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Title: Microbiology and Pathology Notes
Description: Notes on Microbiology and Pathology from the Levisons textbook for dental nurses

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Levisons Textbook Microbiology and
Pathology Notes
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ricebucket

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Cocci:
 Clusters- Staphylo
 Chains- Strepto
Bacilli- Pointed end bacteria
Lactobacilli- Round ended bacteria
Spirochaetic- Spiral shaped bacteria
Anaerobic Bacteria- Found in caries/perio pocketing, survives in low O2 areas
Antibiotics- Kill good and bad bacteria, including GIT ones
Bactericidal Agents- External cleaning
Bacteriostatic Agents- Prevents reproduction/ multiplication of bacteria

Streptococcus Mutans- Caries, causes enamel demineralisation
Lactobacillus- Developed stage of caries, infected tooth tissue
Periodontal Disease- Actinomyces, gingivalis, treponema etc
Staphylococci- Causes skin boils/gingiva boils
ANUG (Acute Necrotising Ulcerative Gingivitis)- Caused by poor oral hygiene
 Bacillus Fusiformis
 Borrelia Vincentii
Viral Diseases- Hard to treat, antiviral agents can be used
Acute Oral Candidosis (Oral Thrush)- White film in oral cavity, hard palate and
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Chronic Oral Candidosis (Denture Stomatitis)- Red painless area, poor
appliance hygiene, lots of moisture
Angular Cheilitis (Candida Infection)- Corners of mouth inflamed, cracked and
crusted over
Hepatitis A,B,C- Inflammatory liver disease
Human Papillomavirus- Oral cancer in oropharyngeal region
Herpes Varicella (Chicken Pox)- Affects trigeminal nerve and torso
Human Immunodeficiency Virus (HIV)- Bloodborne Viral Infection
Herpes Zoster- Painful rash, affects trigeminal nerve/ torso
Herpes Simplex Type 1- First development in oral cavity

Herpes Labialis- Cold sore, very infectious
Epstein-Barr-Virus: Debilitating viral infection, swollen lymph glands in neck
Paramyxovirus- Viral infection of parotid salivary glands
Coxsackievirus- Hand, feet, mouth disease
...
Common in children
Infection- Invasion of pathogens
Glossitis- Inflammation of tongue, seen in iron deficiency anaemia, candida
infection and vitamin B deficiency
Burning Mouth Syndrome- Feels mouth is on fire, psychological problem due
to depression
...
Causes
scarring
Herpetiform Aphthous Ulcers- Lots of very small ulcers

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g fluids
Droplets e
...
g handpieces
Direct entry
Inoculation injury

 Inflammatory Response

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Tobacco
Alcohol
Mixture of Tob
...

Sunlight
Diet
Genetics

Signs:





Painless ulcer w/ no cause that isn’t healing
Ulcer beneath/ side of tongue/ floor of mouth
Red/white patch
Lump not dental related

Antibiotics Side Effects:







Nausea
Vomiting
Diarrhoea
Allergies
Sensitivity
Resistance from virus overtime

Amoxicillin- 500mg 3x daily for 5 days
Metronidazole- Can be taken with amoxicillin if severe infection present,
400mg 3x daily, no alcohol to be taken with this
Clarithromycin- Penicillin alternative, 250mg 2x daily for 5 days
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Fluconazole- One 150mg capsule to be taken for 7-14 days
Nystatin- Lozenge tablet to be taken 4x daily for 7 days
Amphotericin- 10mg lozenges to be taken for 4x daily for 10-15 days
Miconazole- Oral gel to be used 4x daily

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Title: Microbiology and Pathology Notes
Description: Notes on Microbiology and Pathology from the Levisons textbook for dental nurses