Does the patient have Rapidly Progressive Periodontitis?
Rapidly progressive periodontitis falls under the general category of early onset periodontitis. What specifically defines rapidly progressive periodontitis is that the destructive lesions are generalized throughout the dentition in a patient between 14-35 years of age who demonstrates a less than expected amount of etiology factors (plaque and calculus) for the amount of periodontal destruction. Page in 1983 gave precise parameters to definitively diagnosis this disease: • Patient aged between puberty to 35 years; • Clinical attachment loss of greater than 6 mm affecting at least 14 teeth (without any evidence of occlusal trauma, and local predisposing factors); • At least 3 of the teeth involved must not be 1st molars or incisor teeth. The amount of destruction can occur quickly and differentiates this diagnoses from slowly progressive periodonitis; therefore, evaluation of the rate of destruction is an important part of the diagnostic criteria. The disease can be episodic with perio
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- Does the patient have Rapidly Progressive Periodontitis?