Abstract
A 4-year-old boy with severe mobility and pain of the right lower primary canine visited our clinic and was subjected to clinical as well as laboratory examination for diagnosis and treatment. The canine was accompanied by severe bone loss with a pocket depth exceeding 5-6 mm. The left lower canine showed slight mobility and moderate alveolar bone loss. No apparent pathological findings were noted on the other primary teeth. The oral hygiene of this case was fairly favorable with a small amount of calculus deposition around the lower anterior teeth. Medical examination did not reveal any specific findings, such as recurrent otitis media, bacterial infection or hyperkeratosis of the palms and soles.
Seven months after the first visit, the patient revisited us with a complaint of pain around the right lower lateral incisor. During a period of 3-4 weeks, alveolar bone loss around the lower anterior teeth occured rapidly and the teeth became noticeably mobile. The primary lateral incisor was extracted and the other teeth were treated by scaling and systemic/local administration of antibiotics. After the treatment, these teeth became less mobile.
