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21 Cards in this Set
- Front
- Back
oral defence mechanism - chewing
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mechanical effect
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oral defence mechanism- salive
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protective lubricant
plays a role in the formation of plaque and calculus influences the nature of oral flora and the chemical composition of teeth |
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oral defence mechanism- cell mediated immunity
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lymphocytes produce antibodies and kill virus infected cells
may cause inflammation |
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plaque
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mass of bacteria firmly adherent to a pellicle on the enamel
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pellicle
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derives from saliva and is a mucopolysaccharide
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calculus
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mineralised plaque which provides suitable surface for plaque to hide and survive
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plaque deposition
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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 |
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pellicle formation
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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 |
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central components of periodontal disease
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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 |
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gingivitis
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reversible inflammation of the gingiva associated with plaque build up
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peridontitis
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irreversable loss of connective tissue attachment with pocket formation.
preceded by gingivitis, it increases in severity and preveleance with age |
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plaque control
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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 |
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tooth resportion
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lesions are characterised by a cervical defect of enamel, dentine and cementum.
caused by resportion of enamel, dentine and cementum by odontoblast cells |
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clinical appearance of tooth resoption
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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 |
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clinical signs of tooth resportion
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painful
anorexia ptyalism lethargy depression halitosis dysphagia jaw spasm when probing with dental instruments |
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scaling
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supra and subgingival removal of plaque and calculus from tooth surfaces
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root planing
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residual calculus and bacteria toxin affected cementum is removed from roots
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closed curettage
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process by which pocket epithilium is removed without a surgical flap
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open curettage
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process by which pockets epithilium is removed under direct vision by surgically raising a flap
reccomanded is pocket is >5mm deep |
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periodontal probing
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with a blunt probe, measures attachment loss and pocket depth.
provides a practical way of assessing periodental health |
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dental prophylaxis
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dental treatment limited to patients with no established periodentitis, therefore it is a treatment to prevent the establishment of periodontitis
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