Localized Aggressive Periodontitis of Bilateral Mandibular Primary Canine: A Case Report

雙側下顎乳犬齒局部性侵襲性牙周炎：病例報告

劉上禎(Shang-Cheng Liu) ； 王姻麟(Yin-Lin Wang) ； 王詩凱(Shih-Kai Wang) ； 張曉華(Hsiao-Hua Chang) ； 黃桂芬(Gui-Fen Huang) ； 郭敏光(Ming-Kuang Guo) ； 陳木熊(Mu-Hsiung Chen) ； 王爾均(Erh-Chun Wang) ； 方彥期(Yen-Chi Fang) ； 邱雅琳(Ya-Lin Chiou) ； 潘星翰(Hsing-Han Pan)

《臺灣兒童牙醫學雜誌》 22卷1期 (2022/03) Pp. 35-41

https://doi.org/10.6319/TJPD.202203_22(1).0005

摘要

Periodontitis, compared to gingivitis, is a relatively uncommon disease in children, and the accumulation of plaque is not the common cause. Thorough examinations are required to reveal the real cause for periodontitis in children which may involve local factors or other underlying systemic diseases. However, the etiology of periodontitis is multifactorial and undetermined causes are still present. This case report is about a two-year follow-up of a five-year-old boy with atypical localized aggressive periodontitis that caused premature loss of bilateral mandibular canine, and the discussion focuses mainly on the etiology. Although periodontitis is a relatively rare condition in children, it may result in acute symptoms and tooth loss, which should not be overlooked.

關鍵字

Localized aggressive periodontitis ； Primary canine

並列摘要

相較於牙齦炎，牙周炎較少發生在小朋友身上，即使發生了也多半不是由牙菌斑的堆積所造成。局部因素和潛在的全身性疾病可能才是造成小朋友牙周炎的原因，因此需要格外仔細的檢查。即使如此，牙周炎本身是多因素病因造成的疾病，依然存在著無法歸納出單一病因的情況。本案例為一位追蹤了兩年的五歲男童，下顎兩側乳犬齒因局部性侵襲性牙周炎而提早脫落，討論因此著重在探討可能的致病原因。雖然像是本案例發生在乳牙的牙周破壞並不常見，仍然不可輕忽這樣的情況在臨床上所可能導致的急性症狀跟乳牙提早脫落的問題。

並列關鍵字

局部性侵襲性牙周炎 ； 乳犬齒