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Periodontology - Midterms > Pathogenesis of Periodontal Disease > Flashcards

Pathogenesis of Periodontal Disease Flashcards

1
Q

Sequence of events that occur during the development of a disease or an abnormal condition

A

Pathogenesis

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2
Q

Bacterial infection of the periodontium

A

Periodontal disease

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3
Q

Umbrella term that refers to all the disease of periodontium

A

Periodontal disease

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4
Q

Bacterial confined to the gingiva

A

Gingivitis

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5
Q

This is an example of bacterial infection in gingivitis

A

Plaque

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6
Q

Reversible destruction of the tissues of the periodontium

A

Gingivitis

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7
Q

Gingivitis is observed after how many days after accumulation of plaque in the sulcus?

A

4-14 days

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8
Q

What are the 2 types of gingivitis

A

A. Plaque-induced gingivitis
B. Non-plaque-induced gingival lesions

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9
Q

Result of an interaction between the microorganisms found in the dental plaque biofilm and the tissues and inflammatory cells of the host

A

Plaque-induced gingivitis

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10
Q

What is the etiology of plaque-induced gingivitis?

A

Plaque

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11
Q

In plaque-induced gingivitis, there is an increase in this type of bacteria and will not be able to fight off bacteria

A

Gram negative bacteria

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12
Q

Oral manifestations of systemic diseases are rare

A

Non-plaque-induced gingival lesions

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13
Q

An example of non-plaque-induced gingival lesion

A

Benign mucous membrane pemphigoid

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14
Q

There is sloughing of the gingiva leaving painful ulcerations

A

Benign mucous membrane pemphigoid

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15
Q

What are the 5 origins of gingival diseases?

A

A. Gingival disease of specific bacteria in origin
B. Gingival disease of fungal origin
C. Gingival disease of viral origin
D. Gingival disease of genetic origin
E. Gingival manifestations of systemic conditions

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16
Q

What are examples of gingival diseases of specific bacteria in origin?

A

A. Syphilis
B. Gonorrhea

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17
Q

What are examples of gingival diseases of viral origin?

A

A. HIV
B. Erythema

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18
Q

What is an example of gingival diseases of fungal origin?

A

Patients wearing dentures for a long time

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19
Q

What is an example of gingival diseases of genetic origin?

A

Benign mucous membrane pemphigoid

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20
Q

What are examples of gingival manifestations of systemic conditions?

A

A. Diabetes mellitus
B. Arthritis

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21
Q

What are the 3 modifying factors of gingivitis?

A

A. Systemic factors
B. Gingival disease modified by medications
C. Gingival disease modified by malnutrition

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22
Q

There are endocrine changes associated with puberty

A

Systemic factors

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23
Q

3 endocrine changes associated with puberty

A

A. Menstrual cycle
B. Pregnancy
C. Puberty

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24
Q

Due to this, there is increased gingival inflammation even in the absence of plaque

A

Hormonal fluctuation

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25
Use of drugs known to increase gingival enlargement
Gingival disease modified by medications
26
What are 4 drugs that contribute to gingival disease modified by medications?
A. Phenytoin B. Cyclosporin C. Nifedipine D. Oral contraceptives in premenopausal women
27
This is an anticonvulsant drug
Phenytoin
28
This is an immunosuppressant drug
Cyclosporin
29
This is a calcium channel blocker
Nifedipine
30
There is severe vitamin C deficiency resulting in bright red, swollen, and bleeding gingiva
Gingival disease modified by malnutrition
31
What is the histopathology of gingivitis and periodontitis?
A. Infiltration of the connective tissue by defense cells B. Accumulation of defense cells and release of their destructive cells C. Connective tissue enlargement
32
What are the 3 types of gingivitis according to course and duration?
A. Recurrent gingivitis B. Acute gingivitis C. Chronic gingivitis
33
Reappears after being eliminated by treatment
Recurrent gingivitis
34
Lasts for a short period of time where fluid is retained in the gingival connective tissue resulting in swollen gingiva
Acute gingivitis
35
Slow in onset, long duration, painless, the body may attempt to repair the tissue damage by forming new collagen fibers in the gingival connective tissue
Chronic gingivitis
36
Clinical changes in gingivitis causes the color to change to?
Red or reddish blue
37
What are the 3 causes of clinical color change in gingivitis?
A. Increased blood flow B. Blood vessels become engorged C. Blood vessels become congested
38
What clinical changes in gingivitis happens to the gingival margin?
A. Swollen and loses its knife edge attachment to the tooth B. Gingival tissue may cover the crown of the tooth in fibrosis C. When probing, there is higher reading
39
What are the 5 clinical changes in gingivitis?
A. Color - red or reddish blue B. Gingival margin C. Interdental papilla may be bulbous and swollen D. Bleeding upon gentle probing E. Increased sulcus probing depth
40
3 microscopic characteristics of gingivitis
A. Junctional epithelium is still attached to the enamel B. Epithelium appears ulcerated C. No longer an effective protective barrier
41
The junctional epithelium is still attached to the enamel via?
Hemidesmosomes
42
2 stages of gingivitis
A. Subclinical gingivitis B. Clinical gingivitis
43
Stage of gingivitis only detected microscopically
Subclinical gingivitis
44
Stage of gingivitis with clinically visible signs
Clinical gingivitis
45
5 types of gingivitis according to location
A. Localized gingivitis B. Generalized gingivitis C. Marginal gingivitis D. Papillary gingivitis E. Diffuse gingivitis
46
This type of gingivitis is confined to a single tooth or group of teeth
Localized gingivitis
47
This type of gingivitis involves the entire mouth
Generalized gingivitis
48
This involves the gingival margin and a portion of the attached gingiva
Marginal gingivitis
49
This involves the interdental papillae and a portion of the margin
Papillary gingivitis
50
Affects the gingival margin, the attached gingiva, and interdental papillae
Diffuse gingivitis
51
One of the most common gingivitis, involvement of interdental papilla and col
Papillary gingivitis
52
What are the 5 further classifications of gingivitis?
A. Localized marginal gingivitis B. Localized diffuse gingivitis C. Localized papillary gingivitis D. Generalized diffuse gingivitis E. Generalized marginal gingivitis
53
Bacterial infection of all parts of the periodontium including the gingiva, periodontal ligament, bone, and cementum
Periodontitis
54
Irreversible destruction to the tissues of the periodontium
Periodontitis
55
3 characteristics of periodontitis
A. Apical migration of junctional epithelium B. Loss of connective tissue attachment C. Loss of alveolar bone
56
Phases of extended period of inactivity followed by short periods of destruction
Intermittent manner
57
Clinical picture of periodontitis where in color is bluish or purplish red with a smooth and shiny appearance
Edematous tissue/ Spongy tissue
58
Clinical picture of periodontitis where in color is light pink with a leathery consistency
Fibrotic tissue/ Firm and nodular
59
Clinical picture of periodontitis of the gingival margin
Swollen or fibrotic with no close knife-edged adaptation
60
Clinical picture of periodontitis of the interdental papilla
May no longer fill interdental embrasure spaces
61
Clinical picture of periodontitis in bleeding
Often bleeding upon probing and suppuration may be visible

Periodontology - Midterms (7 decks)

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