II-A. Systemic Bacteriology | 27. Periodontal diseases caused by bacteria Flashcards
What is periodontal disease?
disorders of supporting structures of the teeth including gingiva, periodontal ligament, and supporting alveolar bone associated with a shift in the balance of resident oral microflora
I. Microflora of periodontal disease
1. List Microflora of periodontal disease
- Actinobacillus actinomycetemcomitans
- Tannerella forsythensis
- Porphyromonas gingivalis
- Prevotella intermedia/nigrescens
- Peptostreptococcus micros
- Campylobacter rectus
- Fusobacterium nucleatum
- Treponema spp.
- Eikenella corrodens
(Andrew Throw PPP Camp For The Excitement)
I. Microflora of periodontal disease
2. What are the features of Actinobacillus actinomycetemcomitans?
- Gram negative facultative anaerobic coccobacilli
- H2O2 positive
- Virulence factors: adhesins, leukotoxins, capsules, proteases, phosphatases, lipopolysaccharides
I. Microflora of periodontal disease
3. What are the features of Tannerella forsythensis?
- Gram negative non-motile rod
- Strict anaerobic
- Refractor cases
- Special risk factor for periodontitis
I. Microflora of periodontal disease
4. What are the features of Porphyromonas gingivalis?
- Gram negative strict anaerobic rod
- Black pigment production
- Saccharolytic
- Virulence factors: Adhesins, proteases, endotoxin, capsules
I. Microflora of periodontal disease
5. What are the features of Prevotella intermedia/nigrescens?
- Gram negative strict anaerobic rod
- Black pigment production
- Saccharolytic
- High number in gingivitis
- Epithelial invasion
I. Microflora of periodontal disease
5. What are the features of Prevotella intermedia/nigrescens?
I. Microflora of periodontal disease
6. What are the features of Campylobacter rectus?
- Gram negative motile rod
- Strict anaerobic
- Large amount in active pocket
- Leukotoxin production
- Stimulation of IL production of fibroblasts
I. Microflora of periodontal disease
7. What are the features of Fusobacterium nucleatum?
- Gram negative sharp rods
- Strict anaerobic
- Green-yellow color
- Special structure
I. Microflora of periodontal disease
8. What are the features of Peptostreptococcus micros
- Gram-positive anaerobic cocci
I. Microflora of periodontal disease
8. What are the features of Eikenella corrodens?
- Gram negative short rod
- Facultative anaerobic
- Asachharolytic
- Large amount in active, refractor pockets
- Osteomyelitis
- Necrotic root canal
II. Gingivitis
1. What is Gingivitis?
Acute inflammation at the gingival margin; reversible
II. Gingivitis
2. What are 2 types of Gingivitis?
1) Plaque Associated gingivitis
2) Gingivitis with systemic disorders (puberty, periods, pregnancy, DM)
II. Gingivitis
3. What are the features of Plaque Associated gingivitis?
a) Dental plaque accumulation → marginal inflammation
b) No special bacterial flora
c) Local irritative agents (crown, filling)
II. Gingivitis
4. What are the features of Gingivitis with systemic disorders (puberty, periods, pregnancy, DM)?
a) Puberty → gingival swelling
b) Pregnancy → high estrogen/progesterone
c) Diabetes Mellitus→ rapid progression→ periodontitis