarak kullanılan 1999 yılındaki periodontal hastalık sınıflamasına göre periodontitisin kronik ve agresif gibi alt tipleri vardır. Kronik periodontitis ile agresif periodontitisin klinik ayrımı her zaman net değildir. Kronik ve agresif periodontitis; başlangıç yaşı, ilerleme hızı, enflamasyonun klinik belirtileri, yıkım şekli, mikrobiyolojik özellikler, histopatolojik özellikler, genetik ve çevresel faktörler, tedaviye verdikleri yanıt bakımından farklılıklar gösterir. Bu farklılıklar göz önünde bulundurularak periodontal hastalığın teşhisi ve tedavisi yapılabilir.

Anahtar Kelimeler:

Kronik periodontitis, Agresif periodontitis, Diagnoz

Differences Between Chronic and Aggressive Periodontitis

Abstract Periodontitis is an inflammatory disease affecting the supporting tissues of teeth and one of the most common microbial infections seen in humans. According to the 1999 classification system for periodontal diseases and conditions, periodontitis has different types such as chronic and aggressive periodontitis. The clinical distinction between chronic and aggressive periodontitis cannot be distinguished clearly. Chronic and aggressive periodontitis have clinically significant differences such as age of onset, rates of progression, clinical signs of inflammation, patterns of destruction, microbiological and histopathological characteristics, genetic and environmental factors and response to treatment. With regard to these differences, periodontal disease can be diagnosed and treated accordingly.

Keywords:

Key words: Chronic periodontitis, Aggressive periodontitis, Diagnosis,

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Referans1. Davis, C., Gum and alveolar diseases. Dental Cosmos, 1879. 21: p. 192-201.
Referans2. Armitage, G.C., Classifying periodontal diseases--a long-standing dilemma. Periodontol 2000, 2002. 30: p. 9-23.
Referans3. Brown, L.J., et al., Early-onset periodontitis: progression of attachment loss during 6 years. J Periodontol, 1996. 67(10): p. 968-75.
Referans4. Burmeister, J., et al., Localized juvenile periodontitis and generalized severe periodontitis: clinical findings. J Clin Periodontol, 1984. 11(3): p. 181-192.
Referans5. Gottlieb, B., The new concept of periodontoclasia. J Periodontol, 1946. 17(1): p. 7-23.
Referans6. Sprague, W., et al. Committee report-periodontal pathology. in World Workshop in Periodontics-1966. Chicago: American Academy of Periodontology. 1966.
Referans7. Caton, J., Periodontal diagnosis and diagnostic aids: consensus report in Proceedings of the World Workshop in Clinical Periodontics. American Academy of Periodontology, 1989.
Referans8. Attström, R. and U. Van der Velden. Summary of session 1. in Proceedings of the 1st European Workshop in Periodontology. Berlin: Quintessence. 1993.
Referans9. Armitage, G.C., Development of a classification system for periodontal diseases and conditions. Ann Periodontol, 1999. 4(1): p. 1-6.
Referans10. Baer, P.N., The case for periodontosis as a clinical entity. J Periodontol, 1971. 42(8): p. 516-20.
Referans11. Armitage, G.C., Comparison of the microbiological features of chronic and aggressive periodontitis. Periodontol 2000, 2010. 53: p. 70-88.
Referans12. Socransky, S.S. and A.D. Haffajee, Dental biofilms: difficult therapeutic targets. Periodontol 2000, 2002. 28(1): p. 12-55.
Referans13. Schenkein, H.A., Host responses in maintaining periodontal health and determining periodontal disease. Periodontol 2000, 2006. 40(1): p. 77-93.
Referans14. Deas, D.E. and B.L. Mealey, Response of chronic and aggressive periodontitis to treatment. Periodontol 2000, 2010. 53(1): p. 154-166.
Referans15. Armitage, G.C. and M.P. Cullinan, Comparison of the clinical features of chronic and aggressive periodontitis. Periodontol 2000, 2010. 53: p. 12-27.
Referans16. Lindhe, J., A. Haffaiee, and S. Socransky, Progression of periodontal disease in adult subjects in the absence of periodontal therapy. J Clin Periodontol, 1983. 10(4): p. 433-442.
Referans17. Schätzle, M., et al., Clinical course of chronic periodontitis Der klinische Verlauf chronischer Parodontitis: III. Muster, Variationen und Risiken für Attachmentverlust L'évolution clinique de la parodontite chronique. III. Tendances, variations et risques de perte d'attache. J Clin Periodontol, 2003. 30(10): p. 909-918.
Referans18. Löe, H., et al., Natural history of periodontal disease in man. J Clin Periodontol, 1986. 13(5): p. 431-440.
Referans19. Gunsolley, J., et al., Longitudinal assessment of early onset periodontitis. J Periodontol, 1995. 66(5): p. 321-328.
Referans20. Listgarten, M., Structure of the microbial flora associated with periodontal health and disease in man: a light and electron microscopic study. J Periodontol, 1976. 47(1): p. 1-18.
Referans21. Gottlieb, B., Zur Aetiologie und Therapie des Alveolarpyorrhoe. 1920: Urban & Schwarzenberg.
Referans22. Orban, B. and J.P. Weinmann, Diffuse atrophy of the alveolar bone (periodontosis). J Periodontol, 1942. 13(1): p. 31-45.
Referans23. Mombelli, A. and C. Meier, On the symmetry of periodontal disease. J Clin Periodontol, 2001. 28(8): p. 741-745.
Referans24. Lang, N., et al., Consensus report: aggressive periodontitis. Ann Periodontol, 1999. 4(1): p. 53-53.
Referans25. Paster, B.J. and F.E. Dewhirst, Molecular microbial diagnosis. Periodontol 2000, 2009. 51(1): p. 38-44.
Referans26. Wilson, M.J., A. Weightman, and W. Wade, Applications of molecular ecology in the characterization of uncultured microorganisms associated with human disease. Reviews in Medical Microbiology, 1997. 8(2): p. 91-102.
Referans27. Goodson, J., et al., Patterns of progression and regression of advanced destructive periodontal disease. J Clin Periodontol, 1982. 9(6): p. 472-481.
Referans28. Mombelli, A., F. Casagni, and P.N. Madianos, Can presence or absence of periodontal pathogens distinguish between subjects with chronic and aggressive periodontitis? A systematic review. J Clin Periodontol, 2002. 29(s3): p. 10-21.
Referans29. Gajardo, M., et al., Prevalence of periodontopathic bacteria in aggressive periodontitis patients in a Chilean population. J Periodontol, 2005. 76(2): p. 289-294.
Referans30. Lafaurie, G.I., et al., Demographic, clinical, and microbial aspects of chronic and aggressive periodontitis in Colombia: a multicenter study. J Periodontol, 2007. 78(4): p. 629-639.
Referans31. Faveri, M., et al., Microbiological diversity of generalized aggressive periodontitis by 16S rRNA clonal analysis. Oral Microbiol Immunol, 2008. 23(2): p. 112-118.
Referans32. Berthold, P. and M.A. Listgarten, Distribution of Actinobacillus actinomycetemcomitans in localized juvenile periodontitis plaque: an electron immunocytochemical study. J Periodontal Res, 1986. 21(5): p. 473-85.
Referans33. Cortelli, J.R., et al., Prevalence of periodontal pathogens in Brazilians with aggressive or chronic periodontitis. J Clin Periodontol, 2005. 32(8): p. 860-866.
Referans34. Slots, J. and M. Ting, Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis in human periodontal disease: occurrence and treatment. Periodontol 2000, 1999. 20(1): p. 82-121.
Referans35. Bueno, L.C., M.P. Mayer, and J.M. DiRienzo, Relationship between conversion of localized juvenile periodontitis-susceptible children from health to disease and Actinobacillus actinomycetemcomitans leukotoxin promoter structure. J Periodontol, 1998. 69(9): p. 998-1007.
Referans36. Fine, D.H., et al., Aggregatibacter actinomycetemcomitans and its relationship to initiation of localized aggressive periodontitis: longitudinal cohort study of initially healthy adolescents. J Clin Microbiol, 2007. 45(12): p. 3859-3869.
Referans37. Haubek, D., et al., Risk of aggressive periodontitis in adolescent carriers of the JP2 clone of Aggregatibacter (Actinobacillus) actinomycetemcomitans in Morocco: a prospective longitudinal cohort study. The Lancet, 2008. 371(9608): p. 237-242.
Referans38. Rams, T. and P. Keyes, Direct microscopic features of subgingival plaque in localized and generalized juvenile periodontitis. Pediatr Dent, 1984. 6(1): p. 23.
Referans39. Smith, M., G.J. Seymour, and M.P. Cullinan, Histopathological features of chronic and aggressive periodontitis. Periodontol 2000, 2010. 53(1): p. 45-54.
Referans40. Stabholz, A., W.A. Soskolne, and L. Shapira, Genetic and environmental risk factors for chronic periodontitis and aggressive periodontitis. Periodontol 2000, 2010. 53(1): p. 138-153.
Referans41. Meseli, S. E., B. Kuru, and L. Kuru. "Effects of 810-nanometer diode laser as an adjunct to mechanical periodontal treatment on clinical periodontal parameters and gingival crevicular fluid volume of residual periodontal pockets." Nigerian journal of clinical practice 20.4 (2017): 427-432.
Referans42. Hung, H.C. and C.W. Douglass, Meta‐analysis of the effect of scaling and root planing, surgical treatment and antibiotic therapies on periodontal probing depth and attachment loss. J Clin Periodontol, 2002. 29(11): p. 975-986.
Referans43. Tinoco, E.M., et al., Clinical and microbiologic effects of adjunctive antibiotics in treatment of localized juvenile periodontitis. A controlled clinical trial. J Periodontol, 1998. 69(12): p. 1355-1363.
Referans44. Cobb, C.M., Non-surgical pocket therapy: mechanical. Ann Periodontol, 1996. 1(1): p. 443-490.
Referans45. Heitz‐Mayfield, L., et al., A systematic review of the effect of surgical debridement vs. non‐surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol, 2002. 29(s3): p. 92-102.
Referans46. Laurell, L., et al., Treatment of intrabony defects by different surgical procedures. A literature review. J Periodontol, 1998. 69(3): p. 303-313.
Referans47. Kornman, K.S. and P.B. Robertson, Clinical and microbiological evaluation of therapy for juvenile periodontitis. J Periodontol, 1985. 56(8): p. 443-446.
Referans48. Christersson, L.A., et al., Tissue Localization of Actinobacillus actinomycetemcomitans in Human Periodontitis* II. Correlation between Immunofluorescence and Culture Techniques. J Periodontol, 1987. 58(8): p. 540-545.
Referans49. Hughes, F.J., et al., Prognostic factors in the treatment of generalized aggressive periodontitis: I. Clinical features and initial outcome. J Clin Periodontol, 2006. 33(9): p. 663-670.
Referans50. Greenstein, G. and A. Polson, The role of local drug delivery in the management of periodontal diseases: a comprehensive review. J Periodontol, 1998. 69(5): p. 507-520.
Referans51. Borekci, T., et al., Efficacy of adjunctive photodynamic therapy in the treatment of generalized aggressive periodontitis: A randomized controlled clinical trial. Lasers in surgery and medicine, 2018.