Inflammatio Gingivae

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43 Questions

What is the main cell type found in the established lesion?

Plasma cells

Which adhesion molecules are present in the initial lesion?

ICAM-1

What is the predominant cell type in the advanced lesion?

Plasma cells

Which type of immunity involves memory and specialized immune response?

Adaptive immunity

Which cells are part of the 'First-line' defense in innate immunity?

Neutrophils and macrophages

Which type of immunity has a rapid response to microbes and limited diversity?

Innate Immunity

Which cells are involved in adaptive immunity and provide memory?

Lymphocytes (B & T)

Which component is associated with humoral immunity?

Antibodies/Cytokines

Which type of immunity is the primary defense against extracellular bacteria and circulating viruses?

Humoral-mediated immunity

What is the primary defense against intracellular pathogens such as viruses, fungi, and intracellular bacteria?

Cell-mediated immunity

Which type of immunity involves B lymphocytes and antibodies circulating in serum?

Humoral-mediated immunity

What is the function of the inflammatory response?

Dilute/wall off damaging microorganisms

What is the function of the GCF (Gingival Crevicular Fluid) in acute inflammation?

Washes non-adherent bacteria out of the crevice

What is the role of macrophages in the inflammatory and immune responses?

Phagocytosis of pathogens

What is the main function of the junctional epithelium in the inflammatory response?

Release cytokines and host-defense peptides

Which cell type in the gingival epithelium is involved in the immune response?

Langerhans’ cells

What serves as a physical barrier to plaque microorganisms in the epithelium?

Epithelial cells being tightly attached to each other

What is the primary effect of saliva on the development of plaque and caries?

Antimicrobial effects supragingivally

Where are the direct effects of saliva not observed in relation to oral health?

Subgingivally

What cells present antigenic material to circulating lymphocytes in the humoral immune response?

Epithelial Langerhans’ cells

Which type of antibody production is thought to be particularly protective in the humoral immune response?

IgG and IgA

What is the primary function of B-lymphocytes in the humoral immune response?

To differentiate into plasma cells that secrete antibody

What is the primary role of T-helper lymphocytes in the cell mediated response?

Phagocytosis

Which type of cells are associated with the immune response in gingivitis?

Th1 cells

In the context of periodontitis, what type of cells are involved in the shift to B cells?

Th2 cells

Which of the following is an example of pro-inflammatory cytokines?

IL-1

Which of the following is responsible for bone resorption, neutrophil chemotaxis, vascular permeability, and dilation?

PGE-2

Which of the following mediators is involved in degrading connective tissue and is pro-inflammatory?

Matrix metalloproteinases

What is the primary function of cytokines in the immune system?

Mediate and regulate immunity, inflammation, and hematopoiesis

Which type of cytokine can cause many different effects on the target cell?

Pleiotropic cytokines

Which type of cytokine elicits the same response from their targets as many other cytokines?

Redundant cytokines

Which type of cytokine is capable of blocking the effect of another cytokine?

Antagonistic cytokines

Which pathway produces prostaglandins that can cause vasodilation or vasoconstriction?

COX pathway

Which pathway produces potent chemo-attractants for neutrophils?

LOX pathway

Which products are a potent stimulus of bone resorption?

Prostaglandins PGEs

What is the primary responsibility of Matrix Metalloproteinases (MMPs)?

Degrading extracellular matrix collagen

In which pathological conditions is there an increased expression of MMPs?

Conditions leading to tissue destruction

What role does MMP-8 play as an indicator?

Indicator of disease severity

What is the primary function of Thrombocytes/Platelets?

Initiate the clotting cascade

Which component is found in the Plasma and is important for homeostasis?

Fibrinogen

What is the main function of Erythrocytes/Red Blood Cells (RBCs)?

Transport oxygen and carbon dioxide

What is the lifespan of platelets?

5-9 days

What do platelets release through the cell membrane when activated?

Cytokines

Inflammatio Gingivae: Processus Patologiae Testa tua scientiam in processu pathologiae inflammationis gingivae, a neutrophilis primis ad leucocytis in lesioneis evolutis.

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