Pathogenesis of periodontal disease workbook

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

What is a primary function of saliva in relation to oral health?

  • Aids in digestion of carbohydrates
  • Enhances taste perception
  • Increases the pH of the mouth
  • Prevents drying of oral tissues (correct)

Which components in saliva specifically target gram-positive bacteria?

  • Salivary amylase and lipase
  • Peroxidase, lysosome, and lactoferrin (correct)
  • Antibodies and cytokines
  • Immunoglobulin A

What defines the adaptive immune response?

  • It's the first line of defense against infections.
  • It is highly specific to a particular pathogen. (correct)
  • It is nonspecific and reacts to all types of infections.
  • It provides immediate protection against all pathogens.

Which of the following best describes humoral immunity?

<p>It produces antibodies against extracellular agents. (B)</p> Signup and view all the answers

What role does immunological memory play in the adaptive immune response?

<p>It allows for immediate response to previously encountered pathogens. (A)</p> Signup and view all the answers

What is the primary function of the epithelial cells in the oral cavity?

<p>They create a barrier against plaque microorganisms. (C)</p> Signup and view all the answers

What happens to the junctional epithelium during inflammation?

<p>It transforms into pocket-lining epithelium with micro ulcerations. (A)</p> Signup and view all the answers

Which cells in the junctional epithelium are involved in the inflammatory response?

<p>Cytokine-secreting cells (D)</p> Signup and view all the answers

What characterizes the pocket-lining epithelium compared to the junctional epithelium?

<p>It contains micro ulcerations and is prone to leaking. (B)</p> Signup and view all the answers

What is the role of saliva in the oral cavity?

<p>It acts as a lubricant and helps in digestion. (B)</p> Signup and view all the answers

What change occurs to the junctional epithelium during the initiation of an inflammatory response?

<p>It may develop structural vulnerabilities. (D)</p> Signup and view all the answers

Which type of cells are likely to be responsible for macrophage functions in the gingival tissues?

<p>Tissue macrophages (A)</p> Signup and view all the answers

What is a potential consequence of the protective function of epithelium being compromised?

<p>Higher likelihood of bacterial infection. (A)</p> Signup and view all the answers

What is the primary characteristic of periodontitis?

<p>It involves microbial infection triggering host-mediated inflammation. (C)</p> Signup and view all the answers

Which of the following best describes plaque biofilm?

<p>An organized community of microorganisms in a glycocalyx. (A)</p> Signup and view all the answers

Which of the following is NOT a component of the extracellular matrix in dental plaque biofilm?

<p>Cellulose (D)</p> Signup and view all the answers

What role do cytokines play in the host response to periodontal disease?

<p>They mediate the inflammatory response. (A)</p> Signup and view all the answers

What are matrix metalloproteinases (MMPs) primarily responsible for in periodontal disease?

<p>Degrading collagen and extracellular matrix components. (D)</p> Signup and view all the answers

Which of the following statements about the role of bacteria in periodontal disease is incorrect?

<p>All types of bacteria equally contribute to periodontal disease. (B)</p> Signup and view all the answers

Which of the following factors may contribute to the initiation of periodontitis?

<p>Genetic predisposition and environmental factors. (C)</p> Signup and view all the answers

In the context of immune responses in the oral cavity, what is true about innate immunity?

<p>It is non-specific and responds immediately to infections. (A)</p> Signup and view all the answers

Flashcards

Epithelial Barrier Function

Epithelial cells create a physical barrier against plaque microorganisms by being tightly connected, keratinized, and forming a permeable barrier.

Compromised Epithelial Function

When junctional epithelium changes to pocket-lining epithelium, it develops micro-ulcerations and becomes leaky, weakening its protective function.

Cytokine & TNF Secretion

Cells within the junctional epithelium release cytokines and Tumor Necrosis Factor (TNF) to initiate an inflammatory response in the gum tissue.

Tissue Macrophages

These macrophages are part of the host's defense system, releasing substances to fight infection.

Signup and view all the flashcards

Saliva Role

Saliva plays a role in oral health, but the specific details are not provided in the given text.

Signup and view all the flashcards

Saliva's role in preventing dry mouth

Saliva prevents oral tissues from drying out and has antimicrobial properties, impacting bacterial attachment and swallowing.

Signup and view all the flashcards

Antimicrobial effects of saliva

Saliva's antimicrobial properties include its role in swallowing bacteria and secreting salivary IgA which affect bacterial attachment and swallowing.

Signup and view all the flashcards

Specific immunity

The highly specialized immune response targeting a particular pathogen due to immunological memory.

Signup and view all the flashcards

Humoral immunity

An adaptive immune response where antibodies are produced against extracellular pathogens.

Signup and view all the flashcards

Acquired/Specific immune response

An immune response activated when innate immunity is ineffective, highly specific to pathogens, and has immunological memory.

Signup and view all the flashcards

Cell-mediated immunity

One of two main mechanisms of the adaptive immune response, focusing on eliminating pathogens directly.

Signup and view all the flashcards

Pathogens

Disease-causing agents.

Signup and view all the flashcards

Antigen

A specific molecule that triggers an immune response.

Signup and view all the flashcards

Immunological Memory

The ability of the immune system to remember past encounters with pathogens.

Signup and view all the flashcards

Antibodies

Proteins produced by the immune system to fight against specific pathogens.

Signup and view all the flashcards

Periodontitis

A microbial infection triggering a host inflammatory response, leading to progressive periodontal ligament and alveolar bone destruction.

Signup and view all the flashcards

Plaque Biofilm

Organized microbial community embedded in a glycocalyx (slime layer) on oral surfaces.

Signup and view all the flashcards

Composition of Plaque Biofilm

A complex mixture of organic (polysaccharides, proteins, glycoproteins, lipids) and inorganic (calcium, sodium, phosphorus, potassium) components.

Signup and view all the flashcards

Dental Plaque Biofilm Formation (Stages)

A multi-step process involving initial colonization, maturation, and biofilm development.

Signup and view all the flashcards

Host Defenses (Oral Cavity)

The oral cavity's defenses against bacteria, including innate (immediate) and acquired (developed) immune responses.

Signup and view all the flashcards

Cytokines

Signaling molecules involved in the immune response

Signup and view all the flashcards

Prostaglandins

Lipid molecules, play a crucial role in inflammation.

Signup and view all the flashcards

Matrix Metalloproteinases (MMPs)

Enzymes which break down organic and tissue components

Signup and view all the flashcards

Periodontitis Initiation Factors

Factors contributing to the start of periodontitis, often microbial or host related.

Signup and view all the flashcards

Virulence Factor

An attribute of a microorganism that helps it cause infection and illness.

Signup and view all the flashcards

Periodontal Disease Microbiology

The study of the bacteria and microorganisms involved periodontal disease.

Signup and view all the flashcards

Study Notes

Pathogenesis of Periodontal Disease

  • Periodontitis is a microbial infection triggering a host-mediated inflammatory response, leading to progressive and irreversible destruction of the periodontal ligament and alveolar bone.

Plaque Biofilm

  • Plaque biofilm is a community of microorganisms embedded in an extracellular glycocalyx (slime layer).
  • It forms on natural and restored solid surfaces in the oral cavity.

Biofilm Composition

  • Organic components: Polysaccharides, glycoproteins, proteins, and lipids.
  • Inorganic components: Calcium, sodium, phosphorus, and potassium.

Biofilm Formation Stages

  • 1. Initial attachment of bacteria to pellicle.
  • 2. Initial colonization of the tooth surface.
  • 3. Secondary colonization: extracellular slime layer formation.
  • 4. Mature biofilm (mushroom-shaped colonies).

Periodontal Tissues

  • The periodontium consists of gingivae, periodontal ligament, cementum, and alveolar bone.
  • Oral epithelium covers the free and attached gingivae.
  • Sulcular epithelium lines the sulcus.
  • Junctional epithelium is at the base of the sulcus.

Bacteria in Periodontal Disease

  • Subgingival environment supports mainly anaerobic bacteria.
  • Key bacteria species associated with periodontal disease include Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, Treponema denticola, Tannerella forsythia, Prevotella intermedia, and Fusobacterium nucleatum.

Virulence Factors

  • Bacteria virulence factors enable colonization, invasion, and damage to the periodontium.
  • Examples include carbohydrate capsules, gingipains, lipopolysaccharide (LPS), haemagglutinins, platelet aggregators, fimbrae, tissue invasion, and proteases.

Host Defenses

  • Innate and acquired immune responses are initiated in response to plaque.
  • Cytokines, prostaglandins, and matrix metalloproteinases (MMPs) are important chemical mediators involved in periodontal disease.

Periodontal Disease Theories

  • Non-specific plaque hypothesis proposes that stagnation of plaque leads to inflammation.
  • Specific plaque hypothesis suggests a shift in microbial composition rather than amount in developing periodontal disease.
  • Keystone pathogen-host response hypothesis emphasizes specific bacterial species triggering an uncontrolled host response.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Pathogenesis of Periodontal Disease 1
17 questions
Use Quizgecko on...
Browser
Browser