A healthy 16-year-old non-smoker has interdental attachment loss of 6 mm and about 40% radiographic bone loss limited to the first molars and incisors, despite little plaque. What is the most appropriate diagnosis using the 2017 AAP/EFP classification?
- Correct answer
Periodontitis, Stage III, Grade C, molar/incisor pattern
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Localized aggressive periodontitis
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Periodontitis, Stage II, Grade B, localized
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Necrotizing periodontitis
This question is one of 15 in AFK practice: Periodontics. Test yourself on all of them.
Practice quiz FlashcardsExplanations
CAL of 5 mm or more with bone loss into the middle third indicates Stage III, a bone loss/age ratio of about 2.5 indicates Grade C, and the distribution is described as a molar/incisor pattern. Localized aggressive periodontitis is the pre-2017 term and is no longer used.
Source: Tonetti, Greenwell and Kornman, Staging and grading of periodontitis (J Periodontol 2018) link — oneguy
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