Dental Plaque Biofilm Quiz
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Questions and Answers

What is the purpose of quorum sensing in bacteria?

  • To detect and respond to environmental changes (correct)
  • To create mushroom-shaped colonies
  • To form protective barriers around biofilms
  • To directly deplete oxygen in the environment
  • What occurs during secondary colonization in biofilm formation?

  • Secondary colonizers attach to primary colonizers (correct)
  • Primary colonizers produce an extracellular slime layer
  • Primary colonizers deplete nutrients
  • Anaerobes start to attach to the tooth surface
  • What is a characteristic feature of mature biofilms?

  • Flat bacterial structures
  • Uniform bacterial distribution
  • Presence of fluid channels (correct)
  • Absence of extracellular slime layers
  • How does the extracellular slime layer benefit bacterial colonies?

    <p>It serves as a protective layer and aids communication (C)</p> Signup and view all the answers

    What is the role of fluid channels in a biofilm?

    <p>To allow the movement of metabolic waste (C)</p> Signup and view all the answers

    Which type of colonizers are typically found in the initial stages of biofilm formation?

    <p>Primary facultative colonizers (C)</p> Signup and view all the answers

    What does the term 'bacterial bloom' refer to?

    <p>Periods of accelerated bacterial growth (B)</p> Signup and view all the answers

    In which areas of the tooth crown is plaque least likely to accumulate?

    <p>Areas with constant movement (B)</p> Signup and view all the answers

    Which type of bacteria is commonly associated with periodontal disease?

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

    What is a primary component of the intra-cellular matrix in dental plaque biofilm?

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

    Which of the following bacterial species is NOT associated with caries?

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

    What structural characteristic can function as a virulence factor in bacteria?

    <p>Shape of the bacteria (D)</p> Signup and view all the answers

    Which of the following elements is NOT a component of inorganic substances found in dental plaque?

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

    What is a primary challenge faced in the removal of dental plaque?

    <p>The resilience of biofilm (D)</p> Signup and view all the answers

    Which of the following is a facultative anaerobic bacterium found in dental plaque?

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

    What role do virulence factors play in bacteria associated with dental diseases?

    <p>Facilitating colonization and tissue damage (B)</p> Signup and view all the answers

    What is dental plaque primarily defined as?

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

    Which component is NOT typically found in dental plaque biofilm?

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

    Which type of dental plaque is located above the gum line?

    <p>Supra-gingival (A)</p> Signup and view all the answers

    What role does the extracellular slime layer play in dental plaque biofilm?

    <p>It ensures bacterial colony survival. (C)</p> Signup and view all the answers

    What is the most common dental disease associated with dental plaque biofilm?

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

    Which classification describes plaque located at the gum line?

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

    What aspect of bacterial plaque biofilm can influence plaque composition?

    <p>Location within the mouth (A)</p> Signup and view all the answers

    Which of the following is a method for removing dental plaque biofilm?

    <p>Brushing and flossing (A)</p> Signup and view all the answers

    Which factor is NOT typically associated with bacterial virulence in plaque biofilm?

    <p>Color of bacteria (D)</p> Signup and view all the answers

    Which of the following statements about dental plaque biofilm formation is true?

    <p>It involves a sequential colonization by multiple microorganisms. (A)</p> Signup and view all the answers

    What is the main function of the 'pellicle' in the process of dental plaque biofilm formation?

    <p>To attract and bind bacteria to the tooth surface. (A)</p> Signup and view all the answers

    Which of these bacterial species is NOT a primary colonizer of the tooth surface in the formation of dental plaque biofilm?

    <p>Lactobacillus acidophilus (A)</p> Signup and view all the answers

    What is the significance of 'quorum sensing' in the process of dental plaque biofilm formation?

    <p>It enables bacteria to communicate and coordinate their activities. (D)</p> Signup and view all the answers

    What is the primary reason for the formation of an 'extracellular slime layer' during the secondary colonization phase of dental plaque biofilm formation?

    <p>To facilitate the attachment of new bacteria to the existing biofilm. (C)</p> Signup and view all the answers

    Which of the following characteristics describes the mature dental plaque biofilm?

    <p>A complex, multi-layered structure with mushroom-shaped colonies. (A)</p> Signup and view all the answers

    What is the role of the 'glycocalyx' in the structure of a dental plaque biofilm?

    <p>It provides a scaffold for the attachment of new bacteria to the biofilm. (A)</p> Signup and view all the answers

    What is the primary source of free-floating bacteria that initiate the formation of a dental plaque biofilm?

    <p>The surrounding oral environment, including saliva and food particles. (D)</p> Signup and view all the answers

    Which phase of dental plaque biofilm formation is characterized by the attachment of bacteria to the tooth surface?

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

    Flashcards

    Salivary pellicle

    A thin film of proteins that forms on tooth surfaces.

    Quorum Sensing

    A process allowing bacteria to communicate and respond to population density.

    Secondary colonisation

    The attachment of new bacterial species to existing ones in a biofilm.

    Extracellular slime layer

    A protective barrier produced by bacteria that encases the biofilm.

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    Mature biofilm

    A complex microbial community with mushroom-shaped colonies.

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    Fluid Channels in biofilm

    Channels that provide nutrients and remove waste in a biofilm.

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    Bacterial Bloom

    Periods of rapid bacterial growth in a biofilm.

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    Protective barrier

    The slime layer that shields bacteria from external threats.

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    Dental Plaque Biofilm Composition

    A complex structure made up of organic and inorganic components including bacteria, polysaccharides, proteins, and glycoproteins.

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    Gram-positive Bacteria

    Bacteria that retain the crystal violet stain used in the Gram staining procedure, often associated with oral health.

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    Streptococcus mutans

    A type of Gram-positive bacteria primarily responsible for tooth decay (caries).

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    Periodontal Disease Bacteria

    Bacteria linked to gum diseases, including Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans.

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    Bacterial Virulence Factors

    Characteristics that enable bacteria to colonize and damage host tissues, contributing to disease.

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    Physical Plaque Removal

    Strategies to mechanically remove dental plaque via brushing, flossing, and other tools.

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    Anaerobic Bacteria

    Bacteria that thrive in environments without oxygen, often found in periodontal infections.

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    Lipids in Dental Plaque

    Fats found within dental plaque that contribute to its structural integrity and function.

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    Dental Plaque

    A biofilm of bacterial aggregations on teeth and oral structures.

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    Biofilm

    A complex community of microorganisms embedded in a gelatinous matrix.

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    Formation of Dental Plaque

    Occurs through sequential colonization of microorganisms on tooth surfaces.

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    Contents of Dental Plaque Biofilm

    Composed of salivary elements, dead cells, debris, and bacteria in a matrix.

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    Common Dental Disease

    Most prevalent disease caused by dental plaque is caries (cavities).

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    Supra-gingival plaque

    Plaque located above the gumline on tooth surfaces.

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    Sub-gingival plaque

    Plaque that forms below the gumline, often harder to detect.

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    Classifications of Dental Plaque

    Includes supra-gingival, marginal, fissural, attached, and unattached types.

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    Stages of Biofilm Formation

    Four phases: initial attachment, colonization, secondary colonization, mature biofilm.

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    Pellicle

    A thin coating of salivary proteins that forms on teeth within hours of cleaning.

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    Primary Colonizers

    The first bacteria to attach to the tooth surface: S. sanguis, S. mutans, S. salivarius.

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    Unattached Plaque

    Dental plaque that is free-floating and not attached to teeth or tissues.

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    Tooth Attached Plaque

    Plaque that is firmly adhered to the tooth surface.

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    Study Notes

    Dental Plaque Biofilm

    • Dental plaque is now known as a biofilm.
    • Biofilms are soft deposits that adhere to tooth surfaces and other oral hard surfaces.
    • This includes both removable and fixed oral restorations.
    • Another definition is bacterial aggregations on teeth or other solid oral structures.
    • Biofilms are a complex structure that results from sequential colonization of microorganisms on tooth surfaces.
    • The biofilm is made up of components like salivary elements, mucin, desquamated epithelial cells, debris, and microorganisms embedded in an extracellular matrix.

    Intended Learning Outcomes

    • Students should be able to define dental plaque as a biofilm.
    • Students should be able to classify dental plaque based on location.
    • Students should be able to describe the formation of dental plaque biofilm.
    • Students should be able to explain the role of the extra-cellular slime layer in ensuring bacterial survival.
    • Students should be able to describe the contents of dental plaque biofilm.
    • Students should be able to identify the most common dental diseases caused by plaque biofilm.
    • Students should be able to discuss bacterial virulence factors.
    • Students should be able to discuss appropriate methods for removing dental plaque biofilm.

    Bacteria

    • Images show the presence of plaque on teeth and redness of the gums.
    • Images show health and ill conditions of oral health through the visuals.
    • This subject is related to pathogenesis of periodontal disease.
    • This subject is related to reasons why treatment for periodontal disease may fail.
    • This subject is related to inflammation and its classifications in periodontal disease
    • This subject is related to caries and its management.
    • This subject is part of the year 2 dental specialities.
    • This subject is related to fissure sealants.

    Dental Plaque Biofilm - Most Common Diseases

    • Plaque biofilm can cause tooth decay (caries).
    • Cavities are deeper forms of tooth decay.
    • Periodontitis is another common disease caused by plaque biofilm.
    • Periodontitis involves inflammation, plaque and calculus on teeth.

    Classification of Dental Plaque Biofilm

    • Plaque can be classified as supra-gingival, sub-gingival, coronal, marginal, or fissural.
    • The environment around these classifications can indicate different bacteria or organisms.

    Biofilm Definition

    • Biofilms consist of multiple communities of microorganisms.
    • They are embedded in a glycocalyx (glycoprotein matrix).
    • Biofilms are usually attached to solid surfaces.

    Formation of Dental Plaque Biofilm

    • The formation of dental plaque biofilm involves four phases.
    • Initial attachment occurs when bacteria attach to a pellicle.
    • The next phase involves the initial colonization of the tooth surface.
    • Secondary colonization includes the formation of an extracellular slime layer.
    • Mature biofilm forms mushroom-shaped colonies.

    Free-Floating Bacteria

    • Biofilm formation begins when free-floating bacteria contact appropriate surfaces and attach.
    • This is often described as the bacteria 'putting down roots'.

    Initial Attachment of Bacteria to Pellicle

    • Pellicle forms within a few hours of cleaning.
    • This layer contains salivary proteins that adhere to the tooth surface.
    • The pellicle creates a surface for further bacterial adhesion and biofilm formation.
    • Its role is to protect the tooth from acids and acts like an adhesive.

    Primary Colonizers

    • Primary colonizers include Streptococcus sanguis, Streptococcus mutans, and Streptococcus salivarius.

    Initial Colonization of the Tooth Surface

    • Bacteria can attach to surfaces and interact with each other.
    • These interactions stimulate gene activation and intercellular communication through quorum sensing.

    Quorum Sensing

    • Quorum sensing is the cell-to-cell communication mechanism used by bacteria.
    • It involves density-dependent interactions with signalling molecules.
    • This regulation affects gene expression, resulting in group behavior in the bacterial population.

    Secondary Colonization: Extracellular Slime Layer Formation

    • Bacteria produce an extracellular slime layer.
    • Primary facultative bacteria use up the oxygen, thus allowing for anaerobic bacteria to enter the system.
    • Secondary colonizers attach to primary colonisers through co-aggregation.
    • Bacteria grow away from the tooth.
    • The growing biofilm phase involves bacterial blooms.

    Mature Biofilm – Mushroom-Shaped Colonies

    • Mature biofilm forms mushroom-shaped colonies.
    • This structure allows for self-sustenance.
    • Fluid channels are an integral part of this phase for food supply and waste removal within the community.

    Extra-cellular Slime Layer

    • The extracellular slime layer forms a protective layer for the colony.
    • Fluids travel through the channels to circulate nutrients within the community.
    • Materials like nutrients (e.g., oxygen), waste products, metabolites, and enzymes move through these channels to support the biofilm colony.

    Now Visualize

    • Images show the components of the mature biofilm such as bacterial micro-colonies, extracellular slime layer, and tooth surfaces.
    • Dental pellicle and extracellular slime layer are key components surrounding the teeth and creating regions for bacterial colonies to reside.

    Why does plaque form in the areas it does?

    • The location of dental plaque might be linked to factors such as specific tooth contours or differences in the oral environment.

    Where on the crown are you least likely to see plaque?

    • There may be specific areas on the crown with reduced plaque formation due to either surface contours or flow of saliva

    Supra vs Sub:

    • Dental plaque can form above and below the gumline.
    • Differences exist between the supra-gingival and sub-gingival environments, impacting the nature of bacteria.
    • Gram-positive, aerobic bacteria are prevalent in supra-gingival areas.
    • Gram-negative, anaerobic bacteria tend towards sub-gingival locations.

    Composition of Dental Plaque Biofilm:

    • Biofilms are composed of both organic and inorganic components.
    • Organic components of the biofilm include polysaccharides, proteins, glycoproteins, and lipids.
    • Inorganic components include calcium, sodium, phosphorus, and potassium.
    • Micro-organisms within the biofilm consist of bacteria, with types like facultative and anaerobic species.
    • Examples of common bacteria include Streptococcus mutans, various Streptococci (e.g., sanguis), and Actinomyces species.

    Micro-organisms and Oral Disease

    • Certain micro-organisms are strongly linked to oral diseases.
    • Examples include organisms associated with periodontal disease.

    Bacteria associated with Periodontal Disease

    • Porphyromonas gingivalis, Aggregatibacter actinomycetemcomitans, and Treponema denticola are linked to periodontal disease.

    Bacteria associated with Caries

    • Streptococcus mutans and lactobacilli are linked to dental caries.

    Bacterial Virulence Factors:

    • Virulence factors are mechanisms used by the bacteria to colonize, invade and damage tissue.
    • The virulence mechanisms can either be structural or substance related.

    Removal of Dental Plaque

    • Plaque can be removed by physical means.
    • Professionals often need to consider challenges when removing plaque.
    • Methods like mouthwash and brushing are common at-home removal methods

    Physical Plaque Removal

    • Methods to remove plaque include contacting the biofilm, friction, and physical removal.
    • Professionals need to understand how physical removal methods impact a biofilm.

    Further Reading

    • Provide links to available research materials dealing with further reading.

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