What is the amount of bone loss seen in a person suffering from juvenile periodontitis?

Question

Hello doctor,

How much bone is usually lost percentage-wise with moderate periodontal disease? And how much bone is usually lost with Juvenile periodontal disease? What is the difference between angular bone and horizontal bone?

If it has just affected the lower teeth would this be localized or can it still be generalized and just affect the lower teeth? Does a thin gum indicate gum disease or can the gum still be thin and the person has been born that way?

And finally, how much bone percentage-wise is needed at a minimum for braces?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query.

Juvenile periodontitis is a condition typically seen in teenagers with very specific clinical signs. Please tell me your age. Perhaps the best option is that you send us your X-ray along with any pictures you have of your teeth involved before and after your gum surgery. Also, you must have some medical reports stating your progress.

I will answer a few questions asked by you.

1. Generalized periodontitis means it is present in more than 30 % of your teeth.

2. Localised periodontitis is usually present in one area.

3. Commonly it can be due to increased deposits of plaque or calculus on those teeth.

4. Angular bone loss and horizontal bone loss are relevant to the planning of treatment.

The amount of bone loss cannot be quantified for any particular type of periodontitis. It varies from no bone loss to complete bone loss. The prognosis will be best for mild and worst for severe bone loss. It depends only on local and systemic factors unique to each individual.

With regards to braces treatment, as I said earlier, each case is different and the final decision to go ahead with braces depends on the investigations- X-rays, pictures, clinical examination, and maintenance of oral hygiene and thus periodontal health.

Hope it helps.

Thanks and regards.