Periodontal and space maintenance considerations for primary teeth presenting with aggressive periodontitis: a case report.
Aggressive periodontitis is diagnosed mainly by clinical and radiographic examination. Diagnosis in the primary dentition indicates a choice between conservative and radical treatment that involves extractions, depending on the severity of the case. The purpose of this report was to  present a case of aggressive periodontitis in a systemically healthy child and to discuss the periodontal and orthodontic aspects. A 7-year-old girl presented with bleeding on probing of approximately half of the dentition, deep periodontal pockets around all primary molars, and increased  tooth mobility. An individual oral hygiene program was initiated. The primary maxillary right molar and all primary mandibular molars were extracted, and clear vacuum-formed removable retainers were fabricated and used as space maintainers. The patient was followed longitudinally for 2 years,  and no space loss was recorded. Clear vacuum-formed removable retainers mainly involve occlusal crown attachment and, therefore, decrease the risk of plaque accumulation, gingival irritation, and aggressive periodontitis in the permanent dentition.
Orthodontic and Craniofacial Department, School of Graduate Dentistry, Rambam Health Care Campus, Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Hagai
H
Hazan-Molina
Hadar
H
Zigdon
Shmuel
S
Einy
Dror
D
Aizenbud
D002648:Child; D005260:Female; D006801:Humans; D010518:Periodontitis / Q000503:physiopathology*; D011861:Radiography, Dental; D014087:Tooth Movement Techniques; D014094:Tooth, Deciduous