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14 Cards in this Set

  • Front
  • Back

Etiology of Periodontal Disease ...


Primary __________


Secondary __________

-Dental Plaque


-Calculus

Modifying Factors of Periodontal Disease...


Local Factors

-Malocclusion


-Occlusal Trauma


-Inadequate habits

Modifying Factors of Periodontal Disease...


General Factors

-Hormonal alterations


-Nutritional problems


-Systemic disease


-Genetic Anomalies

Phases of


"Plaque Formation"

Phase 1: Molecular adsortion to condition the biofilm formation


Phase 2: Bacterial adhesion by single organism


Phase 3: Growth of extracellular matrix production and multiplication of the adhering bacteria


Phase 4: Sequential adsortion go further bacteria to form a more complex and mature biofilm

Phases of plaque formation...


Phase 1: Molecular adsortion to condition the biofilm formation

-Providing the primary site for bacterial attachment



-Acquired pellicle that can bonded with Salivary Glycoproteins and Antibodies the help microbial attachment

Phases of plaque formation...


Phase 2: Bacterial adhesion by single organism


-Specific attachment structure



-Prolonged exposure

Phases of plaque formation...


Phase 3: Growth of extracellular matrix production and multiplication of the adhering bacteria

Increasing thickness of the bacterian

Phases of plaque formation...


Phase 4: Sequential adsortion go further bacteria to form a more complex and mature biofilm

-Poor diffusion of oxygen



-Anaerobic Condition in the deepest layers



-Facilitates the adherence of more complex and dangerous bacteria flora

The primary bacteria colonization within 24 hours ...

-Mainly Streptococci Sanguis



-Also found Actinomyces spp

The second stage of bacteria colonization ...

Mainly Actinomyces spp

Biofilm Structures

-Bacterias cluster together



-Each microcolony is an independant community


-Fluid channels



- Chemical signals allow communication between the microcolonies (Quorum Sensum)

Supragingival Calculus

-Creamy-whitish to dark yellow of moderate hardness



-Adjacent to excretion ducts of major salivary glands (lg lower anteriors/ vb upper molars)



-Visible

Subgingival Calculus

-Brownish to black hard mass with rough surface



-In periodontal pocket



-May be seen in XR or by tactile exploration with periodontal probe

_______ calculus represents a secondary product of infection and not a primary cause of periodontitis

Subgingival