Plaque Flashcards
define plaque
natural, normal + beneficial to health
community of micro-organisms found on the tooth surface as a biofilm embedded in a matrix of polymers of salivary and bacterial origin
define microbial community
interactive mixture of organisms
many types of bacteria and other organisms are found in dental plaque BUT they don’t exist in isolation, they function as a community
(properties of the WHOLE is more than the sum of the PARTS)
what are biofilms
bacteria that exist on surfaces as in nature all microorganisms have to stick to a surface in order to survive and exist
where do biofilms exist and why
throughout nature
way microorganisms have adapted to survive
how is plaque beneficial to the host
contributes to host defences helping to keep out organsims that we come into contact with daily
where is plaque preferentially located and why
retentive and stagnant sites (suffer most dental disease)
these sites are protected from the oral environment, saliva flow, chewing + patients find the most difficult to clean
give 5 non dental sites biofilms exist on
large distribution water pipes
contact lenses (can cause conjunctivitis etc)
machinery in industry
hip replacement implants (if contaminated when being inserted)
legionella (organism causing legionnaires disease - ie from poorly maintained water systems in hospitals / hotels if not kept at high enough temp and Cl / other agents not added at right concentration)
give 4 issues with biofilms
1) novel microbial phenotype (ie properties)
2) altered pattern of gene expression
3) exopolymer synthesis up-regulated
4) incd tolerance to inhibitors + stresses (clinically relevant)
what does the issue of novel microbial phenotype (ie properties) mean
properties of an organism growing on a surface are different to when its growing in conventional liquid culture
why do organisms alter their gene expression when growing on a surface
recognise the significance of a surface
what are exopolymers and why is their synthesis upregulated
sticky polymers - help in the adhesion of bacteria
helps organisms bind to the surface and protects them from the hostile environment
what are the 7 stages of dental biofilm formation
1) conditioning film
2) transport of microbes
3) reversible phase
4) irreversible phase
5) secondary colonisation [co-adhesion]
6) growth & matrix synthesis
7) detachment
stage 1) outline what the conditioning film is
ACQUIRED PELLICLE
as soon as a surface appears in the mouth its covered with a film of proteins and glycoproteins in seconds (these are absorbed onto it)
this is what microbes attach to
stage 1) define acquired pellicle
name for conditioning film in the DENTAL context
stage 1) what can the conditioning film come from if a surface is near the gum
GCF
stage 1) what is GCF
fluid that flows around the gum and bathes the roots of the teeth around the gingival crevice
stage 2) how are microbes transported to the surface
passively by flow of saliva
stage 2) how else can microbes in some environments be motile
have organelles allowing this
generally in mouth = not motile
stage 3) what are the properties of interactions in the reversible phase
long range
v weak
non-specific
stage 3) what may the reversible phase occur instead of
being swept round in saliva
stage 3) what is the reversible phase and what is it due to
molecules in a fluid environment have an ionic group on them with +/- charge SO get an interaction between charged surfaces
due to electrical charge associated w the surface of a microorganism interacting w a charge on the proteins attached to the surface
stage 3) what happens if organisms are held in this loose reversible way for sufficient time
possibility for interaction to become more permanent
stage 4) what are the properties of interactions in the irreversible phase
short range
very strong
specific
more permanent than the reversible phase
stage 4) what do interactions in the irreversible phase involve
ADHESINS interacting with a RECEPTOR on the saliva coated surface
stage 4) what are adhesins and receptors
adhesins = specific molecules on the microbial cell surface
receptors = complimentary molecule
so its a VERY SPECIFIC binding
stage 4) how has such specific binding / strong attraction been enabled
millions of years of evolution
specific organisms evolve and adapt to interact w host molecules and host in a way these microorganisms = actually beneficial to us to have colonising the mouth
stage 5) what are the properties of secondary colonisation / co-adhesion
increased diversity
metabolic interactions
environmental modification
stage 5) what is secondary colonisation / co-adhesion
once early colonisers / pioneer species have attached it is possible for other organisms to come and attach to them (PURE ECOLOGY)
stage 5) how is potential for metabolic interaction optimised
these organsisms are in v close physical contact w each other
stage 5) how is the environment modified and what does this mean
organisms make it more suitable for their growth (ie consume O2 to make it more anaerobic)
means more fastidious organisms can colonise
stage 5) what is the process of 1 organism attaching to another already attached one called
CO-ADHESION
stage 5) what happens after attachment if the environment is suitable
organisms can start to grow and synthesise…
stage 6) what are extracellular polysaccharides (EPS)
the sticky polymers that these organisms can produce
the sticky polymers synthesised = called the biofilm MATRIX
stage 6) what happens as the biofilm starts to develop and mature
it gets more complex and more stable
there is more structure to it as the organisms are interacting w one another
stage 6) what can happen if the environment becomes unfavourable for organisms growth
organisms are not unaware of their environment so notice this and its possible for them to detach…
stage 7) what is detachment
enzymatic cleavage of adhesins which then colonise new sites more favourable for their growth
stage 7) how are adhesin receptor interactions cleaved (broken)
by enzymes produced by some bacteria
stage 1) what is the depth of the acquired pellice
up to 1um thick
stage 1) what is the acquired pellicle mainly derived from
saliva
GCF
microbes from the bacteria
stage 1) list 6 molecules in saliva that have been found in the pellicle
1) amylase
2) immunoglobulins
3) proline rich peptides (PRP)
4) mucins
5) statherin
6) agglutinins
stage 1) what is the normal function of amylase and its function in the pellicle
enzyme produced in saliva that breaks down starch
free in saliva
in pellicle = retains its activity and still functions
stage 1) list 2 molecules in bacteria that have been found in the pellicle
1) glucosyltransferases
2) glucans
stage 3) how can 2 -vely charged molecules form an interaction despite usually repelling
lots of cations present (Mg and Ca) in saliva
so the 2 -ves get BRIDGED by a cation