intro to dental plaque Flashcards

(41 cards)

1
Q

What is dental plaque?

A

community of microorganisms found on tooth surface as a biofilm embedded in matrix of polymers of salivary bacterial origin

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2
Q

Where is dental plaque found?

A

Pits and fissures

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3
Q

Exopolymer

A

deposited outside the cell e.g. plaque
-When attached to surface, they grow naturally and have diff phenotypes

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4
Q

What is order of biofilm formation?

A
  1. conditioning film
  2. transport of microbes
  3. reversible phase
  4. irreversible phase
  5. secondary colonisation
  6. growth and matrix synthesis
  7. detachment
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5
Q

conditioning film

A

-Determines organism able to colonise
-forms rapidly up to 1 um thick

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6
Q

What is condtioning film made up of

A

Saliva, GCF and microbes

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7
Q

How is biofilm produced

A

-produced by host/bacterial e.g. amylase, immunoglobulins, proline rich peptides, mucins, agglutinins

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8
Q

How does microbial transport happen

A

passive

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9
Q

Reversible attachment

A

Microbes held in place by Weak, long range, van der Waals forces

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10
Q

Step 4-irresversoble

A

-primary colonisers have specific binding
-step 5- secondary colonisers only designed to bind onto primary colonisers
-with adhesin-receptor interactions
E.g. streptococcus spp release adhesin- antigen i/II which attached to receptors on cell surface salivary agglutinin

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11
Q

How is co-adhesion used

A

Some early inhabitants are streptocci-have anti-inflammatory properties, reduce blood pressure
-favourable to us
-as biofilm matures, it increases in biodiversity
-bridging organisms- can link to most types of cells (usually only specific)

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12
Q

Biofilm maturation

A

Bacteria are in close proximity and start to interact with each other by excreting cell signalling molecules, break down substrates, modify environment to make it more favourable to them
e.g. peptides (gram pos)
-autoinducer-2 (gram neg)

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13
Q

Metabolic interactions in biofilm maturation

A

-Within mature biofilm, there are many complex metabolic reactions occurring between microbes e.g. organism depend on each other for nutrients
-interaction with community of bacteria to work together and sequentially degrade sugar components
-metabolism occurs sequentially, require collaboration, takes lot of metabolic effort
-means microbial community needs to be stable as they depend on each other

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14
Q

E.g. glucose breakdown

A

-streptococcus uses glucose, breaks it down to lactic acid. Lactic acid is taken up by villanella which use it as nutrients for their growth and produce acetate and propionate as waste product.
So breakdown of a strong acid (needed for mineralisation of teeth) into weaker acid

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15
Q

What do bacteria metabolise

A

In order to survive in habitat, bacteria needs to attach to surface and grow. They metabolise glycoproteins that have protein backbone with short chain sugars
-protein backbone–protease–peptides–peptidase–amino acids–CO2 and NH3 (deamination)

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16
Q

another e.g. of polymer degrading bacteria

A

oligosaccharides–monosaccharides–fatty and hydroxy acids alcohols–H2, CO2, CH4, H2S

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17
Q

What is biofilm matrix function?

A

-protection from extreme environment
-nutritional reserve
-stabilises biofilm (structural support)
-interacts with molecules (retains enzymes, ions)
-water retention

18
Q

what is plaque/biofilm matrix

A

-polymers derived from host and bacteria
-30% plaque volume
-bacterial polysaccharides e.g. gluten, mutan, fructan
-bacterial polymers e.g. eDNA
n sucrose broken down to (glucan)n + n-fructose by glucosyltransferase

n sucrose broken down to (fructan)n + n-glucose by fructosyltransferase

19
Q

beneficial interactions in microbial communities in biofilm maturation

A

-food chain/food web
-eznyme complementation
-cell-cell signalling
-inhibitor neutralisation

20
Q

antagonistic interactions in microbial communities in biofilm maturation

A

-bacteriocins
-hydrogen peroxide
-organic acids
-low pH
-nutrient compeittion

21
Q

How typical microbial community functions with diff types of interaction in matrix

A

-waste products of one organisms is food for another
-environment responsible for providing genes to them which can favour antibiotic resistant genes
-microorgs more virulent as community than as individual
-arrows show microbes able to stop things coming in form outside and prevent things from inside getting out
-spacially and functionally organised, work together well

22
Q

How does detachment happen?

A

-If environment becomes negative e.g. resources depleted, organism produce protease that allow them to detach from matrix and colonise elsewhere

23
Q

early stages of dental biofilm formation

A

-limited no. of species
-mainly streptococci
-mainly aerobic/facultatively anaerobic

24
Q

late stages of biofilm formation

A

-diverse community
-100-300 species
-obligateuly anaerobes
-cell-cell associations
-microbial interactions

25
How are dental biofilms organised
Structurally organised and functionally organsied Many interspecies interactions which offers resilience, orgs not distributed at random but organised -food chains E.g. on bottom layer find anaerobic species
26
Where can biofilm be found
-fissure biofilm, gingival cervices biofilm, approximal
27
relationship between host, microenvironemtn, oral microbiota
direct-properties of habitat select microbes
28
e.g. types of microbes in gingival crevice biofilm
-gram negative anerobes -proteolytic -obligatly anaerobic -low redox potential (neutral-alkaline) -influenced by GCF e.g. streptococcus, actinomycetes, eubacterium, fusobacterium
29
e.g. types of microbes in fissure biofilm
-stretococci/actinomyces -few gram negative -low anaerobes -high redox potential -neutral-acid pH -influecned by saliva
30
approximate region microbes
gram positive and negative -faculative and obligate anaerobes e.g streptococcus, actinomyces
31
Gradients of nutrients metabolic products and O2 for biofilms
From outer layer (higher conc of o2 and nutrients) Deeper layer near tooth surface (low in o2 and high in metabolic waste products) -more metabolic waste products deeper layer -more nutrients produces outer layer
32
Properties of dental plaque as biofilm
-spacial organisation -aletred gene expression -increased tolerance and resistance to antimicrobial agents
33
What is chlorohexidine
-chlorhexidine is strong antimicrobial agent
34
Elimination of CHX
-elimination=complete killing-it is up to 10x or 50x the minimum inhibitory concentration
35
chlorhexidine penetration and dental plaque 'tolerance' to antimicrobials
0.2% CHX added for one min -doesn’t seem to diffuse completely through biofilm -it doesn’t kill all biofilm just affects the outer layer
36
Consequences of dental plaque as microbial community
-broader habitat range (mix of aerobes and anaerobes) -increased metabolic diversity -inceased tolerance to antimicrobial agents -enahnced pathogenicity
37
What is community balance
-symbiotic relationship between microbes and host: diet, host defences, antimicrobial agents, hormones, antagonistic (compete with each other) and synergistic (rely on each other)
38
What can community dysbiosis lead to
-Homeostasis can break down and selection of pathogens can occur -predisposing a site to disease
39
what are immunological factors responsible for breakdown of microbial homeostasis in dental biofilms
-sIgA deficiency -neutrophil dysfunction -infection induced myelosupression
40
what are non immunological factors responsible for breakdown of microbial homeostasis in dental biofilms
-xerostomia -antibiotics -medication -increased GCF flow
41
plaque mediated diseases due to..
change in local environment -disruption of homeostasis