Aggressive Periodontitis (Grade C)

Gums may bleed, swell, or feel tender, and persistent bad breath or changes in tooth stability can occur. The visible signs do not replace an examination.

The current classification no longer treats aggressive periodontitis as a separate form. It groups it under periodontitis and uses grade to estimate the likelihood and rate of progression.

Stage I is the least severe category and Stage IV the most severe. Grade A indicates low progression risk, Grade B moderate risk, and Grade C high risk.

The grading system considers overall health, smoking, and metabolic control of diabetes. Grade C means the framework estimates a high risk of progression.

Diagnosis uses the staging and grading framework. Stage describes severity; grade communicates progression rate and the anticipated response to treatment.

Initial active treatment uses mechanical debridement, either alone or with antimicrobial drugs. Scaling and root planing can improve clinical measures, though it does not always secure long-term stability.

Care may include debridement, antimicrobial drugs, surgery, or regenerative techniques, followed by a strict maintenance programme and control of modifiable risk factors.

Without stable periodontal health, disease can recur and teeth can be lost. Regular maintenance and control of modifiable risks are part of protecting the result.

After periodontal health is achieved, strict maintenance focuses on controlling risk factors for recurrence and tooth loss. Proper oral hygiene supports surgical and regenerative treatment results.