click below
click below
Normal Size Small Size show me how
Perio Module 6
Chapter 13 Host Immunoinflammatory Response to Biofilm
| Question | Answer |
|---|---|
| What are the phases of the bone remodeling cycle? | resorption phase, reversal phase, formation phase, resting phase |
| What do cytokines do? | Send macrophages to the site of infection, could initiate destruction and bone loss in chronic periodontitis, and attracts immune cells to an infection site by increasing vascular permeability |
| What would the first clinical sign of inflammation be if plaque biofilms are present near the gingival tissues? | Redness and swelling |
| Initiation of good patient self-care can result in a return to a healthy periodontium during which stages of disease progression? | initial, early and established lesions |
| In which phase of periodontal disease progression are macrophages first recruited to the gingival connective tissue? | early lesion |
| In which phase of periodontal disease progression are PMNs the most numerous cells at the site of the periodontal infection? | initial lesion |
| In which phase of periodontal disease progression does PGE2 and MMPs initiate collagen destruction but cause no bone destruction? | established lesion |
| In which phase of periodontal disease progression does PGE2 mediate bone destruction by stimulating large numbers of osteoclasts to resorb alveolar bone? | advanced lesion |
| In which phase of periodontal disease progression does RANKL/RANK/OPG pathway participate? | advanced lesion |
| In which phase of periodontal disease progression does the coronal-most portion of the junctional epithelium first detach from the tooth surface? | established lesion |
| In which phase of periodontal disease progression do the increasing numbers of PMNs rush to the site of the periodontal pathogens and in doing so destroy healthy gingival connective tissue? | early lesion |
| In which phase of periodontal disease progression do the PMNs first travel through the bloodstream, exit the bloodstream, and travel through the gingival connective tissue to the gingival sulcus? | initial lesion |
| What do matrix metalloproteinases' (MMPs) do? | Responsible for collagen destruction in periodontal tissue |
| What are osteoblasts? | Osteoblasts are cells that specialize in forming bone. |
| What are osteoclasts? | Osteoclasts are cells that create erosion cavities in the bone. |
| What can contribute to periodontal disease severity? | environmental factors |
| What causes periodontal disease? | periodontal pathogens along with the body's response to these pathogens |
| What do prostaglandins do? | Initiate alveolar bone destruction in periodontal disease |
| What is the resolution of inflammation and return to a noninflammatory state called? | catabasis |
| What can activity by the body's immune system can cause? | tissue destruction |
| How does the body's immune system immune system work? | it protects against invading microorganisms but it is different for every person and every infected area |
| What is the host response? | it is the way in which the body to respond to periodontal pathogens |
| What risk factor category does tobacco smoking fall under? | environmental factor |
| Which cytokines are involved in periodontal disease? | TNF-α, IL-1, IL-6, IL-8 |
| What causes most of the destruction of periodontal tissues? | Immune response to bacterial pathogens |
| What biochemical mediator causes extensive collagen destruction of the periodontal tissues? | Matrix metalloproteinases (MMPs) |
| Which biochemical mediator increases vascular permeability and has the potential to initiate the tissue destruction and bone loss seen in chronic periodontitis? | Cytokines |
| Which biochemical mediator plays the most important role in the bone destruction seen in periodontitis? | RANKL |
| Which phase of periodontal disease progression includes bacterial colonization near gingival margins? | Bacterial accumulation phase |
| When do levels of OPG decrease? | When the periodontium is inflamed |