Endodontic infection Flashcards

1
Q

What is endodontic infection?

A
  • Intact enamel and dentine protect the pulp so no infection
  • Infections to pulp happen secondary to tooth infections/trauma (e.g. caries Streptococci and Lactobacilli)
  • Derived from endogenous microflora
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2
Q

What are the bacteria most likely present in endodontic infection?

A
  • Bacteroides
  • Prevotella
  • Lactobacillus
  • Streptococcus oral
  • Clostridium
  • Fusobacterium
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3
Q

What microbes are present in primary endodontic infections ?

A
  • Polymicrobial
  • Dominated by Gram-negative anaerobic rods
  • Enterococcus faecalis found in 40%
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4
Q

What microbes are present in secondary endodontic infections?

A
  • One or few bacterial species
  • Gram-positive microorganisms
  • More likely to contain E.faecalis than primary
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5
Q

What are some virulence factors of E.faecilis?

A
  • Endotoxins
  • Adhesins
  • Collagenases
  • Hyaluronidase
  • Immune evasion
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6
Q

What is enterococcus faecalis?

A
  • Gram positive coccus (single or pairs)
  • Facultative anaerobe
  • Aggregative, adhesive, biofilm formation
  • Superoxide formation
  • gelatinase
  • Cytolysin
  • Lipotechoic acid
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