periodontal pathogens Flashcards
says that plaque control is important in periodontal treatment; all plaque bacteria considered bad; any accumulation of micro-organisms at or below the gingival margin causes inflammation
non-specific plaque hypothesis
says that specific organisms in dental plaque are the etiological agents; microbial composition of disease sites different from healthy sites
specific plaque hypothesis
the specific plaque hypothesis says that ____ and ____ could control local aggressive periodontitis
local debridement; systemic antibiotics
gingival health - microflora is predominantly ____ and ____
gram positive; facultative anaerobes
in gingivitis- microflora is predominantly _____ and ____
gram negative; obligate anaerobes
____, not ____, of the virulent periodontal pathogen are important in disease
strains; species
P. gingivalis with type __ and ___ ____ genotypes = healthy; types ___ and ____ seen in disease
type I and V fimA genotypes
types II and IV in disease
pathogen must express ____ and must be in the right location in the site which is :
virulence factors; adjacent to epithelium and apical part of pocket
____ formation by s. sanguis inhibits A.a
peroxide (beneficial species inhibit pathogens)
____ can increase outer membrane protein expression in P. gingivalis
iron
s. cristatus can inhibit ____ expression of P. gingivalis
fimA
things that affect host susceptibility
HIV infection
diabetes
smoking
in colonization, ____ on bacteria bind to ____
adhesions; host receptors
3 examples of host receptors
type I or IV collagen
sialic acid
galactosyl residues
bacteria have ____, outer membrane proteins
fimbriae
4 things that happen during colonization
adhesion
coaggregation
nutrient utilization
competitive inhibition
Veillonella uses ____ made by streptococci; campylobacter uses ____ made by selenomonas; porphyromonas uses ____ from blood in sulcus
lactate; formate; hemin
bacteria inhibit each other through competitive inhibition, by producing ____, or in the case of s. sanguis, _____ (to inhibit A.a.
bacteriocins; hydrogen peroxide
3 types of host defenses against bacteria
desquamation of epithelium
antibodies can prevent binding
phagocytic cells
bacteria overcome desquamation of epithelium by:
invading epithelium and binding to underlying cells
bacteria overcome antibodies by:
IgG and IgA proteases; mimic host antigens
bacteria overcome phagocytic cells by:
leukotoxin; non-lethal suppression of immune cells
world workshop 1996 designated 3 periodontal pathogens:
P. gingivalis
A. actinomycetemcomitans
T. forsythia
red complex bacteria
P. gingivalis
T. forsythia
T. denticola