Dental Plaque Biofilm Quiz (ODS Learning Outcomes)

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Questions and Answers

What is dental plaque primarily classified as?

  • A mineral deposit
  • A biofilm (correct)
  • An enzyme
  • A dense liquid

Which type of dental plaque is attached directly to the tooth surface?

  • Unattached plaque
  • Tissue attached plaque
  • Tooth attached plaque (correct)
  • Floating plaque

What triggers the initial attachment of bacteria to the tooth surface?

  • Formation of dental calculus
  • Pellicle formation (correct)
  • Dietary sugar intake
  • Gingival inflammation

What process allows bacteria within a biofilm to communicate and adapt to their environment?

<p>Chemical signaling and quorum sensing (A)</p> Signup and view all the answers

What kind of environment promotes the secondary colonization of bacteria in a plaque biofilm?

<p>Anaerobic environment (B)</p> Signup and view all the answers

What is the role of the extracellular slime layer in a dental plaque biofilm?

<p>Provides a protective barrier (B)</p> Signup and view all the answers

Which strain of bacteria is NOT typically involved in the initial colonization of dental plaque?

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

What shapes do mature biofilm colonies often take?

<p>Mushroom-shaped clusters (D)</p> Signup and view all the answers

Which of the following describes the primary function of glycocalyx in a biofilm?

<p>To anchor the biofilm to surfaces (A)</p> Signup and view all the answers

What is NOT a characteristic of mature dental plaque biofilm?

<p>Contains only aerobic bacteria (C)</p> Signup and view all the answers

Which of the following components is NOT found in the inorganic constituents of dental plaque biofilm?

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

Which bacterium is primarily associated with the progression of periodontal disease?

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

What type of bacterial structure is involved in adhesion to host tissues in dental plaque biofilm?

<p>Fimbriae (C)</p> Signup and view all the answers

Which method is NOT commonly recommended for the removal of dental plaque biofilm?

<p>Tooth whitening (C)</p> Signup and view all the answers

What is a primary component of the endotoxin structure found in some bacteria associated with dental plaque?

<p>Lipopolysaccharide (B)</p> Signup and view all the answers

Which of the following components is considered an organic element of dental plaque biofilm?

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

Which Gram-negative bacteria is recognized for its anaerobic metabolism associated with periodontal disease?

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

Which factor primarily diminishes the host's ability to defend against bacterial infection in the context of dental plaque?

<p>Endotoxins (C)</p> Signup and view all the answers

What occurs during the initial colonization of dental plaque biofilm?

<p>Joining of new bacteria to the tooth surface (D)</p> Signup and view all the answers

Which of the following statements about quorum sensing is true?

<p>It relies on chemical signals for communication (B)</p> Signup and view all the answers

Which organism is NOT typically a part of the initial colonization in dental plaque biofilm?

<p>Streptococcus pyogenes (C)</p> Signup and view all the answers

What type of bacterial association can be found in mature biofilm?

<p>Mushroom-shaped micro colonies (C)</p> Signup and view all the answers

In what way does the extracellular slime layer contribute to bacterial survival?

<p>It acts as a barrier against harmful agents (A)</p> Signup and view all the answers

Which of the following describes the primary locations where dental plaque can be found?

<p>In various environments including tooth attached, unattached, and tissue attached (A)</p> Signup and view all the answers

What is the role of salivary proteins in the formation of dental plaque?

<p>They facilitate the initial attachment of bacteria to the pellicle (A)</p> Signup and view all the answers

During which stage do secondary colonizers adhere to primary colonizers in dental plaque formation?

<p>During secondary colonization (C)</p> Signup and view all the answers

What characterizes the pellicle in relation to plaque development?

<p>It is crucial for the initial bacterial attachment to the tooth surface (A)</p> Signup and view all the answers

Flashcards

What is dental plaque?

An organized community of microorganisms encased in a slimy substance (glycocalyx) that forms on teeth and other oral surfaces.

What is initial attachment?

The early stage of plaque formation, where bacteria first attach to the tooth surface.

What is pellicle?

A thin coating of salivary proteins that forms on teeth, providing a sticky surface for bacteria to attach to.

What is Streptococcus mutans?

A type of bacteria commonly found in early plaque formation, known for its ability to convert sugars into acid.

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What is quorum sensing?

The process by which bacteria communicate with each other, sharing information about their environment and coordinating their behavior.

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What is secondary colonization?

The stage of plaque formation where various bacteria start adhering to the initial colonizers, creating a more complex bacterial community.

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What are extracellular polysaccharides?

Sticky substances produced by bacteria in plaque, helping them adhere to each other and the tooth surface.

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What is a mature biofilm?

The mature form of plaque, characterized by mushroom-shaped bacterial colonies with a protective slime layer.

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What is the role of the extracellular slime layer?

The slimy outer layer of plaque that shields bacteria from external threats like antibiotics, antimicrobials, and the immune system.

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How does the structure of mature biofilm benefit bacteria?

The ability of bacteria in a plaque biofilm to survive and thrive by sharing resources and creating a protective niche for themselves.

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Describe dental plaque biofilm.

A community of microorganisms embedded in an extracellular glycocalyx (slime layer) that forms on teeth and other oral surfaces.

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What is initial attachment in plaque formation?

The initial stage of plaque formation where bacteria first attach to the tooth surface.

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What are the primary colonizers of plaque?

The bacteria that colonize the tooth surface in the early stages of plaque formation.

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What is quorum sensing in plaque formation?

The process of bacteria communicating with each other, sharing information about their environment, and coordinating their behavior.

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What is the role of the extracellular slime layer in plaque?

This layer protects the bacteria from antibiotics, antimicrobials, the immune system, and mouthwash.

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What are the inorganic components of dental plaque biofilm?

Calcium, Sodium, Phosphorous and Potassium are all inorganic components of dental plaque biofilm.

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What are the organic components of dental plaque biofilm?

Polysaccharides, proteins, glycoproteins and lipids make up the organic components of dental plaque biofilm.

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What dental disease is caused by dental plaque biofilm?

Dental plaque biofilm is a major contributor to gingivitis and periodontitis.

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What are bacterial virulence factors?

Virulence factors are mechanisms that allow bacteria to colonize, survive and damage host tissues.

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How do bacteria in dental plaque adhere to teeth?

Fimbrae, pili and adhesion are bacterial virulence factors that enable attachment to tooth surfaces.

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What is an endotoxin and how does it contribute to dental disease?

Lipopolysaccharide (LPS) is a potent endotoxin found in the bacterial cell wall and contributes to inflammation.

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How do bacterial enzymes contribute to dental disease?

Bacterial enzymes can degrade collagen fibers, disrupt tissue barriers and compromise host defenses.

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How can dental plaque biofilm be removed?

Tooth brushing, interdental cleaning and professional mechanical plaque removal (PMPR) are all effective methods for dental plaque biofilm removal.

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Study Notes

Dental Plaque as Biofilm

  • Dental plaque is a biofilm, a structured community of microorganisms embedded within an extracellular glycocalyx (slime layer) which builds up on natural and restored solid surfaces in the oral cavity.
  • This community forms on natural and restored tooth surfaces in the oral cavity.

Classification of Dental Plaque

  • Dental plaque can be classified by its location:
    • Tooth-attached
    • Unattached
    • Tissue-attached

Formation of Dental Plaque Biofilm

  • Initial Attachment: Bacteria initially attach to a pellicle, a thin, sticky coating of salivary proteins that forms on tooth surfaces minutes after brushing, enabling bacterial attachment.
  • Initial Colonization: New bacteria, including Streptococcus sanguis, Streptococcus mutans, and Streptococcus salivarius, colonize the tooth surface.
  • Genetic Changes & Communication: Bacteria communicate through:
    • Cell-to-cell communication
    • Gene transfer
    • Chemical signaling (quorum sensing), allowing behaviour changes and adaptation to the environment.
  • Secondary Colonization: An extracellular slime layer forms, primarily produced by Streptococcus species through extracellular polysaccharides like dextrans and glucans to support adhesion and provide a food source; as oxygen levels decrease, secondary colonizers co-aggregate with primary colonizers.
  • Mature Biofilm: Bacteria form mushroom-shaped micro-colonies, creating a self-sufficient community with its own food supply and waste removal mechanisms.

Extracellular Slime Layer Role

  • The extracellular slime layer acts as a protective barrier, shielding bacteria from antibiotics, antimicrobials, the immune system, and mouthwash.

Contents of Dental Plaque Biofilm

  • Inorganic: Calcium, sodium, phosphorus, potassium
  • Organic: Polysaccharides, proteins, glycoproteins, lipids, intracellular matrix

Common Dental Diseases Caused by Dental Plaque Biofilm

  • Porphyromonas gingivalis
  • Aggregatibacter actinomycetemcomitans
  • Treponema denticola

Bacterial Virulence Factors

  • Bacterial Adhesion: Fimbriae, pili contribute to attachment.
  • Endotoxins: Lipopolysaccharide (a major component of the cell wall).
  • Bacterial Enzymes: Breakdown collagen fibres, increase epithelial tissue permeability, and reduce host cell defense.

Methods for Dental Plaque Biofilm Removal

  • Tooth brushing
  • Interdental cleaning
  • Professional Mechanical Plaque Removal (PMPR)

Bacterial Types in Dental Plaque

  • Gram-positive Bacteria (facultative): Streptococcus mutans, Streptococcus sanguis, Actinomyces viscosus
  • Gram-negative Bacteria (anaerobic): Porphyromonas gingivalis, Fusobacterium nucleatum, Prevotella intermedia
  • Gram-negative Bacteria (facultative): Aggregatibacter actinomycetemcomitans, Eikenella corrodens
  • Spirochetes: Treponema denticola

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