II-A. Systemic Bacteriology | 27. Periodontal diseases caused by bacteria Flashcards

1
Q

What is periodontal disease?

A

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

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2
Q

I. Microflora of periodontal disease
1. List Microflora of periodontal disease

A
  1. Actinobacillus actinomycetemcomitans
  2. Tannerella forsythensis
  3. Porphyromonas gingivalis
  4. Prevotella intermedia/nigrescens
  5. Peptostreptococcus micros
  6. Campylobacter rectus
  7. Fusobacterium nucleatum
  8. Treponema spp.
  9. Eikenella corrodens
    (Andrew Throw PPP Camp For The Excitement)
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3
Q

I. Microflora of periodontal disease
2. What are the features of Actinobacillus actinomycetemcomitans?

A
  • Gram negative facultative anaerobic coccobacilli
  • H2O2 positive
  • Virulence factors: adhesins, leukotoxins, capsules, proteases, phosphatases, lipopolysaccharides
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4
Q

I. Microflora of periodontal disease
3. What are the features of Tannerella forsythensis?

A
  • Gram negative non-motile rod
  • Strict anaerobic
  • Refractor cases
  • Special risk factor for periodontitis
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5
Q

I. Microflora of periodontal disease
4. What are the features of Porphyromonas gingivalis?

A
  • Gram negative strict anaerobic rod
  • Black pigment production
  • Saccharolytic
  • Virulence factors: Adhesins, proteases, endotoxin, capsules
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6
Q

I. Microflora of periodontal disease
5. What are the features of Prevotella intermedia/nigrescens?

A
  • Gram negative strict anaerobic rod
  • Black pigment production
  • Saccharolytic
  • High number in gingivitis
  • Epithelial invasion
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7
Q

I. Microflora of periodontal disease
5. What are the features of Prevotella intermedia/nigrescens?

A
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8
Q

I. Microflora of periodontal disease
6. What are the features of Campylobacter rectus?

A
  • Gram negative motile rod
  • Strict anaerobic
  • Large amount in active pocket
  • Leukotoxin production
  • Stimulation of IL production of fibroblasts
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9
Q

I. Microflora of periodontal disease
7. What are the features of Fusobacterium nucleatum?

A
  • Gram negative sharp rods
  • Strict anaerobic
  • Green-yellow color
  • Special structure
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10
Q

I. Microflora of periodontal disease
8. What are the features of Peptostreptococcus micros

A
  • Gram-positive anaerobic cocci
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11
Q

I. Microflora of periodontal disease
8. What are the features of Eikenella corrodens?

A
  • Gram negative short rod
  • Facultative anaerobic
  • Asachharolytic
  • Large amount in active, refractor pockets
  • Osteomyelitis
  • Necrotic root canal
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12
Q

II. Gingivitis
1. What is Gingivitis?

A

Acute inflammation at the gingival margin; reversible

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13
Q

II. Gingivitis
2. What are 2 types of Gingivitis?

A

1) Plaque Associated gingivitis
2) Gingivitis with systemic disorders (puberty, periods, pregnancy, DM)

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14
Q

II. Gingivitis
3. What are the features of Plaque Associated gingivitis?

A

a) Dental plaque accumulation → marginal inflammation
b) No special bacterial flora
c) Local irritative agents (crown, filling)

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15
Q

II. Gingivitis
4. What are the features of Gingivitis with systemic disorders (puberty, periods, pregnancy, DM)?

A

a) Puberty → gingival swelling
b) Pregnancy → high estrogen/progesterone
c) Diabetes Mellitus→ rapid progression→ periodontitis

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16
Q

III. Periodontitis
1. What is Periodontitis?

A

Destruction of alveolar bone, PDL, cement, tooth loss; irreversible Types:

17
Q

III. Periodontitis
2. What are the 2 types of Periodontitis?

A

1) Chronic periodontitis (CP)
2) Aggressive periodontitis

18
Q

III. Periodontitis
3. What are the features of Chronic periodontitis (CP)?

A

a) Most prevalent
b) Irreversible loss of alveolar bone and PDL
c) Caused by inflammatory reaction of dental plaque

19
Q

III. Periodontitis
4. What are the features of Aggressive periodontitis?

A

a) Rapid, vertical bone loss
b) Little plaque or calculus
c) Severity of progression does not correlate with irritative agents
d) A. actinomycetemcomitans
e) Localized or generalized

20
Q

IV. What are the 2 types of Necrotizing periodontal disease?

A

1) Necrotizing ulcerative gingivitis
2) Necrotizing ulcerative periodontitis

21
Q

V. Abscess of the Periodontium
1. What are the 3 types of Abscess of the Periodontium?

A

1) Gingival abscess
2) Periodontal abscess
3) Pericoronal abscess

22
Q

V. Abscess of the Periodontium
2. What are the features of Gingival abscess?

A

a) Rapid progression, painful swelling
b) Mechanical effect (food pinch)
c) GIngival inflammation with pus
d) Spontaneous recovery

23
Q

V. Abscess of the Periodontium
3. What are the features of Periodontal abscess?

A

a) Associated with disease of the periodontium
b) Acute case: pus, tooth movement
c) Chronic cases: fistula discharge