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Genetic Disorders

A genetic disorder is a disease caused by the absence of a Gene or products of the defective Gene. Genetic diseases are transmitted from one generation to another, but not necessarily appear in every generation.

A. family and cyclic neutropenia

1. Hereditary and congenital diseases that affect the bone marrow, resulting in abnormally low levels of neutrophils (PMNs) in the blood.

2. Persons with cyclic neutropenia may have serious periodontal lesions. Periodontal symptoms of the disease appear at a young age [5].

Hematologic Disorders

Hematologic violations are violations in the structure and function of the blood and blood-forming tissue such as erythrocytes, leukocytes, platelets, or blood clotting factors. There are many rare hematologic disorders that can affect the periodontal {field 17-2).

A. Acquired Neutropenia

1. Neutropenia is a blood disorder characterized by abnormally low levels of neutrophils (PMNs) in the blood.

2. Neutropenia has many causes. It can be genetic or may be seen with viral infections and after radiotherapy and chemotherapy. It affects one in three patients receiving chemotherapy for cancer treatment.

3. Neutropenia reduces immune barrier, bacterial and fungal infection.

TREATMENT CONSIDERATIONS FOR AGGRESSIVE PERIODONTITIS

1. Screening for aggressive periodontitis. A small but significant proportion of children and young adults are considered to be affected by aggressive periodontitis. Early diagnosis is important, given the severity and progression aggressive periodontitis.

A. screening adolescents and adults

1. Periodontal probing is the most accurate method of screening for detection of loss of investments currently available. Measurement attachment sensing is screening method of choice for adolescents and adults.

2. If aggressive periodontitis is suspected, the patient should be updated and revised to eliminate the possibility of systemic factors. Periodontal disease as a manifestation of systemic disease-a disease Category that is used when the system state is the major predisposing factor for periodontal disease.

Generalized Aggressive Periodontitis (GAP)

A. characteristics of generalized aggressive periodontitis (box 16-2)

1. The beginning of generalized aggressive periodontitis occurs in people younger than 30 years, but patients may be over. A us survey of teenagers aged from 14 to 17 reported that by 0.13% had a break [2].

2. Generalized remove deposits affecting loss of investment, at least three other permanent teeth than the first teeth and teeth. Removing attachments and alveolar bone is very episodic, occurring in the sequence of the acute phase and not in a gradual progression.

LOCALIZED AND GENERALIZED AGGRESSIVE PERIODONTITIS

1. Localized aggressive periodontitis (LAP)

A. characteristics of localized aggressive periodontitis (box 16-1)

1. Beginning localized aggressive periodontitis during puberty

GENERAL CHARACTERISTICS OF AGGRESSIVE PERIODONTITIS

1. Alternative Terminology. Until recently, aggressive periodontitis was defined as occurring in individuals under the age of 30 years and was known as early periodontitis (EOP). The AgP features, you can present at any age and is not limited to those under randomly selected at the age of 30.

RECURRENT AND REFRACTORY FORMS OF CHRONIC PERIODONTITIS

1. Recurrences of the disease-new signs and symptoms destructive periodontal disease, which occur after periodontal treatment, because the disease was not adequate treatment and/or the patient was not the practice of proper care.

TREATMENT CONSIDERATIONS FOR INITIAL NONSURGICAL THERAPY

1. Initial therapy of chronic Periodontitis

A. primary health care includes:

1. Consultation with the doctor of the patient shown in systemic risk factors (such as: uncontrolled or poorly controlled diabetes, systemic disease, or a certain system of drugs).

2. Customer-specific training, support, and evaluation of patient self-care skills.

SEVERITY, EXTENT, AND PROGRESSION OF CHRONIC PERIODONTITIS

1. The extent of damage in chronic Periodontitis

A. Overview. How is the degree or amount of the periodontium, delete, and can be characterized on the basis of the number of sites that had survived the destruction of tissue.

1. Localized inflammation may include one site on a single tooth, several sites on the tooth or several teeth. The patient may have and sanitary zones and zones with chronic periodontitis with tissue destruction.

Onset and Progression Chronic Periodontitis

A. gingivitis as a risk factor for chronic Periodontitis

1. RAID-induced inflammation of the gums precedes the beginning of chronic periodontitis. RAID-induced gingivitis can remain stable for many years and never achieve perfection, to become periodontitis.

2. Bacterial plaque biofilm will encourage gingivitis, but the susceptibility of the patient and other factors, such as to determine whether or not chronic periodontitis will develop.


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