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38 Cards in this Set

  • Front
  • Back
Which facultative cocci produce a lot of hydrogen peroxide?
Catalase Negative Facultative Cocci
Which facultative cocci neutralize hydrogen peroxide?
Catalase Positive Facultative Cocci
What bacteria is involved in root caries?
Actinomyces
What are the criteria for cariogenic bacteria?
Any bacterium that can
1. Colonize tooth surface
2. Acidogenic
3. Aciduric
What are the major cariogenic bacteria?
S. Mutans & S. Sobrinus

(also: S. Sanguis, L. Acidophilus, L. Casei, A. Viscosus, A Naesludii
What is S. Mutan's major role in caries?
Ferment mannitol, sorbitol (produces glucans and lactic acid)
What bacteria has very little role in caries, is less acidogenic and can even help prevent S. mutans colonization by colonizing enamel early in sucrose low environments?
S. Sanguis
What bacteria is an important secondary etiologic agent in caries formation, active in smooth surface and dentinal caries?
Lactobacillus
What bacteria is important in root caries?
Actinomyces
Which glucoceal transferase produced by S. Mutans is Insoluble alpha-1,3 polymers?
GTF-I
Which glucoceal transferase produced by S. Mutans is Soluble alpha-1,6 polymers?
GTF-S
What cleaves off the alpha-1,6 polymers of glucoceal transferase helping the S. Mutans survive because the remaining alpha 1,3 will keep it from being washed away?
Dectronase
What senses that it has a matrix of polysaccharides surrounding it and will bind to the matrix allowing the accumulation of more and more S. mutans binding to the extracellular matrix?
Glucan binding protein
What are the 2nd wave of organisms that colonize dentate children?
S. Mutans
S. Sanguis
Is there sIgA in saliva at birth?
No
What are the predentate 1st wave of strep organisms that initially colonize mucosal surfaces?
S. Mitis and S. Salivarius

(NO s mutans yet)
What is the most important serotype of strep mutans?
serotype C
Where does IgG enter the mouth from?
Gingival Crevicular fluid
What is the primary function of sIgA in the saliva?
Prevent microbial adherance
What microbe has protease that can cleave sIgA?
S. Sanguis
What is the degree of specificity for a particular immunogen?
Affinity
What is the strength of the bond referred to as?
Avidity
What immunoglobulins correlate with caries?
Increased sIgA titers and serum IgM to S. mutans
What are the criteria for cariogenicity?
1. An organism must exhibit tropism for teeth (bind to the tooth)
2. Acidogenic
3. Aciduric
4. Utilize refined sugar (sucrose)
Why is the predominant antibody in the mouth sIgA?
because B cells have difficulty functioning in the mouth
Why don't S. mutans work as an immunogen for vaccination?
It has antigens that cross react with heart muscle (cardiolipin)
What are some possible candidate antigens for a alternative means of caries vaccination?
Glucosyltransferases

(also, adhesins dextranase glucan-binding-proteins )
Which type of glucans is going to be insoluble and very difficult to remove?
Alpha-1,3 (mutan) water INsoluble glucosyltransferase I (GTF-I)
what type of linkages are dextran?
alpha-1,6 (GTF-S)
Would it be a good idea to have an antibody against dextran?
No becasue dextran is alpha-1,6 bonds and is already soluble. The better idea is an antibody against mutans alpha-1,3 bonds to prevent bonding
What is the purpose of surface protein antigens like adhesins?
They adhere to the tooth (SA I/II) in the absence of sucrose
Could antibodies against saliva binding region antibodies of SA I/II prevent colonization of S mutans on mice teeth?
Yes
What do dextranases do?
Cleaves 1,6 linkages to use for energy sources to allow the concentration of 1,3 to build, increasing binding ability
Are Lipoteichoic acids found on the surface of gram positive bugs a good antigen candidate?
No because epitopes could cross react with host tissue antigens; heart antigens
What type of organisms have teichoic acid and lipoteichoic acid in their cell envelope?
Gram Positive organisms
What is the best antibody at mucosal surfaces?
IgA
How is fluoride important as an adjuvant?
Lactic acid pathway is affected by fluoride and enolase production is prevented
What is a possible passive anticaries immunization method?
Milk from cows immunized against cariogenic bacteria provides a source of IgG1 against s. mutans