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PERIODONTOLOGY
PERIODONTOLOGY CHAPTER 3
39
Dentistry
Undergraduate 1
05/31/2014

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Term
INFLAMMATORY PERIODONTAL DISEASE INVOLVES _________ RISK FACTORS / INDICATORS
Definition
•MANY. NOT JUST ONE
Term
LOCAL FACTORS INCLUDE:
Definition
•ENVIRONMENTAL
Term
SYSTEMIC FACTORS INCLUDE:
Definition
•MEDICAL CONDITIONS
Term
HOST FACTORS INCLUDE
Definition
•OWN BODY
•SUSCEPTIBILITY TO DISEASE
Term
INFLAMMATORY PERIODONTAL DISEASES ARE INITIATED AND PROGRESS DUE TO:
Definition
•THE ACCUMULATION OF BIOFILM IN THE AREA OF THE GINGIVAL SULCUS
Term
WHICH TYPES OF MICROORGANISMS ARE A PART OF THE BIOFILM?
Definition
•BACTERIA
•YEASTS
•VIRUSES
Term
EVIDENCE-BASED THERAPY
Definition
•USES RESEARCH FINDINGS AND APPLIES THEM TO EVERYDAY CLINICAL PRACTICE
Term
THE PRIMARY RISK FACTOR FOR PERIODONTAL DISEASE IS:
Definition
•DENTAL PLAQUE/BIOFILM
Term
EXTRACELLULAR MATRIX
Definition
•PROTECTS THE BACTERIA FROM EXTERNAL SOURCES, SUCH AS ANTIBIOTICS/ANTIMICROBIALS
Term
THERE ARE OVER ____ BACTERIAL SPECIES IN ORAL BIOFILMS
Definition
•700
•LESS THAN 10% OF THEM ARE PATHOGENIC
•MORE THAN 90% OF THEM ARE NORMAL ORAL MICROBIOTA
Term
HEALTH ASSOCIATED BACTERIA INCLUDE:
Definition
•GRAM POSITIVE
•AEROBIC
•SACCHAROLYTIC
•NON-MOTILE
Term
SACCHAROLYTIC BACTERIA UTILIZE __________
Definition
•CARBS
Term
DISEASE ASSOCIATED BACTERIA INCLUDE:
Definition
•GRAM NEGATIVE
•ASACCHAROLYTIC
•ANAEROBIC
•MOTILE
Term
ASACCHAROLYTIC BACTERIA UTILIZES ________
Definition
•PROTEINS
Term
WHAT ARE THE COMPONENTS OF BIOFILM?
Definition
•BACTERIA (PRODOMINATE)
•CELLS:
-EPITHELIAL
-GHOST CELLS
-WBC
-RBC
Term
BACTERIA FOUND IN HEALTH INCLUDE:
Definition
•STREP SANGUIS
•STREP MITIS
•VEILLONELLA SPECIES
•ACTINOMYCES NAESLUNDII
•ACTINOMYCES VISCOSUS
Term
ACQUIRED PELLICLE
Definition
•FORMS WITHIN MINUTES
•CONTAINS PROTEINS AND GLYCOPROTEINS (FROM SALIVA AND CREVICULAR FLUID)
•INFLUENCE COLONIZATION OF BACTERIA
•PROVIDES RECEPTORS FOR BACTERIAL ATTACHMENT
Term
BACTERIA THAT ADHERE TO SURFACE PROTEINS ARE CALLED
Definition
•LECTINS
Term
PHASE I OF ORAL BIOFILM FORMATION:
Definition
•BEGINS IN 1-2 DAYS OF PLAQUE ACCUMULATION WITH NO REMOVAL
•BACTERIA EXTEND LATERALLY AND PERPENDICULARLY FROM THE SURFACE TO FORM PARALLEL, PALISADING LAYERS OF BACTERIA
Term
PHASE II OF ORAL BIOFILM FORMATION
Definition
•BEGINS IN 2-4 DAYS OF NO REMOVAL
•GRAM (+) RODS AND GRAM (-) COCCI FORM
•THERE IS A SPACE BETWEEN LAYERS (PHASES) WHICH PROVIDE ANAEROBIC ENVIRONMENTS FOR THE BACTERIA
•MATRIX FORMATION BEGINS
Term
PHASE III OF ORAL BIOFILM FORMATION
Definition
•BEGINS IN 4-7 DAYS OF NO REMOVAL
•PLAQUE EXTENDS CORONALLY AND THICKENS
•INFLAMMATION CONTINUES IN 7-11 DAYS
•BACTERIA MIGRATE SUBGINGIVALLY
Term
MICROBES LIVE AS:
Definition
•STRICT OR OBLIGATE ANAEROBES
Term
IRRITATION TO THE GINGIVAL MARGIN CAUSES:
Definition
•ALTERATION IN THE SULCUS
Term
A DEEPENED SULCUS PROTECTS ____________
Definition
•MICROBIOTA
•ALSO, ALLOWS MORE VIRULENT TYPES OF BACTERIA TO LIVE, CAUSING TOXIC PRODUCTS TO BE PRODUCED
Term
WHAT ARE THE 3 TYPES OF SUBGINGIVAL BACTERIAL BIOFILM?
Definition
•TOOTH ASSOCIATED (ATTACHED)
•TISSUE ASSOCIATED
•UNATTACHED
Term
NUTRIENTS FOUND IN GINGIVAL CREVICULAR FLUID, SUCH AS HEMIN-CONTAINING COMPOUNDS, ENHANCE THE GROWTH OF ______________
Definition
•PORPHYROMONAS AND PREVOTELLA SPECIES
Term
WHICH TYPES OF BACTERIA INVADE THROUGH THE EPITHELIUM INTO LP AND BONE?
Definition
•ACTINOBACILLUS ACTINOMYCETEMCOMITANS
•PORPHYROMONAS GINGIVALIS
•SPIROCHETES
Term
SUPRAGINGIVAL BACTERIA GROWTH CAN BE INHIBITED BY:
Definition
•INTRAORAL ABRASION
•SALIVARY FLOW
•ANTIMICROBIAL AGENTS
Term
ENDOTOXINS
Definition
•AKA: LIPOOLIGOSACCHARIDE (LOS) PREVIOUSLY (LPS)
Term
ENDOTOXINS ARE A COMPONENT OF ___________
Definition
•GRAM (-) BACTERIAL CELL WALL
Term
ENDOTOXINS ARE RELEASE WHEN:
Definition
•BACTERIA DIE AND LYSIS OCCURS
Term
ENDOTOXINS CAN INITIATE:
Definition
•INFLAMMATION AND BONE DESTRUCTION
Term
ENDOTOXINS ARE FOUND LOOSELY ATTACHED TO:
Definition
•ROOT CEMENTUM
Term
EXOTOXIN
Definition
•IS A TOXIN RELEASED BY SOME BACTERIA THAT DAMAGES THE HOST BY KILLING PMNs
Term
ENZYMES
Definition
•ARE PRODUCED AND RELEASED BY SUBGINGIVAL BACTERIA WITHIN THE PERIODONTAL POCKET
•DESTROY CONNECTIVE TISSUE (COLLAGEN AND GROUND SUBSTANCE)
Term
COMMON ENZYMES THAT BREAK DOWN PERIODONTAL TISSUES
Definition
•MATRIX METALLOPROTEINASES (MMPs)
Term
INDIRECT MECHANISMS OF BACTERIAL ACTION ARE:
Definition
•IMMUNOPATHOLOGIC MECHANISMS AND COMBINED MECHANISMS
Term
IMMUNOPATHOLOGIC MECHANISMS
Definition
•BACTERIAL ANTIGENS THAT STIMULATE THE IMMUNE RESPONSE
•CAN BE DESTRUCTIVE AS WELL AS PROTECTIVE
Term
COMBINED MECHANISMS
Definition
•TRANSMISSION OF SALIVA (MOST COMMON)
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