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Dental biofilm infections - an update.

Abstract Teeth are colonized by oral bacteria from saliva containing more than 700 different bacterial species. If removed regularly, the dental biofilm mainly comprises oral streptococci and is regarded as resident microflora. But if left undisturbed, a complex biofilm containing up to 100 bacterial species at a site will build up and may eventually cause development of disease. Depending on local ecological factors, the composition of the dental biofilm may vary considerably. With access to excess carbohydrates, the dental biofilm will be dominated by mainly gram-positive carbohydrate-fermenting bacteria causing demineralization of teeth, dental caries, which may further lead to inflammation and necrosis in the pulp and periapical region, i.e., pulpitis and periapical periodontitis. In supra- and subgingival biofilms, predominantly gram-negative, anaerobic proteolytic bacteria will colonize and cause gingival inflammation and breakdown of supporting periodontal fibers and bone and ultimately tooth loss, i.e., gingivitis, chronic or aggressive periodontitis, and around dental implants, peri-implantitis. Furthermore, bacteria from the dental biofilm may spread to other parts of the body by bacteremia and cause systemic disease. Basically, prevention and treatment of dental biofilm infections are achieved by regular personal and professional removal of the dental biofilm.
PMID
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Authors

Mayor MeshTerms

Biofilms

Keywords

Dental biofilm

dental caries

gingivitis

oral biofilm

oral disease

periodontal disease

Journal Title apmis : acta pathologica, microbiologica, et immunologica scandinavica
Publication Year Start




PMID- 28407420
OWN - NLM
STAT- MEDLINE
DA  - 20170413
DCOM- 20170421
LR  - 20170421
IS  - 1600-0463 (Electronic)
IS  - 0903-4641 (Linking)
VI  - 125
IP  - 4
DP  - 2017 Apr
TI  - Dental biofilm infections - an update.
PG  - 376-384
LID - 10.1111/apm.12688 [doi]
AB  - Teeth are colonized by oral bacteria from saliva containing more than 700
      different bacterial species. If removed regularly, the dental biofilm mainly
      comprises oral streptococci and is regarded as resident microflora. But if left
      undisturbed, a complex biofilm containing up to 100 bacterial species at a site
      will build up and may eventually cause development of disease. Depending on local
      ecological factors, the composition of the dental biofilm may vary considerably. 
      With access to excess carbohydrates, the dental biofilm will be dominated by
      mainly gram-positive carbohydrate-fermenting bacteria causing demineralization of
      teeth, dental caries, which may further lead to inflammation and necrosis in the 
      pulp and periapical region, i.e., pulpitis and periapical periodontitis. In
      supra- and subgingival biofilms, predominantly gram-negative, anaerobic
      proteolytic bacteria will colonize and cause gingival inflammation and breakdown 
      of supporting periodontal fibers and bone and ultimately tooth loss, i.e.,
      gingivitis, chronic or aggressive periodontitis, and around dental implants,
      peri-implantitis. Furthermore, bacteria from the dental biofilm may spread to
      other parts of the body by bacteremia and cause systemic disease. Basically,
      prevention and treatment of dental biofilm infections are achieved by regular
      personal and professional removal of the dental biofilm.
CI  - (c) 2017 APMIS. Published by John Wiley & Sons Ltd.
FAU - Larsen, Tove
AU  - Larsen T
AD  - Department of Odontology, Faculty of Health Sciences, University of Copenhagen,
      Copenhagen, Denmark.
FAU - Fiehn, Nils-Erik
AU  - Fiehn NE
AD  - Department of Immunology and Microbiology, Faculty of Health Sciences, University
      of Copenhagen, Copenhagen, Denmark.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - Denmark
TA  - APMIS
JT  - APMIS : acta pathologica, microbiologica, et immunologica Scandinavica
JID - 8803400
SB  - IM
MH  - Animals
MH  - *Biofilms
MH  - Gram-Negative Bacteria/genetics/*physiology
MH  - Gram-Negative Bacterial Infections/*microbiology
MH  - Humans
MH  - Stomatognathic Diseases/*microbiology
MH  - Tooth/microbiology
OTO - NOTNLM
OT  - Dental biofilm
OT  - dental caries
OT  - gingivitis
OT  - oral biofilm
OT  - oral disease
OT  - periodontal disease
EDAT- 2017/04/14 06:00
MHDA- 2017/04/22 06:00
CRDT- 2017/04/14 06:00
PHST- 2016/09/30 [received]
PHST- 2017/02/03 [accepted]
AID - 10.1111/apm.12688 [doi]
PST - ppublish
SO  - APMIS. 2017 Apr;125(4):376-384. doi: 10.1111/apm.12688.

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