microbiology part 1 Flashcards
to review the microbial aetiology of caries and provide context for preventative approach objectives: revisit properties of dental biofilm review the methods to characterise the oral microbiome assess the evidence for the role of micro-organisms in caries describe the main causative bacteria define the properties of cariogenic bacteria
what are dental biofilms
they are natural and beneficial
how many species are present in the dental biofilm
700+ species
what is the biofilm composed of
bacteria
viruses
fungi
what does the biome help with
with key functions
helps to regulate the immune system
and helps with host defences
what is desquamination
the shedding of epithelial cells- reduces the bacterial load
examples of non shedding surfaces
teeth
dentures
implants
what is the bacterial load like on non shedding surfaces
it is high unless you remove the load by eg brushing
how can we tell which bacteria are beneficial or harmful
by traditional culture such as
grow the organism
what are the issues with traditional culture
laborious
expensive
only half the species in the mouth grow on blood agar
very time consuming- need to do multiple tests and isolate the species
what are the issues with microscopy
only will tell you the shape of the species( cell morphology)
what does FISH stand for
fluorescent in situ hybridisation- can help recognise a few species
what are the molecular approaches to identify the species in the microbiome
HOMIM (human oral microbiome identification microarray )
DNA-DNA hybridisation
PCR
high throughput whole genome sequencing
what is the gold standard to see what species an organism is
high throughput whole genome sequencing- and put into the database and you can see which organism is present
what is metagenomics
complex clinical sample such as plaque
extract DNA
cut DNA
sequence and then the short fragments will make a long sequence
tested across a database and we can see which species are present
what does metatranscriptonomics look at
RNA to see which proteins are transcribed
what is HOMD
human oral microbiome database
how is the bacteria in the dental biofilm organised
structurally organised
functionally organised
why are bacteria in the biofilm functionally organised
so that the aerobic organisms are nearer the surface for O2
and anaerobic at the base
what are the features of the dental biofilms
concerted and collaborative metabolism food chains environment modification matrix formation cell-cell signalling complex interactions- balance
why are dental biofilms helpful
they help get rid of harmful organisms in the mouth due to pathogen exclusion
how can the load of helpful bacteria in the dental biofilm be reduced
due to long term antibiotic therapy
what can be the result of long term antibiotic therapy
overgrowth of yeasts
bacteria from which organ can cause a inflammatory reaction
gut and the mouth but rare
eg Crohns disease in the gut
why do we rarely see inflammatory reaction in the mouth
because the bacteria communicate between one another and the host
what is the entero salivary nitrate circulating system
where nitrate from green vegetables is reabsorbed from the gut and appears in saliva and the beneficial bacteria can break it down to nitrite which modifies blood pressure . and nitrite that is swallowed becomes acidified nitric oxide which is antibacterial and stimulates mucus
where does the body get nitrate from
from green veggies we eat
what does the nitrate get converted to
get converted into nitrite by beneficial bacteria in the oral cavity
why is nitrite good
it can reduce blood pressure
what does XS nitrite that is swallowed get converted into
acidified nitric oxide
where is the XS nitrite converted
in the stomach
why is acidified nitric oxide good
due to the fact it stimulates mucus production which protects the stomach lining and it is antibacterial
examples of bacteria seen in carious lesions
strep mutans
lactobacillus
other acidogenic/tolerating bacteria