Which of the following is NOT associated with periodontal disease?

In periodontal disease, the body reacts to periodontal pathogens by initiating an inflammatory response, which can lead to various clinical manifestations. True pocket formation, cemental tears, and bone loss are all direct results of periodontal disease.

True pocket formation occurs when the supporting structures of the teeth (gums, bone, etc.) are compromised, leading to the formation of deep spaces around the teeth that harbor bacteria and plaque. This is characteristic of advanced periodontal disease.

Cemental tears refer to a separation or tearing of the cementum from the tooth surface, which can result from the inflammatory processes associated with periodontal disease. This weakens the attachment of the tooth to the surrounding bone and periodontal ligament.

Bone loss is a hallmark of periodontal disease, as the inflammation can lead to the resorption of the alveolar bone that supports the teeth.

Increased patient salivary flow is not typically associated with periodontal disease. In fact, changes in saliva flow can occur for various reasons but are not a direct consequence of periodontal disease. Dry mouth or reduced salivary flow can actually worsen periodontal conditions, as saliva plays a crucial role in maintaining oral health and neutralizing acids. Thus, the correct answer reflects an understanding that increased salivary flow does not correlate with the disease