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KATIE'S MAP Micro Exam 3 FQ 2018 (STDs transmitted orally (Syphilis …
KATIE'S MAP
Micro Exam 3
FQ 2018
Viral Gastroenteritis
Rotavirus
Adenovirus
:boat:Caliciviruses :shell:
Oral Bacterial Infections
Caries
*
:arrow_down:pH = change in flora
Most prev chronic disease kids
Carb consumption, low SES, Meth use
Meth Mouth
-Xerostomia
-Clenching
-Bad oral hygiene
-Sugar cravings
-Teeth not salvageable
Baby Bottle Tooth Decay
4 FACTORS IN CARIES DEVELOPMENT
**
(need all 4 to have caries)**
1. Plaque Microorganisms
Streptococcus Mutans
Lactobacillus spp.
Actinomyces viscosus
Veillonella spp.
2. Diet (carbs)
3. Time
:one:White spot - demineralization; reversible
:two:Lesion - enamel broken down; soft
Plaque progression from Crown to Periodontium
1
2
3
4
4. Host Factors
Tooth Structure / Region
Crown more susceptible
Saliva
-washes away
-Buffers acids
-Ca & P ions
re-mineralize
Oral Hygiene (periodic removal)
Periodontal Diseases
:arrow_up:
:three: Obligate Anaerobes:
Actinomyces (g+), Porphyromonas g. (g-), Prevotell i. (g-)
:one:Fac. Anaerobe:
Capnocytophaga (g-)
Chronic Gingivitis
-Inflammatory response to marginal gingiva
-NO bone loss or deep pockets
-Reversible w/treatment
-Red, swollen gingiva, bleeding gums, halitosis (:arrow_up: anaerobes)
Chronic Periodontitis
Bacteriodes & Saccharolytic
Prevotella intermedia
Tannerella forsythia
Porphyromonas gingivalis
Capnopillic
Normal flora
Capnocytophaga spp
Other species - Role unclear
Treponema spp.
Treponma spp.
(T. vencentii, T. denticola)
Wolinella spp.
Eikenella spp.
(bite or fight wound)
Acute Necrotizing Ulcerative Gingivitis (ANUG)
Fusobacterium nucleatum
Fusospirochetal complex
Treponma spp.
(T. vencentii, T. denticola)
OTHER ORGANISMS
Bacteriodes
Prevotella
Veillonella
Sptreoptococcus spp.
Noma = extreme ANUG
-Immune compromised
:baby::skin-tone-3: <10 yo
Surgery req.
Severe Malnourishment
Recent Infection:
Viral or
MTB
Aggressive Peridontitis
Aggregatibacter
actinomycetemcomitans
Actinomyces
(isolated w/)
Dentoalveolar Infections
(ABSCESSES!)
Pyogenic infections
Prevotella,
Porphyromonas, Fusobacterium
(last 2 severe infection)
Dentoalveolar Abscess
:heavy_plus_sign: Anaerobic Streptococci
:heavy_plus_sign:
Spirochetes,
Capnocytophaga,
Actinomyces
Periodontal Abscess
Ludwig's Angina
Cervicofacial actinomycosis
Other Infections
Candidiasis
HSV
VZV
Coxsackie A
STDs transmitted orally
Syphilis
Treponema pallidum
Gonorrhea
Neisseria gonorrhoeae
Clamydia
Clamydia trachomatis
HPV
HIV