Periodontics · single question

Which organism is NOT associated with chronic/classical periodontitis?

  1. Fusobacterium nucleatum
  2. T. forsythia
  3. P. gingivalis
  4. Streptococcus mutans
Show answer and explanation

Correct answer: D. Streptococcus mutans

  • A. Fusobacterium nucleatum IS associated with periodontitis — it is the 'bridge' organism connecting early and late colonizers in biofilm development.
  • B. T. forsythia IS associated with chronic periodontitis — it is part of the Red Complex with P. gingivalis and T. denticola.
  • C. P. gingivalis IS the KEY pathogen in chronic periodontitis — it is part of the Red Complex and is central to the pathogenesis of periodontal attachment loss.
  • D. S. MUTANS is primarily a CARIES pathogen — it is the main bacterium responsible for dental caries (enamel demineralization). It is NOT associated with chronic periodontitis. Chronic periodontitis is caused by gram-negative anaerobes (P. gingivalis, T. forsythia, T. denticola, A. actinomycetemcomitans, Fusobacterium, Prevotella), not S. mutans.

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