Gingival and periodontal disease Flashcards

1
Q

What is periodontology?

A

The study of the periodontal
tissues in health and disease,
including the causes, prevention
and treatment of diseases of the
periodontal tissues.

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2
Q

What are the periodontal tissues?

A

Gingivae
Periodontal Ligament
Root cementum
Alveolar bone

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3
Q

What is periodontal disease?

A

A group of diseases affecting the periodontal
tissues, representing an immune reaction (innate
and adaptive) to adjacent microbial plaque.

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4
Q

What is inflammation?

A

Biological response to harmful stimuli, such as pathogens, damaged cells or irritants. Inflammation is a protective attempt by the organism to remove the injurious stimuli and to initiate the healing process

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5
Q

What are cardinal signs of inflammation?

A

Pain (dolor)
Heat (calor)
Redness (rubor)
Swelling (tumor)
Loss of function (functio laesa)

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6
Q

What general health factors will effect your risk of having periodontal disease?

A

Stress
Fatigue
Smoking
Diet
Medications
Hygienic habits

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7
Q

What pathological factors will effect your risk of having periodontal disease?

A

Viral infections
Bacterial infections
Diabetes Mellitus
Hypoxia
Liver diseases

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8
Q

What are non-modifiable systemic risk factors effecting periodontal disease?

A

Aging
Genetic Factors

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9
Q

What are modifiable systemic risk factors effecting periodontal disease?

A

Smoking
Poorly controlled diabetes
Stress
Medication
Nutrition
Socioeconomic status
Hormonal changes

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10
Q

What are acquired local risk factors effecting periodontal disease?

A

Plaque
Calculus
Overhanging
Poorly contoured restorations

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11
Q

What are anatomical local risk factors effecting periodontal disease?

A

Malpositioned teeth
root groves
concavities
furcation’s
enamel pearls

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12
Q

What is a biofilm?

A

A biofilm is an aggregate of microorganisms in which cells
adhere to each other on a surface. These adherent cells are
embedded within a self-produced matrix of extracellular
polymeric substance (EPS) – DNA, proteins, polysaccharide.

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13
Q

What type of infection is dental plaque?

A

Polymicrobial infection

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14
Q

How is biofilm formed on the surface of the teeth?

A

Pellicle is formed
Adhesion occurs, trailblazing bacteria- streptococcus
Growth
Mature

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15
Q

What is keystone bacteria?

A

Low- abundance microbial pathogens which can cause inflammatory disease by increasing the quantity of the normal microbiota and by changing its composition and by interfering with the host immune system

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16
Q

What bacteria manipulates the host system when forming plaque?

A

P. gingivalis

17
Q

What disrupts the homeostasis?

A

Genetic conditions associated with the impairments;
Down’s syndrome
LAS Syndrome
Diseases leading to impairment of the immune system;
Leukaemia
Neutropenia
HIV

18
Q

What happens when dental plaque is calcified?

A

Calculus

19
Q

What are signs of gingivitis?

A

Erythema (redness)
Swelling
Bleeding on gentle probing

20
Q

What are symptoms patients with periodontitis may experience?

A
  • Bleeding on Brushing
  • Bad breath(Halitosis) and taste
  • sensitivity
  • Drifting teeth
  • Mobility
  • Discomfort, pain occurs very rarely mostly in
    necrotising ulcerative periodontal disease
21
Q

What is the difference between a true and false pocket?

A

True- loss of attachment
False- gingival swelling