Albandar reviewed criteria for the diagnosis of aggressive periodontitis. The author is from Temple University.
In most cases the permanent dentition is affected but occasionally the primary teeth may be affected.
Key features of aggressive periodontitis:
(1) The onset is usually at an early age(typically starting from around puberty to before 25 years of age)
(2) Multiple teeth are involved with a clinical loss of attachment.
(3) There is radiographic evidence of bone loss (There is vertical bone loss at the proximal surfaces of posterior teeth, usually bilaterally. Eventually there may be a horizontal loss of the alveolar bone.)
(4) There is a relatively rapid rate of disease progression.
(5) The patient does not have a debilitating systemic disease that would compromise the host's response to infection.
Aggressive periodontitis may be:
(1) localized (usually starting at the first molars and incisors)
(2) generalized (most or all of teeth affected)
