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Questions and Answers
What are the primary contributing factors to the formation and accumulation of dental plaque?
What are the primary contributing factors to the formation and accumulation of dental plaque?
Which of the following is NOT a reason why bacterial biofilms exhibit increased resistance to antimicrobial agents?
Which of the following is NOT a reason why bacterial biofilms exhibit increased resistance to antimicrobial agents?
In the context of dental plaque formation, what is the primary function of the pellicle coating?
In the context of dental plaque formation, what is the primary function of the pellicle coating?
Why does dental plaque typically form more prominently on the gingival third of the tooth surface?
Why does dental plaque typically form more prominently on the gingival third of the tooth surface?
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In the absence of oral hygiene practices, what happens to the accumulation of dental plaque?
In the absence of oral hygiene practices, what happens to the accumulation of dental plaque?
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What is the primary etiologic factor responsible for both gingivitis and periodontitis?
What is the primary etiologic factor responsible for both gingivitis and periodontitis?
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Which of the following describes materia alba?
Which of the following describes materia alba?
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What is the main reason for studying the formation, composition, and characteristics of dental plaque?
What is the main reason for studying the formation, composition, and characteristics of dental plaque?
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What is the most important characteristic that differentiates periodontal/periimplant pockets from other oral ecosystems?
What is the most important characteristic that differentiates periodontal/periimplant pockets from other oral ecosystems?
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Why is a profound knowledge of periodontal microbiology necessary?
Why is a profound knowledge of periodontal microbiology necessary?
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Which of these oral ecosystems is characterized by the presence of crevicular fluid?
Which of these oral ecosystems is characterized by the presence of crevicular fluid?
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What is the main difference between dental plaque and materia alba?
What is the main difference between dental plaque and materia alba?
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What is the relationship between dental plaque and calculus?
What is the relationship between dental plaque and calculus?
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What kind of interactions are coaggregation bridges considered to be?
What kind of interactions are coaggregation bridges considered to be?
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What is the primary characteristic of the red complex in periodontal disease?
What is the primary characteristic of the red complex in periodontal disease?
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What is the main difference between the tooth-associated and tissue-associated layers of dental plaque?
What is the main difference between the tooth-associated and tissue-associated layers of dental plaque?
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Which of the following species is NOT typically found in the tooth-associated layer of dental plaque?
Which of the following species is NOT typically found in the tooth-associated layer of dental plaque?
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What is a key characteristic of the microbial clusters found in different periodontal states?
What is a key characteristic of the microbial clusters found in different periodontal states?
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Which of the following clusters is LEAST likely to be found without the presence of the red complex?
Which of the following clusters is LEAST likely to be found without the presence of the red complex?
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What is the significance of the observation that specific microbial clusters are found in different periodontal states?
What is the significance of the observation that specific microbial clusters are found in different periodontal states?
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Which of the following statements is NOT true about the green and orange complexes?
Which of the following statements is NOT true about the green and orange complexes?
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Which microbial species, known to use steroids as growth factors, is associated with Pregnancy-associated gingivitis?
Which microbial species, known to use steroids as growth factors, is associated with Pregnancy-associated gingivitis?
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In the context of the specific plaque hypothesis, which bacterial species is predominantly associated with Localized Aggressive Periodontitis?
In the context of the specific plaque hypothesis, which bacterial species is predominantly associated with Localized Aggressive Periodontitis?
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Which of the following bacterial species are commonly associated with both Chronic Periodontitis and Abscesses of the Periodontium?
Which of the following bacterial species are commonly associated with both Chronic Periodontitis and Abscesses of the Periodontium?
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Which type of bacteria are typically found in high percentages in Chronic Periodontitis?
Which type of bacteria are typically found in high percentages in Chronic Periodontitis?
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In the context of the Nonspecific Plaque Hypothesis, what is the primary factor driving periodontal disease development?
In the context of the Nonspecific Plaque Hypothesis, what is the primary factor driving periodontal disease development?
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Which of the following is NOT a characteristic of the bacterial species associated with Periodontal Health?
Which of the following is NOT a characteristic of the bacterial species associated with Periodontal Health?
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What is the most effective method currently available for controlling dental plaque biofilms?
What is the most effective method currently available for controlling dental plaque biofilms?
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Which of the following bacterial species is known to be a major contributor to the formation of calculus?
Which of the following bacterial species is known to be a major contributor to the formation of calculus?
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Which of the following describes the shift in bacterial composition as oral health deteriorates from gingivitis to periodontitis?
Which of the following describes the shift in bacterial composition as oral health deteriorates from gingivitis to periodontitis?
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What is the key difference between the bacterial populations associated with periodontal health and chronic periodontitis?
What is the key difference between the bacterial populations associated with periodontal health and chronic periodontitis?
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Which bacterial species is specifically implicated in pregnancy-associated gingivitis?
Which bacterial species is specifically implicated in pregnancy-associated gingivitis?
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Which of the following is NOT a characteristic of the Red Complex bacteria?
Which of the following is NOT a characteristic of the Red Complex bacteria?
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Based on the information provided, what is a key characteristic of Aggregatibacter actinomycetemcomitans (Aa)?
Based on the information provided, what is a key characteristic of Aggregatibacter actinomycetemcomitans (Aa)?
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Which of the following are considered to be the initial colonizers of the dental pellicle?
Which of the following are considered to be the initial colonizers of the dental pellicle?
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What is the primary function of fimbriae in plaque formation?
What is the primary function of fimbriae in plaque formation?
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Which of these is NOT a characteristic of the dental pellicle?
Which of these is NOT a characteristic of the dental pellicle?
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The transition from early aerobic environment to a highly oxygen-deprived environment in plaque formation is due to the:
The transition from early aerobic environment to a highly oxygen-deprived environment in plaque formation is due to the:
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What is the term for the process where bacteria attach to other bacteria already present in the plaque mass?
What is the term for the process where bacteria attach to other bacteria already present in the plaque mass?
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Which of the following is NOT a secondary colonizer of the dental plaque?
Which of the following is NOT a secondary colonizer of the dental plaque?
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In the later stages of plaque maturation, coaggregation occurs primarily between:
In the later stages of plaque maturation, coaggregation occurs primarily between:
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Bacteria have been classified into 5 clusters based on similarities and differences in:
Bacteria have been classified into 5 clusters based on similarities and differences in:
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Flashcards
Dental Plaque
Dental Plaque
Soft deposits forming a biofilm on tooth surfaces, leading to periodontal disease.
Calculus
Calculus
Hard deposit formed by the mineralization of dental plaque, often covered by unmineralized plaque.
Materia Alba
Materia Alba
Soft, loosely organized accumulation of bacteria and tissue cells on teeth, easier to displace than plaque.
Periodontal Disease
Periodontal Disease
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Bacterial Complexes
Bacterial Complexes
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Six Major Ecosystems
Six Major Ecosystems
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Intraoral Surfaces
Intraoral Surfaces
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Bacterial Interactions
Bacterial Interactions
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Periodontal Pathogens
Periodontal Pathogens
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Biofilms
Biofilms
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Red Complex
Red Complex
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Coaggregation
Coaggregation
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Gingival Plaque
Gingival Plaque
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Secondary Colonizers
Secondary Colonizers
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Tissue-Associated Plaque
Tissue-Associated Plaque
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Microbial Interactions
Microbial Interactions
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Subgingival niche
Subgingival niche
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Gingivitis vs Periodontitis
Gingivitis vs Periodontitis
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Initial vs Secondary Colonization
Initial vs Secondary Colonization
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Pregnancy-associated gingivitis
Pregnancy-associated gingivitis
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Nucleatum
Nucleatum
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Supragingival plaque
Supragingival plaque
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Marginal plaque
Marginal plaque
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Subgingival plaque
Subgingival plaque
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Nonspecific Plaque Hypothesis
Nonspecific Plaque Hypothesis
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Localized Aggressive Periodontitis
Localized Aggressive Periodontitis
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Mechanical removal of plaque
Mechanical removal of plaque
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Biofilm Resistance
Biofilm Resistance
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Formation of Dental Plaque
Formation of Dental Plaque
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Factors Affecting Plaque Location
Factors Affecting Plaque Location
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Stages of Plaque Formation
Stages of Plaque Formation
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Biofilm Structure
Biofilm Structure
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Pellicle Formation
Pellicle Formation
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Components of Pellicle
Components of Pellicle
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Initial Colonization
Initial Colonization
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Adhesins
Adhesins
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Fimbriae
Fimbriae
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Plaque Maturation
Plaque Maturation
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Secondary Colonization
Secondary Colonization
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Study Notes
Microbiology of Periodontal Diseases
- The study focuses on the microbiology of periodontal diseases
- Learning objectives include understanding tooth deposits, bacterial complexes, bacterial interactions, and correlating treatment to microbial reasons.
Learning Objectives
- Different tooth deposits, their formation, implications on diseases
- Various bacterial complexes and families found in periodontal disease
- Bacterial interactions in various periodontal diseases
- Correlation between periodontal treatment and microbial reasons
Bacterial Timeline (Months After Birth)
- Gram-negative bacteria like Veillonella, Prevotella, and other species are prevalent at various stages, from the initial stages shortly after birth to several years later
- Gram-positive bacteria like Actinomyces, Streptococcus, and other species are also shown in the chart
- Different bacteria are present at different times after birth, exhibiting complex developmental patterns
Types of Tooth Deposits
- Dental plaque: a soft biofilm adhering to tooth surfaces, restorations
- Materia alba: soft accumulations of bacteria and cells, easily removed
- Calculus: hard deposit formed by dental plaque mineralization.
Oral Microbiota
- Composed of commensal, symbiotic, and pathogenic species
- Located in different niches such as the gums, saliva, and teeth
- Biofilms are communities of bacteria attached to surfaces
Six Major Ecosystems
- Intraoral and supragingival hard surfaces (teeth, implants)
- Subgingival regions adjacent to hard surfaces (periodontal/periimplant pockets)
- Epithelium of the buccal and palatal areas, mouth floor, tongue dorsum, tonsils
- Saliva
Dental Plaque Composition
- Microorganisms (70%): Various bacterial strains, non bacterial (e.g., yeasts, protozoa, viruses)
- Intercellular Matrix (30%): Organic materials (e.g., glycoproteins, polysaccharides (dextran), albumin, lipids ) plus inorganic materials(e.g., calcium, phosphorus, sodium, potassium, fluoride)
Plaque Formation Process
- Pellicle formation on tooth surfaces (glycoprotein pellicle from saliva, crevicular fluid, bacterial and host cells)
- Initial colonization involves gram-positive bacteria like Actinomyces and Streptococcus, attaching using adhesins to the pellicle
- Secondary colonization, with additional species attaching to existing organisms (coaggregation)
- Plaque maturity includes a transition from an early aerobic environment with gram-positive facultative species to a highly anaerobic environment.
Formation of Dental Plaque-Phases
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- Pellicle Formation: Initial coating on the tooth surface created by glycoproteins, bacteria, and proteins from saliva & crevicular fluid
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- Initial Colonization: Gram-positive, facultative bacteria (Streptococci, Actinomyces) attach to the pellicle.
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- Secondary Colonization: Additional bacteria (e.g., Prevotella, Porphyromonas) now attach to existing bacteria
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- Plaque Maturation: A transition occurs to a more anaerobic environment with higher numbers of gram-negative anaerobic bacteria.
Different Plaque Regions and Associated Diseases
- Supragingival plaque leads to calculus and caries, gingivitis
- Subgingival plaque leads to calculus, caries, and soft-tissue destruction.
Microbial Specificity of Periodontal Diseases
- Nonspecific plaque hypothesis: Plaque accumulation regardless of specific bacteria is a primary factor.
- Specific plaque hypothesis: Specific bacteria or their products are the primary factors in disease.
- Ecological plaque hypothesis: The interaction with other bacteria and the environment leads to specific diseases, and the different clusters affect the other clusters according to the periodontal state.
Microorganisms Associated with Specific Diseases
- Periodontal Health: Primarily gram-positive facultative species (including Streptococcus, Actinomyces).
- Gingivitis: Almost equal proportions of gram-positive and gram-negative species.
- Pregnancy-associated gingivitis: Prevotella intermedia use steroids as growth factors.
- Chronic Periodontitis: High percentages of anaerobic gram-negative bacteria, including Porphyromonas gingivalis, Prevotella intermedia, Fusobacterium nucleatum, and Bacteroides forsythus.
- Localized Aggressive Periodontitis: High levels of A. actinomycetemcomitans.
- Abscesses of the Periodontium: F. nucleatum, P. intermedia, P. gingivalis, P. micros, and B. forsythus.
Controlling Dental Plaque/Biofilm
- Mechanical removal is the most effective treatment method.
Plaque Index
- Simple method for evaluating plaque on teeth using disclosing tablets. Calculation involves determining the number of sites with plaque and comparing it to the total number of sites evaluated.
Additional Considerations
- Study of biofilm emphasizes the community aspects of bacteria and their intricate interactions, rather than isolated pathogens.
- Multiple bacteria species' interdependence and influence on one another highlight the complexity within periodontitis.
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Description
This quiz explores the factors contributing to the formation and accumulation of dental plaque, the role of bacterial biofilms in oral disease, and the importance of understanding periodontal microbiology. It covers the primary functions of teeth coatings and the implications of oral hygiene practices. Test your knowledge on the characteristics and composition of dental plaque.