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Periodontitis, aggressive 1

MedGen UID:
1644602
Concept ID:
C4551681
Disease or Syndrome
Synonyms: Aggressive Periodontitis; PERIODONTITIS, JUVENILE; PERIODONTITIS, PREPUBERTAL
 
Gene (location): CTSC (11q14.2)
 
Monarch Initiative: MONDO:0008226
OMIM®: 170650

Definition

Aggressive periodontitis, which may be generalized or localized, is characterized by severe and protracted gingival infections, leading to tooth loss. Amounts of microbial deposits are generally inconsistent with the severity of periodontal tissue destruction and the progression of attachment and bone loss may be self arresting (American Academy of Periodontology, 2000). The term 'aggressive periodontitis' replaced the terms 'early-onset,' 'prepubertal,' or 'juvenile periodontitis' at a 1999 International workshop for a classification of periodontal disease and conditions, where it was decided that the classification terminology should not be age dependent or require knowledge of rates of progression (Armitage, 1999). Genetic Heterogeneity of Aggressive Periodontitis Aggressive periodontitis-2 (608526) has been mapped to chromosome 1q25. [from OMIM]

Clinical features

From HPO
Palmoplantar keratosis
MedGen UID:
44017
Concept ID:
C0022596
Disease or Syndrome
Abnormal thickening of the skin localized to the palm of the hand and the sole of the foot.
Severe periodontitis
MedGen UID:
871390
Concept ID:
C4025886
Disease or Syndrome
A severe form of periodontitis.
Gingival recession
MedGen UID:
6607
Concept ID:
C0017572
Finding
The loss of gum tissue. The result is that gum tissue is recessed and its position on the tooth is lowered, exposing the roots of the teeth.
Premature loss of teeth
MedGen UID:
66678
Concept ID:
C0232513
Finding
Exfoliation of a tooth more than 2 SD earlier than the normal age for the deciduous teeth and not related to traume or neglect. Exfoliation of a permanent tooth is per se abnormal.

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  

Professional guidelines

PubMed

Erbe C, Heger S, Kasaj A, Berres M, Wehrbein H
Clin Oral Investig 2023 Jan;27(1):79-89. Epub 2022 Dec 11 doi: 10.1007/s00784-022-04822-1. PMID: 36502508Free PMC Article
Kumar S
Dent Clin North Am 2019 Jan;63(1):69-81. Epub 2018 Oct 29 doi: 10.1016/j.cden.2018.08.005. PMID: 30447793
Aimetti M
Int J Esthet Dent 2014 Summer;9(2):251-67. PMID: 24765632

Recent clinical studies

Etiology

Khattri S, Kumbargere Nagraj S, Arora A, Eachempati P, Kusum CK, Bhat KG, Johnson TM, Lodi G
Cochrane Database Syst Rev 2020 Nov 16;11(11):CD012568. doi: 10.1002/14651858.CD012568.pub2. PMID: 33197289Free PMC Article
Mizuno N, Kume K, Nagatani Y, Matsuda S, Iwata T, Ouhara K, Kajiya M, Takeda K, Matsuda Y, Tada Y, Ohsawa R, Morino H, Mihara K, Fujita T, Kawaguchi H, Shiba H, Kawakami H, Kurihara H
J Hum Genet 2020 Oct;65(10):841-846. Epub 2020 May 19 doi: 10.1038/s10038-020-0777-z. PMID: 32424308
Fine DH, Patil AG, Loos BG
J Periodontol 2018 Jun;89 Suppl 1:S103-S119. doi: 10.1002/JPER.16-0712. PMID: 29926947
Nibali L
Virulence 2015;6(3):223-8. doi: 10.4161/21505594.2014.986407. PMID: 25654663Free PMC Article
Teughels W, Dhondt R, Dekeyser C, Quirynen M
Periodontol 2000 2014 Jun;65(1):107-33. doi: 10.1111/prd.12020. PMID: 24738589

Diagnosis

Ma C, Wu M, Gao J, Liu C, Xie Y, Lv Q, Zhang X
Brain Behav 2023 Feb;13(2):e2888. Epub 2023 Jan 9 doi: 10.1002/brb3.2888. PMID: 36621868Free PMC Article
Tonetti MS, Greenwell H, Kornman KS
J Clin Periodontol 2018 Jun;45 Suppl 20:S149-S161. doi: 10.1111/jcpe.12945. PMID: 29926495
Kar K
J Calif Dent Assoc 2011 Jun;39(6):372-4. PMID: 21823494
Highfield J
Aust Dent J 2009 Sep;54 Suppl 1:S11-26. doi: 10.1111/j.1834-7819.2009.01140.x. PMID: 19737262
Oh TJ, Eber R, Wang HL
J Clin Periodontol 2002 May;29(5):400-10. doi: 10.1034/j.1600-051x.2002.290504.x. PMID: 12060422

Therapy

Ma C, Wu M, Gao J, Liu C, Xie Y, Lv Q, Zhang X
Brain Behav 2023 Feb;13(2):e2888. Epub 2023 Jan 9 doi: 10.1002/brb3.2888. PMID: 36621868Free PMC Article
Erbe C, Heger S, Kasaj A, Berres M, Wehrbein H
Clin Oral Investig 2023 Jan;27(1):79-89. Epub 2022 Dec 11 doi: 10.1007/s00784-022-04822-1. PMID: 36502508Free PMC Article
Machado V, Lobo S, Proença L, Mendes JJ, Botelho J
Nutrients 2020 Jul 22;12(8) doi: 10.3390/nu12082177. PMID: 32708032Free PMC Article
Kinane DF, Stathopoulou PG, Papapanou PN
Nat Rev Dis Primers 2017 Jun 22;3:17038. doi: 10.1038/nrdp.2017.38. PMID: 28805207
Drisko CH
Periodontol 2000 2001;25:77-88. doi: 10.1034/j.1600-0757.2001.22250106.x. PMID: 11155183

Prognosis

Ma C, Wu M, Gao J, Liu C, Xie Y, Lv Q, Zhang X
Brain Behav 2023 Feb;13(2):e2888. Epub 2023 Jan 9 doi: 10.1002/brb3.2888. PMID: 36621868Free PMC Article
Tonetti MS, Greenwell H, Kornman KS
J Periodontol 2018 Jun;89 Suppl 1:S159-S172. doi: 10.1002/JPER.18-0006. PMID: 29926952
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS
J Periodontol 2018 Jun;89 Suppl 1:S173-S182. doi: 10.1002/JPER.17-0721. PMID: 29926951
Tonetti MS, Greenwell H, Kornman KS
J Clin Periodontol 2018 Jun;45 Suppl 20:S149-S161. doi: 10.1111/jcpe.12945. PMID: 29926495
Aimetti M
Int J Esthet Dent 2014 Summer;9(2):251-67. PMID: 24765632

Clinical prediction guides

Guentsch A
Monogr Oral Sci 2021;29:119-132. Epub 2020 Dec 21 doi: 10.1159/000510188. PMID: 33427226
Fine DH, Patil AG, Loos BG
J Periodontol 2018 Jun;89 Suppl 1:S103-S119. doi: 10.1002/JPER.16-0712. PMID: 29926947
Clark D, Febbraio M, Levin L
Quintessence Int 2017;48(2):103-111. doi: 10.3290/j.qi.a37387. PMID: 28133644
Nibali L
Virulence 2015;6(3):223-8. doi: 10.4161/21505594.2014.986407. PMID: 25654663Free PMC Article
Tonetti MS, Mombelli A
Ann Periodontol 1999 Dec;4(1):39-53. doi: 10.1902/annals.1999.4.1.39. PMID: 10863374

Recent systematic reviews

Erbe C, Heger S, Kasaj A, Berres M, Wehrbein H
Clin Oral Investig 2023 Jan;27(1):79-89. Epub 2022 Dec 11 doi: 10.1007/s00784-022-04822-1. PMID: 36502508Free PMC Article
Jervøe-Storm PM, Eberhard J, Needleman I, Worthington HV, Jepsen S
Cochrane Database Syst Rev 2022 Jun 28;6(6):CD004622. doi: 10.1002/14651858.CD004622.pub4. PMID: 35763286Free PMC Article
Khattri S, Kumbargere Nagraj S, Arora A, Eachempati P, Kusum CK, Bhat KG, Johnson TM, Lodi G
Cochrane Database Syst Rev 2020 Nov 16;11(11):CD012568. doi: 10.1002/14651858.CD012568.pub2. PMID: 33197289Free PMC Article
Machado V, Lobo S, Proença L, Mendes JJ, Botelho J
Nutrients 2020 Jul 22;12(8) doi: 10.3390/nu12082177. PMID: 32708032Free PMC Article
Chambrone L, Wang HL, Romanos GE
J Periodontol 2018 Jul;89(7):783-803. doi: 10.1902/jop.2017.170172. PMID: 30133749

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