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Perio
Test 1
50
Dentistry
Undergraduate 1
03/10/2014

Additional Dentistry Flashcards

 


 

Cards

Term
health
gingivitis
periodontitis
Definition
Basic states of the periodontium
Term
reversible tissue damage
Definition
gingivitis
Term
irreversible tissue damage
Definition
periodontitis
Term
PD progression is slow and constant until tooth loss, severity of disease increases with age
Definition
Continuous model theory
Term
PD progresses in short bursts of exacerbation (actively losing attachment) followed by a period of remission where there is no progressive attachment loss
Definition
random burst theory
Term
PD activity occurs during a limited time period followed by remission
Definition
Asynchronous multiple burst theory
Term
all model theories of disease activity
Definition
may be interacting
Term
no one theory alone can
Definition
explain disease progression
Term
you cannot assume
Definition
that all sites will continuously get worse
Term
treatment (?) until a burst of bone destruction has occurred
Definition
should not wait
Term
periodontal disease is
Definition
cumulative over time
Term
it is difficult to
Definition
determine which site is active
Term
solution =
Definition
treat all inflamed sites
Term
gingivitis MUST
Definition
precede periodontitis
Term
periodontitis does not develop unless
Definition
gingivitis existed previously
Term
does gingivitis ALWAYS progress to periodontitis?
Definition
no
Term
bacteria that colonize first on tooth surface at gingival margin are:
Definition
Supragingival gram-positive facultative Streptococci and Actinomyces secies
Term
a foreign substance that elicits the formation of antibodies
Definition
Antigens
Term
host cells such as (?) can secrete collagenase
Definition
PMNs and fibroblasts
Term
if the body is overwhelmed
Definition
host response can be destructive, causing hard and soft tissue destruction
Term
1st attempt at self protection come from
Definition
supragingival environment
Term
contains defensive substances such as antibacterial factors and antibodies
Definition
saliva
Term
proteins present in blood serumand mucosal secretions produced following interaction with an antigen
Definition
immunoglobulins
Term
fluid that flows into the sulcus from the adjacent gingival connective tissue
Definition
gingival crevicular fluid
Term
gingival crevicular fluid are
Definition
the 1st substances to interact with bacteria to try to neutralize, isolate or kill it
Term
endotoxins
exotoxins
enzymes
Definition
bacterial by-products
Term
saliva
gingival crevicular fluid
oral epithelium
shedding of epithelial cells
Definition
The 4 defense mechanisms
Term
LOS
Definition
endotoxin
Term
Leukotoxin
Definition
Exotoxins
Term
Collagenase
Hyaluronidase
Proteases
Definition
Enzymes
Term
the immune response is further stimulated to eliminate antigens and prevent spread of infection when
Definition
the body is unsuccessful in eliminating pathogenic bacteria at supragingival level
Term
Elimination and retardation of antigen
Limiting of further tissue destruction
Beginning of healing
Definition
result of the activation of inflammatory/immune response
Term
Polymorphonuclear Leukocytes (PMNs)
Monocytes/Macrophages
Definition
phagocytic cells
Term
proteins that are involved in regulating the activity of the cells that release them, as well as other cells
Definition
Cytokines (interleukin 1)
Term
usually, after 72 hours
Definition
gingivitis will develop
Term
primary substance responsible for vasodilation and increased permeability of the blood vessel wall.
Definition
Histamine
Term
Histamines are released from?
Definition
mast cells found in connective tissue
Term
fatty acids also involved in vasodilation and responsible for pain and bone loss in periodontal disease
Definition
prostagladins
Term
vasodilation as a result of prostagladin activity clinically appears as
Definition
gingival edema
Term
cells that form a protective wall between bacteria and lining of gingival sulcus
Definition
interposed PMNs
Term
which type of cell is primarily recruited in high numbers to the site of acute inflammation?
Definition
Neutrophil
Term
Which cell is phagocytic?
Definition
Macrophage
Term
Which cell is mainly involved in the body's immune response to invading bacteria?
Definition
Lymphocytes
Term
Periodontal diseases are considered a group of infections characterized by destruction of the periodontium. The direct effects of the bacteria and indirect effects by the body's own immune response are primarily responsible for the destruction.
Definition
Both statements are true
Term
the first attempt at self protection comes from which area in the oral cavity?
Definition
Supragingival environment
Term
Which cell can contribute to periodontal bone resorption?
Definition
Cytokines
Term
Which cell is responsible for "patrolling" the body?
Definition
Lymphocytes
Term
Which cell is involved in regulating the activity of other cells?
Definition
Cytokines
Term
Which substance is released from all gram-negative bacteria and cause damage to the periodontium?
Definition
Endotoxin
Term
Which of the following are theories of periodontal disease activity?
Continuous burst
Random burst
Asynchronous, multiple burst
All
Definition
All
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