Theory II

acquired pellicle or cuticle, dental biofilm, materia alba, food debris

dental calculus

a tenacious membranous layer that forms over exposed tooth surfaces as well as over restorations and dental calculus

The acquired pellicel is a tenacious membranous layer that is what 3 things?

How thick is the acquired pellicle? And where is it usually the greatest?

When does the acquired pellicle begin to form?

What is the acquired pellicle formed from, or composed of primarily?

What type of pellicle is clear, translucent, insoluble, and not readily visible until a disclosing agent has been applied? And when the agent is applied, it appears thin with a pale staining that contrasts with the thicker darker staining of dental biofilm.

What type of pellicle can take on extrinsic stain and become brown, grayish, or other colors?

What type of pellicle is continuous with surface pellicle, and is embedded in tooth structure, particularly where the tooth surface is partially demineralized?

what are 4 factors that influence the significance of the pellicle?

How is a pellicle protective?

How is a pellicle lubricant?

What does it mean that a pellicle is nidus for bacteria?

true or false. one mode of calc attachment is by the acquired pellicle
True False

dense, nonmineralized complex mass of colonies in a gel-like intermicrobial matrix. It adheres firmly to the acquired pellicle

How many microbial species are found in dental biofilm?

What are 3 'other' organisms besides bacteria that may be found in dental biofilm?

What are the basic steps in the formation of biofilm? (book says 3 but describes 4)

Salivary glycoproteins are adsorbed onto dental enamel to form pellicles in what stage of biofilm formatiom?

Selective colonization of the pellicle by microorganisms occurs in what stage of biofilm formation?

growth and maturation of biofilm occurs in what stage of biofilm formation?

What type of microorganism primarily makes up the biofilm in days 1 to 2? Give examples

In what days of biofilm formation do the cocci still dominate, increasing numbers of gram-positive filamentous forms and slender rods may be seen on surface?

In what days of biofilm removal does the filamentous forms grow into the cocci layer and replace many of the cocci?

In what days do slow biofilm formers continue to form biofilm compromised primarily of cocci for a longer time than do fast biofilm formers?

In what days do filaments increase in numbers with a mixed flora with rods, filamentous forms, and fusobacteria?

In what days does biofilm near the gingival margin thicken and develop a more mature flora with gram-negative spirochetes and vibrios? And as biofilm spreads coronally, the new biofilm has the characteristic coccal form?

What type of microorganisms and cells increase in days 7-14 of biofilm formation?

In what days does more gram negative organisms, and also anaerobic organisms appear in biofilm?

During what days do signs of inflammation start to show in the gingiva?

In what days of biofilm formation are vibrios and spirochetes prevalent along with cocci and filamentous forms?

In what days do the densely packed filamentous microorganisms arrange themselves perpendicular to the tooth surface in a palisade, and gingivitis is evident clinically?

HOw long does it take for gingivitis to develop when biofilm is left undisturbed on the tooth surface?

What results from the apical proliferation of microorganisms from supragingival biofilm?

Gingival health is restored after how many days of effective brushing and flossing?

What type of biofilm includes more anaerobic and motile organisms and is predominately gram-negative?

epithelial cells and a few cocci are seen in what?

masses of cocci and short rods are seen in what?

filamentous bacteria, leukocytes, and fusobacteria are seen in what?

spirochetes and vibrious are seen in what?

When will accute gingivitis appear?