Normal Oral Microflora Flashcards
Oral cavity microbial habitats
teeth
gingival sulci
attached gingiva
lips, tongue, cheeks
hard and soft palate
Normal flora
called commensals
Supragingival bacteria
predominantly streptococci
mutans
salivarius
mitis
anginosus
Subgingival bacteria
actinomyces
prevotella
prophyromonas
fusobacterium
veillonella
Gram (+) bacteria
Cocci:
Streptococcus –> Mutans, salivarius, mitis, anginosus
Bacilli and filaments:
Lactobacilli, eubacteria, propionibacterium acnes and propionicus, actinomyces
What are the four groups of streptococcus
mutans, salivarius, mitis, anginosus
What is the the mutans group
colonizes tooth or denture surfaces
rapidly produces acid
can grow in an acidic environment
What is the primary pathogen in dental caries
Streptococcus mutans
What can streptococcus mutans cause
root surface caries in elderly
pit and fissure caries
smooth surface (enamel) caries
What is the important virulence property of mutans group
ability to form bioflim
What is salivarious group
found on mucosal surfaces, including the tongue
What are the two groups of salivarius group
strept. salivarious & strept. vestibularis
Strept. Salivarious
Opportunistic pathogen capable of infecting immunocomprised patients
Strongly cariogenic, but less than S. mutans
Strept. vestibularis
Normal inhabitant of oral vestibules
Mitis group
S. sanguinis, strept. gordonii, strept. mitis, and strept. oralis may become opportunistic pathogens and cause infective endocarditis
early colonizers in biofilm formatoin
What mitis group bacteria is not an opportunistic pathogen
S. mitis
What is the anginosus group
Found in dental plaque and mucosal surfaces
opportunistic pathogens
involved in maxillofacial infections
includes: strept. anginosus, strept. intermedius, and strept. constellatus
What are the gram (+) cocci bacteria
Streptococcus: Mutans, Salivarius, Mitis, Anginosus
What are gram (+) bacilli and filaments
Lactobacilli, Eubacteria, Propionbacterium, Actinomyces
Lactobacilli
Constitute about 1% of the total cultivable microflora in the oral cavity
Increases in advanced caries lesions of the enamel and root surface
Acidogenic and also acid tolerant
Testing for lactobacilli in the saliva of patients is one way to monitor patients’ dietary intake of carbohydrates
Eubacteria
pleomorphic, obligate anaerobes found in dental plaque
constitute more than 50% of the anaerobes of periodontal pockets
propionibacterium
propionibacterium acnes and propionibacterium propionicus
strict anaerobic bacilli found in dental plaque
Actinomyces species
Major compoenet in dental plaque
In subgingival microbiota of healthy individuals
Actinomyces israelii can be an opportunistic pathogen: can cause actinomycosis chronic inflammation in the orofacial region
Gram (-) bacteria
cocci: veillonella species
bacilli: aggregatibacteria actino,
fusobacterium
porphyromonas prevotella
Spiral shaped: campylobacter rectus,
treopnema
Pleomorphic: Tannerella forsythia