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26 Cards in this Set

  • Front
  • Back

Prime etiologic factor in the development and progression of dental caries and periapical diseases

Bacteria

First recorded observation of bacteria in root canals

Antony van Leeuwenhoek first

First described significance of bacteria in endodontic infection

Kakehashi

How do the microorganism reach the root canal?

Caries, fractures, exposed dentinal tubules.


Coronal leakage


Periodontium


Anachoresis

What is Anachoresis ?

Attraction of the microorganism to the focus of the inflammation.

Front (Term)


What is the pulp response to caries reaching the pulp?

Back (Definition)


PMNs attracted -abcess


Inflammation to necrosis- slow or fast

What is the pulp response to caries - dentin

Lymphocytes, plasma cells, and macrophages( in chronic cell infiltrate )


Formation of irregular -reparative or irritation - Dentin -----decrease permeability

Pulp response to caries reaching pulp

PMNs attracted - abscess formation.


Inflammation to necrosis - slow or fast.

Which bacteria is predominant on root canal ( infected?

Back (Definition)


Obligate anaerobes

Main bacterial on root canal

Gram -


Prevotella


Porphyromonas


Tannerella


Dialister


Fusobacterium


Spirochete - treponema


Gram+ anaerobic rods and cocci


Streptococcus , campylobacter


Candida


Archaea


Virus which bacterias

Which bacterias is responsible for secondary endodontic infection ?

Dominated by facultative anaerobic gram +


Enterococcus


And also actinomyces, propionibacteria, yeast and streptococci


E fecalis

With bacteria is associated-with


Severe flare up pain and swelling?


F. Nucleatum


Prevotella


Porphyromonas

what do we use as a irrigation on root canal preparation?

Sodium hypochlorite


Chlorhexidine


Ultrasonics and sonics


What is the goal of obturation?

Decrease chance of re contamination and to " entomb" any remaining bacteria

When we prescribe antibiotics ?

Systemic involvement.


Progressive diffuse swelling and cellulitis.


Medically compromised patients.



Does antibiotic reduces pain on irreversible pulpitis?

No

What criteria the bacterias has to achieve to be called community( biofilm)

1-Autopsies - self organized


2-Resist environment perturbation.(homeostasis)


3-more effective in association than in isolation( synergy)


4-respond to environmental changes as a unit rather than single individual (communality)


How the interactions between microorganism and biofilm occur ?


Gene transfer


Extra chromosomal DNA


Quorum sensing


Autoaggregation and coaggregation


Antagonist interactions

Which mechanism makes microbes in biofilm are more resistance to antimicrobials ?

1 -extra cellular polymeric matrix- acts as diffusion


2-grown rate and nutrient availability


3- adoption of resistance phenotype

Which bacteria is associated with purple r drainage?

Provotella and Porphyromonas

Front (Term)


Which bacteria is associated with percussion pain?

Peptostreptococcus


Eubacteria


Porphyromonas


Which bacteria is associated with symptom?

Treponema denticola


Tannerella forsythesis


Dialister pneumosintes

Categorized the bacteria biofilm

Intracranial biofilms


Extraradicular biofilms


Periapical biofilm


Biomaterial centered infection

True or false


Phagocytes are unable to engulf bacteria in matrix enclosed biofilm structures

True


"Sulfur granules "on microscope


Actionomyces biofilm

Does antibiotic reduces pain in acute pulpitis?

No.


We should use NSAIDs