university theory exam question : aggressive periodontitis , provide o

university theory exam question : aggressive periodontitis , provide only lis of diagram to draws and their source

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aggressive periodontitis university exam diagrams to draw clinical features pathogenesis

Based on all retrieved sources, here is the curated list of diagrams to draw for a university theory exam on Aggressive Periodontitis:

Diagrams to Draw - Aggressive Periodontitis (University Theory Exam)

1. Classification Diagram (Flow Chart / Table)

Draw: A branching diagram showing the 1999 AAP classification

Aggressive Periodontitis
├── Localized Aggressive Periodontitis (LAP)
└── Generalized Aggressive Periodontitis (GAP)

Include former names (Localized Juvenile Periodontitis, Generalized Early-Onset Periodontitis, Rapidly Progressive Periodontitis).

Source: 1999 AAP International Workshop for Classification of Periodontal Diseases; Sherris & Ryan's Medical Microbiology, 8th ed.

2. Primary & Secondary Features (Diagnostic Criteria Table)

Draw: A two-column table or labeled box

Primary Features	Secondary Features
Non-contributory medical history	Scanty microbial deposits inconsistent with severity
Rapid attachment loss & bone destruction	Elevated A. actinomycetemcomitans / P. gingivalis
Familial aggregation	Phagocyte abnormalities (PMN chemotaxis defect)
	Hyper-responsive macrophage phenotype (elevated PGE2, IL-1β)

Source: Lang et al. (1999); Sherris & Ryan's Medical Microbiology, 8th ed., p. 1509

3. Pattern of Bone Loss - LAP vs GAP (Radiographic Diagram)

Draw: Schematic dental arch (upper and lower) showing:

LAP: Arc-shaped / "mirror image" vertical bone loss around first molars and incisors only ("arc cratering")
GAP: Generalized horizontal and vertical bone loss affecting most teeth

Label: molar-incisor pattern, attachment loss, alveolar bone crest.

Source: Carranza's Clinical Periodontology; Dimensions of Dental Hygiene review

4. Pathogenesis Flow Diagram

Draw: A cascade/arrow diagram:

Genetic predisposition (familial aggregation)
        ↓
PMN chemotaxis & phagocytic defect
        ↓
Colonization by A. actinomycetemcomitans
(leukotoxin, collagenase, LPS, cytolethal distending toxin)
        ↓
Hyper-responsive macrophage phenotype
(↑IL-1β, ↑PGE2, ↑TNF-α)
        ↓
Collagen destruction + Alveolar bone resorption
        ↓
Rapid attachment loss & deep periodontal pockets

Source: Sherris & Ryan's Medical Microbiology, 8th ed., p. 1509-1510; Etiology & Pathogenesis of Aggressive Periodontitis (Mani et al., GIJHSR 2018)

5. Microbiology Diagram - Key Pathogens

Draw: A labeled diagram of the subgingival plaque with organisms highlighted:

Primary: Aggregatibacter actinomycetemcomitans (Aa) - present in 97% of cases
Secondary: Porphyromonas gingivalis, Prevotella intermedia, Capnocytophaga spp., Eikenella corrodens

Note virulence factors of Aa: leukotoxin, collagenase, endotoxin (LPS), cytolethal distending toxin (CDT), epitheliotoxin.

Source: Sherris & Ryan's Medical Microbiology, 8th ed., p. 1509-1510; Mani et al. 2018

6. PMN Defect Diagram (Immunopathogenesis)

Draw: Comparison schematic:

Normal PMN: Chemotaxis toward bacteria, phagocytosis, killing
AgP PMN: Impaired chemotaxis, reduced phagocytic function → bacteria evade → uncontrolled tissue destruction

Source: Mani et al., GIJHSR 2018; AAP Consensus Report 1999

7. Clinical Features Diagram - Intraoral Drawing (LAP)

Draw: Labeled intraoral diagram showing:

Deep periodontal pockets at first molars & incisors
Minimal plaque/calculus (clinically healthy-looking gingiva)
Distolabial migration of maxillary incisors with diastema formation
Increasing mobility of affected teeth
"Arc-cratered" vertical bone loss on radiograph

Source: Dimensions of Dental Hygiene; PMC3265097 (Generalized AP case reports)

8. Disease Activity Pattern - GAP (Graph)

Draw: A time vs. attachment loss graph showing episodic "burst" pattern:

Periods of rapid active destruction (bursts)
Alternating periods of quiescence (no clinical signs despite deep pockets)

Label: active phase, quiescent phase, cumulative attachment loss.

Source: PMC3265097 - Generalized Aggressive Periodontitis and Its Treatment Options

9. Comparison Table: LAP vs. GAP vs. Chronic Periodontitis

Draw: A 3-column comparison table covering:

Age of onset
Teeth affected
Bone loss pattern
Plaque/calculus
Microbiology
PMN function
Familial tendency

Source: Sherris & Ryan's Medical Microbiology, 8th ed.; Carranza's Clinical Periodontology

10. Treatment Algorithm (Flow Chart)

Draw: Management steps:

Diagnosis (clinical + radiographic)
        ↓
Phase I: Cause-related therapy
  - Scaling & root planing (SRP)
  - Systemic antibiotics (Amoxicillin + Metronidazole)
        ↓
Re-evaluation (6-8 weeks)
        ↓
Phase II: Surgical therapy (if pockets remain)
  - Osseous surgery / Bone grafts / GTR
        ↓
Phase III: Supportive periodontal therapy (SPT)
  - Family screening

Source: PMC3265097; Carranza's Clinical Periodontology

Priority diagrams for exam (if time limited): #3 (bone loss pattern), #4 (pathogenesis cascade), #2 (primary/secondary features table), and #7 (intraoral clinical features) are the most commonly requested in university theory papers.

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