Endodontic Infection Flashcards

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1
Q

summarise the immune response in endodontic infections

A

macrophages attracted due to LPS and cytokines which migrate to apex
present antigens to adaptive immune cells such as T cells and B cells

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2
Q

what are the key bacteria in endodontic infections

A

enterococcus faecalis
porphyromonas endodontalis

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3
Q

what type of bacteria is enterococcus faecalis

A

anaerobic gram positive rods

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4
Q

is a primary or secondary endodontic infection more likely to contain e faecalis and why

A

secondary
predominantly gram positive microorganisms whereas primary endo infections are more gram negative

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5
Q

what are the virulence factors of e faecalis

A

endotoxins
adhesins
collagenases
hyaluronidase
immune evasion

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6
Q

what are the management considerations for endodontic infections

A

sodium hypochlorite and EDTA
either mechanically manage via RCT or you can remove the root

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7
Q

what is the best way to treat a mono species infection

A

sodium hypochlorite and EDTA together

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8
Q

what is the impact of yeast of endo infections

A

it supports bacterial growth and propels bacteria down the dentine tubules

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