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Questions and Answers
What was a major flaw in the nonspecific plaque hypothesis?
What was a major flaw in the nonspecific plaque hypothesis?
- It recognized the virulence levels of specific bacteria.
- It focused on the presence of specific microorganisms in plaque.
- It assumed all plaque has the same potential for pathogenicity. (correct)
- It provided a comprehensive treatment plan for periodontal diseases.
Which hypothesis emphasizes the role of specific microorganisms in periodontal disease?
Which hypothesis emphasizes the role of specific microorganisms in periodontal disease?
- Specific Plaque Hypothesis (correct)
- Nonspecific Plaque Hypothesis
- Mechanical Plaque Removal Hypothesis
- Ecological Plaque Hypothesis
How does the nonspecific plaque hypothesis suggest periodontal disease can be prevented?
How does the nonspecific plaque hypothesis suggest periodontal disease can be prevented?
- Through non-specific mechanical removal of plaque. (correct)
- Through improved oral hygiene techniques focused on specific sites.
- By using antibacterial medications.
- By specific targeting of harmful bacteria.
What observation contradicted the conclusions of the nonspecific plaque hypothesis?
What observation contradicted the conclusions of the nonspecific plaque hypothesis?
What is a key factor that the specific plaque hypothesis predicts will lead to periodontal disease?
What is a key factor that the specific plaque hypothesis predicts will lead to periodontal disease?
In the context of periodontal diseases, what does the term 'site-specificity' refer to?
In the context of periodontal diseases, what does the term 'site-specificity' refer to?
What did advancements in microbiological techniques lead to regarding the nonspecific plaque hypothesis?
What did advancements in microbiological techniques lead to regarding the nonspecific plaque hypothesis?
According to the nonspecific plaque hypothesis, what determines the pathogenicity of periodontal disease?
According to the nonspecific plaque hypothesis, what determines the pathogenicity of periodontal disease?
What is the primary reason for the shift in pathogenic potential according to the updated NSPH?
What is the primary reason for the shift in pathogenic potential according to the updated NSPH?
What does the Ecological Plaque Hypothesis suggest is the cause of dental disease?
What does the Ecological Plaque Hypothesis suggest is the cause of dental disease?
What role do early colonizers of supragingival dental surfaces play in the composition of dental plaque?
What role do early colonizers of supragingival dental surfaces play in the composition of dental plaque?
In the context of dental plaque development, what is meant by a 'keystone pathogen'?
In the context of dental plaque development, what is meant by a 'keystone pathogen'?
Why does the traditional Ecological Plaque Hypothesis fail to completely explain dental disease?
Why does the traditional Ecological Plaque Hypothesis fail to completely explain dental disease?
What is a significant factor that affects the composition of dental plaque?
What is a significant factor that affects the composition of dental plaque?
How do bacterial species influence their environment within dental plaque?
How do bacterial species influence their environment within dental plaque?
What is a consequence of ecological stress as mentioned in the Ecological Plaque Hypothesis?
What is a consequence of ecological stress as mentioned in the Ecological Plaque Hypothesis?
What is one of the limitations associated with the hypothesis that specific periopathogens cause periodontal disease?
What is one of the limitations associated with the hypothesis that specific periopathogens cause periodontal disease?
According to the updated Nonspecific Plaque Hypothesis, what plays a role in the virulence of microflora in dental plaque?
According to the updated Nonspecific Plaque Hypothesis, what plays a role in the virulence of microflora in dental plaque?
Which types of bacteria were identified as potential periopathogens associated with periodontal disease?
Which types of bacteria were identified as potential periopathogens associated with periodontal disease?
What misconception about chlorhexidine usage in periodontal therapy is highlighted?
What misconception about chlorhexidine usage in periodontal therapy is highlighted?
What did the hypothesis state regarding microbial colonization in the gingival crevice?
What did the hypothesis state regarding microbial colonization in the gingival crevice?
Which of the following best describes the occurrence of gingivitis in individuals?
Which of the following best describes the occurrence of gingivitis in individuals?
What does the updated Nonspecific Plaque Hypothesis (NSPH) emphasize about oral health?
What does the updated Nonspecific Plaque Hypothesis (NSPH) emphasize about oral health?
What aspect of periodontal disease treatment is questioned due to clinical studies on antibiotics?
What aspect of periodontal disease treatment is questioned due to clinical studies on antibiotics?
What is the primary role of Type I in relation to TLR4?
What is the primary role of Type I in relation to TLR4?
What factor influences the type of LPS expressed by Porphyromonas gingivalis?
What factor influences the type of LPS expressed by Porphyromonas gingivalis?
How does Porphyromonas gingivalis block IL-8 production in host cells?
How does Porphyromonas gingivalis block IL-8 production in host cells?
What is local chemokine paralysis primarily associated with?
What is local chemokine paralysis primarily associated with?
What mechanism does Porphyromonas gingivalis use to interfere with the complement system?
What mechanism does Porphyromonas gingivalis use to interfere with the complement system?
What does C5aReceptor (C5aR) involvement in P.gingivalis infection lead to?
What does C5aReceptor (C5aR) involvement in P.gingivalis infection lead to?
What role do gingipains play in the pathogenesis of periodontitis?
What role do gingipains play in the pathogenesis of periodontitis?
What was observed in a P.gingivalis strain that lacks gingipains?
What was observed in a P.gingivalis strain that lacks gingipains?
What role do keystone pathogens play in the development of polymicrobial diseases?
What role do keystone pathogens play in the development of polymicrobial diseases?
Which of the following statements about Porphyromonas gingivalis is false?
Which of the following statements about Porphyromonas gingivalis is false?
What is a primary function of E-selectin in periodontal health?
What is a primary function of E-selectin in periodontal health?
Which mechanism is not associated with P.gingivalis's impairment of host defenses?
Which mechanism is not associated with P.gingivalis's impairment of host defenses?
How do lipopolysaccharides (LPS) produced by P.gingivalis differ in type?
How do lipopolysaccharides (LPS) produced by P.gingivalis differ in type?
What is the significance of the neutrophil wall in periodontal health?
What is the significance of the neutrophil wall in periodontal health?
In advanced stages of periodontal disease, how does the presence of keystone pathogens change?
In advanced stages of periodontal disease, how does the presence of keystone pathogens change?
What role do toll-like receptors (TLRs) play in the immune response?
What role do toll-like receptors (TLRs) play in the immune response?
Flashcards
Nonspecific Plaque Hypothesis (NSPH)
Nonspecific Plaque Hypothesis (NSPH)
The theory that the amount of plaque, not the type of bacteria, determines periodontal disease severity. Harmful products from plaque overwhelm the host's defenses.
Specific Plaque Hypothesis
Specific Plaque Hypothesis
The theory that only certain types of bacteria in plaque cause periodontal disease. Pathogenic bacteria trigger tissue destruction.
Pathogenic Bacteria
Pathogenic Bacteria
Bacteria that cause disease, in this case, periodontal disease.
Periodontal Diseases
Periodontal Diseases
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Host defenses
Host defenses
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Plaque
Plaque
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Site-specificity of periodontal disease
Site-specificity of periodontal disease
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Mechanical plaque removal
Mechanical plaque removal
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Localized Aggressive Periodontitis (LAP)
Localized Aggressive Periodontitis (LAP)
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Specific Pathogen Hypothesis (SPH)
Specific Pathogen Hypothesis (SPH)
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Antibiotic Limitations in Periodontitis
Antibiotic Limitations in Periodontitis
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Virulence Factors
Virulence Factors
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Updated NSPH's perspective on Plaque
Updated NSPH's perspective on Plaque
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Uncultivable Periopathogens
Uncultivable Periopathogens
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Periopathogens
Periopathogens
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Ecological Plaque Hypothesis (EPH)
Ecological Plaque Hypothesis (EPH)
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Keystone Pathogen Hypothesis (KPH)
Keystone Pathogen Hypothesis (KPH)
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Plaque Microbial Composition
Plaque Microbial Composition
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Pathogenic Potential
Pathogenic Potential
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Dental Plaque Environment
Dental Plaque Environment
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Keystone Species
Keystone Species
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Host-Dependent Environment
Host-Dependent Environment
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Changes in Microbial Composition
Changes in Microbial Composition
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Type I LPS
Type I LPS
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Type II LPS
Type II LPS
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Hemin
Hemin
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IL-8 Response
IL-8 Response
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Local Chemokine Paralysis
Local Chemokine Paralysis
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Complement System Response
Complement System Response
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Gingipains
Gingipains
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C5a Receptor (C5aR)
C5a Receptor (C5aR)
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Keystone Pathogen
Keystone Pathogen
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Polymicrobial Disease
Polymicrobial Disease
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Dysbiotic Microbial Community
Dysbiotic Microbial Community
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Porphyromonas gingivalis (P. gingivalis)
Porphyromonas gingivalis (P. gingivalis)
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How does P. gingivalis manipulate the host's immune system?
How does P. gingivalis manipulate the host's immune system?
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Toll-like receptor (TLR) manipulation
Toll-like receptor (TLR) manipulation
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Interleukin 8 (IL-8) subversion
Interleukin 8 (IL-8) subversion
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Study Notes
Microbiologic Specificity of Periodontal Diseases
- The nonspecific plaque hypothesis (NSPH) proposed that the amount of plaque determined its pathogenicity, without considering the virulence of the bacteria.
- The NSPH suggested that if the host's capacity to neutralize plaque toxins was exceeded, inflammation and disease would occur.
- This hypothesis was refuted by the observation that some individuals with plaque and calculus, along with gingivitis, did not develop periodontitis.
- Site-specific disease patterns were observed, with some sites unaffected while others had advanced disease.
- The ability to isolate and identify oral bacteria in the mid-20th century led to the abandonment of the NSPH.
Specific Plaque Hypothesis
- The specific plaque hypothesis maintains that only certain plaque-associated microorganisms are pathogenic, and their pathogenicity depends on the presence of specific microorganisms.
- This hypothesis suggests that specific periodontal pathogens cause periodontal disease by producing substances that damage host tissues.
- The acceptance of a specific plaque hypothesis was aided by the identification of A. actinomycetemcomitans as a pathogen in aggressive periodontitis.
- Certain limitations associated with this hypothesis include: difficulty establishing the effectiveness of antibiotics, resistance to antibiotics, and uncertain benefits from chlorhexidine.
Ecological Plaque Hypothesis
- The ecological plaque hypothesis (EPH) proposes that disease results from an imbalance in the total microflora due to ecological stress.
- This imbalance can lead to an overgrowth of pathogenic microorganisms.
- The theory emphasizes the importance of the host-dependent environment in the selection of colonizing bacteria, while acknowledging the influence of genetic factors.
Keystone Pathogen Hypothesis
- The keystone pathogen hypothesis (KPH) suggests that certain low-abundance species have a disproportionate effect on their environment.
- These species, with limited abundance, can cause inflammatory disease by altering the bacterial community composition and increasing the abundance of other pathogens.
- Identifying keystone pathogens could lead to targeted treatments for polymicrobial diseases.
Mechanisms of P.gingivalis
- P. gingivalis manipulates the host immune system by influencing the TLR response, subverting the IL-8 response, and interfering with the complement system.
- Lipopolysaccharides (LPS) produce different effects depending on concentration and composition.
- P. gingivalis can reduce the TLR4 response through the production of Type II LPS, thereby reducing inflammation.
- The keystone pathogen (P. gingivalis) can block the production of IL-8.
- This can prevent the recruitment of neutrophils needed for the elimination of microbes.
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