Microflora of periapical, bony and soft tissue infection (Oral Microbiology) Flashcards

1
Q

Enterococcus faecalis:

A
  • Associated with endodontic failure
  • Resistant to beta-lactams and aminoglycosides
  • Can grow in wide range of environments
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2
Q

Filifactor alocis:

A
  • Present in endodontic and periodontal lesions

- Coaggregate with other bacteria to form biofilms

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3
Q

Microbiology of periapical abscess:

A
  • Mixed anaerobic organisms
  • Usually multiple bacteria
  • Bacteria:
    1) S. anginosus
    2) Fusobacterium
    3) T. denticola
    4) Filifactor alocis
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4
Q

Prevotella intermedia

A
  • Obligate anaerobe
  • Found in periapical abscess
  • Can inhibit complement system by degrading C3
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5
Q

Define cellulitis and give examples of microorganisms involved

A

Spreading of infection from teeth to neighbouring soft tissue.
Commonly:
1) Anginosus group of streptococci
2) Fusobacterium spp.

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6
Q

List the bacteria in periodontal disease

A
  • P. gingivalis
  • T. forsythia
  • T. denticola
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7
Q

List the bacteria in periodontal abscess - mostly anaerobes

A
  • P. intermedia
  • P. gingivalis
  • Fusobacterium nucleatum
  • Streptococcus of angiosus group
  • Actinomyces spp.
  • Lactobacilli spp.
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8
Q

Define ‘Ludwig’s angina’

A

Infection spreads through sublingual, submandibular and lateral pharyngeal spaces

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9
Q

Antibiotic resistance?

A

Metronidazole resistance is low in anaerobes

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