Periodontal Microbiology Quiz
42 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following is NOT a characteristic of dental plaque?

  • It is a soft deposit that forms a biofilm.
  • It is easily displaced with a water spray. (correct)
  • It can be a primary etiologic factor for gingivitis and periodontitis.
  • It adheres to tooth surfaces and other hard surfaces in the mouth.
  • Why is a profound knowledge of periodontal microbiology necessary?

  • It helps us understand the pathogenesis of periodontal diseases.
  • It allows for the development of effective periodontal treatments.
  • It helps us understand how the oral microbiome interacts with the host.
  • All of the above. (correct)
  • Which of the following is a hard deposit that forms by mineralization of dental plaque?

  • Calculus (correct)
  • Crevicular fluid
  • Materia alba
  • Dental plaque
  • What is the primary etiologic factor for gingivitis and periodontitis?

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

    Which of the following is NOT an ecosystem (niche) in the oral cavity?

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

    What is the significance of studying the formation, composition, and characteristics of dental plaque?

    <p>All of the above. (D)</p> Signup and view all the answers

    Which of the following statements is TRUE about the role of bacteria in periodontal disease?

    <p>The presence of specific bacterial species is associated with different types of periodontal disease. (A)</p> Signup and view all the answers

    What is the significance of understanding the interactions between bacteria in dental plaque?

    <p>All of the above. (D)</p> Signup and view all the answers

    What is the primary energy source for F. nucleatum?

    <p>Amino acids and small peptides (B)</p> Signup and view all the answers

    Which of the following bacteria are associated with pregnancy-associated gingivitis?

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

    What is the primary difference between the Nonspecific Plaque Hypothesis and the Specific Plaque Hypothesis?

    <p>The Nonspecific Plaque Hypothesis suggests that any plaque formation leads to disease, while the Specific Plaque Hypothesis focuses on specific bacterial species. (B)</p> Signup and view all the answers

    Which of the following bacteria is NOT associated with chronic periodontitis?

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

    Which type of plaque is associated with soft tissue destruction?

    <p>Tissue-associated plaque (B)</p> Signup and view all the answers

    Which of the following bacterial species is most commonly associated with Localized Aggressive Periodontitis (LAP)?

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

    What is the most effective way to control dental plaque biofilm?

    <p>Mechanical removal through brushing and flossing (A)</p> Signup and view all the answers

    What is the primary characteristic of the bacterial composition in periodontal health?

    <p>Presence of a high percentage of facultative species from Streptococcus and Actinomyces genera (D)</p> Signup and view all the answers

    What is the primary component of the intercellular matrix in dental plaque?

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

    Which bacteria strain is predominantly found in the polysaccharide components of dental plaque?

    <p>Dextran-producing bacteria (D)</p> Signup and view all the answers

    What serves as the main source of inorganic materials in dental plaque?

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

    In what form do more than 99% of all bacteria on Earth live?

    <p>As attached bacteria in biofilms (B)</p> Signup and view all the answers

    Which of the following components is NOT part of the composition of the dental plaque intercellular matrix?

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

    What is the difference in microbial composition between gingivitis and chronic periodontitis?

    <p>Increased Gram-negative, anaerobic bacteria in chronic periodontitis (B)</p> Signup and view all the answers

    What does the Red complex in periodontal disease primarily consist of?

    <p>P.gingivalis, T.forsthus, and T.denticola (C)</p> Signup and view all the answers

    Which type of bacteria is primarily responsible for pregnancy-associated gingivitis?

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

    What is the initial change observed in the microbial shift as health progresses to periodontitis?

    <p>From cocci to rods and then to spirochetes (C)</p> Signup and view all the answers

    What is the best method for effective plaque control in periodontitis?

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

    Which cluster is primarily associated with bleeding on probing?

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

    What characteristic do secondary colonizers generally exhibit?

    <p>They predominantly fall into the green, orange, or red complexes. (B)</p> Signup and view all the answers

    Which statement about microbial interaction is accurate?

    <p>Coaggregation bridges allow cooperation between non-partner species. (B)</p> Signup and view all the answers

    Which of the following species is typically associated with the tooth surface in dental plaque?

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

    What distinguishes the outer surface of mature plaque mass?

    <p>It consists mainly of spirochetes and filaments. (A)</p> Signup and view all the answers

    Which species is NOT typically found in the orange complex?

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

    How do oral bacterial species typically organize within subgingival plaque?

    <p>Through cooperation and communication with each other. (D)</p> Signup and view all the answers

    What is a characteristic of gram-positive species at the tooth surface?

    <p>They utilize saliva as a carbon source. (C)</p> Signup and view all the answers

    What is the primary function of the pellicle in the oral cavity?

    <p>To act as a protective barrier and substrate for bacteria (D)</p> Signup and view all the answers

    Which type of microorganisms primarily colonize the dental pellicle initially?

    <p>Gram-positive facultative microorganisms (A)</p> Signup and view all the answers

    What structural features do bacteria use to attach to the pellicle?

    <p>Fimbriae with adhesins (A)</p> Signup and view all the answers

    Which of the following is NOT a phase in the maturation of dental plaque?

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

    What is coaggregation in dental plaque formation?

    <p>Adhesion of secondary colonizers to existing bacteria (C)</p> Signup and view all the answers

    As dental plaque matures, the environment transitions from aerobic to what type of environment?

    <p>Oxygen-deprived (D)</p> Signup and view all the answers

    Which of the following microorganisms is considered a secondary colonizer in dental plaque?

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

    What classification system is used to categorize bacteria in the formation of dental plaque?

    <p>According to their nutritional and atmospheric environment (A)</p> Signup and view all the answers

    Flashcards

    Composition of Dental Plaque

    Dental plaque consists of 70% microorganisms and 30% intercellular matrix.

    Biofilm

    A biofilm is a complex community of bacteria attached to a surface and embedded in a slime layer.

    Bacterial Lifestyles

    Bacteria can live free-floating (planktonic) or attached to surfaces, forming biofilms.

    Intercellular Matrix Components

    The intercellular matrix of dental plaque includes glycoproteins, polysaccharides, albumin, and lipids.

    Signup and view all the flashcards

    Sources of Inorganic Materials

    Inorganic materials in dental plaque come from saliva, gingival crevicular fluid, and fluoridated toothpaste.

    Signup and view all the flashcards

    Tooth Deposits

    Materials like plaque, calculus, and materia alba that accumulate on teeth.

    Signup and view all the flashcards

    Dental Plaque

    A soft biofilm forming on tooth surfaces, consisting of bacteria and tissue cells.

    Signup and view all the flashcards

    Calculus

    A hard deposit on teeth formed by the mineralization of dental plaque.

    Signup and view all the flashcards

    Materia Alba

    Soft accumulations of bacteria and debris that lack the structure of plaque.

    Signup and view all the flashcards

    Periodontal Microbiota

    The complex community of bacteria that live in the periodontal environment.

    Signup and view all the flashcards

    Intraoral Ecosystems

    Different niches in the mouth where specific bacteria thrive, affecting oral health.

    Signup and view all the flashcards

    Bacterial Interactions

    How bacteria communicate and influence each other in periodontal diseases.

    Signup and view all the flashcards

    Periodontal Treatment Modalities

    The various approaches used to treat periodontal diseases linked to microbial causes.

    Signup and view all the flashcards

    Pellicle formation

    Coating of oral surfaces with a glycoprotein pellicle from saliva and debris.

    Signup and view all the flashcards

    Components of pellicle

    Derived from saliva, crevicular fluid, bacterial, and host tissue cell products.

    Signup and view all the flashcards

    Initial Colonization

    Bacteria begin to attach to the dental pellicle within hours of formation.

    Signup and view all the flashcards

    Adhesins

    Specific molecules on bacteria that help them attach to the dental pellicle.

    Signup and view all the flashcards

    Fimbriae

    Hairlike structures on bacteria that assist in attachment to surfaces.

    Signup and view all the flashcards

    Plaque maturation

    The process where the plaque mass grows and shifts from aerobic to anaerobic bacteria.

    Signup and view all the flashcards

    Secondary colonization

    Microorganisms that later adhere to the plaque mass, not initially colonizing surfaces.

    Signup and view all the flashcards

    Coaggregation

    Interactions among different bacterial species in plaque formation.

    Signup and view all the flashcards

    Microbial Clusters

    Microbial species organize into clusters influencing periodontal health.

    Signup and view all the flashcards

    Red Complex

    A group of pathogens associated with bleeding on probing in periodontal disease.

    Signup and view all the flashcards

    Green and Orange Complexes

    These complexes include species that are pathogens in periodontal and other infections.

    Signup and view all the flashcards

    Coaggregation Bridges

    Mechanisms of cooperation that connect non-coaggregation partners in biofilms.

    Signup and view all the flashcards

    Competition in Biofilms

    Occurs when multiple species vie for the same binding receptor.

    Signup and view all the flashcards

    Subgingival Plaque Architecture

    An environment where bacterial species optimize colonization based on communication and location.

    Signup and view all the flashcards

    Dental Plaque Composition

    Includes gram-positive cocci at the tooth surface and gram-negative rods at the outer plaques.

    Signup and view all the flashcards

    Pathogen Interactions

    Pathogens in the oral cavity exhibit cooperation and competition in their biofilms.

    Signup and view all the flashcards

    Subgingival Niche

    An ecosystem found beneath the gumline, hosting diverse bacteria.

    Signup and view all the flashcards

    Nucleatum

    A bacterium that uses amino acids and small peptides for energy.

    Signup and view all the flashcards

    Supragingival Plaque

    Plaque located above the gum line associated with calculus and caries.

    Signup and view all the flashcards

    Ecological Plaque Hypothesis

    The theory that the microbial composition in plaque influences periodontal health or disease.

    Signup and view all the flashcards

    Marginal Plaque

    Plaque found at the gum margin linked to gingivitis.

    Signup and view all the flashcards

    Red Complex Bacteria

    A group of pathogens including P. gingivalis, T. forsythia, and T. denticola, associated with disease.

    Signup and view all the flashcards

    Subgingival Plaque

    Plaque below the gum line causing soft tissue destruction.

    Signup and view all the flashcards

    Microbial Shifts

    Changes in bacterial composition as periodontal health changes, typically from healthy to unhealthy.

    Signup and view all the flashcards

    Specific Plaque Hypothesis

    Theory that specific bacteria are responsible for periodontal disease.

    Signup and view all the flashcards

    Chronic Periodontitis

    A severe form of gum disease characterized by the presence of gram-negative anaerobic bacteria.

    Signup and view all the flashcards

    Gingivitis

    Inflammation of the gums often due to bacterial imbalance.

    Signup and view all the flashcards

    P.intermedia

    A bacterium associated with pregnancy-related gingivitis.

    Signup and view all the flashcards

    Mechanical Removal

    The most effective method for controlling dental plaque biofilm.

    Signup and view all the flashcards

    Study Notes

    Microbiology of Periodontal Diseases

    • The periodontal microbiota is extremely complex
    • It affects the host, the oral environment, and periodontal treatment
    • Profound knowledge of periodontal microbiology is necessary

    Learning Objectives

    • Understand different tooth deposits, their formation, and disease implications
    • Recognize different bacterial complexes and families involved in periodontal disease
    • Comprehend bacterial interactions during various periodontal diseases
    • Correlate periodontal treatments to the microbial reasons

    Bacterial Types

    • Gram-negative bacteria

      • Veillonella spp.
      • Prevotella spp.
      • Haemophilus spp.
      • Neisseria spp.
      • Fusobacterium
      • Porphyromonas gingivalis
      • Capnocytophaga spp.
    • Gram-positive bacteria

      • Actinomyces spp.
      • Actinomyces odontolyticus
      • Streptococcus mitis
      • Streptococcus sanguinis
      • Streptococcus oralis
      • Streptococcus salavanus
      • Staphylococcus
      • Streptococcus
      • Clostratium spp
    • Other Bacteria

      • Corroding rods
      • Other Fusobacteria
      • Aggregatibacter actinomycetemcomitans
      • Porphyromonas gingivalis

    Different Deposits on Teeth

    • Dental plaque: A soft biofilm that adheres to tooth surfaces, including restorations
    • Materia alba: Soft accumulations of bacteria and tissue cells; easily displaced
    • Calculus: A hard deposit formed by mineralization of dental plaque
      • Generally covered by a layer of unmineralized plaque

    Dental Plaque = Biofilm

    • Dental plaque is the primary etiologic factor for gingivitis and periodontitis
    • It is a microbial community with a complex structure
    • It increases resistance to antimicrobial agents due to limited diffusion of substances

    Composition of Dental Plaque

    • Microorganisms (70%)
      • More than 500 bacterial strains; non-bacteria (e.g., yeasts, protozoa, viruses)
    • Intercellular Matrix (30%) - Organic materials (e.g., glycoproteins, polysaccharides, albumin, lipids) - Inorganic materials (e.g., calcium, phosphorus, sodium, potassium, fluoride)

    Organic Materials in Plaque

    • Glycoproteins, derived from saliva and important for pellicle formation
    • Polysaccharides, produced by bacteria (e.g., dextran)
    • Albumin, derived from crevicular fluid
    • Lipids, debris from disrupted cells and food

    Inorganic Materials in Plaque

    • Calcium and phosphorus
    • Sodium, potassium, and fluoride

    Bacterial Lifestyles

    • Free-floating (planktonic)
    • Attached to a surface forming a biofilm community

    Biofilm Communities

    • A biofilm is a well-organized community of bacteria adhering to surfaces
      • Embedded in an extracellular slime layer
    • More than 99% of bacteria on Earth are attached bacteria in biofilms
    • Found on many medical and dental devices

    Formation of Dental Plaque

    • Different factors influence the location and rate of plaque formation (oral hygiene, diet, salivary composition, saliva flow rate)
    • In the absence of oral hygiene, plaque accumulates until a balance between removal and formation is reached
    • Plaque formation happens in 3 phases
      • Formation of the pellicle on the tooth surface
      • Initial colonization by bacteria
      • Secondary colonization
      • Plaque maturation

    Initial Colonization of Plaque

    • Bacteria are found within a few hours on the dental pellicle
    • Predominantly gram-positive facultative microorganisms (e.g., Actinomyces viscosus, Streptococcus sanguis)
    • Adherence to pellicle via specific molecules called adhesins on the bacterial surface

    Secondary Colonization & Plaque Maturation

    • Secondary colonizers are microorganisms that do not initially colonize clean surfaces
      • e.g., Prevotella intermedia, Prevotella loescheii, Capnocytophaga spp., Fusobacterium nucleatum, Porphyromonas gingivalis
    • They often adhere to pre-existing cells in the plaque

    Coaggregation

    • Interactions among different gram-positive bacteria
    • Then between gram-positive and gram-negative species
    • Between different gram-negative species in later stages

    Microbial Ecology and Interactions

    • Bacteria are classified into 5 clusters based on nutritional and atmospheric similarities/differences
    • Interactions between clusters influence each other, related to specific periodontal states
    • Species from certain clusters are found interacting with others, mainly well; certain clusters rarely observed without another cluster

    Microorganisms Associated with Periodontal Diseases

    • Periodontal health—Gram-positive, facultative species from genera Streptococcus and Actinomyces
    • Gingivitis—equal proportions of gram-positive and gram-negative cocci, rods, and filaments
    • Pregnancy-associated gingivitis—P. intermedia
    • Chronic periodontitis—high percentages of aerobic bacterial species and P. gingivalis, P. intermedia, F. nucleatum, B. forsythus
    • Localized aggressive periodontitis—A. actinomycetemcomitans is prominent with Herpesviruses (EBV-1 and HCMV) as potential factors
    • Abscesses—F. nucleatum, P. intermedia, P. gingivalis, P. micros, and B. forsythus

    Plaque Index

    • A method for measuring plaque levels
    • Plaque stained by tablets
    • Calculation: (Number of sites with plaque / Number of sites evaluated) x 100

    Controlling Dental Plaque Biofilm

    • Mechanical removal is the most effective treatment

    Plaque Hypothesis

    • Nonspecific plaque hypothesis
    • Specific plaque hypothesis
    • Ecological plaque hypothesis

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Description

    Test your knowledge on the characteristics of dental plaque and its role in periodontal diseases. This quiz covers essential topics like the microbiological aspects of gingivitis, plaque formation, and associated bacteria. Perfect for dental students and professionals seeking to refresh their understanding of periodontal microbiology.

    More Like This

    Periodontal disease - Microbiology
    45 questions

    Periodontal disease - Microbiology

    UserFriendlySagacity4401 avatar
    UserFriendlySagacity4401
    Periodontal Disease Microbiology Module
    45 questions
    Dental Plaque Formation and Microbiology
    42 questions
    Use Quizgecko on...
    Browser
    Browser