Early onset (< 35 years) Periodontitis

- May involve host defense abnormalities.
- Associated with severe & rapid periodontal destruction.
- Aggregatibacter actinomycetemcomitans plays a prominent role.

Prepubertal

- Rare condition that usually affects deciduous teeth.
- Neutropenia observed.

Juvenile

- Age of onset between 10-20 years.

Rapidly Progressive

- Age of onset between 20-30 years.

First line therapy

• Personal plaque/calculus control and professional debridement essential
• Consider referral to a periodontal specialist