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Dentistry · Caries and periodontal disease: aggressive periodontitis
Sample itemA healthy 16-year-old has rapid attachment loss around first molars and incisors with a family history. Which organism is most strongly associated?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Aggregatibacter actinomycetemcomitans
Localised aggressive periodontitis in young people is strongly linked to A. actinomycetemcomitans, which produces a leukotoxin. Treatment combines debridement with systemic antibiotics.
Option by option
A. Candida albicans
Candida is a fungal cause of thrush.
B. Aggregatibacter actinomycetemcomitans (correct)
Correct. It is the key organism in this form.
C. Streptococcus mutans
S. mutans is the main caries organism.
D. Staphylococcus aureus
S. aureus is not the usual periodontal pathogen.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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