Dental Plaque and Biofilm Characteristics
39 Questions
6 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the main function of the extracellular slime layer in a bacterial biofilm?

  • To protect the bacteria from the immune system (correct)
  • To provide nutrients to the bacteria
  • To facilitate communication between bacteria
  • To help the bacteria attach to surfaces
  • Which of the following is NOT a component of the intercellular matrix of dental plaque?

  • DNA (correct)
  • Polysaccharides
  • Glycoproteins
  • Calcium and phosphorus
  • Which of the following is a characteristic of bacteria living in a biofilm?

  • They are highly organized and communicate with each other. (correct)
  • They are easily eradicated by antibiotics.
  • They are always harmful to the host.
  • They are free-floating and independent.
  • Which of the following is a source of inorganic materials in dental plaque?

    <p>Saliva (D)</p> Signup and view all the answers

    Which of the following is the predominant form of polysaccharide found in dental plaque?

    <p>Dextran (D)</p> Signup and view all the answers

    What is the primary reason for the increased resistance of bacteria within a biofilm to antimicrobial agents?

    <p>The physical barrier created by the biofilm matrix. (C)</p> Signup and view all the answers

    Which of the following factors does NOT influence the location and rate of dental plaque formation?

    <p>The amount of water consumed. (C)</p> Signup and view all the answers

    In the context of dental plaque formation, what is the significance of the "pellicle coating" on the tooth surface?

    <p>It provides a sticky surface for bacteria to adhere to. (D)</p> Signup and view all the answers

    According to the provided excerpt, where on the tooth surface is dental plaque most commonly observed?

    <p>Near the gum line (gingival third). (D)</p> Signup and view all the answers

    Why is the formation of dental plaque often observed in cracks, pits, and fissures of teeth?

    <p>These areas provide shelter and a protected environment for bacteria. (D)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the glycoprotein pellicle?

    <p>It is primarily composed of gram-positive bacteria. (D)</p> Signup and view all the answers

    What is the primary mechanism by which initial colonizing bacteria adhere to the pellicle?

    <p>Interaction of adhesins on the bacterial surface with receptors in the pellicle. (C)</p> Signup and view all the answers

    Which of the following bacterial species is NOT typically considered an initial colonizer of the dental pellicle?

    <p>Prevotella intermedia (D)</p> Signup and view all the answers

    What is the primary shift in the environment of dental plaque as it matures?

    <p>A shift from aerobic to anaerobic conditions. (D)</p> Signup and view all the answers

    What is the term used to describe the interaction between different bacterial species in plaque formation?

    <p>Coaggregation (D)</p> Signup and view all the answers

    Which of the following bacterial species is typically associated with secondary colonization of dental plaque?

    <p>Porphyromonas gingivalis (A)</p> Signup and view all the answers

    What is the primary role of fimbriae in plaque formation?

    <p>To facilitate attachment to the pellicle and other bacteria. (D)</p> Signup and view all the answers

    Which of the following statements is TRUE regarding the classification of bacteria in dental plaque?

    <p>Bacteria are classified into 5 clusters based on their nutritional and atmospheric requirements. (A)</p> Signup and view all the answers

    Which of the following bacterial characteristics are associated with the shift observed in the microbial profile as periodontal health progresses to periodontitis?

    <p>Gram-positive to gram-negative, cocci to rods, facultative anaerobes to obligate anaerobes (D)</p> Signup and view all the answers

    Which of the following bacterial species is associated with pregnancy-associated gingivitis?

    <p>Prevotella intermedia (A)</p> Signup and view all the answers

    Which of the following is a key characteristic of the 'Red Complex' bacteria, often associated with periodontal disease progression?

    <p>They are known for their ability to degrade collagen and contribute to tissue destruction. (B)</p> Signup and view all the answers

    According to the Ecological Plaque Hypothesis, which microbial profile is typically associated with periodontal health?

    <p>Predominantly gram-positive, facultative anaerobic bacteria (D)</p> Signup and view all the answers

    Which of the following is a common characteristic of the bacterial species Aggregatibacter actinomycetemcomitans (Aa)?

    <p>It is often linked to aggressive forms of periodontitis. (C)</p> Signup and view all the answers

    Which of the following species is not part of the tooth-associated, gram-positive bacteria groups?

    <p>P. gingivalis (B)</p> Signup and view all the answers

    What is the primary reason for the selective colonization of oral bacteria within the subgingival plaque architecture?

    <p>Communication and interactions between species (B)</p> Signup and view all the answers

    Which bacterial complex is most strongly associated with bleeding on probing?

    <p>Red Complex (A)</p> Signup and view all the answers

    What type of interaction is coaggregation bridges considered to be?

    <p>Mutualism (D)</p> Signup and view all the answers

    Which of the following species is typically found in the outer surface of mature plaque, associated with tissue?

    <p>Porphyromonas gingivalis (A)</p> Signup and view all the answers

    What is a common characteristic of the species within the green and orange complexes?

    <p>They are recognized as pathogens in both periodontal and non-periodontal infections (E)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the tooth-associated bacterial group?

    <p>Found predominantly in the outer surface of mature plaque (D)</p> Signup and view all the answers

    What does the presence of the orange cluster species suggest about the microbial environment?

    <p>The presence of the 'red complex' species is highly likely (C)</p> Signup and view all the answers

    Which bacterial species are associated with both Chronic Periodontitis and Pregnancy-associated gingivitis?

    <p>P.intermedia (B), F.nucleatum (C)</p> Signup and view all the answers

    Which bacterial species is most commonly associated with Localized Aggressive Periodontitis?

    <p>A.actinomycetemcomitans (B)</p> Signup and view all the answers

    Which type of bacteria is most prevalent in the healthy periodontium?

    <p>Gram-positive facultative bacteria (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Chronic Periodontitis?

    <p>Presence of <em>A.actinomycetemcomitans</em> in high percentages (D)</p> Signup and view all the answers

    Which bacterial species is known to utilize steroids as growth factors?

    <p>P.intermedia (D)</p> Signup and view all the answers

    Which hypothesis proposes that the composition of the plaque microbiome determines the disease outcome?

    <p>Specific Plaque Hypothesis (B)</p> Signup and view all the answers

    Which of the following is NOT a bacteria commonly found in abscesses of the periodontium?

    <p>A.actinomycetemcomitans (D)</p> Signup and view all the answers

    Which of the following is a potential risk factor for both Chronic Periodontitis and Localized Aggressive Periodontitis?

    <p>Both <em>A</em> and <em>C</em> (A)</p> Signup and view all the answers

    Flashcards

    Bacterial Biofilm

    A community of bacteria that adheres to surfaces and is embedded in a protective matrix.

    Resistance Mechanisms

    Biofilms increase bacterial resistance to antibiotics due to limited substance diffusion and altered bacterial properties.

    Dental Plaque Formation

    Process where bacteria form a biofilm on teeth, noticeable after 1-2 days without hygiene.

    Phases of Plaque Formation

    Includes pellicle formation, initial colonization, secondary colonization, and maturation.

    Signup and view all the flashcards

    Factors Affecting Plaque Location

    Oral hygiene, diet, salivary composition, and flow rate influence plaque buildup.

    Signup and view all the flashcards

    Composition of dental plaque

    Dental plaque consists of microorganisms (70%) and an intercellular matrix (30%).

    Signup and view all the flashcards

    Role of glycoproteins in plaque

    Glycoproteins from saliva are important components of the pellicle in dental plaque.

    Signup and view all the flashcards

    Formation of plaque

    Plaque forms when bacteria interact with a solid surface and create a biofilm.

    Signup and view all the flashcards

    Bacterial lifestyles

    Bacteria can be free-floating (planktonic) or attached to surfaces as biofilms.

    Signup and view all the flashcards

    Subgingival niche

    An ecosystem located below the gum line that houses various microbes.

    Signup and view all the flashcards

    Gingivitis vs Periodontitis

    Gingivitis is inflammation of the gums; periodontitis extends to supporting structures.

    Signup and view all the flashcards

    Ecological Plaque Hypothesis

    Concept that microbial communities shift based on oral health status.

    Signup and view all the flashcards

    Microbial shifts in periodontal disease

    Transition from gram-positive to gram-negative, changing types of organisms present.

    Signup and view all the flashcards

    Red complex bacteria

    Group of bacteria linked to periodontal disease: P. gingivalis, T. forsythia, T. denticola.

    Signup and view all the flashcards

    Microbial Clusters

    Groups of microbial species that influence periodontal health states.

    Signup and view all the flashcards

    Red Complex

    A group of periodontal pathogens linked to bleeding on probing.

    Signup and view all the flashcards

    Coaggregation

    The process where two different microbial species bind together.

    Signup and view all the flashcards

    Secondary Colonizers

    Microbes that join and interact with primary colonizers in plaque formation.

    Signup and view all the flashcards

    Subgingival Plaque

    Bacterial communities forming below the gum line in the mouth.

    Signup and view all the flashcards

    Competition in Plaque

    When multiple species vie for the same binding sites on teeth.

    Signup and view all the flashcards

    Dental Plaque Composition

    Varied microbes within plaque, including gram-positive and gram-negative species.

    Signup and view all the flashcards

    Tissue Associated Microbes

    Bacteria found at the outer surface of mature dental plaque.

    Signup and view all the flashcards

    Pellicle formation

    A glycoprotein layer that coats all surfaces in the oral cavity, derived from saliva and other fluids.

    Signup and view all the flashcards

    Initial Colonization

    The process where bacteria first attach to the pellicle-coated tooth surface, primarily gram-positive species.

    Signup and view all the flashcards

    Adhesins

    Specific molecules on bacterial surfaces that help them attach to the dental pellicle.

    Signup and view all the flashcards

    Fimbriae

    Hairlike structures on bacteria that aid in adhesion to the pellicle and other bacteria.

    Signup and view all the flashcards

    Secondary Colonization

    The process by which additional microorganisms attach to those already present in the dental plaque.

    Signup and view all the flashcards

    Transition of bacterial environment

    The change from an early aerobic environment to a dominated anaerobic environment as plaque matures.

    Signup and view all the flashcards

    Microbial ecology in plaque

    The study of bacteria interactions and classifications based on their nutritional and atmospheric needs.

    Signup and view all the flashcards

    Nucleatum

    A bacteria that uses amino acids and small peptides for energy.

    Signup and view all the flashcards

    Supragingival Plaque

    Plaque found above the gum line, linked to calculus and caries.

    Signup and view all the flashcards

    Marginal Plaque

    Plaque located at the gum margins, associated with gingivitis.

    Signup and view all the flashcards

    Chronic Periodontitis

    A periodontal disease characterized by high anaerobic gram-negative bacteria.

    Signup and view all the flashcards

    Gingivitis

    An inflammation of the gums caused by bacterial imbalance.

    Signup and view all the flashcards

    Localized Aggressive Periodontitis

    A severe form of periodontitis primarily involving A.actinomycetemcomitans.

    Signup and view all the flashcards

    Pregnancy-associated Gingivitis

    Gingivitis caused by certain bacteria that use steroids for growth.

    Signup and view all the flashcards

    Mechanical Removal of Plaque

    The most effective method to control dental plaque biofilms.

    Signup and view all the flashcards

    Study Notes

    Microbiology of Periodontal Diseases

    • The microbiology of periodontal diseases is complex, affecting the host, oral environment, and treatment.
    • Understanding the formation, composition, and characteristics of dental plaque is crucial for its control.
    • Different tooth deposits include dental plaque, materia alba, and calculus.

    Learning Objectives

    • Understand different tooth deposits, their formation, and disease implications.
    • Recognize the different bacterial complexes and families involved in periodontal disease.
    • Comprehend bacterial interactions during various periodontal diseases.
    • Correlate periodontal treatment modalities to microbial reasons.

    Bacterial Types

    • Gram-negative bacteria such as Veillonella and Prevotella are present early.
    • Gram-positive bacteria, such as Streptococcus and Actinomyces, are common initial colonizers of the pellicle.
    • Haemophilus, Neisseria, Capnocytophaga, and Fusobacterium are present.
    • Other species, such as Porphyromonas gingivalis can be part of the late colonizers.

    Plaque Formation

    • Plaque forms on hard tissues within 1-2 days without oral hygiene.
    • It can form in cracks, pits, fissures, under overhangs, and around malaligned teeth.
    • Plaque is comprised of bacteria, organic materials (glycoproteins, polysaccharides, albumin, lipids), and inorganic materials (calcium, phosphorus, sodium, potassium, fluoride).
    • Plaque starts with the formation of a pellicle, followed by initial colonization, secondary colonization, and finally plaque maturation.
    • The process starts with bacteria interacting with the surface, and then through physical/physiological interactions.

    Dental Plaque = Dental Biofilm

    • Dental plaque is a complex biofilm with a well-organized community of bacteria.
    • More than 99% of bacteria live as attached bacteria.

    Biofilm Significance

    • Biofilms make bacteria resistant to antimicrobial agents. Mechanisms include, limited diffusion into the matrix, slow growth rate, and altered properties as a result of growth on a surface.

    Six Major Ecosystems

    • Intraoral and supragingival hard surfaces of teeth, implants, restorations, and prostheses
    • Subgingival regions adjacent to teeth and implants.
    • Epithelium of the buccal/palatal surface and floor of the mouth.
    • Dorsum of the tongue.
    • Tonsils.
    • Saliva.

    Human Oral Microbiota

    • Includes commensal, symbiotic, and pathogenic species, and their resulting biofilms.

    Different Plaque Regions and Associated Diseases

    • Supragingival plaque leads to calculus and caries.
    • Marginal plaque leads to gingivitis
    • Subgingival plaque leads to calculus, and soft tissue destruction.
    • Tooth-associated plaque can be problematic depending on exact location
    • Tissue-associated plaque, can cause problems if not addressed properly

    Microbiological Specificity of Periodontal Diseases

    • Nonspecific Plaque Hypothesis
    • Specific Plaque Hypothesis
    • Ecological Plaque Hypothesis

    Examples of Interactions between Periodontal Pathogens

    • Cooperation exists through coaggregation.
    • Competition occurs when multiple species compete for binding sites.
    • Different microbial complexes such as yellow-purple, green, orange, and red.

    Plaque Index

    • A way to quantify dental plaque as a simplified method for clinical assessment.

    Microorganisms Associated with Specific Periodontal Diseases

    • Periodontal health - many gram-positive species.
    • Gingivitis - almost equal proportions of gram-positive and gram-negative flora.
    • Pregnancy-associated gingivitis - Prevotella intermedia, which uses steroids as growth factors.
    • Chronic periodontitis - elevated percentages of anaerobic gram-negative species.
    • Aggressive periodontitis - heightened counts of Aggregatibacter actinomycetemcomitans.
    • Abscesses of the periodontium - Fusobacterium nucleatum, P. intermedia, P. gingivalis and B. forsythus.

    Conclusion

    • Mechanical removal is the most effective treatment to control dental plaque biofilms.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    This quiz focuses on the properties and functions of dental plaque and bacterial biofilms. Test your understanding of the extracellular slime layer, intercellular matrix components, and the factors influencing plaque formation on teeth. Dive deep into the characteristics of bacteria in biofilms and their resistance to antimicrobial agents.

    More Like This

    Bacterial Characteristics Quiz
    40 questions
    Biofilm
    9 questions

    Biofilm

    SolidTonalism avatar
    SolidTonalism
    Biofilm Formation and Characteristics
    10 questions
    Biofilm Quiz
    5 questions

    Biofilm Quiz

    UnboundTulip avatar
    UnboundTulip
    Use Quizgecko on...
    Browser
    Browser