Localized Aggresive Periodontitis

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 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 loss on molar and incisors region. The bone loss on the molar region typically extend from distal aspect of second preomolar to the mesial surface of second molar, this pattern is also termed as mirror image type of bone loss. There is high grade mobility associated with bone loss and pocket formation

This type of Periodontitis is managed by 

    1.    Localized scaling and rootplaning

    2    Followed by Antimicrobial Therapy

            Usually Penicillin and Metronidazole or Sub antimicrobial dose of Doxycycline.


On follow up, there will be gradually reduce in mobility and pocket depth. And patient will be satisfied if the proper management and timely intervention is done


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