Related Experiment Video
Updated: Mar 9, 2026

Inducing Apical Periodontitis in Mice
Published on: August 6, 2019
Immune response in chronic periapical parodonititis.
Nataša Ihan Hren1, Marija Gubina2, Vesna Koželj1
1Department of Maxilofacial and Oral Surgery, University Clinical Centre Ljubljana, Zaloška 7, 1000 Ljubljana, Slovenia, Slovenia.
This study investigated immune responses in chronic periapical periodontitis (CPP). Anaerobic bacteria triggered a Th1 response, causing severe inflammation, while oral streptococci induced a milder Th2 response.
Area of Science:
- Immunology
- Microbiology
- Dentistry
Background:
- Chronic periapical periodontitis (CPP) involves complex immune responses.
- Understanding the specific immune profiles associated with different microbialcolonizations is crucial for effective treatment.
Purpose of the Study:
- To investigate the immune response in CPP using a multidisciplinary approach.
- To correlate histological, bacteriological, and flow cytometric findings.
Main Methods:
- Surgical removal and analysis of 30 CPP samples.
- Histological, bacteriological, and flow cytometry (FC) analysis of infiltrating lymphocytes.
- Comparison of immune cell markers (IL-2 receptors, ICAM-1, IFN-gamma, IL-4) between CPP and peripheral blood lymphocytes.
Main Results:
- FC analysis revealed increased T lymphocytes expressing IL-2 receptors and ICAM-1 in CPP samples.
- Higher proportions of IFN-gamma-producing T helper cells were observed in anaerobic bacteria-predominant CPP.
- Oral streptococci-associated CPP showed a Th2 immune response, while anaerobic bacteria-associated CPP exhibited a Th1 response.
Conclusions:
- Microbial composition significantly influences the type of immune response in CPP.
- Anaerobic bacteria induce a severe Th1-mediated inflammatory response, leading to tissue damage.
- Oral streptococci elicit a less destructive Th2-mediated immune response.
Related Concept Videos
Inflammatory Response
Inflammation can be triggered by various stimuli, such as impact, abrasion, chemical irritation, infections, and extreme hot or cold temperatures. These can damage cells and connective tissue fibers,...
Inflammatory Response I: Vascular and Cellular
Cell-mediated Immune Responses
Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Defense Against Bacterial Pathogens
Phagocytes
Phagocytes are the frontline soldiers of the immune system. They include neutrophils and macrophages. Neutrophils are the most abundant type of white blood cell and are quickly mobilized to the site of infection. Macrophages are larger cells that patrol...
Hypersensitivity Reactions: Delayed Hypersensitivity Reactions

