aggressive periodontitis Flashcards

1
Q

localized aggressive periodontitis most frequently occurs between ____ and _____

A

puberty; 20 years of age

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2
Q

LAP characterized by localized CAL in ____ and _____

A

first molars; incisors (at least one first molar must be affected

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3
Q

in LAP, no more than ____ other than first molars and incisors are affected

A

2 teeth

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4
Q

there is a robust _____ response in LAP and the disease is _____

A

serum antibody (IgG2) ; self-limiting

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5
Q

generalized aggressive periodontitis affects individuals under the age of _____, but older patients may also be affected

A

30

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6
Q

distribution of GAP

A

at least 3 permanent teeth other than first molars and incisors

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7
Q

there is a pronounced ____ nature of the destruction of attachment/bone in GAP

A

episodic

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8
Q

in GAP, there is relatively intense _____ and poor ____

A

gingival inflammation (less intense in LAP); serum antibody response

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9
Q

prevalence of AP in the primary dentition is reported between ____ and ____

A

0.9% ; 4.5%

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10
Q

prevalence of AP in the permanent dentition is estimated at ____ (in the us and other countries)

A

below 1%

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11
Q

the prevalence for AP in both primary and permanent dentitions is higher among _____

A

african americans (about 2.6%)

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12
Q

____ is associated with LAP, particularly the ____

A

A.a. ; JP2 clone, serotype b

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13
Q

characteristics of A.a.

A

gram negative, facultative anaeroble, non-motile rod

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14
Q

virulence factors of A.a.

A

leukotoxins (kill PMNs and macrophages)
LPS: activates cells to produce PGs, IL-1b, TNFa
collagenases- degrades collagen fibers
immunosuppressive factors (lymphocyte/chemotactic suppressing factors)

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15
Q

A.a. translocates across the ____ and invades the _____

A

JE; CT

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16
Q

P. gingivalis has many proteinases such as ____ and ____

A

gingipains; collagenases

17
Q

pts with LAP have impaired ____ function and significantly higher levels of ____ in GCF

A

neutrophil; prostaglandin E2