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jackiedh
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what are the four stages of development of gingivitis and peirodontitis?
- initial lesion
- early lesion
- established lesion
- advanced lesion
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an inflammatory response to dental biofilm occurs within ___-___ days of irritation from _________ __________
- 2-4 days
- bacterial accumulation
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T/F migration and infiltration of WBCs into the JE and gingival sulcus result from the natural body response to infectious agents
true
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T/F when there is an inflammatory response to dental biofilm, there is an increase of flow of gingival sulcus fluid
true
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what is the initial lesion?
inflammatory response to dental biofilm
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in the initial lesion there is early breakdown of ________ of the supporting gingival fiber groups
collagen
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______ fills the spaces in the CT during the initial lesion
fluid
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what is the clinical appearance of the initial lesion?
- no clinical evidence of change
- slight marginal redness with enlargement due to the fluid collection following as infection develops
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which lesion is the increased inflammatory response?
the early lesion
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the dental biofilm becomes _____ and _____ in the early lesion in _____-_____ days (different for individuals)
- older and thicker
- 7-14 days
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in the _______ lesion, epithelium ________: epithelial extensions and _____ ridges are formed (JE migrates)
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infiltration of fluid, lymphocytes, and neutrophils with few plasma cells into the CT is what lesion?
(too) early (in the morning) lesion
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clinical signs of the early lesion (3)
- early gingivitis
- reversible-biofilm control
- lesion is established
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fluid and LEUKOCYTE migration into tissues and sulcus increase is _________ lesion
established
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the formation of the pocket epithelium in the established lesion is what three things?
- -proliferation of the junctional and sulcular epithelium
- -pocket epithelium- more permeable, ulceration of lining epithelium
- -early pocket formation
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collagen destruction continues, CT fiber support lost. Progression to early periodontal lesion possible. which lesion is this?
Established lesion
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describe the clinical appearance of established lesion
- inflammation
- marginal redness
- BOP
- spongy marginal gingiva
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