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preventive dentistry
host defense mechanisms chapter 9
45
Dentistry
Undergraduate 3
09/28/2013

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Term
symbiotic relationships
Definition
coexisting relationship between host and microbe
Term
what are some defense systems or barriers to protect against microbial invasion?
Definition

-anatomic barriers

-normal oral flora

-immune system (cellular)

-saliva

Term
what are some examples of anatomic barriers?
Definition

-epithelium (skin/intraoral tissue)

-keratin(on hands, soles of feet and oral tissue)

-enamel (hardest tissue of body protects dentin and pulp)

Term
keratin
Definition
fibrous, sulfur containing protein that cannot be penetrated even by gastric acid
Term
what is a site which is very susceptible to invasion due to its oral lack of keratin?
Definition
junctional epithelium at bottom of sulcus
Term
pulpal polyps
Definition
made of granulomatous tissue which occasionally forms in large lesions that have invaded pulp (like skin layer to protect)
Term
granulomas
Definition
inflammatory response made up of immune cells and fibroblasts.
Term
oral pyogenic granulomas
Definition
occur during pregnancy
Term
enamel
Definition
hardest substance in human body
Term
flourapetite
Definition
what happens when hydroxyl group is substituted by flouride
Term
remineralization
Definition
repair of enamel rods after prolonged exposure to an acidic environment.
Term
posteruptive maturation
Definition
missing ions from teeth are supplied from saliva
Term
recaldent
Definition
found in gum and tooth paste contains calcium and phosphate ions
Term
where can one get doses of flouride?
Definition

-short term contact with drinking water

-continual low flouride output from saliva

-bound flouride in plaque released when ph drops to 5.5

-in mature enamel layer after demineralization

-glass ionomers (restorations that release it)

-topical flouride tooth pastes

Term

what is the process of normal oral flora?

 

Definition

-acquired pellicle (glycoprotiens)

-ealry colonizers s mutans s. sanguis, veillonella(decrease risk of caries

-gram positives

-later colonizers

(normal flora attacks invaders using cellular and humoral immunity)

Term
what are the immunities used in lymph system's normal oral flora?
Definition

-cellular- t cells from thymus

-humoral -b cells from bone marrow/antibodies

Term
in a healthy sulcus the normal oral flora who are gram postitive cocci are?
Definition
streptococcus gordonii and streptococcus oralis
Term
in a periodontal pocket normal flora are?
Definition

porphyromonas gingivalis 

 

actinocabacillus actinomycetemcomitans

Term
stephan curve
Definition
relationship between acid levels (ph) at teh tooth surface and time following consumtion of sugar
Term

xerostomia can be very bad for defense mechanisms

true/false

 

Definition
true
Term
where do t cells go
Definition

lymph nodes, spleen, blood:

they oriniate in bone marrow but become fully functional in thymus.

Term
what oral part consists of lots of b cells?
Definition
tonsils
Term
candida albicans
Definition

-yeast that resides in a small quantity of mucosa

it is kept from producing more by the defense mechanisms of saliva, oral flora, and T lymphocytes.

 

it can be wiped off with gauze

Term
when is saliva least active?
Definition
when sleeping
Term
what are some functions of saliva?
Definition

-buffers ph drop

-lubricates

-flushes food debris

-contains antibodies/immunoglobins

-flouride

-antibacterial/ antifungal/antiviral

-remineralizes with calcium/phosphorus

Term
is saliva flow greater when standing or sitting?
Definition

-standing (due to blood pressure changes

 

Term
what type of glands are the salivary glands?
Definition
exocrine glands( leaves gland to bathe oral cavity)
Term
burning mouth syndrome
Definition
severe xerostomia
Term
Sjogrens syndrome
Definition
tends to affect elderly women it is an auto immune disease. dry mouth, lots of caries in unusual places
Term
what are the organic components of saliva?
Definition
amylase, mucins, phosphoproteins, glygoprotiens and immunoglobins.
Term
what helps to control the status of calcium and phosphorus in saliva?
Definition
histidine and statherin
Term
salivary mucins
Definition

pellicle is rich with mucins which help clear carbohydrates from the mouth and protect against caries.

they also help calcium channel in mouth and regulate enzymes like zinc for tissue repair

Term
5 categories of immunoglobins
Definition

-immunoglobin M  (IgM)

-immunoglobin G (IgG

-immunoglobin A (IgA)

-immunoglobin D (IgD)

-immunoglobin E (IgE)

Term
immunoglobins
Definition
antibodies made of protiens
Term
where is IgM found?
Definition

B cells that circulate blood

largest of all immunoglobins

1st to appear when there is infection

Term
what is the only immunoglobin that can pass through placenta?
Definition
IgG
Term
what are the 2 subtypes of IgA
Definition

-serum

-secretory(most concern in dentistry)( in saliva)

Term
IgD
Definition
found on b cells also in very small amounts
Term
IgE
Definition

only in mammals

found in blood, tissue, fluid, exocrine gland secretion

defends against cancer cells responsible for anaphalaxis(systemic allergic reaction can be fatal

Term
lack of adequate salive can result in?
Definition

-decreases in:

-electrolytes

-ph

-enzymes

-mucins

Term
what are some products given for those who have xerostomia
Definition

-salogen/pilocarpine

-biotene products

Term
what can cause dry mouth?
Definition

age

 

prescription drugs

 

systemic conditions like Sjorens 

Term

which of the following is not a part of persons natural oral defenses?

a. intact oral epithelium

b.saliva

c. enamel containing flourapetite

d. class II occlusion

Definition
class II occlusion
Term

which oral disease states the hosts defense response is more responsible for tissue destruction than the pathogens themselves?

a. dental caries

b. candida ablicans

c.periodontal disease

d. squamous cell carcinoma

Definition
periodontal disease
Term
what is the major immunoglobin that dentists are concerned with
Definition
IgA
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