Periodontitis Overview and Pathogenesis
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Questions and Answers

What is the primary function of interleukin-1 (IL-1) in periodontitis?

  • Support enamel remineralization
  • Initiate the inflammatory response and promote bone resorption (correct)
  • Reduce inflammation and swelling
  • Act as antibiotics to kill bacteria

Which role do prostaglandins play in the oral cavity?

  • Bone formation
  • Promoting inflammation and enhancing vasodilation (correct)
  • Gingival recession prevention
  • Tooth remineralization

How do matrix metalloproteinases (MMPs) contribute to periodontitis?

  • Degrade extracellular matrix components, contributing to tissue destruction (correct)
  • Stimulate bone growth
  • Strengthen gum tissues
  • Act as barriers to bacterial invasion

Which of the following is NOT a risk factor for the initiation of periodontitis?

<p>Regular flossing (C)</p> Signup and view all the answers

What effect do hormonal changes during pregnancy have on oral health?

<p>Gingival hyperplasia and increased susceptibility to periodontitis (D)</p> Signup and view all the answers

What is periodontitis?

<p>A severe gum infection that damages the soft tissue and bone supporting the teeth (B)</p> Signup and view all the answers

Plaque biofilm in periodontal disease primarily consists of:

<p>A structured community of bacteria and their metabolic byproducts (D)</p> Signup and view all the answers

What is the primary role of plaque biofilm in periodontal disease?

<p>Initiating and sustaining the inflammatory response that leads to periodontitis (C)</p> Signup and view all the answers

Which of the following is NOT part of the periodontium?

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

The periodontal ligament primarily functions to:

<p>Attach teeth to the alveolar bone (A)</p> Signup and view all the answers

Which of the following bacteria is commonly associated with the pathogenesis of periodontal disease?

<p><em>Porphyromonas gingivalis</em> (A)</p> Signup and view all the answers

Which virulence factor allows Porphyromonas gingivalis to invade tissue and evade the immune system?

<p>Lipopolysaccharides (LPS) (A)</p> Signup and view all the answers

Which component of the immune response is crucial for combating periodontitis?

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

Which immune response is immediate and nonspecific in defending against periodontal pathogens?

<p>Innate immune response (A)</p> Signup and view all the answers

The acquired immune response in periodontal disease involves the activation of which type of cells to create a targeted immune response?

<p>T cells and B cells (D)</p> Signup and view all the answers

What is the main function of cytokines in periodontal disease?

<p>Mediating cell-to-cell communication and amplifying the inflammatory response (C)</p> Signup and view all the answers

Prostaglandins, particularly PGE2, are primarily involved in which process related to periodontal disease?

<p>Triggering bone resorption and inflammation (C)</p> Signup and view all the answers

How do matrix metalloproteinases (MMPs) contribute to periodontal disease?

<p>Breaking down connective tissue and collagen (C)</p> Signup and view all the answers

Which factor is a significant contributor to the initiation of periodontitis?

<p>Poor oral hygiene and plaque accumulation (B)</p> Signup and view all the answers

Smoking impacts periodontal health negatively by affecting what aspect of the immune response?

<p>Reducing blood flow and impairing immune response (D)</p> Signup and view all the answers

Which dental tool is primarily used to detect periodontal pockets?

<p>Periodontal probe (A)</p> Signup and view all the answers

Daily brushing and flossing are most effective at removing which of the following?

<p>Dental plaque biofilm (B)</p> Signup and view all the answers

Which type of professional dental cleaning specifically targets the removal of subgingival plaque and calculus?

<p>Root planing and scaling (C)</p> Signup and view all the answers

Which oral structure is primarily affected in cases of gingivitis?

<p>Gingiva (C)</p> Signup and view all the answers

Which tissue is responsible for connecting the cementum of the tooth to the alveolar bone?

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

What is the primary cause of alveolar bone loss in periodontitis?

<p>Chronic inflammation due to plaque biofilm (C)</p> Signup and view all the answers

Which bacteria from the 'red complex' is associated with severe periodontal disease?

<p><em>Treponema denticola</em> (D)</p> Signup and view all the answers

Flashcards

Periodontitis

A severe gum infection that damages soft tissue and bone supporting teeth.

Plaque Biofilm

A structured community of bacteria on teeth.

Plaque Biofilm Role

Initiates and sustains inflammation leading to periodontitis.

Periodontium

Tissues that surround and support the teeth.

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Gingiva

Gums.

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Periodontal Ligament Function

Attaches teeth to the alveolar bone.

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Porphyromonas gingivalis

A key bacterium linked to periodontal disease.

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P. gingivalis Virulence Factors

Allow bacteria to invade tissue and evade the immune system.

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Innate Immune Response

Immediate, nonspecific immune response.

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Acquired Immune Response

Targeted immune response involving T and B cells.

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Lysozyme

Breaks down bacterial cell walls in saliva.

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Cytokines (e.g., IL-1)

Mediate cell communication and amplify inflammation.

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Prostaglandins (PGE2)

Triggers bone resorption and inflammation.

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Matrix Metalloproteinases (MMPs)

Break down connective tissue and collagen.

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Periodontitis Initiation

Poor oral hygiene and plaque accumulation.

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Smoking Effects

Reduces blood flow and impairs immune response.

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Periodontal Probe

Detects spaces between the tooth and gum.

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Brushing and Flossing

Removes plaque biofilm.

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Root Planing and Scaling

Targets subgingival plaque and calculus.

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Periodontal Ligament

Connects cementum to alveolar bone.

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Alveolar Bone Loss Cause

Chronic inflammation due to plaque biofilm.

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Treponema denticola

A member of the 'red complex' of bacteria.

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T. forsythia Enzymes

Help bacteria break down host tissues.

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Neutrophils Role

First immune cells to respond to infection.

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IL-1 Function

Initiates inflammation and promotes bone resorption.

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Prostaglandin Function

Promote inflammation and enhance vasodilation.

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Periodontitis Risk Factors

Smoking and diabetes.

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Study Notes

Periodontitis Overview

  • Periodontitis is a severe gum infection that damages the soft tissue and bone supporting the teeth.
  • It is a chronic inflammatory disease caused by a complex interplay of bacterial infection and host immune responses.

Development and Role of Plaque Biofilm

  • Plaque biofilm is a structured community of bacteria and their metabolic byproducts that forms on teeth.
  • Plaque biofilm plays a crucial role in initiating and sustaining the inflammatory response that leads to periodontitis.

Tissues of the Periodontium

  • The periodontium is the group of tissues that surround and support the teeth.
  • It includes the gingiva (gums), cementum, periodontal ligament, and alveolar bone.
  • The periodontal ligament functions to attach teeth to the alveolar bone.
  • Dentin is not part of the periodontium.

Bacteria and Pathogenesis of Periodontal Disease

  • Porphyromonas gingivalis is a key bacterium associated with the pathogenesis of periodontal disease.
  • Porphyromonas gingivalis produces virulence factors like lipopolysaccharides (LPS) that allow it to invade tissue and evade the immune system.
  • Other bacteria associated with periodontal disease include Treponema denticola and Tannerella forsythia.

Host Defence Mechanisms

  • The innate immune response is immediate and nonspecific, involving cells like neutrophils and macrophages.
  • The acquired immune response is more targeted and involves the activation of T cells and B cells.
  • Saliva provides enzymes like lysozyme that break down bacterial cell walls.

Functions of Cytokines, Prostaglandins, and MMPs

  • Cytokines, like IL-1, mediate cell-to-cell communication and amplify the inflammatory response.
  • Prostaglandins, notably PGE2, trigger bone resorption and inflammation in periodontal disease.
  • Matrix metalloproteinases (MMPs) break down connective tissue and collagen, contributing to tissue destruction.

Initiation of Periodontitis

  • Poor oral hygiene and plaque accumulation are significant contributors to the initiation of periodontitis.
  • Smoking can reduce blood flow and impair immune responses in the gums, increasing susceptibility to periodontal disease.
  • Hormonal changes, such as those during pregnancy, can lead to gingival hyperplasia and increased susceptibility to periodontitis.

General Dentistry and Periodontal Disease

  • A periodontal probe is used to detect periodontal pockets, which are spaces between the tooth and gum.
  • Daily brushing and flossing are essential for removing plaque biofilm.
  • Root planing and scaling are professional cleaning procedures that target subgingival plaque and calculus.

Tissues and Structures of the Periodontium

  • The periodontal ligament connects the cementum to the alveolar bone.
  • Chronic inflammation due to plaque biofilm is the primary cause of alveolar bone loss in periodontitis.

Bacteria and Periodontal Pathogenesis

  • Treponema denticola is a member of the "red complex" of bacteria associated with severe periodontal disease.
  • Proteolytic enzymes produced by bacteria like Tannerella forsythia help them break down host tissues and evade the immune system.

Host Defense and Immune Response in Dentistry

  • Neutrophils are the first immune cells to respond to periodontal infection.

Functions of Key Molecules in the Host Response

  • IL-1 initiates the inflammatory response and promotes bone resorption.
  • Prostaglandins promote inflammation and enhance vasodilation.

Factors Contributing to Periodontitis

  • Smoking and diabetes are risk factors for periodontitis.

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Description

This quiz covers the essentials of periodontitis, including its definition, causes, and the role of plaque biofilm. It also explores the tissues of the periodontium and the crucial bacteria involved in periodontal disease. Test your knowledge on gum infections and their underlying mechanisms!

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