title: Periodontal diseases in children and adolescents: a clinician's perspective part 2.
abstract: The general dental practitioner and paediatric dentist are in a unique position to identify and distinguish between a seemingly innocuous condition that may be a normal physiological aberration or an early sign of severe destructive periodontal disease. Although severe destructive periodontal conditions are uncommon in children, it is essential that children receive a periodontal screening as part of their regular dental examination. Early diagnosis ensures a high likelihood of a successful therapeutic outcome, primarily by reduction of aetiologic factors, remedial therapy and development of an effective maintenance protocol. This prevents the recurrence and progression of disease and reduces the incidence of tooth loss. In the first article, we discussed the classification, plaque-induced and non plaque-induced gingival diseases, localized and generalized forms of chronic as well as aggressive periodontitis. In this second article, we discuss periodontitis as a manifestation of systemic disease, necrotizing periodontal diseases, periodontal screening and basic periodontal examination, and treatment of periodontal diseases in children and adolescents.
  
  
  CONCLUSIONS
  Incorporation of periodontal screening in regular dental examination by dentists can help in early diagnosis and treatment of periodontal diseases. This could prevent further progression of disease and reduce the frequency of tooth loss.
authors.affiliation: Department of Periodontics, Institute of Dental Studies and Technologies, Modinagar, Uttar Pradesh, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Kumar
authors.forename: Sujata Surendra
authors.initials: SS
authors.lastname: Masamatti
authors.forename: Mandeep Singh
authors.initials: MS
authors.lastname: Virdi
mesh_terms: D000293:Adolescent; D002609:Chediak-Higashi Syndrome / Q000150:complications; D002648:Child; D002675:Child, Preschool; D000080984:Congenital Bone Marrow Failure Syndromes; D002658:Developmental Disabilities / Q000150:complications; D004314:Down Syndrome / Q000150:complications; D004535:Ehlers-Danlos Syndrome / Q000150:complications; D005385:Fingers / Q000002:abnormalities; D005892:Gingivitis, Necrotizing Ulcerative / Q000150:complications; D006008:Glycogen Storage Disease / Q000150:complications; D015614:Histiocytosis / Q000150:complications; D006801:Humans; D007014:Hypophosphatasia / Q000150:complications; D008607:Intellectual Disability / Q000150:complications; D007938:Leukemia / Q000150:complications; D018370:Leukocyte-Adhesion Deficiency Syndrome / Q000150:complications; D008403:Mass Screening; D008831:Microcephaly / Q000150:complications; D009123:Muscle Hypotonia / Q000150:complications; D009216:Myopia / Q000150:complications; D009503:Neutropenia / Q000150:complications / Q000151:congenital; D009765:Obesity / Q000150:complications; D010214:Papillon-Lefevre Disease / Q000150:complications; D010518:Periodontitis / Q000209:etiology* / Q000628:therapy*; D012017:Referral and Consultation; D012162:Retinal Degeneration