Periodontal Disease M3 Flashcards

1
Q

Plaque is composed of bacteria, which is a sticky…

A

Polysaccharide Matrix

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2
Q

What is plaque made up of?

A

70% micro-organisms and 30% inter bacterial substance

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3
Q

How long does it take for new plaque to form?

A

A few hours

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4
Q

How long does it take for for the salivary pellicle to become invaded with gram positive cocci (streptococcus)?

A

3-8 hours

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5
Q

How long does it take for plaque to become visible?

A

24 hours

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6
Q

After 3 days of plaque formation what bacterias can be found?

A

Spirochaete and Fusiform

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7
Q

What is a gram-positive bacteria?

A

Cocci

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8
Q

What is a gram-negative bacteria?

A

Spirochaete and Fusiform

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9
Q

What is one of the most important staining methods?

A

Grams method

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10
Q

What colour is Gram-positive?

A

Blue stain

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11
Q

What colour is Gram-negative?

A

Red stain

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12
Q

When the dental pellicle forms on the tooth and provides bacteria surface to attach, which step of plaque formation is it?

A

Association

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13
Q

Within hours of the first plaque formation, bacteria will loosely bind to the pellicle, what step of plaque formation is this?

A

Adhesion

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14
Q

Bacteria will spread throughout the mouth and begin to multiply. What plaque formation step is this?

A

Proliferation

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15
Q

Microcolonies are formed. Steptococci secrete a protective layer (slime layer). What step in plaque formation is this?

A

Microcolonies

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16
Q

Microcolonies form a complex groups with metabolic advantages. What step in plaque formation is this?

A

Biofilm formation

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17
Q

The biofilm develops a primitive circulatory system. What step in plaque formation is this?

A

Growth or maturation

18
Q

When plaque hardens and calcifies it is called…

A

Calculus (Tartar)

19
Q

What is Extrinsic staining?

A

Staining on the surface of the tooth

20
Q

What is Intrinsic staining?

A

Staining within the structure of the tooth

21
Q

What time of Gram staining is present in periodontal disease?

A

Gram-negative

22
Q

How long does plaque need to be on the teeth before it causes gingivitis?

23
Q

A probe with a ball-end (0.5mm) and a colour coded end (3.5mm-5.5mm) is called…

A

CPITN probe

24
Q

Adult Periodontitis, has been replaced with what term?

A

Chronic Periodontitis

25
When does it become periodontitis?
When the gingivitis reaches the epithelial attachment
26
Periodontitis is irreversible, true or false?
True
27
What are the two forms of periodontitis?
Localised and Generalised
28
What is NUG?
Necrotising Ulcerative Gingivitis
29
What is NUG also know as?
Vincent's disease
30
What are symptoms of NUG?
painful, bleeding, red, crater like ulcers, halitosis
31
What is the normal occurrence age for NUG?
16-30
32
What bacteria is present in Necrotising Ulcerative Gingivitis?
Spirochaete Fusiform
33
What medication does ulcerative gingivitis respond to?
Penicillin combined with Metronidazole
34
What is the only way to prevent periodontal disease?
Brush teeth and gums throughly to remove all plaque
35
What toothbrush technique should patients use?
Any technique which effectively removes plaque without damaging the teeth and gums
36
What brushing technique does the Scientific Basis of Dental Health Education recommend?
The 'scrub' technique (hold tooth brush perpendicular to the tooth and gum line and 'scrub')
37
What is the most widely used chemical in toothpastes?
Triclosan
38
What is added to toothpastes to help them remain on the tooth for longer?
Copolymers
39
What is the correct flossing technique?
wound around 2nd finger of each hand, leaving 6cm for middle bit. Pulled tight against teeth Floss is curved into a C against the teeth. Scraped up and down
40
What is the best way to clean dentures?
with liquid soap or toothpaste, with a soft brush over a sink of water so if it falls it doesn't cause damage.
41
How should orthodontic appliances be cleaned?
Same way as dentures