A more radical approach is to undertake flap surgery so that better access is achieved
for root cleaning, and the superficial, infected connective tissues are excised. An
antimicrobial regimen can also be implemented in conjunction with a surgical
approach.
Key Points
Permanent dentition (juvenile periodontitis)⎯treatment:
- plaque control;
- mechanical debridement;
- systemic antimicrobials;
- periodontal surgery.
634H
Fig. 11.12 (a) Clinical appearance of a
13-year-old girl with localized
aggressive periodontitis. (b)
Radiographic appearance of vertical
bone loss on the mesial aspect of 6|.
(Reproduced by kind permission of Mr
D. G. Smith, Consultant in Restorative
Dentistry, Newcastle upon Tyne).635H
Fig. 11.13 Radiographic view of |7 that
has erupted and tipped mesially into the
|6 extraction site. The contour of the
bone crest on the mesial of |7 gives the
impression of a vertical bony defect.