Biofilms - Microbial Ecology of the Mouth Flashcards

1
Q

what is a biofilm?

A

matrix enclosed bacterial (or fungal) populations adherent to each other and/or to surfaces or interfaces

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2
Q

what are biofilms generally made of?

A

bacteria

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3
Q

what do the bacteria in biofilms produce?

A

a glue which is important for protecting it from saliva and antibiotics and innate immune response, therefore making the glue an immune defence

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4
Q

what are the defining characteristics of the biofilm?

A

immune defence and very difficult to clinically manage these infection types with an antimicrobial

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5
Q

what are planktonic cells?

A

free floating cells

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6
Q

what are the benefits of being a biofilm?

A

protective environment, co-ordinated cellular events, division of labour, EPS traps nutrients, less energy utilised, survival in numbers, bacteria can sense one another

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7
Q

what is needed for a biofilm development?

A

surface, conditioning film and micro-organism

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8
Q

what are the stages of biofilm development?

A

adhesion, colonisation, accumulation, complex community and dispersal

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9
Q

what is the glycocalyx extra-cellular matrix composed of?

A

exopolymeric substrate

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10
Q

what does the glyocalyx extracellular matrix do?

A

maintains a hydrated environment, helps maintain a tissue-like integrity and provides protective barrier

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11
Q

what does the organisation of microcolonies within the glycocalyx extracellular matrix allow?

A

active diffusion

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12
Q

what features of immune resistance does the glycocalyx extracellular matrix give?

A

blocks phagocytosis, covers complement activation sites on the bacterial surface, inhibits chemotaxis, decreased natural killer cell function, prevents diffusion of bacterial products, immune complexes - frustrated immunity

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13
Q

how does the glycocalyx extracellular matrix have antibiotic resistance?

A

prevents diffusion of antibiotics, acts as ion-exchange barrier, binding charges molecules, thickness and complexity, physiological state of the bacteria, low growth rates, differential gene expression

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14
Q

what is dental plaque?

A

a diverse microbial community found on the tooth surface, embedded in a matrix of polymers of bacterial and salivary origin

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15
Q

where is dental plaque found?

A

at protected and stagnant surfaces, and these are at greatest risk of disease

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16
Q

how does dental plaque form part of the defence system?

A

it helps to prevent colonisation of enamel by exogenous microorganisms

17
Q

what are the 2 different types of caries?

A

root surface caries and coronal caries

18
Q

name an endodontic infection

A

root canal

19
Q

what are the 2 periodontal infections

A

gingivitis and periodontitis

20
Q

where does oral malodour originate from?

A

dorsal surface of the tongue

21
Q

name 3 mucosal infections

A

thrush, angular chelitis, denture stomatitis

22
Q

what are the 4 stages of plaque development?

A

pioneer colonisation, outgrowth, secondary colonisation, climax community

23
Q

what happens in the outgrowth stage of plaque development?

A

microcolony spread outward and upward

24
Q

what happens in the secondary colonisation stage of plaque development?

A

pioneers act as substrate, co-aggregation, specific interactions

25
what happens during the climax community stage of plaque development?
polysaccharide production, synergistic metabolic interactions, nutrients, redox potential, oxygen, pH
26
what is the microbial ecology like with a high protein diet?
few acidogenic organisms, more gram-negatives, secondary metabolites - malodour
27
what is the microbial ecology like with a high carbohydrate diet ?
metabolism reduced pH, aciduric organisms thrive, streptococci and lactobacilli