8.2 perio as manifestation of systemic disease

perio of kids occurs

primary dentition - 4/5 y/o

perio as manifestation of systemic disease associated with:

• Associated with immune dysfunction or genetic disorders

• Leukocyte adhesion deficiency

• A. actinomycetecomitans, Prevotella intermedia, etc.

what are some developmental or acquired deformities or conditions that could lead to perio as manifestation of systemic disease?

• Diabetes mellitus

• Chédiak-Higashi syndrome - rare

• Hypophosphatasia - low alkaline phosphatase

• Langerhans cell histiocytosis - cancer like

• Papillon Lefèvre Syndrome - rare

• Periodontal Ehlers-Danlos Syndrome

diabetes mellitus

diabetes mellitus: erythematous inflam and blunted papilla

Chédiak-Higashi syndrome

• partial oculocutaneous albinism: pale gray, pink eyes

• storage pool deficiency of platelets → issue w forming and maintaining clot

Chédiak-Higashi syndrome

hypophosphatasia

hypophosphatasia - premature exfoliation of primary teeth w little or no root resorption

langerhans cell histiocytosis

langerhans cell histiocytosis

papillon lefèvre syndrome

papillon lefèvre syndrome

perio ehler-danlos syndrome

perio ehler-danlos syndrome

almost half of trisomy 21 (down syndrome pts) have

cardiac anomaly (like congenital defect of tricuspid valve)

+cardiac anomaly, recurrent otitis media, URI

trisomy 21 (down syndrome pts)

(but perio high)

trisomy 21 (down syndrome pts)

By the time she was 24 months, her front teeth came out—most of her baby teeth have fallen out randomly

Clinical exam:

• Teeth #E, F, O, P missing, no clinical caries

• Teeth #D & G: Class II mobility

• Mild localized gingivitis

Radiographic exam

• Enlarged pulp chambers

• Atypical appearance of clinical crown of the permanent molars

• Thin dentin

• Horizontal alveolar bone loss

HPP

treatment plans and considerations for hpp pts

hpp presentation