Localized Aggresive Periodontitis
Localized Aggressive Periodontitis, also known as LAP and Juvenile Periodontitis is an aggresive form of periodontal disease that occurs on the early stage of life during adolescence with severe symptoms. Usually it is common on male of age 17-25, with male predilection. There is aggresive bone loss and mobility as compared to the people of similar age. It is basically a disease with impared neutrophilic function, neutrophil chemotaxis activity is reduced. There is severe tissue destruction as a result. LAP usually is caused by AA(A. Actinomycetamcomitans) which is gram -ve faculative anaerobic capnophilic rod, which has ability to invade to the connective tissue. Usually patient with LAP have less local irritating factor as compared to patient with chronic periodontis, despite that there is severe destruction. The initial findings on LAP is the distolabial migration of central incisors and involvement of first molars and incisiors only. Radiographically there is horizontal bone los