Non-Inflammatory Destructive Periodontal Disease

José Ricardo Kina1, *, Thaís Yumi Umeda Suzuki2, Eunice Fumico Umeda Kina3, Juliana Kina4, Mônica Kina3
1 Department of Surgery and Integrated Clinic, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil
2 Department of Dental Materials and Prosthodontics, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil
3 DDS, Private Practice, Araçatuba, SP, Brazil
4 Department of Pediatric Dentistry and Public Health, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil

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© José Ricardo Kina et al. ; Licensee Bentham Open.

open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (, which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

* Address correspondence to this author at the Department of Surgery and Integrated Clinic - UNESP Rua José Bonifácio, 1193 Araçatuba - 16015-050 SP Brazil; Tel/Fax: 55 18 3636-3200; E-mail:



Non-Inflammatory Destructive Periodontal Disease (NIDPD), is a severe destructive periodontal disease, that is characterized by the attachment loss and alveolar bone loss, without signs of the gingival inflammation, and the periodontal pocket development.


Despite the fact that various cases of NIDPD have been reported; their etiology and disease evolution is still indefinite, and therefore, are open for discussion.


An NIDPD case was studied in order to demonstrate features of the disease, and discuss the possible etiology and treatment.


In this clinical case, the etiology of NIDPD seems to be an association of endogenous opportunist bacteria with anatomical aspects, occlusion pattern, emotional stress and mouth breathing condition.


In spite of all cases described in the literature are comparable and may have similar etiology as related in this clinical case, additional research is needed to identify and clarify the role of the etiologic factors which determine the disease.

Keywords: Etiologic factors, gingival recession, inflammatory process, non inflammatory destructive periodontal disease.