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37 Cards in this Set

  • Front
  • Back
Function of the Oral Mucosa?
Protection
Sensation
Secretion
Layers of the body from outside going in:
Epithelial layer: Stratified Squamous
Lamina Propria layer: Connective
Submucosa layer: Connective
Periosteum layer: Connective
Bone: Connective
Environmental fluctuations in the Oral Mucosa and what causes them?
Temperature
pH -- acidic or base
Oxygen -- nose or mouth breather
Diet -- what do you drink?
pH reading of a caries free person?
7.2
pH reading of a person with caries?
5
What is the significance of an acidic pH on bacterial growth?
S. Mutans loves a low pH.
What makes the mouth acidic?
Glycolysis makes Pyruvate
Fermentation makes Lactate
Lines of Defense against Invasive Oral Microbes
1. Oral Mucosa -- mechanical barrier--innate
2. Saliva --IgA, Amylase, Lysozymes, Lipase
3. GCF -- Neutrophils, PMNs, Monocytes, Macrophages
4. Antibacterial Peptides
a. Toll-like Receptors -- PAMPS (Pathogen Associated Molecular Patterns)
b. Bacteriocins -- Proteins secreted by commensal bacteria (friendly bacteria). They kill bad bacteria.
c. Defensins -- Bacterial busters - they embed themselves in the wall of bad bacteria which causes it to pop!!
What is Commensal bacteria
Friendly bacteria
Kills bad bacteria
Dendritic Cells
Presents the antigen
What makes up the Acquired Pellicle?
(Sensational Guys AIM)
1. Salivary
2. Glycoproteins
3. Amylase
4. IgA
5. Mucins
What is Amylase?
They break down carbohydrates.
What are Mucins?
They are sticky glycoproteins and carbohydrates
What makes the oral cavity acidic?
1. Glycolysis -- produces pyruvate

2. Fermentation -- produces lactate
What is lysozymes?
Antibacterial enzymes that burst Gram + bacteria.

Gram - are more resistant to lysozymes.
What is Lipase?
They break up lipopolysaccharides which are Gram -.
Components of Gingival Crevicular Fluid?
1. Neutrophils
2. PMNs
3. Monocytes / Macrophages
Components of Saliva?
(Iguanas Always Love Llamas)
1. IgA
2. Amylase
3. Lysozymes
4. Lipase
What are the normal microbes and the normal flora called?
Commensal Bacteria
What bacteria is located in the crypts and fissures of the tongue?
Gram -
Anaerobic
How do you identify Microbes?
1. PCR (Polymerase Chain Reactions)
2. Cultivation
3. Microscopy
What is PCR?
A long scale of bacteria DNA.
What is Cultivation?
Look at their morphology and their chemistry.
How does bacteria divide?
Binary Fission
What is Transformation?
Naked DNA
What is Transduction?
Virus (Phage)
Plasmid
What are Transposons?
Jumping Genes
What are transposons?
DNA segments that shift from one part of the Genome to Another.

They can jump on plasmids and then the plasmids go to other bacteria.
What is Transduction?
Phage DNA can sit dormant in a bacterial chromosome.
It can actively bud off from bacterial chromosomes and take part of the bacteria chromosome with it.
It then replicates.

Phage = Bacterial Virus
How does Transformation work?
Naked DNA goes to another bacterial cell and pieces together with it.
What has this genetic material of bacterial exchange caused?
Resistant Strains of Antibiotics
What is Conjugation?
Bacteria exchange thru Pili.
What type of defense does saliva give against invasive oral microbes?
Innate
Prevents adherance to tooth enamel.
Stages of formation of the Dental Plaque biofilm.
1.) 1* Colonizers -- Gram +; Faculative Anaerobes; S. Mutans; Key word is "Strep"

2.) 2* Colonizers -- Gram- ; Anaerobes; FUSObacterium Nucleatum Actinomyces

3.) 3* Colonizers -- Gram- ; Strict Anaerobes

4.) Climax Community -- Robust Ecosystem

5.) Cells break away to form new colonies -- called Quorum Sensing
What is Quorum Sensing?
Group of Bacteria sensing their environment can no longer support them. They break away to find a new home.
What is Planktonic bacteria?
The outer layer of bacteria.

They don't grow unless they encounter another surface.
______ is the transport medium for planktonic oral bacteria.
Saliva