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DENT 1140 Pathology. Unit 3 PLAQUE-ASSOCIATED DISEASES. ATTRITION. -- Wearing away of teeth by natural means (such as chewing) OR Normal loss of tooth substance resulting from friction caused by physiologic factors like chewing
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DENT 1140 Pathology Unit 3 PLAQUE-ASSOCIATED DISEASES
ATTRITION -- Wearing away of teeth by natural means (such as chewing) • OR Normal loss of tooth substance resulting from friction caused by physiologic factors like chewing • LOSS OF TOOTH STRUCTURE AS A RESULT OF mechanical WEAR
ABRASION • The abnormal wearing away of a substance or tissue by a mechanical process. • The grinding or wearing away of tooth substance by mastication, incorrect brushing methods,bruxism, or similar causes. • WEARING AWAY OF TOOTH TISSUES, Most often by incorrect brushing
EROSION • Loss of hard tissue of teeth by chemical process. • The superficial wearing away of tooth substance, not involving bacteria. • (Lemon sucking or eating disorders) • The chemical or mechanicochemical destruction of tooth substance, the mechanism of which is unknown, that leads to creation of concavities of many shapes at the cementoenamel junction of teeth.
ANKYLOSIS • An abnormal fixation and immobility of a joint. • Fusion of cementum with alveolar bone caused by absence of periodontal ligament. • ABNORMAL FUSION (joining together) OF TOOTH AND ALVEOLAR BONE
CELLULITIS • Inflammation that spreads through the substance of the tissue or organ • Swelling and discomfort of facial tissues caused by an abscess.
DENTAL CARIES • An infectious disease resulting from the destruction of tooth by microbial acids. • OR • An infectious disease that progressively destroys tooth substance.
DENTAL PLAQUE • Soft deposits that cling to the tooth or gingiva, made up of bacteria and bacterial products • --A sticky substance that accumulates on the teeth composed of saliva and bacteria and responsible for caries and gingival inflammation
INCIPIENT CARIES • A decayed part of a tooth in which the lesion is just coming into existence. • Beginning tooth decay that has not broken through the enamel into the dentin. • (Usually these are marked as “watch” areas on the charting)
DEMINERLIZATION • Case in which calcium and phosphorus are lost from the enamel surface. • The removal of mineral components from mineralized tissues.
RECURRENT CARIES • The extension of the carious process beyond the margin of a restoration. • Decay occurring beneath the margin of an existing dental restoration.
RAMPANT CARIES • Widespread and rapidly progressing type of dental caries. • A suddenly appearing, widespread, rapidly progressing type of caries.
PULPALGIA • Sensitivity of the pulp to pain. • Pain in the pulp of the tooth
PULPITIS • Inflammation of the pulp of the tooth.
PERICORONITIS • Inflammation around the gingival flap of a partially erupted tooth, particularly a third molar.
PERIODONTAL MEMBRANE • The ligament (membrane) is the attachment fibers of the tooth to the alveolar bone. • A system of collagenous connective tissue fibers that connect the root of a tooth to its alveolus. • The tissues that support and anchor the tooth in its socket.
PERIAPICAL INFECTION • Extension of infection through the pulp and beyond the apex. • INFECTION AROUND THE APEX
PERIODONTAL INFECTION • Infection and inflammation around the tooth
GINGIVITIS • Disease involving the gingival tissue surrounding the teeth • Inflammation of the gingival tissues, marked by red, swollen, and/or bleeding gums; caused by buildup of plaque and calculus
PERIODONTITIS • Disease involving the supporting structures surrounding the tooth, resulting in loss of bone. • The formation of periodontal pockets, occurring when margins of the gingiva and periodontal fibers recede and the supporting bone becomes inflamed and destroyed.
Causes of Gum Disease • Caused from: neglect of oral hygiene • Possible Nutritional deficiencies • Systemic diseases • Hormonal changes • Poor occlusion (need ortho/braces) • Poor fitting dentures or partials
Gingival Irritants • Irritants could be: • Toothpicks – used improperly & too often • Toothbrush trauma – brushing incorrectly • Overhanging margin on restorations
A N U G • Acute Necrotising Ulcerative Gingivitis • A severe form of periodontal disease involving inflammation of the gingival tissues, severe bleeding of gingival tissues, swollen gums (edema), and a foul odor. • A distinct, recurrent periodontal disease primarily involving the interdental papillae, which undergo necrosis (dying) and ulceration.
HYPEREMIA • Abnormal increase in the amount of blood in the vessels of the pulp of the tooth. • HYPER = abnormal and excessive • EMIA = Blood
1. Tissues that bleed during brushing 2. Soft, swollen & tender gingiva 3. Loose teeth 4. Pus between teeth & gingiva 5. Receding gums 6. Change in fit of dentures or partials 7. Shifting or elongation of teeth 8. Persistent Bad Breath Warning Signs of Periodontal Disease
TMJ - TMD • Temporomandibular Joint • Temporomandibular Disorder • Symptoms: Earache, Headache, Pain in Joint, Clicking sounds when chewing
STAINS • EXTRINSIC – Discolorations on the outside of the tooth structure that can be removed by scaling and polishing • INTRINSIC – Discolorations, usually permanent, inside the tooth structure
LEUKOPLAKIA • White patches – may occur anywhere in the mouth, on the tongue, or inside of cheek • White plaque formed on the oral mucous membrane from surface epithelial cells. • A premalignant surface lesion of the mucosa
ETIOLOGY • Study of factors causing disease
MATERIA ALBA • Soft deposits on teeth, usually from salivary proteins and by-products • Soft, bulky, cottage-cheese-like mass of food debris and bacterial growth that collects in grooves and spaces on teeth, gingiva, and appliances; provides source for plaque development.
CALCULUS • Hard, calcified deposit of mineralized plaque that forms on teeth, restorations, and dental appliances; • Also called TARTAR • (Plaque can calcify in 10-20 days if left undisturbed.)
RESORPTION • The body’s process of removing bone. • Loss of structure of bone or tooth.
NURSING BOTTLE MOUTH • Nursing bottle caries – dental caries of the maxillary primary teeth caused by the oral retention of milk or formula in the mouth • Extensive decay in child’s mouth from liquids in a bottle
Decay Process • Factors for dental caries to occur: • Susceptible host – anatomic differences in tooth • Microorganisms – Streptococcus mutansandLactobacillus • Normal flora • Diet (substrate) – to feed the microbes • Time – needed for disease to occur • (Brushing removes plaque & food debris)