Lecture 12- Aggressive Periodontitis Flashcards

1
Q

Common features of aggressive periodontitis

A

patient otherwise healthy

severe and rapid bone loss

familial aggregation

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2
Q

in aggressive periodontitis, patient shouldnt have any … condition

A

systemic

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3
Q

what age range is affected with LAP

A

puberty-20

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4
Q

in LAP, CAL MUST affect at least one

A

1st molar

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5
Q

in LAP, no more than 2 teeth are affected other than…

A

1st molars and incisors

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6
Q

in LAP, CAL is inconsistent with….

A

plaque and calculus

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7
Q

T/F in LAP, there is relatively more gingival inflammation

A

false

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8
Q

In LAP, there is robust serum antibody response of

A

IgG2

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9
Q

T/F LAP is self limiting

A

true

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10
Q

age range for GAP is usually under …. but can affect older patients too

A

30

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11
Q

at least ….. teeth other than 1st molars and incisors must be involved for GAP

A

3 permanent teeth

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12
Q

GAP has a pronounced …. nature of destruction

A

episodic

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13
Q

T/F GAP has relatively intense gingival inflammation

A

true

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14
Q

T/F GAP has a poor antibody response

A

true

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15
Q

which main bacteria is associated with LAP?

particularly …

A

Aa

JP2 clone, serotype b

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16
Q

Aa has … which kill PMNs and macrophages

A

leukotoxins

17
Q

Aa has … which activates cells to produce PGs, IL-1b and TNF-a

18
Q

Aa has … which degrades collagen fibers

A

collagenases

19
Q

Aa has … and … suppressing factors

A

lymphocyte and chemotactic

20
Q

Aa can … across the JE and invade the …

A

translocate

CT

21
Q

in east asian population, which bacteria is most commonly assoc. with LAP

A

p. gingivalis

22
Q

p. gingivalis has…. like … and …

A

proteinases

gingipains

collagenases

23
Q

p. gingivalis has…. which activates cells to produce PGs, IL-1b and TNF-a

24
Q

p. gingivalis inhibits …. which decreases chemotaxis of PMNs

25
proposed inheritance mode for LAP?
autosomal dominant
26
If you suspect AP, what is the 1st treatment principle
refer to periodontist
27
for AP, after referral, what should be done?
full mouth SRP in adjunct with systemic antibiotics
28
what antibiotics are common for tx of AP
amoxicillin+ metronidazole ciprofloxacin+ metronidazole
29
what steps are needed after full mouth SRP + antibiotics ?
possibly periodontal surgery meticulous periodontal supportive therapy