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Questions and Answers
Which type of carbohydrate generally has the highest cariogenic effect?
Which type of carbohydrate generally has the highest cariogenic effect?
What is the first step that disaccharides must undergo before they can promote caries?
What is the first step that disaccharides must undergo before they can promote caries?
Which carbohydrate cannot enter the bacterial plaque due to its larger structure?
Which carbohydrate cannot enter the bacterial plaque due to its larger structure?
What type of bacteria are primarily dominant on the tooth surface after 24 hours?
What type of bacteria are primarily dominant on the tooth surface after 24 hours?
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What enzyme is primarily responsible for breaking down starch in the mouth?
What enzyme is primarily responsible for breaking down starch in the mouth?
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What occurs to the number of streptococci in the first 12 hours?
What occurs to the number of streptococci in the first 12 hours?
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Which of the following sugars is known as 'milk sugar'?
Which of the following sugars is known as 'milk sugar'?
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Which structure is associated with supragingival plaque?
Which structure is associated with supragingival plaque?
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What effect does the buffering capacity of saliva have on caries formation?
What effect does the buffering capacity of saliva have on caries formation?
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What characterizes subgingival plaque?
What characterizes subgingival plaque?
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Which of the following is a monosaccharide?
Which of the following is a monosaccharide?
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What happens to the bacterial composition of plaque as it ages?
What happens to the bacterial composition of plaque as it ages?
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Why might caries occur in areas that cannot be easily cleaned?
Why might caries occur in areas that cannot be easily cleaned?
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What kind of environment do fissure plaque create?
What kind of environment do fissure plaque create?
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When does calculus formation start in fissures?
When does calculus formation start in fissures?
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Which of the following is true regarding the remodeling phase of plaque?
Which of the following is true regarding the remodeling phase of plaque?
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What is the primary role of the pellicle on dental enamel?
What is the primary role of the pellicle on dental enamel?
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Which type of plaque formation occurs within the first 8 hours?
Which type of plaque formation occurs within the first 8 hours?
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Which bacteria are primarily observed in the early soft plaque surface?
Which bacteria are primarily observed in the early soft plaque surface?
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What primarily influences bacterial adhesion to teeth?
What primarily influences bacterial adhesion to teeth?
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At what bacterial concentration is S. sanguis able to hold plaque effectively?
At what bacterial concentration is S. sanguis able to hold plaque effectively?
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Which phase of plaque is characterized by rapid bacterial growth after the initial stage?
Which phase of plaque is characterized by rapid bacterial growth after the initial stage?
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The remodeling phase is known for which specific characteristic?
The remodeling phase is known for which specific characteristic?
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In plaque studies, which organism is most commonly found as a premature colony-forming microorganism?
In plaque studies, which organism is most commonly found as a premature colony-forming microorganism?
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What factor predominantly affects the cariogenic effect of carbohydrates?
What factor predominantly affects the cariogenic effect of carbohydrates?
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Why do carbohydrates consumed outside of normal meals have a higher caries-causing effect?
Why do carbohydrates consumed outside of normal meals have a higher caries-causing effect?
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Which carbohydrate is identified as the most cariogenic?
Which carbohydrate is identified as the most cariogenic?
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What is a significant consequence of glucans in dental plaque?
What is a significant consequence of glucans in dental plaque?
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Which bacteria is primarily associated with the effect of sucrose on dental caries?
Which bacteria is primarily associated with the effect of sucrose on dental caries?
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What was the objective of Stephan's experiment on pH changes after glucose intake?
What was the objective of Stephan's experiment on pH changes after glucose intake?
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What process happens to sucrose in dental plaque that contributes to its cariogenicity?
What process happens to sucrose in dental plaque that contributes to its cariogenicity?
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How does a reduction in saliva influence caries formation?
How does a reduction in saliva influence caries formation?
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What is the primary role of Streptococcus mutans and Streptococcus sobrinus in dental caries?
What is the primary role of Streptococcus mutans and Streptococcus sobrinus in dental caries?
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How soon after the appearance of Streptococcus mutans can caries formation generally be observed?
How soon after the appearance of Streptococcus mutans can caries formation generally be observed?
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What type of extracellular polysaccharides can Streptococcus mutans form from sucrose?
What type of extracellular polysaccharides can Streptococcus mutans form from sucrose?
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What role do extracellular polysaccharides (EPS) play in the cariogenicity of Streptococcus mutans?
What role do extracellular polysaccharides (EPS) play in the cariogenicity of Streptococcus mutans?
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What are glucans and fructans classified as?
What are glucans and fructans classified as?
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Which chemical process characterizes dental caries?
Which chemical process characterizes dental caries?
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What is the role of glycosidic bonds in the synthesis of extracellular polysaccharides?
What is the role of glycosidic bonds in the synthesis of extracellular polysaccharides?
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Which of the following describes an irreversible chemical reaction in the context of dental caries?
Which of the following describes an irreversible chemical reaction in the context of dental caries?
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What happens to the pH level after a glucose rinse?
What happens to the pH level after a glucose rinse?
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What is the main characteristic of extracellular polysaccharides (EPS) formed by sucrose?
What is the main characteristic of extracellular polysaccharides (EPS) formed by sucrose?
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How does sucrose affect the concentration of certain ions in dental biofilm?
How does sucrose affect the concentration of certain ions in dental biofilm?
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What pH level is considered non-cariogenic for foods consumed within 30 minutes?
What pH level is considered non-cariogenic for foods consumed within 30 minutes?
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Which statement about lipids in food is true regarding their impact on dental health?
Which statement about lipids in food is true regarding their impact on dental health?
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What is produced as a final product from the breakdown of proteins in the mouth?
What is produced as a final product from the breakdown of proteins in the mouth?
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What is the significance of ammonia in relation to dental health?
What is the significance of ammonia in relation to dental health?
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What does the critical pH level indicate in terms of dental health?
What does the critical pH level indicate in terms of dental health?
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Flashcards
Initial Plaque Formation
Initial Plaque Formation
The initial stage of plaque formation where bacteria colonize the tooth surface.
Plaque Remodelling
Plaque Remodelling
The process of plaque changing over time as bacteria adapt and multiply.
Supragingival Plaque
Supragingival Plaque
The type of plaque found on the tooth surface above the gum line.
Subgingival Plaque
Subgingival Plaque
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Fissure Plaque
Fissure Plaque
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Plaque Surface Layer
Plaque Surface Layer
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Plaque Body Layer
Plaque Body Layer
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Intensive Microbial Layer
Intensive Microbial Layer
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What is the Pellicle?
What is the Pellicle?
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What is the primary function of the Pellicle?
What is the primary function of the Pellicle?
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What is Dental Plaque?
What is Dental Plaque?
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How do bacteria attach to teeth?
How do bacteria attach to teeth?
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What are the factors that influence bacterial adhesion?
What are the factors that influence bacterial adhesion?
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What is Young Plaque?
What is Young Plaque?
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What is Mature Plaque?
What is Mature Plaque?
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What is the Remodeling Phase of Plaque?
What is the Remodeling Phase of Plaque?
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Caries causing bacteria
Caries causing bacteria
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Acid production in caries
Acid production in caries
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Timeframe for caries development
Timeframe for caries development
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Extracellular polysaccharides in caries
Extracellular polysaccharides in caries
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Types of extracellular polysaccharides
Types of extracellular polysaccharides
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Definition of dental caries
Definition of dental caries
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Importance of early caries treatment
Importance of early caries treatment
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Complex nature of caries
Complex nature of caries
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Why are monosaccharides cariogenic?
Why are monosaccharides cariogenic?
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How do disaccharides cause caries?
How do disaccharides cause caries?
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Why are polysaccharides less cariogenic?
Why are polysaccharides less cariogenic?
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How does saliva protect against caries?
How does saliva protect against caries?
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What is the effect of different sugar types on caries?
What is the effect of different sugar types on caries?
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How does the presence of multiple sugars affect caries?
How does the presence of multiple sugars affect caries?
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How does stickiness affect caries?
How does stickiness affect caries?
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Where is caries risk higher due to food accumulation?
Where is caries risk higher due to food accumulation?
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Critical pH
Critical pH
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Sucrose
Sucrose
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Extracellular Polysaccharide (EPS)
Extracellular Polysaccharide (EPS)
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Intracellular Polysaccharide (IPS)
Intracellular Polysaccharide (IPS)
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Non-cariogenic food
Non-cariogenic food
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Lipid breakdown in plaque
Lipid breakdown in plaque
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Protein breakdown
Protein breakdown
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Demineralization
Demineralization
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Cariogenicity
Cariogenicity
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Eating between meals
Eating between meals
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Sucrose and Caries
Sucrose and Caries
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Sucrose Metabolism
Sucrose Metabolism
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Glucan
Glucan
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Stephan's Curve
Stephan's Curve
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Resting pH
Resting pH
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10% Glucose Solution
10% Glucose Solution
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Study Notes
Dental Plaque
- Dental plaque is a deposit of bacteria and bacterial products located on unclean teeth or accumulations on restorations in the mouth.
- Plaque formation depends on the position of the teeth, the roughness of tooth surfaces, and personal hygiene.
- Plaque formation has three phases: young, mature, and remodeling.
Biofilm
- Biofilm is a term used to describe areas where microorganisms settle and reproduce on various surfaces.
- It is found on surfaces like water pipes and plays a significant role in hospital infections.
- In the oral cavity, microorganisms within the biofilm matrix have different behavior than bacteria floating freely.
- One of the important factors enabling microorganisms in the oral flora to remain in this region is their ability to adhere to the tooth surface.
Dental Pellicle
- An electron microscope study shows a thin layer of cells without bacteria between the surface of the enamel and bacteria. This thin layer is called the Dental Pellicle.
- Dental Pellicle is a protein layer forming on tooth enamel through selective binding of glycoproteins.
- This prevents continuous deposition of salivary calcium phosphate.
- It protects the tooth from acids produced by microorganisms following consumption of carbohydrates.
Oral Biofilm
- The human oral cavity has hundreds of different types of microorganisms, including bacteria, viruses, and fungi.
- These live in complex communities, organized into a thin layer called biofilm.
- Dental plaque, proteins from saliva, cover tooth surfaces immediately after their cleaning.
- Bacterial retention to the film layer occurs due to microfilaments in the cell walls.
- As bacteria increases, they communicate and create a community using signal molecules and secreting proteins, polysaccharides, nucleic acids, and other extracellular matrix components.
- This matrix acts as the glue of the biofilm.
- Microbial communities behave as a single unit, responding to environmental changes.
Caries Microorganisms
- Acidogenic bacteria in plaque convert sugar into acids, contributing to tooth demineralization.
- Common acidogenic bacteria include Streptococcus, Actinomyces, Lactobacilli, etc.
- The composition of the bacterial flora in necrotic soft caries dentin and partly decalcified deep areas of dentin is described in a table.
- Specific microbial counts and ranges at various stages are provided.
Caries
- Dental caries is the irreversible loss of material caused by organic acids produced in bacterial plaques.
- It causes pain and aesthetic issues.
- Caries is a complex event involving chemical structures, reaction environments, and tooth structures.
- The components of the chemical reaction in caries include reactants, reaction medium, and conditions, and the reaction products.
Acids in the Mouth
- Acids occur as a result of oral bacteria activity breaking down carbohydrates.
- People with professions requiring constant contact with acids, like in battery factories, labs, etc., are at risk.
- Breathing acidic air due to pollution is also a factor.
- Some acidic drinks, herbal teas, and alcoholic beverages cause acidification.
- Frequent vomiting during pregnancy and chronic alcoholism can lead to gastric juice reflux into the mouth.
- Certain drugs, like aspirin and effervescent vitamin tablets, can also cause oral acidification.
Carbohydrates' Role in Caries
- Carbohydrates are the initial part of the chemical reaction in caries, leading to organic acid production.
- Foods with a high proportion of carbohydrates are major risk factors for caries.
- Factors altering carbohydrate-based cariogenicity include their type, the time they remain in the mouth, their texture (hard, sticky, liquid form), and when consumed outside of meal times.
Sucrose and Biofilm
- Sucrose is the most cariogenic carbohydrate.
- It enables the formation of extracellular and intracellular polysaccharides, especially glucans.
- Glucans cause bacteria to adhere to the tooth surface and form the structural biofilm layer.
- The presence of sucrose increases oral biofilm porosity and facilitates sugar penetration.
Stephan Curve
- Stephan's experiment examined the changes in plaque pH after glucose consumption.
- Patients with different levels of caries activity were studied.
- An electrode measured the resting pH of plaque and changes resulting from a glucose rinse.
- The curves show that the pH drops rapidly after glucose intake, reaching the critical pH level within 2-5 minutes, depending on caries activity.
Factors Affecting Caries-Promoting Properties of Carbohydrates
- Different carbohydrates have variable cariogenic effects.
- Physical properties like duration of presence in the mouth, texture, solubility, and whether ingested as a meal or snack impact cariogenicity.
- Outside of meal consumption, carbohydrates tend to have a higher cariogenic effect.
- Individual factors, including saliva amount, flow rate, and tooth anatomy, influence the rate and severity of caries formation.
Types of Plaque
- Supragingival plaque is on the gums.
- Subgingival plaque is under the gums, and it is a key factor in periodontal diseases.
- Plaque in fissures, also called fissure plaque, is very narrow and in occlusal surfaces.
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Description
This quiz explores essential concepts related to dental plaque, biofilm, and dental pellicle. It delves into the formation of dental plaque, its phases, and the role of biofilms in the oral cavity and healthcare settings. Understanding these concepts is crucial for maintaining oral health and preventing infections.