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21 Cards in this Set

  • Front
  • Back
oral defence mechanism - chewing
mechanical effect
oral defence mechanism- salive
protective lubricant

plays a role in the formation of plaque and calculus

influences the nature of oral flora and the chemical composition of teeth
oral defence mechanism- cell mediated immunity
lymphocytes produce antibodies and kill virus infected cells

may cause inflammation
plaque
mass of bacteria firmly adherent to a pellicle on the enamel
pellicle
derives from saliva and is a mucopolysaccharide
calculus
mineralised plaque which provides suitable surface for plaque to hide and survive
plaque deposition
first step: deposition of a pellicle
second step: pellicle actively being involved in bacterial colonization
third step: involves maturation of plaque bacteria and chage in the species predominating
pellicle formation
1. bathing of rooth surfaces in saliva
2. selective absorption of glycoproteins
3. loss of solubility of these proteins by surface denaturation and acid precipitation
4. enzymes from bacteria alter these glycoproteins
central components of periodontal disease
1. caused by bacteria
2. invading bacteria disrupt the junctional epithilium producing pockets and changes in connectives tissues, eventually causing loss of alveolar tooth bone
gingivitis
reversible inflammation of the gingiva associated with plaque build up
peridontitis
irreversable loss of connective tissue attachment with pocket formation.
preceded by gingivitis, it increases in severity and preveleance with age
plaque control
a state of equilibrium should exist between the host and the plque biofilm and this prevents the growth of pathogenic bacteria

once attached removal of plaque only possible by mechanical means or chemical means
tooth resportion
lesions are characterised by a cervical defect of enamel, dentine and cementum.

caused by resportion of enamel, dentine and cementum by odontoblast cells
clinical appearance of tooth resoption
most commonly seen in the mesial premolar teeth, secondly in other distal teeth

inflammation of the gingiva

cats- seen more on buccal surface than on the lingual/palatal surface
clinical signs of tooth resportion
painful
anorexia
ptyalism
lethargy
depression
halitosis
dysphagia
jaw spasm when probing with dental instruments
scaling
supra and subgingival removal of plaque and calculus from tooth surfaces
root planing
residual calculus and bacteria toxin affected cementum is removed from roots
closed curettage
process by which pocket epithilium is removed without a surgical flap
open curettage
process by which pockets epithilium is removed under direct vision by surgically raising a flap

reccomanded is pocket is >5mm deep
periodontal probing
with a blunt probe, measures attachment loss and pocket depth.

provides a practical way of assessing periodental health
dental prophylaxis
dental treatment limited to patients with no established periodentitis, therefore it is a treatment to prevent the establishment of periodontitis