Periodontics · single question

Which bacteria is NOT present in CHRONIC PERIODONTITIS? (EXCEPT)

  1. Aerobic Gram-positive bacteria
  2. Anaerobic Gram-positive bacteria
  3. Motile bacteria (spirochetes)
  4. Anaerobic Gram-negative bacteria
Show answer and explanation

Correct answer: A. Aerobic Gram-positive bacteria

Chronic periodontitis is dominated by ANAEROBIC Gram-negative bacteria (Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola — the red complex). AEROBIC GRAM-POSITIVE bacteria (Streptococcus) are associated with HEALTH and GINGIVITIS — they decrease as periodontitis progresses. They are the organisms NOT found predominantly in chronic periodontitis.
  • A. Incorrect (ARE present). Anaerobic Gram-negative bacteria are the PRIMARY pathogens in chronic periodontitis.
  • B. Incorrect (ARE present). Some anaerobic Gram-positive bacteria are found in periodontitis.
  • C. CORRECT. Aerobic Gram-positive organisms are associated with health/gingivitis — outcompeted by anaerobes as periodontitis advances.
  • D. Incorrect (ARE present). Motile spirochetes (Treponema denticola) are part of the red complex and found in deep pockets.

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