Name of the Condition

• Aggressive Periodontitis, Localized, Moderate

Summary

Aggressive periodontitis is a severe form of periodontal disease characterized by rapid attachment loss and bone destruction. This condition affects the gums and supporting structures of the teeth, specifically localized to certain areas in the mouth. It progresses quickly and requires early intervention to prevent tooth loss.

Causes

• Genetic factors play a significant role in the development of aggressive periodontitis.
• Bacterial infections, particularly those involving periodontal pathogens, are integral to disease progression.

Risk Factors

• Family history of periodontal disease.
• Poor oral hygiene practices.
• Smoking or use of tobacco products.
• Systemic factors such as diabetes may exacerbate the condition.

Symptoms

• Swollen, red, or tender gums.
• Bleeding gums during brushing or flossing.
• Rapid attachment loss and migration of specific teeth.
• Presence of pus between the gums and teeth.

Diagnosis

• Comprehensive periodontal examination.
• Radiographic imaging to assess bone loss.
• Assessment of clinical attachment levels.
• Microbiological tests to identify specific pathogens.

Treatment Options

• Scaling and root planing to remove plaque and tartar.
• Antibiotic therapy to control bacterial infection.
• Surgical intervention in severe cases to restore supportive tissues.
• Regular periodontal maintenance cleanings post-treatment.

Prognosis and Follow-Up

• With timely and effective treatment, the progression can be halted, preserving the teeth.
• Regular follow-ups are crucial to monitor periodontal health and prevent recurrence.

Complications

• If untreated, aggressive periodontitis can lead to significant tooth loss.
• Potential for systemic health implications, linking periodontal infection to other conditions like cardiovascular disease.

Lifestyle & Prevention

• Maintaining excellent oral hygiene practices, including regular brushing and flossing.
• Routine dental check-ups and professional cleanings.
• Smoking cessation to reduce risk and support healing.
• Balanced diet to support oral health.

When to Seek Professional Help

• Persistent gum bleeding or bad breath.
• Noticeable changes in the fit of teeth when biting down.
• Swelling or abscesses in the gums.

Additional Resources

• American Academy of Periodontology (AAP)
• National Institute of Dental and Craniofacial Research (NIDCR)

Tips for Medical Coders

• Ensure accurate recording of the specific code K05.212 for localized and moderate severity.
• Double-check for documentation specifying the condition's localization and severity to avoid miscoding.