Perio Micro and Calculus Flashcards

1
Q

Red Complexes

A

P. gingivalis

T. forsythia

T. denticola

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2
Q

Co-aggregation

A
  • Cell to cell recognition of genetically distinct cell types
  • Mediated by protein, glycoprotein and carb receptors
  • cells are suspended
  • clumps form- which then attach to pellicle
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3
Q

Co-adhesion

A
  • Interactions btw suspended and already adhering microbes
  • influenced by temp and lactose
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4
Q

Supragingival Calculus

Spans

color

consistency

removal is

commonly found

A
  • Coronal to gingival margin
  • white/ yellow
  • Clay like consistency
  • Easily detached from tooth
  • Found opposite of salivary ducts
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5
Q

Subgingival Calculus

location

Color

consistency

Spans

could become

A
  • Below gingival margin
  • Dark colored
  • Hard dense
  • Extend to base of pocket, does not reach JE
  • With recession will become supra
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6
Q

4 forms of calcium phosphate

A
  • Brushite
  • Octa Ca phosphate
  • Hydroxyapatite
  • Whitlockite
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7
Q

Brushite

A
  • Basis for supragingival calculus formation
  • Seen in recent calculus (less than 2 weeks old)
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8
Q

Octa Ca Phosphate

A
  • Predominant in exterior layers
  • Forms platelet like crystals
    *
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9
Q

Hydroxyapetite

A
  • Predominant in inner layers of old calculus
  • Forms rod or sand grain like crystals
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10
Q

Whitlockite

A
  • Most common form in subgingival calculus\Hexagonal crystals
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11
Q

Osteoclast activators 7

A
  • RANK-L from osteoblasts
  • IL-1beta, IL-6, IL-11, IL-17
  • PGE2
  • TNF-Alpha
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12
Q

Ratio of RANK-L and OPG in periodontitis

A

HIGH RANK-L

low OPG

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13
Q

Chronic periodontal lesions mainly have

A

Th2 cells vs Th1

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14
Q

Most predominant and active secretory cells in advanced periodontal lesions

A

Plasma Cells

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