![]() ![]() Several studies have done towards Aggressive Periodontitis patients, and discovered that the most dominant pathogen bacteria was Aggregatibacter actinomycetemcomitans with dysfunction of PMN immune function, genetic influence and tend to occurred in the family group ( Joshipura et al., 2015, Ishikawa, 2007, Dumitrescu and Kobayashi, 2010, Noack and Hoffman, 2004, Van der Velden, 2017). ![]() The oral hygiene of aggressive periodontitis patients look good, with a small amount of dental plaque and unclear signs of inflammation, is not commensurate with the severity of the illness. This disease progresses very rapidly, with clinical symptoms of progressive attachment loss and bilateral symmetric arch shape alveolar bone resorption. This term replaced the “Juvenile Periodontitis” term since the age factor did not determine Aggressive Periodontitis ( Hinrichs and Kotsakis, 2012). The International Workshop for a Classification of Periodontal Diseases and Conditions in 1999 established a diagnosis of Aggressive Periodontitis for periodontitis occurring in individuals of the age group of 14-years-old up to above 30-years-old ( Newman et al., 2014). ![]()
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