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Read e-book online Master Dentistry, volume 2 PDF

By Heasman P.

For either undergraduate and postgraduate dental scholars - which bargains a concise textual content masking the middle of the topic quarter with self-assessment questions.

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Extra resources for Master Dentistry, volume 2

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7). Tooth loss is almost inevitable if the disease is untreated. The most common presenting complaints are drifting and spacing of teeth, or marked displacement (or exfoliation) of a tooth following a relatively minor traumatic episode. , Prevotella intermedia, Porphyromonas gingivalis and Eikenella corrodens. There is typically a poor serum antibody response to the infectious agents, and defects in neutrophil function (chemotaxis and phagocytosis). Also, defects in cellmediated immunity may be present, with altered Thelper/Tsuppressor cell ratios.

Subgingival plaque and calculus can be detected. Radiographs show periapical radiolucency and some resorption of crestal alveolar bone. Treatment involves root canal treatment and replacement of a previous, unsatisfactory root filling, OHI, scaling and prophylaxis. Extraction should be considered in the case of an extensive lesion. Primary periodontal lesions Periodontal infection that spreads to involve the periapical tissues is a primary periodontal lesion. It may be associated with a local anatomical defect such as a radicular groove on a maxillary lateral incisor.

Oxygen radicals not only kill bacteria but also damage host defence cells, fibroblasts, endothelium and connective tissue matrix. They also activate latent collagenases present in the extracellular environment. Matrix metalloproteinases (MMPs) are a family of enzymes capable of degrading extracellular matrix macromolecules including collagens, elastin, fibronectin and proteoglycan core protein. Matrix metalloproteinases have a zinc ion at the active site, are secreted in latent form and are activated by proteolytic activity or reactive oxygen radicals once outside the cell.

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Master Dentistry, volume 2 by Heasman P.

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