Early diagnosis and successful management of periodontosis.

A brief review of the literature regarding the recognition, causes, and different therapeutic approaches of periodontosis was presented. Two cases of periodontosis in the early stages were reported, and a successful treatment plan using modalities similar to those used for other forms of periodontitis was described. Early diagnosis of the condition was critical to the success of both cases. Both patients were taught good oral hygiene, which, along with scaling, root planning, and conservative periodontal surgery, not only resulted in arresting the disease process, but also encouraged osseous regeneration. These examples emphasize the necessity of routine periodontal examinations for all children, especially at the circumpubertal period because periodontosis is often passed unnoticed until there has been massive periodontal destruction. The management of the advanced conditions is more challenging and seldom successful.