There is also a relatively fast progression of periodontal tissue loss.With an increase in the age of the patient, there may be progression of the disease involving the adjacent teeth and lead to the patient developing GAP. The periodontal tissue also exhibits minimal signs of inflammation clinically and show a robust response with serum antibodies to pathogens.The amount of plaque present is inconsistent with the amount and severity of tissue destruction  but with a high plaque pathogenicity due to the presence of increased levels of bacteria like Aggregatibacter actinomycetemcomitans (A.a) and Porphyromonas Gingivalis (P.g).Secondary features of LAP may also be present including;
diastema formation with disto-labial migration of the incisors
increased mobility of the affected teeth, sensitivity due to exposed root,
deep dull pain that radiates to the jaw
periodontal abscess with lymph node enlargement

Radiographic features
Radiographically, the periodontal lesion often presents with alveolar bone loss in a horizontal  pattern at the interproximal surface of the permanent first molars  and usually horizontal bone pattern of bone loss at the interproximal surface of the incisors as the bone is thinner than at the interproximal surface of the molars.The alveolar bone loss patterns are usually bilateral and similar on both sides and has been referred to as being a mirror-image pattern.In advanced cases the alveolar bone loss may be depicted as a horizontal bone loss pattern radiographically. Generalized aggressive periodontitis
Clinical features
Mostly in individuals under 30 years oldIn GAP, the clinical appearance of the disease resembles chronic periodontitis.
Granular myringitis is a long term condition in which there is inflammation of the tympanic membrane in the ear and formation of granulation tissue within the tympanic membrane. It is a type of otitis externa.Without treatment it can lead to narrowing of the ear canal. A number of treatment options exist including putting vinegar in the ear, using antibiotic drops, and surgery. == References ==