Immunisation Against Dental Caries Flashcards

1
Q

what is natural immunity

A

active - natural recovery

passive - maternal Ab

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2
Q

what is artificial acquired immunity

A

passive immunisation

active vaccinations

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3
Q

what does saliva contain

A
sIgA 
IgG
IgM 
Leukocytes
C3
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4
Q

what sin gingival crevicular fluid

A
IgG 
IgM 
complement 
PMLN's
lymphocytes (B and T) 
Macrophages
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5
Q

what is a vaccination

A

admin of material of microbial origin to a susceptible person to swim immune defences

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6
Q

what does vaccination do

A

tim long last protection against a sp disease

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7
Q

what is the Bowen exp

A

live cariogenic strain s mutans into IV monkey with cariogenic diet
stim IgA

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8
Q

are IgG levels sp

A

yes

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9
Q

what are antigens/adhesins of s mutans

A
LTA
polysacc
protein 
cell wall
cell imm 
glucosyl transferase
peptidoglycan
gluten binding portion
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10
Q

what are some sucrose indent attachment

A

protein antigens 1/2

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11
Q

what are some sucrose dept reaction

A

GTFS

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12
Q

what is the lehner idea

A

immunise with purified protein

streptococcal antigen I/II

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13
Q

what did passive immunisation show in lehner

A

monoclonal Ab against antigen I/II

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14
Q

what does this passive immunisation of lehner do

A

applied topically to tooth
dental caries slim
high levels s mutant and dental caries controlled

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15
Q

what are GTF used for by s mutans

A

accumulation

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16
Q

what do protein antigens do for s mutans

A

attachment to pellicle

17
Q

what do GBP do for s mutans

A

phase III

18
Q

what is the pre/clinical trials for antigen I/II

A

surface adhesion

block receptor for attach of pellicle

19
Q

how is antigen I/II given

A

subcutaneous inject

passive admin

20
Q

what do 2 GTFs do

A

make sol and inso glucans

21
Q

what is the structure of GTF

A

n terminus - 2 catalytic domains

c terminus - GBP

22
Q

what do MAP peptides do

A

inhibit GTF activity

protect ag caries

23
Q

what do surface proteins do GBP

A

bind glucans prod by catalytic enzymes

24
Q

what does Gbps immunisation do

A

protect rats

reduced s mutans

25
Q

what is the conv of MAP to GTF & GbpB

A

enhances immunogenicity

extended effect of s sobrinus

26
Q

what does s sobrinus GTF + water sol glucans do

A

preclinical caries reduction

27
Q

what does GTF + antigen I/II do

A

inhibit s mutans adhere

suppress s mutans colonise

28
Q

what does di epitaphic GTF MAP

A

reduce caries preclinical

29
Q

what does di epitopic GTF & GbpB MAP do

A

reduce caries

30
Q

what does active passive immunisation

A

elliot antibodies

  • immunological mem
  • sp
31
Q

what si passive immunisation

A

expo to antibodies

  • safe
  • monoclonal
  • transgenic plant
  • egg yolk
32
Q

how is he ID of best antigenic material

A

combination antigens

more than one target

33
Q

how is admin of vaccine

A

loca
intrnasal
tonsilaar

34
Q

what is the timing of passive immunisation

A

12 months

before colonisation and immuocompetetent

35
Q

what are some alternative approaches of controlling caries

A
fluorination 
topical fluoride
sealants
brush, floss
dietary