Abstract:
:Chronic adult periodontitis (CAP) is a common disease of the supporting tissues of teeth, and is a major cause of tooth loss. This disease is distinguished from more rare rapidly progressing forms of periodontitis, in which a variety of neutrophilic polymorphonuclear leukocyte (PMN) defects have been identified. PMN dysfunctions have, however, not been observed in CAP. In CAP, destructive episodes of the disease occur sporadically and independently in different parts of the mouth. In this paper, it is proposed that CAP is due to highly localized defects in PMN function. Impaired PMN function is suggested as resulting in the formation of a virulent bacterial plaque, which is capable of initiating periodontal pocket formation. A previously reported perivascular hyaline material may account for localized PMN defects, by reducing the number of PMNs entering affected sites. The proposed model may explain both the presence of CAP in otherwise normal patients, and the sporadic pattern of tissue destruction seen in this disease.
journal_name
Med Hypothesesjournal_title
Medical hypothesesauthors
Zoellner H,Hunter Ndoi
10.1016/0306-9877(91)90008-msubject
Has Abstractpub_date
1991-12-01 00:00:00pages
345-50issue
4eissn
0306-9877issn
1532-2777pii
0306-9877(91)90008-Mjournal_volume
36pub_type
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