CONCEPT- EPIDIOMOLOGY Flashcards
Brings back the architecture and function
Regeneration
Scar tissue formation, tooth will be mobile
Repair
Treatment for periodontitis and the junctional epithelium will be longer.
Root planing
A concept that is all gingivitis becomes periodontitis. Aka CONTINOUS DISEASE PROCESS
Classic model
Acc to russel, loe and lindhe, how many mm normally loss of attachment
0.1mm per yr
Not all gingivitis progress to periodontits, there individuals that are not progress periodontitis even though without therapy
Moskow 1978
What are the 6 sites usually done by probing by Goodson Et Al?
Distobuccal
Midbuccal
Mesiobuccal
Mesiolingual
Midlingual
Distolingual
It founds out that only 5% of 1115 sites showed attachment loss. Not all site exhibit attachment loss.
Goodson et al 1982
Only 2.8% of 3414 sites with significant attachment loss
Haffajee et al 1983
Who are the researchers contradicts the classic model
Goodson et al
Haffajee
Socransky
Lindhe
Reason why dispute the classical model
Sites with periodontal destruction are brought under control by unknown mechanism
Destruction is based on random time not on site. Aka episodic burst model
Random burst model
Destruction will burst at diff time and diff sites
Asynchronous multiple burst model
Some sites are inactive, but we should do root planing to prevent future burst
Treatment implication
Microbial composition of healthy gingiva
More gram + bacteria
What are the microbes mostly gram +
Streptococci and actinomyces
Composition associated with gingivitis
More gram - bacteria
Composition associated with periodontits
Several bacteria, usually gram - bacteria and increase the total microbial load
Give 3 criteria of periodontal pathogen
Be eliminated or decreased in sites
Demonstrate a host response
Demonstrate virulence
What are the 3 most common pathogen
Porphyromonas gingivalis
Actinobacillus actinomycetemcomitans or AGGRETIBACTER ACTINOMYCETEMCOMITANS
Bacteriodes forsythus or TANNERALLA FORSYTHIA