PLAQUE
Main cause in gingivitis + periodontitis
DENTAL PLAQUE COMPOSITION
o SUPRAGINGIVAL-
Aerobic
Starts on the tooth surface as gram +ve then stacks G- on outer surfaces
There are more detached plaques within supragingival plaques than subgingival plaques. *
o SUBGINGIVAL-
Anaerobic
Coronal portion is G+ve and apical most is filled of G-ve bacteria
The detached plaques within subgingival area are the ones that are more toxic to tissue than attached plaques*
CONSTITUENTS :
o Bacteria
o Inorganic material- CALCIUM, SODIUM, PHOSPHORUS & FLUORIDES
o Organic components-polysacharrides, proteins, glycoproteins and lipids, Food-GLUCANS AND FRUCTANS