Mârţu Ioana, Mârţu Silvia, Mârţu- Stefanache Maria-Alexandra, Păsărin Liliana, Solomon Sorina Mihaela
CHRONIC PERIODONTITIS vs AGGRESSIVE PERIODONTITIS. Review
Throughout most of the paste century, this form of periodontitis has been considered an inflammatory disease associated with local irritants and the formation of dental plaque (biofilms) on tooth surfaces. This concept prevails today. In the past three decades, authors have used for description aggressive periodontitis a variety of terms for cases in which there is generalized severe periodontal destruction in young patients, including generalized juvenile rapidly progressive, or simply severe periodontitis. In most respects, the disease clinically resembles chronic periodontitis except the affected individuals are much younger and the rate of progression is assumed to be rapid since there is extensive periodontal damage in a young person. In a general way, chronic and aggressive periodontitis share many clinical features, but the specific details of the shared features are not necessarily identical in both forms of the disease. Nevertheless, it is well established that they are both complex infections that occur in susceptible hosts and are caused by biofilms that form on tooth surfaces. In both cases, the disease-producing biofilms comprise microorganisms that are components of the indigenous (normal) oral microbiota. In addition, host inflammatory ⁄ immune reactions to the presence of the biofilms are primarily responsible for the loss of periodontal attachment and alveolar bone supporting the teeth.