Periodontics · single question

What is the earliest stage of wound healing in which both bacterial elimination and blood clot stabilization have occurred?

  1. Inflammation
  2. Maturation/remodeling
  3. Proliferation
  4. Migration
Show answer and explanation

Correct answer: A. Inflammation

  • A. CORRECT. The inflammatory phase (days 1–4) is the earliest stage in which both bacterial elimination and blood clot stabilization occur. During this phase, neutrophils and macrophages phagocytose bacteria and debris, while platelet aggregation and coagulation cascade stabilize the clot (hemostasis occurs at the onset of, and overlaps with, inflammation). This phase is characterized by the classic signs: redness, swelling, heat, and pain.
  • B. INCORRECT. The maturation/remodeling phase is the final phase (weeks to months/years), in which collagen remodeling and scar maturation occur. Bacterial elimination and clot stabilization are completed long before this phase begins.
  • C. INCORRECT. The proliferative phase (days 4–21) occurs after bacterial clearance and clot stabilization. It involves fibroblast activity, angiogenesis, granulation tissue formation, and re-epithelialization.
  • D. INCORRECT. 'Migration' is not a standard phase in the classic wound healing model. Cell migration does occur within the inflammatory and proliferative phases (e.g., neutrophil migration to wound), but it is not a distinct phase.

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