case243

Treatment Considerations

Success of treatment of LJP is related to early detection and intervention. For this reason, it is important to perform periodontal probing in all adolescents. Remember even if only 1% of the population has LJP or GJP then one in every 100 teenagers or young adults we see in practice will have bone loss (like Andy). The Peridontal Screening and Recording System (PSR) can be used as a screening mechanism.

Andy's sibling should be examined around puberty to detect familiar patterns. The parent(s) should be informed of risk factors and the need for careful monitoring.
When LJP is detected, microbiologic monitoring to identify causative pathogens and antibiotic sensitivities should be performed. Patients also should be referred to a periodontist.

Click on image for a more detailed view
Conventional therapy (nonsurgical or surgical depending on severity of attachment loss) is recommended in conjunction with systemic antibiotics.

Aa invades the gingival and periodontal tissues, so systemic antibiotics are helpful adjuncts to resolving the infection.^{1, 3, 23}

Studies have shown that LJP patients who received periodontal therapy gained periodontal attachment; those without treatment lost attachment.^{16, 18, 19, 22, 23}

Treatment Considerations
	Success of treatment of LJP is related to early detection and intervention. For this reason, it is important to perform periodontal probing in all adolescents. Remember even if only 1% of the population has LJP or GJP then one in every 100 teenagers or young adults we see in practice will have bone loss (like Andy). The Peridontal Screening and Recording System (PSR) can be used as a screening mechanism.
Andy's sibling should be examined around puberty to detect familiar patterns. The parent(s) should be informed of risk factors and the need for careful monitoring. When LJP is detected, microbiologic monitoring to identify causative pathogens and antibiotic sensitivities should be performed. Patients also should be referred to a periodontist.
Click on image for a more detailed view	Conventional therapy (nonsurgical or surgical depending on severity of attachment loss) is recommended in conjunction with systemic antibiotics. Aa invades the gingival and periodontal tissues, so systemic antibiotics are helpful adjuncts to resolving the infection.^{1, 3, 23}
Studies have shown that LJP patients who received periodontal therapy gained periodontal attachment; those without treatment lost attachment.^{16, 18, 19, 22, 23}