Dental Plaque And Caries Flashcards

1
Q

What is dental biofilm

A

The complex microbial community that develops on a tooth surface embedded in a matrix of polymers of bacterial and saliva

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2
Q

What are the 4 needs for caries progression

A

Host (tooth)
Time
Diet
Plaque (bacteria)

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3
Q

How many days do clinical symptoms of gingivitis develop

A

Within 21 days after plaque was allowed to accumulate

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4
Q

What is the intercellular matrix consisted of in dental plaque

A

Organic and inorganic material derived from saliva, gingival cervicular fluid and bacterial products

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5
Q

What are the 4 organic components of dental plaque

A

Glycoproteins from saliva
Polysaccharides produced by bacteria
Proteins
Lipid material from disrupted bacteria, host cells and food debris

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6
Q

What are 5 inorganic components of dental plaque

A

Calcium
Phosphorus
Sodium
Potassium
Fluoride

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7
Q

How does calculus form

A

As the mineral content increases the plaque mass becomes calcified to form calculus

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8
Q

What are the 3 main phases of dental plaque formation

A

Formation of pellicle on the tooth surface
Initial adhesion/attachment of bacteria
Colonisation/plaque maturation

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9
Q

What is the main microorganism found in dental plaque

A

Streptococcus mutans

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10
Q

What are 4 other species of streptococcus

A

S sanguis
S oralis
S mitis
S mutans

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11
Q

How long does it take for single bacterial cells to form on the tooth surface

A

4 hours

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12
Q

How long does it take for microcolonies to form on the tooth surface

A

4-24 hours

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13
Q

How long does it take for bacteria to mature on the tooth surface

A

14 days

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14
Q

What type of gram is streptococcus

A

Gram negative bacteria

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15
Q

What are the 3 main benefits of saliva

A

Washes away carbohydrates
Promotes remineralisation
Acts as a buffer

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16
Q

How does saliva promote remineralisation

A

Through calcium, phosphate, hydroxyl and fluoride ions

17
Q

How does saliva act as a buffer

A

Through sodium and bicarbonate ions

18
Q

What pH level does enamel demineralise

A

5.5

19
Q

What pH level does dentine demineralise

A

6.5

20
Q

What 2 bacterial loads reduce plaque

A

Lysozyme and lgA

21
Q

What attaches late colonisers to the tooth biofilm

A

Fusobacterium nucleatum

22
Q

Which stage of colonisers are gram positive

A

Early colonisers

23
Q

Which stage of colonisers are gram negative

A

Late colonisers

24
Q

Why are gram negative bacteria more resistant against antibodies

A

Because of their impenetrable cell wall