Microbiology of Periodontal Disease Quiz (ODS Learning Outcomes)
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Questions and Answers

Which of the following bacteria is NOT a periodontal pathogen?

  • Porphyromonas gingivalis
  • Tannerella forsythia
  • Treponema denticola
  • Streptococcus mutans (correct)
  • What is the role of gingipains produced by Porphyromonas gingivalis?

  • To degrade host cell DNA
  • To enhance the immune response
  • To digest tissue proteins and destroy host defenses (correct)
  • To disrupt carbohydrate metabolism
  • Which virulence factor is associated with Tannerella forsythia?

  • Apoptotic-inducing factor (correct)
  • Lipid A
  • Fimbrae
  • Haemagglutination
  • What type of microorganisms are predominantly found in the supragingival plaque?

    <p>Gram-positive aerobes (B)</p> Signup and view all the answers

    What is the function of the extracellular slime layer in dental plaque?

    <p>To provide a protective barrier and channels for fluid (A)</p> Signup and view all the answers

    Which of the following factors helps Treponema denticola in tissue invasion?

    <p>Motility and adherence factors (C)</p> Signup and view all the answers

    Which Gram-negative organism produces endotoxins that can affect host defenses?

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

    What is the potential consequence of haemagglutination by Porphyromonas gingivalis?

    <p>Increased risk of cardiac issues (A)</p> Signup and view all the answers

    The transition from gingival health to periodontal disease often involves which of the following changes?

    <p>Overgrowth of specific Gram-negative pathogens (B)</p> Signup and view all the answers

    Which of the following statements about periodontal disease pathogens is correct?

    <p>They can all invade host tissues and produce virulence factors. (D)</p> Signup and view all the answers

    What type of organism is Aggregatibacter actinomycetemcomitans?

    <p>Gram-negative coccoid bacillus (A)</p> Signup and view all the answers

    What is one of the virulence factors produced by Aggregatibacter actinomycetemcomitans?

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

    Which type of periodontal disease is Aggregatibacter actinomycetemcomitans primarily associated with?

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

    Which of the following statements is NOT true about Aggregatibacter actinomycetemcomitans?

    <p>It is motile. (D)</p> Signup and view all the answers

    Which environmental factor is linked to the aetiology of periodontal disease?

    <p>Poor oral hygiene (B)</p> Signup and view all the answers

    In the context of periodontal disease, what do PMN defects refer to?

    <p>Defects in polymorphonuclear leukocytes (C)</p> Signup and view all the answers

    How does Aggregatibacter actinomycetemcomitans affect host defenses?

    <p>By killing white blood cells (D)</p> Signup and view all the answers

    Which of the following factors is part of the multifactorial aetiology of periodontal disease?

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

    What is a common consequence of the proteases produced by Aggregatibacter actinomycetemcomitans?

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

    Which of the following is NOT an aspect of the multifactorial aetiology of periodontal disease?

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

    Flashcards

    Supragingival Bacteria

    Gram-positive bacteria found above the gum line (supragingival) are often associated with healthy gum tissue. Examples include streptococci and actinomyces.

    Subgingival Bacteria

    Gram-negative bacteria reside below the gum line (subgingival) and are strongly linked to gum disease. Examples include Porphyromonas gingivalis, Prevotella intermedia, and Fusobacteria.

    Biofilm

    A sticky, organized community of bacteria that forms on teeth, known as dental plaque, consists primarily of this.

    Porphyromonas gingivalis

    Porphyromonas gingivalis (Pg) is a key player in gum disease, being a prominent gram-negative bacterium.

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    Gingipains

    A crucial virulence factor, gingipains are proteinases produced by Pg. They can break down tissue proteins to nourish the bacteria and undermine the body's defenses, such as antibodies.

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    Endotoxins

    Endotoxins, also called lipopolysaccharides, are potent toxins released by gram-negative bacteria like Pg. They can trigger inflammation and damage host tissues.

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    Tannerella forsythia

    Tannerella forsythia (Tf) is another gram-negative anaerobic bacterium closely associated with gum disease. It's notoriously difficult to grow in the lab.

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    Treponema denticola

    Treponema denticola (Td) is known for its ability to move (motile) and invade tissues. This bacterium can also disrupt the body's defense mechanisms by influencing the production of cytokines.

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    Fimbrae

    These specialized appendages on bacteria, like Pg, can facilitate their attachment to cells and tissues, leading to invasion.

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    Carbohydrate Capsule

    This protective layer around certain bacteria, like Pg, helps them resist host defenses and can make it difficult for the body's immune system to eliminate them.

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    Aggregatibacter actinomycetemcomitans

    A bacterium associated with aggressive periodontitis, notable for its rapid progression and resistance to treatment.

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    Leukotoxin

    A bacterial toxin produced by Aggregatibacter actinomycetemcomitans, known for its ability to kill white blood cells, weakening the immune system.

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    Aggregatibacter actinomycetemcomitans morphology

    A gram-negative bacterium with a short, rod-like shape.

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    Early PMN response suppression

    The initial response to bacterial invasion involving polymorphonuclear leukocytes (PMNs), which is suppressed by Aggregatibacter actinomycetemcomitans.

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    Motility

    The ability to move independently, which Aggregatibacter actinomycetemcomitans lacks.

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    Fibroblast/epithelial cell destroying toxin

    A bacterial toxin produced by Aggregatibacter actinomycetemcomitans, known for its ability to destroy fibroblasts and epithelial cells, hindering tissue repair.

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    Collagenase

    Enzymes produced by Aggregatibacter actinomycetemcomitans that break down collagen, a key component of connective tissue, contributing to tissue destruction.

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    Anaerobic growth

    The ability to thrive in an environment lacking oxygen, which Aggregatibacter actinomycetemcomitans lacks.

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    Periodontal disease aetiology

    Factors contributing to periodontal disease development, encompassing a combination of microbial, environmental, and host defense elements.

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    Host defense factors

    Factors related to the host's ability to defend against periodontal disease, which includes factors like PMN defects and genetic susceptibility.

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    Study Notes

    Oral Bacteria in Periodontal Disease

    • Oral bacteria are categorized by their location within the mouth (supragingival vs. subgingival) and oxygen requirements (aerobic, anaerobic, facultative).
    • Supragingival bacteria, typically gram-positive, include streptococci and actinomyces.
    • Subgingival bacteria, typically gram-negative, include Porphyromonas gingivalis, Prevotella intermedia, and fusobacteria.

    Dental Plaque and Biofilm

    • Dental plaque is a biofilm, a complex community of microbes.
    • Some subgingival microbes are free-floating or loosely attached instead of tightly in the pocket.
    • An extracellular slime layer protects these microbes and creates fluid channels within the plaque.

    Periodontal Pathogens and Virulence Factors

    • Porphyromonas gingivalis (Pg) is a gram-negative bacterium involved in periodontal disease.
    • Tannerella forsythia (Tf), Treponema denticola (Td), and Aggregatibacter actinomycetemcomitans (Aa) are other key periodontal pathogens.
    • Virulence factors of these bacteria include the production of proteinases, like gingipains, which degrade host tissue.
    • Gram-negative bacteria produce endotoxins (lipopolysaccharide).
    • Haemagglutination, allowing the bacteria to acquire nutrients, adhesion to host cells, and tissue invasion, are also common virulence methods.

    Microbial Transition from Health to Disease

    • Tannerella forsythia: This bacterium is more prevalent in periodontitis than in gingival health. It produces proteases and factors that induce apoptosis (cell death).
    • Treponema denticola: This motile bacterium uses gingival crevicular fluid (GCF) components for energy and multiplication, adheres to fibroblasts, and disrupts host defenses by affecting cytokine regulation.. It also delays wound healing.
    • Porphyromonas gingivalis: Pg produces gingipains, uses GCF for nutrients, has a capsule to resist host defenses, and produces lipopolysaccharide (LPS). It also possesses haemagglutinin and platelet aggregation factors.
    • Aggregatibacter actinomycetemcomitans: This bacterium is associated with aggressive periodontitis. It produces leukotoxin (kills white blood cells), and toxins that damage fibroblasts and epithelial cells.

    Aetiology of Periodontal Disease

    • Periodontal disease is multifactorial, with microbial factors playing a crucial role.
    • Environmental factors, like smoking, poor oral hygiene, pre-existing pockets, and plaque retentive factors, also contribute to the disease.
    • Host defense factors, such as polymorphonuclear leukocyte (PMN) defects and certain genetic factors, influence susceptibility.

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    Description

    Explore the roles of oral bacteria in periodontal disease through this quiz. Understand the differences between supragingival and subgingival bacteria, as well as the significance of dental plaque as a biofilm. Delve into key periodontal pathogens and their virulence factors.

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