Pathological processes involving the PERIODONTIUM including the gum (GINGIVA), the alveolar bone (ALVEOLAR PROCESS), the DENTAL CEMENTUM, and the PERIODONTAL LIGAMENT.
Inflammation and loss of connective tissues supporting or surrounding the teeth. This may involve any part of the PERIODONTIUM. Periodontitis is currently classified by disease progression (CHRONIC PERIODONTITIS; AGGRESSIVE PERIODONTITIS) instead of age of onset. (From 1999 International Workshop for a Classification of Periodontal Diseases and Conditions, American Academy of Periodontology)
Inflammation of gum tissue (GINGIVA) without loss of connective tissue.
A numerical rating scale for classifying the periodontal status of a person or population with a single figure which takes into consideration prevalence as well as severity of the condition. It is based upon probe measurement of periodontal pockets and on gingival tissue status.
An abnormal extension of a gingival sulcus accompanied by the apical migration of the epithelial attachment and bone resorption.
Loss or destruction of periodontal tissue caused by periodontitis or other destructive periodontal diseases or by injury during instrumentation. Attachment refers to the periodontal ligament which attaches to the alveolar bone. It has been hypothesized that treatment of the underlying periodontal disease and the seeding of periodontal ligament cells enable the creating of new attachment.
Resorption or wasting of the tooth-supporting bone (ALVEOLAR PROCESS) in the MAXILLA or MANDIBLE.
Oral tissue surrounding and attached to TEETH.
The structures surrounding and supporting the tooth. Periodontium includes the gum (GINGIVA), the alveolar bone (ALVEOLAR PROCESS), the DENTAL CEMENTUM, and the PERIODONTAL LIGAMENT.
A species of gram-negative, anaerobic, rod-shaped bacteria originally classified within the BACTEROIDES genus. This bacterium produces a cell-bound, oxygen-sensitive collagenase and is isolated from the human mouth.
Chronic inflammation and loss of PERIODONTIUM that is associated with the amount of DENTAL PLAQUE or DENTAL CALCULUS present. Chronic periodontitis occurs mostly in adults and was called adult periodontitis, but this disease can appear in young people.
A film that attaches to teeth, often causing DENTAL CARIES and GINGIVITIS. It is composed of MUCINS, secreted from salivary glands, and microorganisms.
A fluid occurring in minute amounts in the gingival crevice, believed by some authorities to be an inflammatory exudate and by others to cleanse material from the crevice, containing sticky plasma proteins which improve adhesions of the epithelial attachment, have antimicrobial properties, and exert antibody activity. (From Jablonski, Illustrated Dictionary of Dentistry, 1982)
The failure to retain teeth as a result of disease or injury.
The flowing of blood from the marginal gingival area, particularly the sulcus, seen in such conditions as GINGIVITIS, marginal PERIODONTITIS, injury, and ASCORBIC ACID DEFICIENCY.
An index which scores the degree of dental plaque accumulation.
Inflammation and loss of PERIODONTIUM that is characterized by rapid attachment loss and bone destruction in the presence of little local factors such as DENTAL PLAQUE and DENTAL CALCULUS. This highly destructive form of periodontitis often occurs in young people and was called early-onset periodontitis, but this disease also appears in old people.
Infections with bacteria of the family BACTEROIDACEAE.
Removal of dental plaque and dental calculus from the surface of a tooth, from the surface of a tooth apical to the gingival margin accumulated in periodontal pockets, or from the surface coronal to the gingival margin.
A species of bacteria in the family SPIROCHAETACEAE, frequently isolated from periodontal pockets (PERIODONTAL POCKET).
The practice of personal hygiene of the mouth. It includes the maintenance of oral cleanliness, tissue tone, and general preservation of oral health.
A procedure for smoothing of the roughened root surface or cementum of a tooth after subgingival curettage or scaling, as part of periodontal therapy.
A species of Gram-negative, facultatively anaerobic spherical or rod-shaped bacteria indigenous to dental surfaces. It is associated with PERIODONTITIS; BACTERIAL ENDOCARDITIS; and ACTINOMYCOSIS.
Abnormal concretion or calcified deposit that forms around the teeth or dental prostheses.
A species of gram-negative, anaerobic, rod-shaped bacteria isolated from the gingival margin and sulcus and from infections of the upper respiratory tract and pleural cavity.
The oval-shaped oral cavity located at the apex of the digestive tract and consisting of two parts: the vestibule and the oral cavity proper.
A genus of gram-negative, anaerobic, rod-shaped bacteria. Its organisms are normal inhabitants of the oral, respiratory, intestinal, and urogenital cavities of humans, animals, and insects. Some species may be pathogenic.
The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.
A species of gram-negative, anaerobic, rod-shaped bacteria originally classified within the BACTEROIDES genus. This bacterium is a common commensal in the gingival crevice and is often isolated from cases of gingivitis and other purulent lesions related to the mouth.
Total lack of teeth through disease or extraction.
Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp.
A dental specialty concerned with the histology, physiology, and pathology of the tissues that support, attach, and surround the teeth, and of the treatment and prevention of disease affecting these tissues.
'Mouth diseases' is a broad term referring to various conditions that cause inflammation, infection, or structural changes in any part of the mouth, including the lips, gums, tongue, palate, cheeks, and teeth, which can lead to symptoms such as pain, discomfort, difficulty in chewing or speaking, and altered aesthetics.
Secondary or systemic infections due to dissemination throughout the body of microorganisms whose primary focus of infection lies in the periodontal tissues.
A combination of the debris index and the dental calculus index to determine the status of oral hygiene.
An acute or chronic GINGIVITIS characterized by redness and swelling, NECROSIS extending from the interdental papillae along the gingival margins, PAIN; HEMORRHAGE, necrotic odor, and often a pseudomembrane. The condition may extend to the ORAL MUCOSA; TONGUE; PALATE; or PHARYNX. The etiology is somewhat unclear, but may involve a complex of FUSOBACTERIUM NUCLEATUM along with spirochetes BORRELIA or TREPONEMA.
'Gingival diseases' is a general term for conditions affecting the soft tissues surrounding and supporting the teeth, primarily characterized by inflammation, bleeding, redness, or swelling, which can progress to periodontal disease if left untreated.
A genus of microorganisms of the order SPIROCHAETALES, many of which are pathogenic and parasitic for man and animals.
Infections with bacteria of the genus TREPONEMA.
Accumulations of microflora that lead to pathological plaque and calculus which cause PERIODONTAL DISEASES. It can be considered a type of BIOFILMS. It is subtly distinguished from the protective DENTAL PELLICLE.
A genus of PASTEURELLACEAE described as gram-negative, nonsporeforming, nonmotile, facultative anaerobes. Most members are found both as pathogens and commensal organisms in the respiratory, alimentary, and genital tracts of animals.
Treatment for the prevention of periodontal diseases or other dental diseases by the cleaning of the teeth in the dental office using the procedures of DENTAL SCALING and DENTAL POLISHING. The treatment may include plaque detection, removal of supra- and subgingival plaque and calculus, application of caries-preventing agents, checking of restorations and prostheses and correcting overhanging margins and proximal contours of restorations, and checking for signs of food impaction.
The act of cleaning teeth with a brush to remove plaque and prevent tooth decay. (From Webster, 3d ed)
The clear, viscous fluid secreted by the SALIVARY GLANDS and mucous glands of the mouth. It contains MUCINS, water, organic salts, and ptylin.
A member of the MATRIX METALLOPROTEINASES that cleaves triple-helical COLLAGEN types I, II, and III.
The thickest and spongiest part of the maxilla and mandible hollowed out into deep cavities for the teeth.
Solutions for rinsing the mouth, possessing cleansing, germicidal, or palliative properties. (From Boucher's Clinical Dental Terminology, 4th ed)
The total of dental diagnostic, preventive, and restorative services provided to meet the needs of a patient (from Illustrated Dictionary of Dentistry, 1982).
A genus of gram-negative, anaerobic, nonsporeforming, nonmotile rods or coccobacilli. Organisms in this genus had originally been classified as members of the BACTEROIDES genus but overwhelming biochemical and chemical findings indicated the need to separate them from other Bacteroides species, and hence, this new genus was created.
A systematic collection of factual data pertaining to dental or oral health and disease in a human population within a given geographic area.
A wedge-shaped collar of epithelial cells which form the attachment of the gingiva to the tooth surface at the base of the gingival crevice.
Devices used in the home by persons to maintain dental and periodontal health. The devices include toothbrushes, dental flosses, water irrigators, gingival stimulators, etc.
An abnormal extension of a gingival sulcus not accompanied by the apical migration of the epithelial attachment.
Horizontal and, to a lesser degree, axial movement of a tooth in response to normal forces, as in occlusion. It refers also to the movability of a tooth resulting from loss of all or a portion of its attachment and supportive apparatus, as seen in periodontitis, occlusal trauma, and periodontosis. (From Jablonski, Dictionary of Dentistry, 1992, p507 & Boucher's Clinical Dental Terminology, 4th ed, p313)
Agents that cause agglutination of red blood cells. They include antibodies, blood group antigens, lectins, autoimmune factors, bacterial, viral, or parasitic blood agglutinins, etc.
Removal of degenerated and necrotic epithelium and underlying connective tissue of a periodontal pocket in an effort to convert a chronic ulcerated wound to an acute surgical wound, thereby insuring wound healing and attachment or epithelial adhesion, and shrinkage of the marginal gingiva. The term is sometimes used in connection with smoothing of a root surface or ROOT PLANING. (Jablonski; Illustrated Dictionary of Dentistry, 1982)
A genus of gram-positive, rod-shaped bacteria whose organisms are nonmotile. Filaments that may be present in certain species are either straight or wavy and may have swollen or clubbed heads.
A family of coccoid to rod-shaped nonsporeforming, gram-negative, nonmotile, facultatively anaerobic bacteria that includes the genera ACTINOBACILLUS; HAEMOPHILUS; MANNHEIMIA; and PASTEURELLA.
A species of CAMPYLOBACTER isolated from cases of human PERIODONTITIS. It is a microaerophile, capable of respiring with OXYGEN.
One of a set of bone-like structures in the mouth used for biting and chewing.
Infections with bacteria of the family PASTEURELLACEAE.
Infections with bacteria of the genus FUSOBACTERIUM.
The fibrous CONNECTIVE TISSUE surrounding the TOOTH ROOT, separating it from and attaching it to the alveolar bone (ALVEOLAR PROCESS).
Cell-surface components or appendages of bacteria that facilitate adhesion (BACTERIAL ADHESION) to other cells or to inanimate surfaces. Most fimbriae (FIMBRIAE, BACTERIAL) of gram-negative bacteria function as adhesins, but in many cases it is a minor subunit protein at the tip of the fimbriae that is the actual adhesin. In gram-positive bacteria, a protein or polysaccharide surface layer serves as the specific adhesin. What is sometimes called polymeric adhesin (BIOFILMS) is distinct from protein adhesin.
The bonelike rigid connective tissue covering the root of a tooth from the cementoenamel junction to the apex and lining the apex of the root canal, also assisting in tooth support by serving as attachment structures for the periodontal ligament. (Jablonski, Dictionary of Dentistry, 1992)
A species of gram-negative, anaerobic, rod-shaped bacteria originally classified within the BACTEROIDES genus. This bacterium has been isolated from the mouth, urine, feces, and infections of the mouth, soft tissue, respiratory tract, urogenital tract, and intestinal tract. It is pathogenic, but usually in association with other kinds of organisms.
'Tooth diseases' is a broad term referring to various conditions affecting the teeth, including dental caries (cavities), periodontal disease (gum disease), tooth wear, tooth sensitivity, oral cancer, and developmental anomalies, which can result in pain, discomfort, or loss of teeth if left untreated.
Conditions in which a bifurcation or trifurcation of the molar tooth root becomes denuded as a result of periodontal disease. It may be followed by tooth mobility, temperature sensitivity, pain, and alveolar bone resorption.
A genus of gram-negative, anaerobic cocci parasitic in the mouth and in the intestinal and respiratory tracts of man and other animals.
CHILDBIRTH before 37 weeks of PREGNANCY (259 days from the first day of the mother's last menstrual period, or 245 days after FERTILIZATION).
A genus of gram-negative, anaerobic, nonsporeforming, nonmotile rods. Organisms of this genus had originally been classified as members of the BACTEROIDES genus but overwhelming biochemical and chemical findings in 1990 indicated the need to separate them from other Bacteroides species, and hence, this new genus was established.
An offensive, foul breath odor resulting from a variety of causes such as poor oral hygiene, dental or oral infections, or the ingestion of certain foods.
Infections with bacteria of the genus ACTINOBACILLUS.
"Decayed, missing and filled teeth," a routinely used statistical concept in dentistry.
An enzyme substrate which permits the measurement of peptide hydrolase activity, e.g. trypsin and thrombin. The enzymes liberate 2-naphthylamine, which is measured by colorimetric procedures.
Inflammation of the gingiva surrounding the crown of a tooth.
An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.
Conditions or pathological processes associated with the disease of diabetes mellitus. Due to the impaired control of BLOOD GLUCOSE level in diabetic patients, pathological processes develop in numerous tissues and organs including the EYE, the KIDNEY, the BLOOD VESSELS, and the NERVE TISSUE.
Gram-negative bacteria isolated from infections of the respiratory and intestinal tracts and from the buccal cavity, intestinal tract, and urogenital tract. They are probably part of the normal flora of man and animals.
Encrustations, formed from microbes (bacteria, algae, fungi, plankton, or protozoa) embedding in extracellular polymers, that adhere to surfaces such as teeth (DENTAL DEPOSITS); PROSTHESES AND IMPLANTS; and catheters. Biofilms are prevented from forming by treating surfaces with DENTIFRICES; DISINFECTANTS; ANTI-INFECTIVE AGENTS; and antifouling agents.
Common name for an extinct species of the Homo genus. Fossils have been found in Europe and Asia. Genetic evidence suggests that limited interbreeding with modern HUMANS (Homo sapiens) took place.
A genus of gram-negative, anaerobic, rod-shaped bacteria found in cavities of humans and other animals. No endospores are formed. Some species are pathogenic and occur in various purulent or gangrenous infections.
A gram-negative gliding bacterium isolated from the oral cavity. It is a pathogen often causing PERIODONTITIS.
The inter- and intra-relationships between various microorganisms. This can include both positive (like SYMBIOSIS) and negative (like ANTIBIOSIS) interactions. Examples include virus - bacteria and bacteria - bacteria.
A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)
Rare, autosomal recessive disorder occurring between the first and fifth years of life. It is characterized by palmoplantar keratoderma with periodontitis followed by the premature shedding of both deciduous and permanent teeth. Mutations in the gene for CATHEPSIN C have been associated with this disease.
The constricted part of the tooth at the junction of the crown and root or roots. It is often referred to as the cementoenamel junction (CEJ), the line at which the cementum covering the root of a tooth and the enamel of the tooth meet. (Jablonski, Dictionary of Dentistry, 1992, p530, p433)
The endogenous compounds that mediate inflammation (AUTACOIDS) and related exogenous compounds including the synthetic prostaglandins (PROSTAGLANDINS, SYNTHETIC).
The application of nutritional principles to regulation of the diet and feeding persons or groups of persons.
The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth.
Exposure of the root surface when the edge of the gum (GINGIVA) moves apically away from the crown of the tooth. This is common with advancing age, vigorous tooth brushing, diseases, or tissue loss of the gingiva, the PERIODONTAL LIGAMENT and the supporting bone (ALVEOLAR PROCESS).
A large group of anaerobic bacteria which show up as pink (negative) when treated by the Gram-staining method.
Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.
Lining of the ORAL CAVITY, including mucosa on the GUMS; the PALATE; the LIP; the CHEEK; floor of the mouth; and other structures. The mucosa is generally a nonkeratinized stratified squamous EPITHELIUM covering muscle, bone, or glands but can show varying degree of keratinization at specific locations.
Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.
A genus of parasitic flagellate EUKARYOTES distinguished by the presence of four anterior flagella, an undulating membrane, and a trailing flagellum.
A pathological process characterized by injury or destruction of tissues caused by a variety of cytologic and chemical reactions. It is usually manifested by typical signs of pain, heat, redness, swelling, and loss of function.
Infections with bacteria of the genus BACTEROIDES.
Agents that arrest cells in MITOSIS, most notably TUBULIN MODULATORS.

Pyorrhoea as cause of pyrexia. (1/894)

Three patients with fever and malaise, one of whom also had joint pains, were extensively investigated before their condition was attributed to dental sepsis. Each patient recovered fully after appropriate dental treatment. Dental sepsis should be added to the list of possible causes of pyrexia of undetermined origin, and a routine dental examination should be carried out in each case.  (+info)

Treponema denticola outer membrane enhances the phagocytosis of collagen-coated beads by gingival fibroblasts. (2/894)

Human gingival fibroblasts (HGFs) degrade collagen fibrils in physiological processes by phagocytosis. Since Treponema denticola outer membrane (OM) extract perturbs actin filaments, important structures in phagocytosis, we determined whether the OM affects collagen phagocytosis in vitro by HGFs. Phagocytosis was measured by flow cytometric assessment of internalized collagen-coated fluorescent latex beads. Confluent HGFs pretreated with T. denticola ATCC 35405 OM exhibited an increase in the percentage of collagen phagocytic cells (phagocytosis index [PI]) and in the number of beads per phagocytosing cell (phagocytic capacity [PC]) compared with untreated controls. The enhancement was swift (within 15 min) and was still evident after 1 day. PI and PC of HGFs for bovine serum albumin (BSA)-coated beads were also increased, indicating a global increase in phagocytic processes. These results contrasted those for control OM from Veillonella atypica ATCC 17744, which decreased phagocytosis. The T. denticola OM-induced increase in bead uptake was eliminated by heating the OM and by depolymerization of actin filaments by cytochalasin D treatment of HGFs. Fluid-phase accumulation of lucifer yellow was enhanced in a saturable, concentration-dependent, transient manner by the T. denticola OM. Our findings were not due to HGF detachment or cytotoxicity in response to the T. denticola OM treatment since the HGFs exhibited minimal detachment from the substratum; they did not take up propidium iodide; and there was no change in their size, granularity, or content of sub-G1 DNA. We conclude that a heat-sensitive component(s) in T. denticola OM extract stimulates collagen phagocytosis and other endocytic processes such as nonspecific phagocytosis and pinocytosis by HGFs.  (+info)

In vitro induction of activation-induced cell death in lymphocytes from chronic periodontal lesions by exogenous Fas ligand. (3/894)

Periodontitis is a chronic inflammatory disease which gradually destroys the supporting tissues of the teeth, leading to tooth loss in adults. The lesions are characterized by a persistence of inflammatory cells in gingival and periodontal connective tissues. To understand what mechanisms are involved in the establishment of chronic lesions, we hypothesized that infiltrating lymphocytes might be resistant to apoptosis. However, both Bcl-2 and Bcl-xL were weakly detected in lymphocytes from the lesions, compared with those from peripheral blood, suggesting that these cells are susceptible to apoptosis. Nevertheless, very few apoptotic cells were observed in tissue sections from the lesions. Lymphocytes from the lesions expressed mRNA encoding Fas, whereas Fas-ligand mRNA was very weakly expressed in lymphocytes from the lesions and in periodontal tissues. Since the results indicated that lymphocytes in the lesions might be susceptible to Fas-mediated apoptosis but lack the death signal, we next investigated if these lymphocytes actually undergo apoptosis by the addition of anti-Fas antibodies in vitro. Fas-positive lymphocytes from the lesions underwent apoptosis by these antibodies, but Fas-negative lymphocytes and Fas-positive peripheral lymphocytes did not undergo apoptosis by these antibodies. These results indicate that lymphocytes in the lesions are susceptible to activation-induced cell death and are induced to die by apoptosis after the addition of exogenous Fas ligand.  (+info)

Molecular interactions of Porphyromonas gingivalis fimbriae with host proteins: kinetic analyses based on surface plasmon resonance. (4/894)

Fimbriae of Porphyromonas gingivalis are thought to play an important role in the colonization and invasion of periodontal tissues. In this study, we analyzed the interactions of P. gingivalis fimbriae with human hemoglobin, fibrinogen, and salivary components (i.e., proline-rich protein [PRP], proline-rich glycoprotein [PRG], and statherin) based on surface plasmon resonance (SPR) spectroscopy with a biomolecular interaction analyzing system (BIAcore). The real-time observation showed that the fimbriae interacted more quickly with hemoglobin and PRG than with other proteins and more intensely with fibrinogen. The significant association constant (ka) values obtained by BIAcore demonstrated that the interactions between fimbriae and these host proteins are specific. These estimated Ka values were not too different; however, the Ka values for hemoglobin (2.43 x 10(6)) and fibrinogen (2.16 x 10(6)) were statistically greater than those for the salivary proteins (1.48 x 10(6) to 1.63 x 10(6)). The Ka value of anti-fimbriae immunoglobulin G for fimbriae was estimated to be 1. 22 x 10(7), which was 6.55-fold higher than the mean Ka value of the host proteins. Peptide PRP-C, a potent inhibitor of PRP-fimbriae interaction, dramatically inhibited fimbrial association to PRP and PRG and was also inhibitory against other host proteins by BIAcore. The binding of fimbriae to these proteins was also evaluated by other methods with hydroxyapatite beads or polystyrene microtiter plates. The estimated binding abilities differed considerably, depending on the assay method that was used. It was noted that the binding capacity of PRP was strongly diminished by immobilization on a polystyrene surface. Taken together, these findings suggest that P. gingivalis fimbriae possess a strong ability to interact with the host proteins which promote bacterial adherence to the oral cavity and that SPR spectroscopy is a useful method for analyzing specific protein-fimbriae interactions.  (+info)

Blastogenic response of human lymphocytes to oral bacterial antigens: comparison of individuals with periodontal disease to normal and edentulous subjects. (5/894)

Cell-mediated immunity in humans to antigens derived from oral plaque bacteria was investigated by using the lymphocyte blastogenesis assay. Subjects with varying severities of periodontal disease including normal, gingivitis, periodontitis, and edentulous were compared. Mononuclear leukocytes were separated from peripheral blood and cultured with antigens prepared by sonication of Actinomyces viscosus (AV), Actinomyces naeslundii (AN), Veillonella alcalescens (VA), Leptotrichia buccalis (LB), Bacteroides melaninogenicus (BM), and homologous dental plaque (DP). The lymphocyte response of subjects with gingivitis or periodontitis was significantly greater than that of normal subjects to antigens of AV, AN, and DP, but did not differ from the response of edentulous subjects. Periodontitis subjects were significantly more reactive than edentulous and normal subjects in response to VA, LB, and BM. These findings suggest that the tested gram-negative bacteria and the host response they evoke are associated with advanced periodontal destruction.  (+info)

Environmental modulation of oral treponeme virulence in a murine model. (6/894)

This investigation examined the effects of environmental alteration on the virulence of the oral treponemes Treponema denticola and Treponema pectinovorum. The environmental effects were assessed by using a model of localized inflammatory abscesses in mice. In vitro growth of T. denticola and T. pectinovorum as a function of modification of the cysteine concentration significantly enhanced abscess formation and size. In contrast, growth of T. denticola or T. pectinovorum under iron-limiting conditions (e.g., dipyridyl chelation) had no effect on abscess induction in comparison to that when the strains were grown under normal iron conditions. In vivo modulation of the microenvironment at the focus of infection with Cytodex beads demonstrated that increasing the local inflammation had no effect on lesion induction or size. In vivo studies involved the determination of the effects of increased systemic iron availability (e.g., iron dextran or phenylhydrazine) on the induction, kinetics, and size of lesions. T. denticola induced significantly larger lesions in mice with iron pretreatment and demonstrated systemic manifestations of the infectious challenge and an accompanying spreading lesion with phenylhydrazine pretreatment (e.g., increases in circulating free hemoglobin). In contrast, T. pectinovorum virulence was minimally affected by this in vivo treatment to increase iron availability. T. denticola virulence, as evaluated by lesion size, was increased additively by in vivo iron availability, and cysteine modified growth of the microorganism. Additionally, galactosamine sensitized mice to a lethal outcome following infection with both T. denticola and T. pectinovorum, suggesting an endotoxin-like activity in these treponemes. These findings demonstrated the ability to modify the virulence capacity of T. denticola and T. pectinovorum by environmental conditions which can be evaluated by using in vivo murine models.  (+info)

C-telopeptide pyridinoline cross-links. Sensitive indicators of periodontal tissue destruction. (7/894)

C-telopeptides and related pyridinoline cross-links of bone Type I collagen are sensitive markers of bone resorption in osteolytic diseases such as osteoporosis and osteoarthritis. We have studied the release of C-telopeptide pyridinoline crosslinks of Type I collagen as measures of bone destruction in periodontal disease. Studies in preclinical animal models and humans have demonstrated the relationship between radiographic bone loss and crevicular fluid C-telopeptide levels. We have recently found that C-telopeptide levels correlate strongly with microbial pathogens associated with periodontitis and around endosseous dental implants. Host-modulation of bone-related collagen breakdown has been shown by studies in humans demonstrating that MMP inhibition blocks tissue destruction and release of C-telopeptides in patients with active periodontal disease.  (+info)

Cryptobacterium curtum gen. nov., sp. nov., a new genus of gram-positive anaerobic rod isolated from human oral cavities. (8/894)

Novel Eubacterium-like isolates, strains 12-3T and KV43-B, which were isolated from the periodontal pocket of an adult patient with periodontal disease and necrotic dental pulp, respectively, were studied taxonomically and phylogenetically. The morphological and differential biochemical characteristics of these organisms are also described in this paper. These organisms were Gram-positive, anaerobic, non-spore-forming, rod-shaped bacteria that were inert in most of the conventional biochemical tests and closely resembled members of asaccharolytic oral Eubacterium species. On the other hand, protein profiles of whole cells in SDS-PAGE and Western immunoblotting reaction analysis distinguished these isolates from strains of the previously described genus Eubacterium. The G+C content of the DNAs from the novel isolates was 50 and 51 mol%, respectively. The levels of DNA-DNA relatedness to other asaccharolytic oral Eubacterium species, including Eubacterium brachy, Eubacterium lentum, Eubacterium nodatum, Eubacterium timidum, Eubacterium saphenum, Eubacterium minutum and Eubacterium exiguum, was less than 11%. These organisms also exhibited a very low level of reassociation with the DNA of Eubacterium limosum, the type species of the genus Eubacterium. The results of 16S rDNA sequence comparisons revealed that these organisms represent a novel lineage distinct from all previously described genera of Gram-positive, rod-shaped bacteria. On the basis of our results, it is suggested that strains 12-3T and KV43-B should be classified in a new genus and species, for which the name Cryptobacterium curtum gen. nov., sp. nov. is proposed. The type strain of Cryptobacterium curtum is 12-3T (= ATCC 700683T).  (+info)

According to the American Academy of Periodontology, periodontal diseases are chronic inflammatory conditions that affect the tissues surrounding and supporting the teeth. These tissues include the gums, periodontal ligament, and alveolar bone. The primary cause of periodontal disease is bacterial plaque, a sticky film that constantly forms on our teeth.

There are two major stages of periodontal disease:

1. Gingivitis: This is the milder form of periodontal disease, characterized by inflammation of the gums (gingiva) without loss of attachment to the teeth. The gums may appear red, swollen, and bleed easily during brushing or flossing. At this stage, the damage can be reversed with proper dental care and improved oral hygiene.
2. Periodontitis: If left untreated, gingivitis can progress to periodontitis, a more severe form of periodontal disease. In periodontitis, the inflammation extends beyond the gums and affects the deeper periodontal tissues, leading to loss of bone support around the teeth. Pockets filled with infection-causing bacteria form between the teeth and gums, causing further damage and potential tooth loss if not treated promptly.

Risk factors for developing periodontal disease include poor oral hygiene, smoking or using smokeless tobacco, genetic predisposition, diabetes, hormonal changes (such as pregnancy or menopause), certain medications, and systemic diseases like AIDS or cancer. Regular dental check-ups and good oral hygiene practices are crucial for preventing periodontal disease and maintaining overall oral health.

Periodontitis is a severe form of gum disease that damages the soft tissue and destroys the bone supporting your teeth. If left untreated, it can lead to tooth loss. It is caused by the buildup of plaque, a sticky film of bacteria that constantly forms on our teeth. The body's immune system fights the bacterial infection, which causes an inflammatory response. If the inflammation continues for a long time, it can damage the tissues and bones that support the teeth.

The early stage of periodontitis is called gingivitis, which is characterized by red, swollen gums that bleed easily when brushed or flossed. When gingivitis is not treated, it can advance to periodontitis. In addition to plaque, other factors that increase the risk of developing periodontitis include smoking or using tobacco products, poor oral hygiene, diabetes, a weakened immune system, and genetic factors.

Regular dental checkups and good oral hygiene practices, such as brushing twice a day, flossing daily, and using an antimicrobial mouth rinse, can help prevent periodontitis. Treatment for periodontitis may include deep cleaning procedures, medications, or surgery in severe cases.

Gingivitis is a mild form of gum disease (periodontal disease) that causes irritation, redness, swelling and bleeding of the gingiva, or gums. It's important to note that it is reversible with good oral hygiene and professional dental treatment. If left untreated, however, gingivitis can progress to a more severe form of gum disease known as periodontitis, which can result in tissue damage and eventual tooth loss.

Gingivitis is most commonly caused by the buildup of plaque, a sticky film of bacteria that constantly forms on our teeth. When not removed regularly through brushing and flossing, this plaque can harden into tartar, which is more difficult to remove and contributes to gum inflammation. Other factors like hormonal changes, poor nutrition, certain medications, smoking or a weakened immune system may also increase the risk of developing gingivitis.

The Periodontal Index (PI) is not a current or widely used medical/dental term. However, in the past, it was used to describe a method for assessing and measuring the severity of periodontal disease, also known as gum disease.

Developed by Henry H. Klein and colleagues in 1978, the Periodontal Index was a scoring system that evaluated four parameters: gingival inflammation, gingival bleeding, calculus (tartar) presence, and periodontal pocket depths. The scores for each parameter ranged from 0 to 3, with higher scores indicating worse periodontal health. The overall PI score was the sum of the individual parameter scores, ranging from 0 to 12.

However, due to its limited ability to predict future disease progression and the introduction of more comprehensive assessment methods like the Community Periodontal Index (CPI) and the Basic Periodontal Examination (BPE), the use of the Periodontal Index has become less common in dental practice and research.

A periodontal pocket is a pathological space or gap that develops between the tooth and the surrounding gum tissue (gingiva) as a result of periodontal disease. This condition is also known as a "periodontal depth" or "probing depth." It is measured in millimeters using a dental probe, and it indicates the level of attachment loss of the gingival tissue to the tooth.

In a healthy periodontium, the sulcus (the normal space between the tooth and gum) measures 1-3 mm in depth. However, when there is inflammation due to bacterial accumulation, the gums may become red, swollen, and bleed easily. As the disease progresses, the sulcus deepens, forming a periodontal pocket, which can extend deeper than 3 mm.

Periodontal pockets provide an environment that is conducive to the growth of harmful bacteria, leading to further tissue destruction and bone loss around the tooth. If left untreated, periodontal disease can result in loose teeth and eventually tooth loss. Regular dental check-ups and professional cleanings are essential for maintaining healthy gums and preventing periodontal pockets from developing or worsening.

Periodontal attachment loss (PAL) is a clinical measurement in dentistry that refers to the amount of connective tissue attachment between the tooth and its surrounding supportive structures (including the gingiva, periodontal ligament, and alveolar bone) that has been lost due to periodontal disease. It is typically expressed in millimeters and represents the distance from the cementoenamel junction (CEJ), which is the point where the tooth's crown meets the root, to the bottom of the periodontal pocket.

Periodontal pockets are formed when the gums detach from the tooth due to inflammation and infection caused by bacterial biofilms accumulating on the teeth. As the disease progresses, more and more of the supporting structures are destroyed, leading to increased pocket depths and attachment loss. This can eventually result in loose teeth and even tooth loss if left untreated.

Therefore, periodontal attachment loss is an important indicator of the severity and progression of periodontal disease, and its measurement helps dental professionals assess the effectiveness of treatment interventions and monitor disease status over time.

Alveolar bone loss refers to the breakdown and resorption of the alveolar process of the jawbone, which is the part of the jaw that contains the sockets of the teeth. This type of bone loss is often caused by periodontal disease, a chronic inflammation of the gums and surrounding tissues that can lead to the destruction of the structures that support the teeth.

In advanced stages of periodontal disease, the alveolar bone can become severely damaged or destroyed, leading to tooth loss. Alveolar bone loss can also occur as a result of other conditions, such as osteoporosis, trauma, or tumors. Dental X-rays and other imaging techniques are often used to diagnose and monitor alveolar bone loss. Treatment may include deep cleaning of the teeth and gums, medications, surgery, or tooth extraction in severe cases.

Gingiva is the medical term for the soft tissue that surrounds the teeth and forms the margin of the dental groove, also known as the gum. It extends from the mucogingival junction to the base of the cervical third of the tooth root. The gingiva plays a crucial role in protecting and supporting the teeth and maintaining oral health by providing a barrier against microbial invasion and mechanical injury.

The periodontium is a complex structure in the oral cavity that surrounds and supports the teeth. It consists of four main components:
1. Gingiva (gums): The pink, soft tissue that covers the crown of the tooth and extends down to the neck of the tooth, where it meets the cementum.
2. Cementum: A specialized, calcified tissue that covers the root of the tooth and provides a surface for the periodontal ligament fibers to attach.
3. Periodontal ligament (PDL): A highly vascular and cell-rich connective tissue that attaches the cementum of the tooth root to the alveolar bone, allowing for tooth mobility and absorption of forces during chewing.
4. Alveolar bone: The portion of the jawbone that contains the sockets (alveoli) for the teeth. It is a spongy bone with a rich blood supply that responds to mechanical stresses from biting and chewing, undergoing remodeling throughout life.

Periodontal diseases, such as gingivitis and periodontitis, affect the health and integrity of the periodontium, leading to inflammation, bleeding, pocket formation, bone loss, and ultimately tooth loss if left untreated.

"Porphyromonas gingivalis" is a gram-negative, anaerobic, rod-shaped bacterium that is commonly found in the oral cavity and is associated with periodontal disease. It is a major pathogen in chronic periodontitis, which is a severe form of gum disease that can lead to destruction of the tissues supporting the teeth, including the gums, periodontal ligament, and alveolar bone.

The bacterium produces several virulence factors, such as proteases and endotoxins, which contribute to its pathogenicity. It has been shown to evade the host's immune response and cause tissue destruction through various mechanisms, including inducing the production of pro-inflammatory cytokines and matrix metalloproteinases.

P. gingivalis has also been linked to several systemic diseases, such as atherosclerosis, rheumatoid arthritis, and Alzheimer's disease, although the exact mechanisms of these associations are not fully understood. Effective oral hygiene practices, including regular brushing, flossing, and professional dental cleanings, can help prevent the overgrowth of P. gingivalis and reduce the risk of periodontal disease.

Chronic periodontitis is a type of gum disease that is characterized by the inflammation and infection of the tissues surrounding and supporting the teeth. It is a slow-progressing condition that can lead to the destruction of the periodontal ligament and alveolar bone, which can result in loose teeth or tooth loss if left untreated.

Chronic periodontitis is caused by the buildup of dental plaque and calculus (tartar) on the teeth, which harbor bacteria that release toxins that irritate and inflame the gums. Over time, this chronic inflammation can lead to the destruction of the periodontal tissues, including the gingiva, periodontal ligament, and alveolar bone.

The signs and symptoms of chronic periodontitis include:

* Red, swollen, or tender gums
* Bleeding gums during brushing or flossing
* Persistent bad breath (halitosis)
* Receding gums (exposure of the tooth root)
* Loose teeth or changes in bite alignment
* Deep periodontal pockets (spaces between the teeth and gums)

Risk factors for chronic periodontitis include poor oral hygiene, smoking, diabetes, genetics, and certain medications. Treatment typically involves a thorough dental cleaning to remove plaque and calculus, followed by additional procedures such as scaling and root planing or surgery to eliminate infection and promote healing of the periodontal tissues. Good oral hygiene practices, regular dental checkups, and quitting smoking are essential for preventing chronic periodontitis and maintaining good oral health.

Dental plaque is a biofilm or mass of bacteria that accumulates on the surface of the teeth, restorative materials, and prosthetic devices such as dentures. It is initiated when bacterial colonizers attach to the smooth surfaces of teeth through van der Waals forces and specific molecular adhesion mechanisms.

The microorganisms within the dental plaque produce extracellular polysaccharides that help to stabilize and strengthen the biofilm, making it resistant to removal by simple brushing or rinsing. Over time, if not regularly removed through oral hygiene practices such as brushing and flossing, dental plaque can mineralize and harden into tartar or calculus.

The bacteria in dental plaque can cause tooth decay (dental caries) by metabolizing sugars and producing acid that demineralizes the tooth enamel. Additionally, certain types of bacteria in dental plaque can cause periodontal disease, an inflammation of the gums that can lead to tissue damage and bone loss around the teeth. Regular professional dental cleanings and good oral hygiene practices are essential for preventing the buildup of dental plaque and maintaining good oral health.

Gingival crevicular fluid (GCF) is defined as the serum transudate or inflammatory exudate that flows from the gingival sulcus or periodontal pocket. It is a physiological fluid found in the narrow space between the tooth and the surrounding gum tissue, which deepens during periodontal disease. The analysis of GCF has been used as a non-invasive method to assess the status of periodontal health and disease since it contains various markers of inflammation, host response, and bacterial products.

Tooth loss is the condition or process characterized by the disappearance or absence of one or more teeth from their normal position in the dental arch. This can occur due to various reasons such as tooth decay, periodontal disease (gum disease), injury, or aging. The consequences of tooth loss include difficulties in chewing, speaking, and adversely affecting the aesthetics of a person's smile, which may lead to psychological impacts. Additionally, it can cause shifting of adjacent teeth, bone resorption, and changes in the bite, potentially leading to further dental issues if not treated promptly.

Gingival hemorrhage is the medical term for bleeding of the gingiva, or gums. It refers to the condition where the gums bleed, often as a result of trauma or injury, but also can be caused by various systemic conditions such as disorders of coagulation, leukemia, or scurvy.

Gingival hemorrhage is commonly seen in individuals with poor oral hygiene and periodontal disease, which can cause inflammation and damage to the gums. This can lead to increased susceptibility to bleeding, even during routine activities such as brushing or flossing. It's important to address any underlying causes of gingival hemorrhage to prevent further complications.

The dental plaque index (DPI) is a clinical measurement used in dentistry to assess the amount of dental plaque accumulation on a person's teeth. It was first introduced by Silness and Löe in 1964 as a method to standardize the assessment of oral hygiene and the effectiveness of oral hygiene interventions.

The DPI is based on a visual examination of the amount of plaque present on four surfaces of the teeth, including the buccal (cheek-facing) and lingual (tongue-facing) surfaces of both upper and lower first molars and upper and lower incisors. The examiner assigns a score from 0 to 3 for each surface, with higher scores indicating greater plaque accumulation:

* Score 0: No plaque detected, even after probing the area with a dental explorer.
* Score 1: Plaque detected by visual examination and/or probing but is not visible when the area is gently dried with air.
* Score 2: Moderate accumulation of soft deposits that are visible upon visual examination before air drying, but which can be removed by scraping with a dental explorer.
* Score 3: Abundant soft matter, visible upon visual examination before air drying and not easily removable with a dental explorer.

The DPI is calculated as the average score of all surfaces examined, providing an overall measure of plaque accumulation in the mouth. It can be used to monitor changes in oral hygiene over time or to evaluate the effectiveness of different oral hygiene interventions. However, it should be noted that the DPI has limitations and may not accurately reflect the presence of bacterial biofilms or the risk of dental caries and gum disease.

Aggressive periodontitis is a severe form of periodontal disease that affects the tissues surrounding and supporting the teeth, including the gums, periodontal ligament, and alveolar bone. It is characterized by rapid destruction of the periodontal tissues and can result in significant tooth loss if left untreated.

Aggressive periodontitis typically affects younger individuals, often before the age of 30, and can progress rapidly, even in the absence of obvious dental plaque or calculus accumulation. It is often associated with a genetic predisposition and may cluster in families.

The disease is classified as localized or generalized based on the distribution of affected sites. Localized aggressive periodontitis typically affects no more than two teeth next to each other, while generalized aggressive periodontitis involves at least three or four teeth in different areas of the mouth.

In addition to genetic factors, other risk factors for aggressive periodontitis include smoking, diabetes, and hormonal changes. Treatment typically involves a combination of thorough dental cleanings, antibiotics, and sometimes surgical intervention to remove damaged tissue and promote healing. Regular maintenance care is essential to prevent recurrence and further progression of the disease.

Bacteroidaceae is a family of gram-negative, anaerobic bacteria that are commonly found in the human gastrointestinal tract. Infections caused by Bacteroidaceae are relatively rare, but can occur in cases of severe trauma, surgery, or compromised immune systems. These infections may include bacteremia (bacteria in the blood), abscesses, and wound infections. Treatment typically involves the use of antibiotics that are effective against anaerobic bacteria. It is important to note that proper identification of the specific species causing the infection is necessary for appropriate treatment, as different species within Bacteroidaceae may have different susceptibilities to various antibiotics.

Dental scaling is a professional dental cleaning procedure that involves the removal of plaque, tartar (calculus), and stains from the tooth surfaces. This is typically performed by a dentist or dental hygienist using specialized instruments called scalers and curettes. The procedure helps to prevent gum disease and tooth decay by removing bacterial deposits that can cause inflammation and infection of the gums. Dental scaling may be recommended as part of a routine dental check-up or if there are signs of periodontal disease, such as red, swollen, or bleeding gums. In some cases, local anesthesia may be used to numb the area and make the procedure more comfortable for the patient.

Treponema denticola is a gram-negative, spiral-shaped bacterium that belongs to the genus Treponema. It is commonly found in the oral cavity and is associated with periodontal diseases such as chronic periodontitis. T. denticola is one of the "red complex" bacteria, which also includes Porphyromonas gingivalis and Tannerella forsythia, that are strongly associated with periodontal disease. These bacteria form a complex biofilm in the subgingival area and contribute to the breakdown of the periodontal tissues, leading to pocket formation, bone loss, and ultimately tooth loss if left untreated.

T. denticola has several virulence factors, including lipopolysaccharides (LPS), proteases, fimbriae, and endotoxins, that allow it to evade the host's immune system and cause tissue damage. It can also modulate the host's immune response, leading to a chronic inflammatory state that contributes to the progression of periodontal disease.

In addition to its role in periodontal disease, T. denticola has been linked to several systemic diseases, including cardiovascular disease, diabetes, and rheumatoid arthritis. However, more research is needed to fully understand the relationship between T. denticola and these conditions.

Oral hygiene is the practice of keeping the mouth and teeth clean to prevent dental issues such as cavities, gum disease, bad breath, and other oral health problems. It involves regular brushing, flossing, and using mouthwash to remove plaque and food particles that can lead to tooth decay and gum disease. Regular dental check-ups and cleanings are also an essential part of maintaining good oral hygiene. Poor oral hygiene can lead to a range of health problems, including heart disease, diabetes, and respiratory infections, so it is important to prioritize oral health as part of overall health and wellbeing.

Root planing is a dental procedure that involves the cleaning and smoothing of the root surfaces of teeth. It is typically performed as a part of periodontal therapy to treat and manage gum disease. The goal of root planing is to remove tartar, calculus, and bacterial toxins from the roots of teeth, which helps to promote the reattachment of the gums to the teeth and prevent further progression of periodontal disease. This procedure is usually performed under local anesthesia and may require multiple appointments depending on the severity of the case.

'Aggregatibacter actinomycetemcomitans' is a gram-negative, rod-shaped bacterium that belongs to the family Pasteurellaceae. It is facultatively anaerobic, meaning it can grow in both the presence and absence of oxygen. This bacterium is commonly found as part of the oral microbiota in humans and is associated with periodontal diseases such as localized aggressive periodontitis. Additionally, it has been implicated in various extraoral infections, including endocarditis, meningitis, and septicemia, particularly in individuals with underlying medical conditions. The bacterium's virulence factors include leukotoxin, cytolethal distending toxin, and adhesins, which contribute to its pathogenicity.

Dental calculus, also known as tartar, is a hardened deposit that forms on the surface of teeth. It's composed of mineralized plaque, which is a sticky film containing bacteria, saliva, and food particles. Over time, the minerals in saliva can cause the plaque to harden into calculus, which cannot be removed by brushing or flossing alone. Dental calculus can contribute to tooth decay and gum disease if not regularly removed by a dental professional through a process called scaling and root planing.

"Fusobacterium nucleatum" is a gram-negative, anaerobic, rod-shaped bacterium that is commonly found in the oral cavity and plays a significant role in periodontal disease. It has also been implicated in various extraintestinal infections, including septicemia, brain abscesses, and lung and liver infections. This bacterium is known to have a variety of virulence factors that contribute to its pathogenicity, such as the ability to adhere to and invade host cells, produce biofilms, and evade the immune response. It has been linked to several systemic diseases, including colorectal cancer, where it may promote tumor growth and progression through various mechanisms.

In medical terms, the mouth is officially referred to as the oral cavity. It is the first part of the digestive tract and includes several structures: the lips, vestibule (the space enclosed by the lips and teeth), teeth, gingiva (gums), hard and soft palate, tongue, floor of the mouth, and salivary glands. The mouth is responsible for several functions including speaking, swallowing, breathing, and eating, as it is the initial point of ingestion where food is broken down through mechanical and chemical processes, beginning the digestive process.

Bacteroides are a genus of gram-negative, anaerobic, rod-shaped bacteria that are normally present in the human gastrointestinal tract. They are part of the normal gut microbiota and play an important role in breaking down complex carbohydrates and other substances in the gut. However, some species of Bacteroides can cause opportunistic infections, particularly in individuals with weakened immune systems or when they spread to other parts of the body. They are resistant to many commonly used antibiotics, making infections caused by these bacteria difficult to treat.

Oral health is the scientific term used to describe the overall health status of the oral and related tissues, including the teeth, gums, palate, tongue, and mucosal lining. It involves the absence of chronic mouth and facial pain, oral and pharyngeal (throat) cancers, oral soft tissue lesions, birth defects such as cleft lip and palate, and other diseases and disorders that affect the oral cavity.

Good oral health also means being free of decay, gum disease, and other oral infections that can damage the teeth, gums, and bones of the mouth. It is essential to maintain good oral hygiene through regular brushing, flossing, and dental check-ups to prevent dental caries (cavities) and periodontal disease (gum disease).

Additionally, oral health is closely linked to overall health and well-being. Poor oral health has been associated with various systemic diseases, including diabetes, cardiovascular disease, respiratory infections, and stroke. Therefore, maintaining good oral health can contribute to improved general health and quality of life.

Prevotella intermedia is a gram-negative, anaerobic, rod-shaped bacterium that is commonly found in the oral cavity, upper respiratory tract, and gastrointestinal tract. It is a normal resident of the human microbiota but can also be an opportunistic pathogen, causing various types of infections such as periodontitis, endocarditis, and brain abscesses. P. intermedia has been associated with several diseases, including respiratory tract infections, bacteremia, and joint infections. It is often found in mixed infections with other anaerobic bacteria. Proper identification of this organism is important for the selection of appropriate antimicrobial therapy.

"Edentulous mouth" is a medical term used to describe a condition where an individual has no remaining natural teeth in either their upper or lower jaw, or both. This situation can occur due to various reasons such as tooth decay, gum disease, trauma, or aging. Dentists often recommend dental prosthetics like dentures to restore oral function and aesthetics for individuals with edentulous mouths.

Dental caries, also known as tooth decay or cavities, refers to the damage or breakdown of the hard tissues of the teeth (enamel, dentin, and cementum) due to the activity of acid-producing bacteria. These bacteria ferment sugars from food and drinks, producing acids that dissolve and weaken the tooth structure, leading to cavities.

The process of dental caries development involves several stages:

1. Demineralization: The acidic environment created by bacterial activity causes minerals (calcium and phosphate) to be lost from the tooth surface, making it weaker and more susceptible to decay.
2. Formation of a white spot lesion: As demineralization progresses, a chalky white area appears on the tooth surface, indicating early caries development.
3. Cavity formation: If left untreated, the demineralization process continues, leading to the breakdown and loss of tooth structure, resulting in a cavity or hole in the tooth.
4. Infection and pulp involvement: As the decay progresses deeper into the tooth, it can reach the dental pulp (the soft tissue containing nerves and blood vessels), causing infection, inflammation, and potentially leading to toothache, abscess, or even tooth loss.

Preventing dental caries involves maintaining good oral hygiene, reducing sugar intake, using fluoride toothpaste and mouthwash, and having regular dental check-ups and cleanings. Early detection and treatment of dental caries can help prevent further progression and more severe complications.

Periodontics is a specialty of dentistry that focuses on the prevention, diagnosis, and treatment of diseases affecting the supporting structures of the teeth, including the gums, periodontal ligament, and alveolar bone. It deals with the maintenance of the health, function, and esthetics of these structures and the teeth themselves. Common periodontal treatments include scaling and root planing (deep cleanings), pocket reduction procedures, regenerative treatments, and dental implant placement. Periodontists are dentists who have completed additional training in this specialized field.

Mouth diseases refer to a variety of conditions that affect the oral cavity, including the lips, gums, teeth, tongue, palate, and lining of the mouth. These diseases can be caused by bacteria, viruses, fungi, or other organisms. They can also result from injuries, chronic illnesses, or genetic factors.

Some common examples of mouth diseases include dental caries (cavities), periodontal disease (gum disease), oral herpes, candidiasis (thrush), lichen planus, and oral cancer. Symptoms may include pain, swelling, redness, bleeding, bad breath, difficulty swallowing or speaking, and changes in the appearance of the mouth or teeth. Treatment depends on the specific diagnosis and may involve medications, dental procedures, or lifestyle changes.

A focal infection is a focus or source of infection that can spread and cause harm to other parts of the body. A "focal infection, dental" refers to an infection that originates in the teeth or surrounding tissues of the mouth and then spreads to other parts of the body. This can occur when bacteria or other pathogens from a dental infection enter the bloodstream and travel to distant sites, where they can cause inflammation, tissue damage, and illness.

Dental focal infections can be caused by various conditions, such as tooth decay, periodontal disease, abscesses, or other oral infections. The bacteria involved in dental infections are often part of the normal oral flora but can become pathogenic under certain circumstances, such as when they gain access to deeper tissues or the bloodstream due to trauma, surgery, or poor oral hygiene.

If left untreated, dental focal infections can lead to serious health complications, including heart disease, brain abscesses, and other systemic infections. It is essential to maintain good oral hygiene and seek professional dental care to prevent and treat dental infections, reducing the risk of developing focal infections and related health issues.

The Oral Hygiene Index (OHI) is a dental measurement used to assess and quantify the cleanliness of a patient's teeth. It was developed by Greene and Vermillion in 1964 as a simple, reproducible method for oral hygiene evaluation. The index takes into account the amount of debris (food particles, plaque) and calculus (tartar) present on the tooth surfaces.

The OHI consists of two components: the Debris Index (DI) and the Calculus Index (CI). Each component is scored separately for six designated teeth (16, 11, 26, 36, 31, and 46) on a scale from 0 to 3. The scores are then summed up and averaged to obtain the final OHI score:

1. Debris Index (DI): Assesses the soft debris or plaque accumulation on the tooth surfaces. The scoring is as follows:
- Score 0: No debris present
- Score 1: Debris found on up to one-third of the tooth surface
- Score 2: Debris found on more than one-third but less than two-thirds of the tooth surface
- Score 3: Debris found on more than two-thirds of the tooth surface

2. Calculus Index (CI): Evaluates the hard calculus or tartar accumulation on the tooth surfaces. The scoring is similar to the DI:
- Score 0: No calculus present
- Score 1: Supragingival calculus found on up to one-third of the tooth surface
- Score 2: Supragingival calculus found on more than one-third but less than two-thirds of the tooth surface, or the presence of individual flecks of subgingival calculus
- Score 3: Supragingival calculus found on more than two-thirds of the tooth surface, or a continuous heavy band of subgingival calculus

The OHI score ranges from 0 to 6, with higher scores indicating poorer oral hygiene. This index is widely used in dental research and clinical settings to evaluate the effectiveness of oral hygiene interventions and to assess overall oral health status.

Necrotizing ulcerative gingivitis (NUG), also known as trench mouth or acute necrotizing ulcerative gingivostomatitis, is a severe and painful form of gingivitis that is characterized by the presence of necrosis (tissue death) and ulcers in the gum tissue. It is caused by a combination of factors, including poor oral hygiene, stress, smoking, and a weakened immune system. The condition is often associated with the presence of certain types of bacteria that produce toxins that can damage the gum tissue.

NUG is characterized by the sudden onset of symptoms such as severe pain, bleeding, bad breath, and a grayish-white or yellowish film covering the gums. The gums may also appear bright red, swollen, and shiny, and may bleed easily when brushed or touched. In some cases, the condition can progress to involve other areas of the mouth, such as the lining of the cheeks and lips.

NUG is typically treated with a combination of professional dental cleaning, antibiotics to eliminate the bacterial infection, and pain management. It is important to maintain good oral hygiene practices to prevent recurrence of the condition. If left untreated, NUG can lead to more serious complications such as tooth loss or spread of the infection to other parts of the body.

Gingival diseases are infections or inflammations that affect the gingiva, which is the part of the gum around the base of the teeth. These diseases can be caused by bacteria found in dental plaque and can lead to symptoms such as redness, swelling, bleeding, and receding gums. If left untreated, gingival diseases can progress to periodontal disease, a more serious condition that can result in tooth loss. Common types of gingival diseases include gingivitis and periodontitis.

Treponema is a genus of spiral-shaped bacteria, also known as spirochetes. These bacteria are gram-negative and have unique motility provided by endoflagella, which are located in the periplasmic space, running lengthwise between the cell's outer membrane and inner membrane.

Treponema species are responsible for several important diseases in humans, including syphilis (Treponema pallidum), yaws (Treponema pertenue), pinta (Treponema carateum), and endemic syphilis or bejel (Treponema pallidum subspecies endemicum). These diseases are collectively known as treponematoses.

It is important to note that while these bacteria share some common characteristics, they differ in their clinical manifestations and geographical distributions. Proper diagnosis and treatment of treponemal infections require medical expertise and laboratory confirmation.

Treponemal infections are a group of diseases caused by the spirochete bacterium Treponema pallidum. This includes syphilis, yaws, bejel, and pinta. These infections can affect various organ systems in the body and can have serious consequences if left untreated.

1. Syphilis: A sexually transmitted infection that can also be passed from mother to fetus during pregnancy or childbirth. It is characterized by sores (chancres) on the genitals, anus, or mouth, followed by a rash and flu-like symptoms. If left untreated, it can lead to serious complications such as damage to the heart, brain, and nervous system.
2. Yaws: A tropical infection that is spread through direct contact with infected skin lesions. It primarily affects children in rural areas of Africa, Asia, and South America. The initial symptom is a painless bump on the skin that eventually ulcerates and heals, leaving a scar. If left untreated, it can lead to disfigurement and destruction of bone and cartilage.
3. Bejel: Also known as endemic syphilis, this infection is spread through direct contact with infected saliva or mucous membranes. It primarily affects children in dry and arid regions of Africa, the Middle East, and Asia. The initial symptom is a painless sore on the mouth or skin, followed by a rash and other symptoms similar to syphilis.
4. Pinta: A tropical infection that is spread through direct contact with infected skin lesions. It primarily affects people in rural areas of Central and South America. The initial symptom is a red or brown spot on the skin, which eventually turns into a scaly rash. If left untreated, it can lead to disfigurement and destruction of pigmentation in the skin.

Treponemal infections can be diagnosed through blood tests that detect antibodies against Treponema pallidum. Treatment typically involves antibiotics such as penicillin, which can cure the infection if caught early enough. However, untreated treponemal infections can lead to serious health complications and even death.

Dental deposits, also known as dental plaque or calculus, are accumulations of bacteria and other substances on the surface of teeth. Plaque is a soft, sticky film that constantly forms on the teeth due to the presence of bacteria in the mouth. When plaque is not removed regularly through brushing and flossing, it can harden into a rough, crusty deposit called calculus or tartar.

Calculus can form above and below the gum line and can cause inflammation and irritation of the gums, leading to gum disease if left untreated. Dental deposits can also contribute to tooth decay, bad breath, and other oral health problems. Regular dental checkups and cleanings are necessary to remove dental deposits and prevent further buildup.

According to the Merriam-Webster Medical Dictionary, 'actinobacillus' is defined as:

"A genus of gram-negative, nonmotile, facultatively anaerobic rods (family Pasteurellaceae) that are parasites or commensals in animals and occasionally cause disease in humans. Some species produce a polysaccharide capsule."

In simpler terms, Actinobacillus is a type of bacteria that can be found in animals, including sometimes as normal flora in their mouths and throats. These bacteria can sometimes infect humans, usually through close contact with animals or through the consumption of contaminated food or water. Some species of Actinobacillus can produce a polysaccharide capsule, which can make them more resistant to the body's immune defenses and more difficult to treat with antibiotics.

It is worth noting that while some species of Actinobacillus can cause disease in humans, they are generally not considered major human pathogens. However, they can cause a variety of clinical syndromes, including respiratory tract infections, wound infections, and bacteremia (bloodstream infections). Treatment typically involves the use of antibiotics that are active against gram-negative bacteria, such as amoxicillin/clavulanate or fluoroquinolones.

Dental prophylaxis is a dental procedure aimed at the prevention and treatment of dental diseases. It is commonly known as a "teeth cleaning" and is performed by a dentist or dental hygienist. The procedure involves removing plaque, tartar, and stains from the teeth to prevent tooth decay and gum disease. Dental prophylaxis may also include polishing the teeth, applying fluoride, and providing oral hygiene instructions to promote good oral health. It is recommended that individuals receive a dental prophylaxis every six months or as directed by their dentist.

Toothbrushing is the act of cleaning teeth and gums using a toothbrush to remove plaque, food debris, and dental calculus (tartar) from the surfaces of the teeth and gums. It is typically performed using a soft-bristled toothbrush and fluoride toothpaste, with gentle circular or back-and-forth motions along the gumline and on all surfaces of the teeth. Toothbrushing should be done at least twice a day, preferably after every meal and before bedtime, for two minutes each time, to maintain good oral hygiene and prevent dental diseases such as tooth decay and gum disease. It is also recommended to brush the tongue to remove bacteria and freshen breath.

Saliva is a complex mixture of primarily water, but also electrolytes, enzymes, antibacterial compounds, and various other substances. It is produced by the salivary glands located in the mouth. Saliva plays an essential role in maintaining oral health by moistening the mouth, helping to digest food, and protecting the teeth from decay by neutralizing acids produced by bacteria.

The medical definition of saliva can be stated as:

"A clear, watery, slightly alkaline fluid secreted by the salivary glands, consisting mainly of water, with small amounts of electrolytes, enzymes (such as amylase), mucus, and antibacterial compounds. Saliva aids in digestion, lubrication of oral tissues, and provides an oral barrier against microorganisms."

Matrix Metalloproteinase 8 (MMP-8), also known as Collagenase-2 or Neutrophil Collagenase, is an enzyme that belongs to the Matrix Metalloproteinases family. MMP-8 is primarily produced by neutrophils and has the ability to degrade various components of the extracellular matrix (ECM), including collagens, gelatin, and elastin. It plays a crucial role in tissue remodeling, wound healing, and inflammatory responses. MMP-8 is also involved in the pathogenesis of several diseases, such as periodontitis, rheumatoid arthritis, and cancer, where it contributes to the breakdown of the ECM and promotes tissue destruction and invasion.

The alveolar process is the curved part of the jawbone (mandible or maxilla) that contains sockets or hollow spaces (alveoli) for the teeth to be embedded. These processes are covered with a specialized mucous membrane called the gingiva, which forms a tight seal around the teeth to help protect the periodontal tissues and maintain oral health.

The alveolar process is composed of both compact and spongy bone tissue. The compact bone forms the outer layer, while the spongy bone is found inside the alveoli and provides support for the teeth. When a tooth is lost or extracted, the alveolar process begins to resorb over time due to the lack of mechanical stimulation from the tooth's chewing forces. This can lead to changes in the shape and size of the jawbone, which may require bone grafting procedures before dental implant placement.

A mouthwash is an antiseptic or therapeutic solution that is held in the mouth and then spit out, rather than swallowed. It is used to improve oral hygiene, to freshen breath, and to help prevent dental cavities, gingivitis, and other periodontal diseases.

Mouthwashes can contain a variety of ingredients, including water, alcohol, fluoride, chlorhexidine, essential oils, and other antimicrobial agents. Some mouthwashes are available over-the-counter, while others require a prescription. It is important to follow the instructions for use provided by the manufacturer or your dentist to ensure the safe and effective use of mouthwash.

Dental care refers to the practice of maintaining and improving the oral health of the teeth and gums. It involves regular check-ups, cleanings, and treatments by dental professionals such as dentists, hygienists, and dental assistants. Dental care also includes personal habits and practices, such as brushing and flossing, that help prevent tooth decay and gum disease.

Regular dental care is important for preventing common dental problems like cavities, gingivitis, and periodontal disease. It can also help detect early signs of more serious health issues, such as oral cancer or diabetes, which can have symptoms that appear in the mouth.

Dental care may involve a range of treatments, from routine cleanings and fillings to more complex procedures like root canals, crowns, bridges, and implants. Dental professionals use various tools and techniques to diagnose and treat dental problems, including X-rays, dental impressions, and local anesthesia.

Overall, dental care is a critical component of overall health and wellness, as poor oral health has been linked to a range of systemic health issues, including heart disease, stroke, and respiratory infections.

"Porphyromonas" is a genus of gram-negative, anaerobic bacteria that are commonly found in the human oral cavity and other areas of the body. One species, "Porphyromonas gingivalis," is a major contributor to chronic periodontitis, a severe form of gum disease. These bacteria are also associated with various systemic diseases, including atherosclerosis, rheumatoid arthritis, and aspiration pneumonia. The name "Porphyromonas" comes from the Greek words "porphyra," meaning purple, and "monas," meaning unit, referring to the bacteria's ability to produce porphyrins, which are pigments that can give a purple color to their colonies.

Dental health surveys are epidemiological studies that aim to assess the oral health status and related behaviors of a defined population at a particular point in time. These surveys collect data on various aspects of oral health, including the prevalence and severity of dental diseases such as caries (tooth decay), periodontal disease (gum disease), and oral cancer. They also gather information on factors that influence oral health, such as dietary habits, oral hygiene practices, access to dental care, and socioeconomic status.

The data collected in dental health surveys are used to identify trends and patterns in oral health, plan and evaluate public health programs and policies, and allocate resources for oral health promotion and disease prevention. Dental health surveys may be conducted at the local, regional, or national level, and they can target specific populations such as children, adolescents, adults, or older adults.

The methods used in dental health surveys include clinical examinations, interviews, questionnaires, and focus groups. Clinical examinations are conducted by trained dentists or dental hygienists who follow standardized protocols to assess the oral health status of participants. Interviews and questionnaires are used to collect information on demographic characteristics, oral health behaviors, and attitudes towards oral health. Focus groups can provide insights into the perceptions and experiences of participants regarding oral health issues.

Overall, dental health surveys play a critical role in monitoring and improving the oral health of populations and reducing oral health disparities.

Epithelial attachment is a general term that refers to the point where epithelial cells, which are the cells that line the outer surfaces of organs and blood vessels, adhere or attach to an underlying structure. In the context of the mouth and teeth, epithelial attachment is often used to describe the connection between the gum tissue (gingiva) and the tooth surface.

In a healthy mouth, the gingival tissue fits tightly around each tooth, forming a protective seal that helps prevent bacteria and other harmful substances from entering the spaces between the teeth and gums. This tight seal is maintained by specialized epithelial cells called junctional epithelial cells, which form a barrier between the oral environment and the underlying connective tissue.

When the gingival tissue becomes inflamed due to factors such as poor oral hygiene or certain medical conditions, the epithelial attachment can become compromised, leading to a condition known as gingivitis. If left untreated, gingivitis can progress to periodontal disease, which is characterized by the destruction of the tissues that support the teeth, including the bone and connective tissue.

In summary, epithelial attachment refers to the point where epithelial cells adhere to an underlying structure, and in the context of oral health, it describes the connection between the gum tissue and the tooth surface.

Dental devices for home care are products designed for use by individuals or their caregivers in a home setting to maintain oral hygiene, manage dental health issues, and promote overall oral health. These devices can include:

1. Toothbrushes: Manual, electric, or battery-operated toothbrushes used to clean teeth and remove plaque and food debris.
2. Dental floss: A thin string used to remove food particles and plaque from between the teeth and under the gum line.
3. Interdental brushes: Small brushes designed to clean between the teeth and around dental appliances, such as braces or implants.
4. Water flossers/oral irrigators: Devices that use a stream of water to remove food particles and plaque from between the teeth and under the gum line.
5. Tongue scrapers: Tools used to clean the tongue's surface, removing bacteria and reducing bad breath.
6. Rubber tips/gum stimulators: Devices used to massage and stimulate the gums, promoting blood circulation and helping to maintain gum health.
7. Dental picks/sticks: Pointed tools used to remove food particles and plaque from between the teeth and under the gum line.
8. Mouthguards: Protective devices worn over the teeth to prevent damage from grinding, clenching, or sports-related injuries.
9. Night guards: Similar to mouthguards, these are designed to protect the teeth from damage caused by nighttime teeth grinding (bruxism).
10. Dental retainers: Devices used to maintain the alignment of teeth after orthodontic treatment.
11. Whitening trays and strips: At-home products used to whiten teeth by applying a bleaching agent to the tooth surface.
12. Fluoride mouth rinses: Anticavity rinses containing fluoride, which help strengthen tooth enamel and prevent decay.
13. Oral pain relievers: Topical gels or creams used to alleviate oral pain, such as canker sores or denture irritation.

Proper use of these dental devices, along with regular dental check-ups and professional cleanings, can help maintain good oral health and prevent dental issues.

A gingival pocket, also known as a sulcus, is a small space or groove between the gum tissue (gingiva) and the tooth. It's a normal anatomical structure found in healthy teeth and gums, and it measures about 1-3 millimeters in depth. The purpose of the gingival pocket is to allow for the movement of the gum tissue during functions such as eating, speaking, and swallowing.

However, when the gums become inflamed due to bacterial buildup (plaque) or other factors, the pocket can deepen, leading to the formation of a pathological gingival pocket. Pathological pockets are typically deeper than 3 millimeters and may indicate the presence of periodontal disease. These pockets can harbor harmful bacteria that can cause further damage to the gum tissue and bone supporting the tooth, potentially leading to tooth loss if left untreated.

Tooth mobility, also known as loose teeth, refers to the degree of movement or displacement of a tooth in its socket when lateral forces are applied. It is often described in terms of grades:

* Grade 1: Tooth can be moved slightly (up to 1 mm) with finger pressure.
* Grade 2: Tooth can be moved up to 2 mm with finger pressure.
* Grade 3: Tooth can be moved more than 2 mm or can be removed from its socket with manual pressure.

Increased tooth mobility can be a sign of periodontal disease, trauma, or other dental conditions and should be evaluated by a dentist. Treatment may include deep cleaning, splinting, or surgery to restore stability to the affected teeth.

Hemagglutinins are proteins found on the surface of some viruses, including influenza viruses. They have the ability to bind to specific receptors on the surface of red blood cells, causing them to clump together (a process known as hemagglutination). This property is what allows certain viruses to infect host cells and cause disease. Hemagglutinins play a crucial role in the infection process of influenza viruses, as they facilitate the virus's entry into host cells by binding to sialic acid receptors on the surface of respiratory epithelial cells. There are 18 different subtypes of hemagglutinin (H1-H18) found in various influenza A viruses, and they are a major target of the immune response to influenza infection. Vaccines against influenza contain hemagglutinins from the specific strains of virus that are predicted to be most prevalent in a given season, and induce immunity by stimulating the production of antibodies that can neutralize the virus.

Subgingival curettage is a dental procedure that involves the removal of infected tissue from the area below the gum line (subgingival) down to the bottom of the periodontal pocket. This procedure is typically performed by a dentist or dental hygienist during a deep cleaning or scaling and root planing procedure to treat periodontal disease. The goal of subgingival curettage is to remove damaged, infected, or necrotic tissue from the periodontal pocket, which can help promote healing and reduce the depth of the pocket. This procedure may also be used as a diagnostic tool to assess the extent of periodontal damage and guide treatment planning.

Actinomyces is a genus of gram-positive, rod-shaped bacteria that are normal inhabitants of the human mouth, colon, and urogenital tract. Under certain conditions, such as poor oral hygiene or tissue trauma, these bacteria can cause infections known as actinomycosis. These infections often involve the formation of abscesses or granulomas and can affect various tissues, including the lungs, mouth, and female reproductive organs. Actinomyces species are also known to form complex communities called biofilms, which can contribute to their ability to cause infection.

Pasteurellaceae is a family of Gram-negative, facultatively anaerobic or aerobic, non-spore forming bacteria that are commonly found as normal flora in the upper respiratory tract, gastrointestinal tract, and genitourinary tract of animals and humans. Some members of this family can cause a variety of diseases in animals and humans, including pneumonia, meningitis, septicemia, and localized infections such as abscesses and cellulitis.

Some notable genera within Pasteurellaceae include:

* Pasteurella: includes several species that can cause respiratory tract infections, septicemia, and soft tissue infections in animals and humans. The most common species is Pasteurella multocida, which is a major pathogen in animals and can also cause human infections associated with animal bites or scratches.
* Haemophilus: includes several species that are normal flora of the human respiratory tract and can cause respiratory tract infections, including bronchitis, pneumonia, and meningitis. The most well-known species is Haemophilus influenzae, which can cause severe invasive diseases such as meningitis and sepsis, particularly in young children.
* Mannheimia: includes several species that are normal flora of the upper respiratory tract of ruminants (such as cattle and sheep) and can cause pneumonia and other respiratory tract infections in these animals. The most common species is Mannheimia haemolytica, which is a major pathogen in cattle and can also cause human infections associated with animal contact.
* Actinobacillus: includes several species that are normal flora of the upper respiratory tract and gastrointestinal tract of animals and can cause respiratory tract infections, septicemia, and localized infections in these animals. The most common species is Actinobacillus pleuropneumoniae, which causes a severe form of pneumonia in pigs.

Overall, Pasteurellaceae family members are important pathogens in both veterinary and human medicine, and their infections can range from mild to severe and life-threatening.

'Campylobacter rectus' is a gram-negative, rod-shaped bacterium that can cause periodontal disease, an infection and inflammation of the tissues surrounding the teeth. It is normally found in the oral cavity and is associated with periodontitis, a severe form of gum disease. The bacteria are microaerophilic, meaning they require reduced levels of oxygen to grow. Infection with 'Campylobacter rectus' can lead to tissue destruction, bone loss, and potentially systemic infections in individuals with weakened immune systems. Proper oral hygiene and dental care are important in preventing infection and controlling the spread of this bacterium.

A tooth is a hard, calcified structure found in the jaws (upper and lower) of many vertebrates and used for biting and chewing food. In humans, a typical tooth has a crown, one or more roots, and three layers: the enamel (the outermost layer, hardest substance in the body), the dentin (the layer beneath the enamel), and the pulp (the innermost layer, containing nerves and blood vessels). Teeth are essential for proper nutrition, speech, and aesthetics. There are different types of teeth, including incisors, canines, premolars, and molars, each designed for specific functions in the mouth.

Pasteurellaceae infections refer to illnesses caused by bacteria belonging to the family Pasteurellaceae. This family includes several genera of gram-negative, rod-shaped bacteria, with the most common pathogenic genus being Pasteurella. These bacteria are commonly found as normal flora in the upper respiratory tracts of animals, including pets like cats and dogs, and can be transmitted to humans through bites, scratches, or contact with contaminated fluids.

Pasteurellaceae infections can cause a range of clinical manifestations, depending on the specific species involved and the site of infection. Common Pasteurella species that cause human infections include P. multocida and P. pneumotropica. Infections caused by these bacteria often present as localized skin or soft tissue infections, such as cellulitis, abscesses, or wound infections, following animal contact.

In addition to skin and soft tissue infections, Pasteurellaceae can also cause respiratory tract infections (pneumonia, bronchitis), septicemia, and, rarely, meningitis or endocarditis. Immunocompromised individuals, those with chronic lung disease, or those who have alcohol use disorder are at increased risk for severe Pasteurellaceae infections.

Treatment typically involves antibiotics active against gram-negative bacteria, such as amoxicillin/clavulanate, doxycycline, or fluoroquinolones. Prompt treatment is essential to prevent potential complications and the spread of infection.

Fusobacterium infections are diseases or conditions caused by the bacterial genus Fusobacterium, which are gram-negative, anaerobic bacilli. These bacteria are commonly found as normal flora in the oral cavity, gastrointestinal tract, and female genital tract. However, under certain circumstances, they can cause infections, particularly in individuals with weakened immune systems or underlying medical conditions.

Fusobacterium infections can manifest in various forms, including:

1. Oral infections: Fusobacterium nucleatum is the most common species associated with oral infections, such as periodontitis, abscesses, and Ludwig's angina.
2. Respiratory tract infections: Fusobacterium necrophorum can cause lung abscesses, empyema, and bronchitis.
3. Bloodstream infections (bacteremia): Fusobacterium species can enter the bloodstream through various routes, such as dental procedures or invasive medical procedures, leading to bacteremia. This condition can be particularly dangerous for individuals with compromised immune systems or underlying medical conditions.
4. Intra-abdominal infections: Fusobacterium species can cause intra-abdominal abscesses, peritonitis, and appendicitis.
5. Skin and soft tissue infections: Fusobacterium species can cause cellulitis, myositis, and necrotizing fasciitis.
6. Bone and joint infections: Fusobacterium species can cause osteomyelitis and septic arthritis.
7. Central nervous system infections: Fusobacterium species can cause meningitis and brain abscesses, although these are rare.

Fusobacterium infections can be challenging to treat due to their anaerobic nature and resistance to certain antibiotics. Therefore, it is essential to seek medical attention if you suspect a Fusobacterium infection. Treatment typically involves the use of appropriate antibiotics, such as metronidazole or clindamycin, and sometimes surgical intervention may be necessary.

The periodontal ligament, also known as the "PDL," is the soft tissue that connects the tooth root to the alveolar bone within the dental alveolus (socket). It consists of collagen fibers organized into groups called principal fibers and accessory fibers. These fibers are embedded into both the cementum of the tooth root and the alveolar bone, providing shock absorption during biting and chewing forces, allowing for slight tooth movement, and maintaining the tooth in its position within the socket.

The periodontal ligament plays a crucial role in the health and maintenance of the periodontium, which includes the gingiva (gums), cementum, alveolar bone, and the periodontal ligament itself. Inflammation or infection of the periodontal ligament can lead to periodontal disease, potentially causing tooth loss if not treated promptly and appropriately.

Bacterial adhesins are proteins or structures on the surface of bacterial cells that allow them to attach to other cells or surfaces. This ability to adhere to host tissues is an important first step in the process of bacterial infection and colonization. Adhesins can recognize and bind to specific receptors on host cells, such as proteins or sugars, enabling the bacteria to establish a close relationship with the host and evade immune responses.

There are several types of bacterial adhesins, including fimbriae, pili, and non-fimbrial adhesins. Fimbriae and pili are thin, hair-like structures that extend from the bacterial surface and can bind to a variety of host cell receptors. Non-fimbrial adhesins are proteins that are directly embedded in the bacterial cell wall and can also mediate attachment to host cells.

Bacterial adhesins play a crucial role in the pathogenesis of many bacterial infections, including urinary tract infections, respiratory tract infections, and gastrointestinal infections. Understanding the mechanisms of bacterial adhesion is important for developing new strategies to prevent and treat bacterial infections.

Dental cementum is a type of hard connective tissue that covers the root of a tooth. It is primarily composed of calcium salts and collagen fibers, and it serves to attach the periodontal ligaments (the fibers that help secure the tooth in its socket) to the tooth's root. Cementum also helps protect the root of the tooth and contributes to the maintenance of tooth stability. It continues to grow and deposit new layers throughout an individual's life, which can be seen as incremental lines called "cementum annulations."

"Prevotella melaninogenica" is a gram-negative, anaerobic, rod-shaped bacterium that is commonly found as part of the normal microbiota in the oral cavity, gastrointestinal tract, and urogenital tract. It is named for its ability to produce melanin pigment. This bacterium can sometimes be associated with various infections, including dental abscesses, periodontal disease, lung infections, and bloodstream infections, particularly in individuals with compromised immune systems."

Tooth diseases are conditions that affect the teeth and can cause discomfort, pain, and even loss of teeth if left untreated. These diseases can be caused by various factors such as poor oral hygiene, bacterial infections, trauma, genetics, and certain medical conditions. Some common tooth diseases include:

1. Dental caries (tooth decay): This is a breakdown of the tooth enamel due to the action of acid-producing bacteria that feed on sugars and starches in the mouth. Over time, this can lead to cavities or holes in the teeth.
2. Gingivitis: This is an inflammation of the gums caused by the buildup of plaque and tartar at the gum line. If left untreated, gingivitis can progress to periodontitis, a more serious form of gum disease that can cause tooth loss.
3. Periodontitis: This is a severe infection of the gums and bones that support the teeth. It is caused by the buildup of plaque and tartar, which leads to the destruction of the tissue and bone that hold the teeth in place.
4. Abscess: This is a pocket of pus that forms in the tooth or gum due to a bacterial infection. An abscess can cause pain, swelling, and fever, and may require antibiotics or surgical drainage.
5. Tooth erosion: This is the loss of tooth structure due to acid wear, which can be caused by factors such as diet, stomach acid, and teeth grinding.
6. Hypersensitivity: This is a condition in which the teeth become sensitive to hot, cold, or sweet foods and drinks. It can be caused by factors such as gum recession, tooth decay, and tooth wear.
7. Oral cancer: This is a type of cancer that affects the mouth, lips, tongue, or throat. It can cause symptoms such as sores, lumps, or difficulty swallowing, and may require surgery, radiation therapy, or chemotherapy for treatment.

A furcation defect in dental terminology refers to the loss or destruction of supporting bone in the area where the roots of a multi-rooted tooth, such as a molar, diverge or branch out. This condition is typically caused by periodontal disease, which results in inflammation and infection of the gums and surrounding tissues.

Furcation defects are classified into three categories based on their severity:

1. Class I: The furcation involvement is limited to the function groove, and the bone loss does not extend beyond this area. Treatment usually involves thorough cleaning and root planing of the affected area.
2. Class II: The bone loss extends halfway or more beneath the furcation, but not reaching the bottom of the furcation. This type of defect may require surgical treatment to promote bone regeneration.
3. Class III: The bone loss is so extensive that it reaches the bottom of the furcation and possibly beyond. In such cases, tooth extraction may be necessary if the tooth cannot be saved through regenerative procedures or other treatments.

It's important to note that early detection and treatment of periodontal disease can help prevent furcation defects from developing or worsening. Regular dental checkups and cleanings are essential for maintaining good oral health and preventing periodontal issues.

Veillonella is a genus of Gram-negative, anaerobic, non-spore-forming, coccoid or rod-shaped bacteria. These bacteria are commonly found as normal flora in the human mouth, intestines, and female genital tract. They are known to be obligate parasites, meaning they rely on other organisms for nutrients and energy. Veillonella species are often associated with dental caries and have been implicated in various infections such as bacteremia, endocarditis, pneumonia, and wound infections, particularly in immunocompromised individuals or those with underlying medical conditions. Proper identification of Veillonella species is important for the diagnosis and treatment of these infections.

A premature birth is defined as the delivery of a baby before 37 weeks of gestation. This can occur spontaneously or as a result of medical intervention due to maternal or fetal complications. Premature babies, also known as preemies, may face various health challenges depending on how early they are born and their weight at birth. These challenges can include respiratory distress syndrome, jaundice, anemia, issues with feeding and digestion, developmental delays, and vision problems. With advancements in medical care and neonatal intensive care units (NICUs), many premature babies survive and go on to lead healthy lives.

Preventella is a genus of Gram-negative, anaerobic, rod-shaped bacteria that are commonly found in the human oral cavity, gastrointestinal tract, and urogenital tract. They are part of the normal microbiota but can also be associated with various infections, particularly in individuals with compromised immune systems or underlying medical conditions.

Prevotella species have been implicated in a variety of diseases, including periodontal disease, dental caries, respiratory tract infections, bacteremia, soft tissue infections, and joint infections. They can also be found in association with abscesses, wound infections, and other types of infections, particularly in the head and neck region.

Prevotella species are generally resistant to antibiotics commonly used to treat anaerobic infections, such as clindamycin and metronidazole, making them difficult to eradicate. Therefore, accurate identification and susceptibility testing of Prevotella isolates is important for the appropriate management of infections caused by these organisms.

Halitosis is a medical term that refers to noticeably unpleasant breath. It's also commonly known as bad breath. This condition can result from several factors, including poor oral hygiene, certain foods, smoking, alcohol use, dry mouth, and various medical conditions (such as gastrointestinal issues, respiratory infections, or liver and kidney problems). Regular dental check-ups and good oral hygiene practices, like brushing twice a day and flossing daily, can help prevent halitosis. In some cases, mouthwashes, sugar-free gums, or mints may provide temporary relief. However, if bad breath persists, it is recommended to consult with a healthcare professional or dentist for further evaluation and appropriate treatment.

Actinobacillus infections are caused by bacteria belonging to the genus Actinobacillus, which are gram-negative, facultatively anaerobic, and non-motile rods. These bacteria can cause a variety of infections in humans and animals, including respiratory tract infections, wound infections, and septicemia.

The most common species that causes infection in humans is Actinobacillus actinomycetemcomitans, which is associated with periodontal disease, endocarditis, and soft tissue infections. Other species such as A. suis, A. lignieresii, and A. equuli can cause infections in animals and occasionally in humans, particularly those who have close contact with animals.

Symptoms of Actinobacillus infections depend on the site of infection and may include fever, chills, swelling, redness, pain, and purulent discharge. Diagnosis is typically made through culture and identification of the bacteria from clinical samples such as blood, wound secretions, or respiratory specimens. Treatment usually involves antibiotics that are effective against gram-negative bacteria, such as aminoglycosides, fluoroquinolones, or third-generation cephalosporins. In severe cases, surgical intervention may be necessary to drain abscesses or remove infected tissue.

I'm not aware of a medical definition for "DMF Index." The abbreviation "DMF" could potentially stand for many things, as it is used in various contexts across different fields. In the field of dentistry, DMF stands for Decayed, Missing, and Filled teeth/surfaces, which is a method for measuring dental caries or tooth decay. However, there is no standard medical definition for "DMF Index." If you could provide more context or specify the field of study or practice, I would be happy to help further!

Benzoylarginine-2-Naphthylamide is a synthetic substance that is used in laboratory settings as a reagent for the detection and measurement of certain enzymes, specifically proteases such as trypsin. It is a colorless to pale yellow crystalline powder that is soluble in water and alcohol. When treated with an enzyme that can cleave it, such as trypsin, it produces a colored product that can be measured and used to quantify the enzyme's activity. This compound is not used for medical purposes in humans or animals.

Pericoronitis is a dental condition characterized by inflammation of the tissue around the crown of a tooth, usually affecting the lower wisdom teeth that have only partially erupted through the gum line. The term "peri" means around, and "coron" refers to the crown of the tooth.

In pericoronitis, the gum tissues surrounding the affected tooth become red, swollen, and painful due to bacterial infection and accumulation of debris under the gum flap (operculum) covering the partially erupted tooth. This condition can lead to complications such as difficulty in chewing, swallowing, and speaking, as well as trismus (restricted jaw movement), pus discharge, and fever in severe cases.

Treatment for pericoronitis typically involves removing the source of irritation and infection, which may include professional dental cleaning, irrigation, and antibiotics to manage the infection. In some instances, surgical removal of the affected tooth or operculum may be necessary to alleviate symptoms and prevent future recurrences.

Medical Definition:

"Risk factors" are any attribute, characteristic or exposure of an individual that increases the likelihood of developing a disease or injury. They can be divided into modifiable and non-modifiable risk factors. Modifiable risk factors are those that can be changed through lifestyle choices or medical treatment, while non-modifiable risk factors are inherent traits such as age, gender, or genetic predisposition. Examples of modifiable risk factors include smoking, alcohol consumption, physical inactivity, and unhealthy diet, while non-modifiable risk factors include age, sex, and family history. It is important to note that having a risk factor does not guarantee that a person will develop the disease, but rather indicates an increased susceptibility.

Diabetes complications refer to a range of health issues that can develop as a result of poorly managed diabetes over time. These complications can affect various parts of the body and can be classified into two main categories: macrovascular and microvascular.

Macrovascular complications include:

* Cardiovascular disease (CVD): People with diabetes are at an increased risk of developing CVD, including coronary artery disease, peripheral artery disease, and stroke.
* Peripheral arterial disease (PAD): This condition affects the blood vessels that supply oxygen and nutrients to the limbs, particularly the legs. PAD can cause pain, numbness, or weakness in the legs and may increase the risk of amputation.

Microvascular complications include:

* Diabetic neuropathy: This is a type of nerve damage that can occur due to prolonged high blood sugar levels. It commonly affects the feet and legs, causing symptoms such as numbness, tingling, or pain.
* Diabetic retinopathy: This condition affects the blood vessels in the eye and can cause vision loss or blindness if left untreated.
* Diabetic nephropathy: This is a type of kidney damage that can occur due to diabetes. It can lead to kidney failure if not managed properly.

Other complications of diabetes include:

* Increased risk of infections, particularly skin and urinary tract infections.
* Slow healing of wounds, which can increase the risk of infection and amputation.
* Gum disease and other oral health problems.
* Hearing impairment.
* Sexual dysfunction.

Preventing or managing diabetes complications involves maintaining good blood sugar control, regular monitoring of blood glucose levels, following a healthy lifestyle, and receiving routine medical care.

'Eikenella corrodens' is a gram-negative, rod-shaped, facultatively anaerobic bacterium that is commonly found as normal flora in the human oral cavity, upper respiratory tract, and gastrointestinal tract. It is named for its ability to corrode or pit the surface of culture media.

Eikenella corrodens is a opportunistic pathogen that can cause localized infections such as abscesses, cellulitis, and endocarditis, particularly in individuals with underlying medical conditions or compromised immune systems. It has also been associated with bite wounds, human and animal bites, and trauma to the head and neck.

Eikenella corrodens is often resistant to beta-lactam antibiotics such as penicillin and ampicillin due to the production of beta-lactamase enzyme. However, it remains susceptible to other antibiotics such as carbapenems, cephalosporins, fluoroquinolones, and tetracyclines.

Medical treatment for Eikenella corrodens infections typically involves the use of appropriate antibiotics based on antimicrobial susceptibility testing, along with surgical debridement or drainage of any abscesses or collections of pus.

Biofilms are defined as complex communities of microorganisms, such as bacteria and fungi, that adhere to surfaces and are enclosed in a matrix made up of extracellular polymeric substances (EPS). The EPS matrix is composed of polysaccharides, proteins, DNA, and other molecules that provide structural support and protection to the microorganisms within.

Biofilms can form on both living and non-living surfaces, including medical devices, implants, and biological tissues. They are resistant to antibiotics, disinfectants, and host immune responses, making them difficult to eradicate and a significant cause of persistent infections. Biofilms have been implicated in a wide range of medical conditions, including chronic wounds, urinary tract infections, middle ear infections, and device-related infections.

The formation of biofilms typically involves several stages, including initial attachment, microcolony formation, maturation, and dispersion. Understanding the mechanisms underlying biofilm formation and development is crucial for developing effective strategies to prevent and treat biofilm-associated infections.

I'm sorry for any confusion, but "Neanderthals" is not a medical term. It belongs to the field of anthropology and paleontology. Neanderthals were a species of human that lived in Europe and Asia until about 40,000 years ago. They are named after the Neander Valley in Germany where their remains were first discovered. Neanderthals are known to have used tools, controlled fire, and possibly even had a form of language. They were not directly our ancestors but are instead a sister group to modern humans.

Fusobacterium is a genus of obligate anaerobic, gram-negative, non-spore forming bacilli that are commonly found as normal flora in the human oral cavity, gastrointestinal tract, and female genital tract. Some species of Fusobacterium have been associated with various clinical infections and diseases, such as periodontal disease, abscesses, bacteremia, endocarditis, and inflammatory bowel disease.

Fusobacterium nucleatum is the most well-known species in this genus and has been extensively studied for its role in various diseases. It is a opportunistic pathogen that can cause severe infections in immunocompromised individuals or when it invades damaged tissues. Fusobacterium necrophorum, another important species, is a leading cause of Lemierre's syndrome, a rare but serious condition characterized by septic thrombophlebitis of the internal jugular vein and metastatic infections.

Fusobacteria are known to have a complex relationship with other microorganisms and host cells, and they can form biofilms that contribute to their virulence and persistence in the host. Further research is needed to fully understand the pathogenic mechanisms of Fusobacterium species and to develop effective strategies for prevention and treatment of Fusobacterium-associated diseases.

Capnocytophaga is a genus of gram-negative, rod-shaped bacteria that are part of the normal oral flora of humans and some animals. These bacteria are facultative anaerobes, meaning they can grow in both the presence and absence of oxygen. They are known to cause various types of infections, including bloodstream infections, meningitis, and soft tissue infections, particularly in individuals with weakened immune systems. The infection can be acquired through animal bites or scratches, or through close contact with saliva from infected animals. In humans, Capnocytophaga can also be part of the normal oral flora, but it rarely causes disease.

It is important to note that while Capnocytophaga can cause serious infections, they are relatively rare and proper hygiene and handling of pets can help reduce the risk of infection. If you have a weakened immune system or if you develop symptoms such as fever, chills, or severe illness after being bitten or scratched by an animal, it is important to seek medical attention promptly.

Microbial interactions refer to the various ways in which different microorganisms, such as bacteria, fungi, viruses, and parasites, influence each other's growth, survival, and behavior in a shared environment. These interactions can be categorized into several types:

1. Commensalism: One organism benefits from the interaction while the other is neither harmed nor benefited (e.g., certain gut bacteria that feed on host-derived nutrients without affecting the host's health).
2. Mutualism: Both organisms benefit from the interaction (e.g., the partnership between rhizobia bacteria and leguminous plants, where the bacteria fix nitrogen for the plant, and the plant provides carbohydrates for the bacteria).
3. Parasitism: One organism benefits at the expense of the other, causing harm or disease to the host (e.g., the malaria parasite infecting human red blood cells).
4. Competition: Both organisms struggle for limited resources, like nutrients or space, leading to a negative impact on one or both parties (e.g., different bacterial species competing for limited iron sources in the environment).
5. Amensalism: One organism is harmed or inhibited while the other remains unaffected (e.g., antibiotic-producing bacteria inhibiting the growth of nearby susceptible bacteria).
6. Synergism: Multiple organisms work together to produce a combined effect greater than the sum of their individual effects (e.g., certain bacterial and fungal communities in soil that enhance plant growth and nutrient uptake).
7. Antagonism: One organism inhibits or kills another through various mechanisms, such as the production of antibiotics or enzymes (e.g., some bacteria producing bacteriocins to inhibit the growth of closely related species).

Understanding microbial interactions is crucial for developing strategies in areas like infectious disease control, probiotic applications, and managing microbial communities in various ecosystems, including the human body.

Nonparametric statistics is a branch of statistics that does not rely on assumptions about the distribution of variables in the population from which the sample is drawn. In contrast to parametric methods, nonparametric techniques make fewer assumptions about the data and are therefore more flexible in their application. Nonparametric tests are often used when the data do not meet the assumptions required for parametric tests, such as normality or equal variances.

Nonparametric statistical methods include tests such as the Wilcoxon rank-sum test (also known as the Mann-Whitney U test) for comparing two independent groups, the Wilcoxon signed-rank test for comparing two related groups, and the Kruskal-Wallis test for comparing more than two independent groups. These tests use the ranks of the data rather than the actual values to make comparisons, which allows them to be used with ordinal or continuous data that do not meet the assumptions of parametric tests.

Overall, nonparametric statistics provide a useful set of tools for analyzing data in situations where the assumptions of parametric methods are not met, and can help researchers draw valid conclusions from their data even when the data are not normally distributed or have other characteristics that violate the assumptions of parametric tests.

Papillon-Lefèvre disease is a rare autosomal recessive genetic disorder that affects the skin and teeth. It is characterized by the early onset of severe periodontitis (inflammation of the tissues surrounding the teeth) leading to premature loss of primary and permanent teeth, and palmoplantar keratosis (thickening and hardening of the palms and soles).

The disease is caused by mutations in the gene for the protein cathepsin C (CTSC), which plays a role in the immune system's response to bacterial infections. The mutation leads to an impaired ability to fight off bacteria that cause periodontal disease, resulting in severe destruction of the periodontal tissues and premature loss of teeth.

The palmoplantar keratosis typically appears during early childhood as rough, scaly patches on the palms and soles, which may be prone to infection and painful fissures. Other skin manifestations may include hyperkeratotic lesions on the knees and elbows.

There is no cure for Papillon-Lefèvre disease, but treatment can help manage its symptoms. Good oral hygiene, regular dental checkups, and periodontal treatments are essential to prevent or slow down the progression of periodontitis. Topical keratolytic agents or systemic retinoids may be used to treat the palmoplantar keratosis.

The term "tooth cervix" is not commonly used in medical dentistry with a specific technical definition. However, if you are referring to the "cervical region of a tooth," it generally refers to the area where the crown (the visible part of the tooth) meets the root (the portion of the tooth that is below the gum line). This region is also sometimes referred to as the "cementoenamel junction" (CEJ), where the enamel covering of the crown meets the cementum covering of the root. Dental issues such as tooth decay, receding gums, or abrasion can affect this area and may require professional dental treatment.

Inflammation mediators are substances that are released by the body in response to injury or infection, which contribute to the inflammatory response. These mediators include various chemical factors such as cytokines, chemokines, prostaglandins, leukotrienes, and histamine, among others. They play a crucial role in regulating the inflammatory process by attracting immune cells to the site of injury or infection, increasing blood flow to the area, and promoting the repair and healing of damaged tissues. However, an overactive or chronic inflammatory response can also contribute to the development of various diseases and conditions, such as autoimmune disorders, cardiovascular disease, and cancer.

Dietetics is the branch of knowledge concerned with the diet and its effects on health, especially in the prevention and treatment of disease. According to the Academy of Nutrition and Dietetics, dietetics is defined as "the integration and application of principles derived from nutrition science, biochemistry, food management, and behavioral and social sciences to achieve and maintain people's health."

Dietitians are healthcare professionals who evaluate individual nutritional needs and develop personalized eating plans to promote health and manage medical conditions. They may work in a variety of settings, including hospitals, clinics, long-term care facilities, private practice, community health programs, and food service management. Dietitians often collaborate with other healthcare providers, such as doctors, nurses, and pharmacists, to provide comprehensive care for patients.

The goals of dietetics include promoting optimal nutrition, preventing chronic diseases, managing medical conditions, and enhancing overall health and well-being. Dietitians may provide education and counseling on topics such as healthy eating habits, meal planning, weight management, food safety, and supplement use. They may also conduct research, develop nutrition policies and programs, and advocate for improved food and nutrition policies and practices.

The mandible, also known as the lower jaw, is the largest and strongest bone in the human face. It forms the lower portion of the oral cavity and plays a crucial role in various functions such as mastication (chewing), speaking, and swallowing. The mandible is a U-shaped bone that consists of a horizontal part called the body and two vertical parts called rami.

The mandible articulates with the skull at the temporomandibular joints (TMJs) located in front of each ear, allowing for movements like opening and closing the mouth, protrusion, retraction, and side-to-side movement. The mandible contains the lower teeth sockets called alveolar processes, which hold the lower teeth in place.

In medical terminology, the term "mandible" refers specifically to this bone and its associated structures.

Gingival recession is the term used to describe the exposure of the root surface of a tooth as a result of the loss of gum tissue (gingiva) due to periodontal disease or improper oral hygiene practices. It can also occur due to other factors such as aggressive brushing, grinding or clenching of teeth, and misaligned teeth. Gingival recession is often characterized by red, swollen, or sensitive gums, and can lead to tooth sensitivity, decay, and even tooth loss if left untreated.

Gram-negative anaerobic bacteria are a type of bacteria that do not require oxygen to grow and are characterized by their cell wall structure, which does not retain crystal violet dye in the Gram staining procedure. This is because they lack a thick peptidoglycan layer in their cell walls, which is typically stained dark purple in Gram-positive bacteria. Instead, gram-negative bacteria have an outer membrane that contains lipopolysaccharides (LPS), which can be toxic to human cells and contribute to the pathogenicity of these organisms.

Examples of gram-negative anaerobic bacteria include Bacteroides fragilis, Prevotella species, and Porphyromonas species. These bacteria are commonly found in the human mouth, gastrointestinal tract, and genitourinary tract, and can cause a variety of infections, including abscesses, wound infections, and bacteremia.

It's important to note that while gram-negative anaerobic bacteria do not require oxygen to grow, some may still tolerate or even prefer oxygen-rich environments. Therefore, the term "anaerobe" can be somewhat misleading when used to describe these organisms.

A cross-sectional study is a type of observational research design that examines the relationship between variables at one point in time. It provides a snapshot or a "cross-section" of the population at a particular moment, allowing researchers to estimate the prevalence of a disease or condition and identify potential risk factors or associations.

In a cross-sectional study, data is collected from a sample of participants at a single time point, and the variables of interest are measured simultaneously. This design can be used to investigate the association between exposure and outcome, but it cannot establish causality because it does not follow changes over time.

Cross-sectional studies can be conducted using various data collection methods, such as surveys, interviews, or medical examinations. They are often used in epidemiology to estimate the prevalence of a disease or condition in a population and to identify potential risk factors that may contribute to its development. However, because cross-sectional studies only provide a snapshot of the population at one point in time, they cannot account for changes over time or determine whether exposure preceded the outcome.

Therefore, while cross-sectional studies can be useful for generating hypotheses and identifying potential associations between variables, further research using other study designs, such as cohort or case-control studies, is necessary to establish causality and confirm any findings.

The mouth mucosa refers to the mucous membrane that lines the inside of the mouth, also known as the oral mucosa. It covers the tongue, gums, inner cheeks, palate, and floor of the mouth. This moist tissue is made up of epithelial cells, connective tissue, blood vessels, and nerve endings. Its functions include protecting the underlying tissues from physical trauma, chemical irritation, and microbial infections; aiding in food digestion by producing enzymes; and providing sensory information about taste, temperature, and texture.

A case-control study is an observational research design used to identify risk factors or causes of a disease or health outcome. In this type of study, individuals with the disease or condition (cases) are compared with similar individuals who do not have the disease or condition (controls). The exposure history or other characteristics of interest are then compared between the two groups to determine if there is an association between the exposure and the disease.

Case-control studies are often used when it is not feasible or ethical to conduct a randomized controlled trial, as they can provide valuable insights into potential causes of diseases or health outcomes in a relatively short period of time and at a lower cost than other study designs. However, because case-control studies rely on retrospective data collection, they are subject to biases such as recall bias and selection bias, which can affect the validity of the results. Therefore, it is important to carefully design and conduct case-control studies to minimize these potential sources of bias.

Trichomonas is a genus of protozoan parasites that are commonly found in the human body, particularly in the urogenital tract. The most well-known species is Trichomonas vaginalis, which is responsible for the sexually transmitted infection known as trichomoniasis. This infection can cause various symptoms in both men and women, including vaginitis, urethritis, and pelvic inflammatory disease.

T. vaginalis is a pear-shaped flagellate protozoan that measures around 10 to 20 micrometers in length. It has four flagella at the anterior end and an undulating membrane along one side of its body, which helps it move through its environment. The parasite can attach itself to host cells using a specialized structure called an adhesion zone.

Trichomonas species are typically transmitted through sexual contact, although they can also be spread through the sharing of contaminated towels or clothing. Infection with T. vaginalis can increase the risk of acquiring other sexually transmitted infections, such as HIV and human papillomavirus (HPV).

Diagnosis of trichomoniasis typically involves the detection of T. vaginalis in a sample of vaginal or urethral discharge. Treatment usually involves the administration of antibiotics, such as metronidazole or tinidazole, which are effective at killing the parasite and curing the infection.

Inflammation is a complex biological response of tissues to harmful stimuli, such as pathogens, damaged cells, or irritants. It is characterized by the following signs: rubor (redness), tumor (swelling), calor (heat), dolor (pain), and functio laesa (loss of function). The process involves the activation of the immune system, recruitment of white blood cells, and release of inflammatory mediators, which contribute to the elimination of the injurious stimuli and initiation of the healing process. However, uncontrolled or chronic inflammation can also lead to tissue damage and diseases.

Bacteroides infections refer to illnesses caused by the bacterial genus Bacteroides, which are a group of anaerobic, gram-negative bacilli that are normal inhabitants of the human gastrointestinal tract. However, they can cause intra-abdominal infections, such as appendicitis, peritonitis, and liver abscesses, as well as wound infections, bacteremia, and gynecological infections when they spread to other parts of the body, especially in individuals with compromised immune systems.

Bacteroides species are often resistant to many antibiotics, making infections challenging to treat. Therefore, appropriate antimicrobial therapy, often requiring combination therapy, is essential for successful treatment. Surgical intervention may also be necessary in certain cases of Bacteroides infections, such as abscess drainage or debridement of necrotic tissue.

Antimitotic agents are a class of chemotherapeutic drugs that work by disrupting the normal mitosis (cell division) process in cells. These agents bind to and inhibit the function of specific proteins involved in the formation of the mitotic spindle, which is essential for proper chromosome separation during cell division.

By doing so, antimitotic agents prevent cancer cells from dividing and growing, ultimately leading to their death. However, these drugs can also affect normal cells that divide rapidly, such as those in the bone marrow, digestive tract, and hair follicles, which can result in side effects like anemia, nausea, vomiting, and hair loss.

Examples of antimitotic agents include vincristine, vinblastine, paclitaxel, docetaxel, and ixabepilone. They are often used to treat various types of cancer, such as leukemia, lymphoma, breast cancer, ovarian cancer, and lung cancer.

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