Reference : Paniker’s textbook of microbiology
Impression techniques used in complete denture fabrication


BACTERIAL CELL WALL
The cell wall is a tough and rigid structure surrounding the bacterium like a shell. It weighs about 20-25% of the dry weight of the cell.
FUNCTIONS:
1.Shape
2. Protection against osmotic damage
3.Rigidity
4.Cell division
5.Possesses target site for antibiotics, lysozymes and bacteriophages. Carries bacterial antigens that are important in virulence and immunity.

The rigid part of the cell wall is a peptidoglycan which is a mucopeptide (murein) composed of N-acetyl muramic acid and N-acetyl glucosamine molecules alternating in chains, cross-linked by peptide sub-units.

DIFFERENCES BETWEEN GRAM POSITIVE AND GRAM NEGATIVE CELL WALL
| CHARACTER | GRAM POSITIVE | GRAM NEGATIVE |
| Thickness | 20-80nm | 10nm |
| Periplasmic space | Absent | Present |
| Lipids and Glycoproteins | Few(0.3%) | Many(58%) |
| Teichoic acid | Present | Absent |
| Peptidoglycan | <15% | 10-20% |
| Gram’s reaction | Violet | Pink |
| Outer membrane | Absent | Present |
| Lipopolysaccharides | Absent | Present |

DEMONSTRATION OF CELL WALL
1.Plasmolysis
2,Microdissection
3.Differential staining
4.Reaction with specific antibody
5.Electron microscopy
BACTERIA WITH DEFECTIVE CELL WALL
- MYCOBACTERIA: Naturally occurring bacteria without cell walls. They don’t require hypertonic environment for maintenance and are stable in culture medium.
- L-FORMS: Kleineberger-Nobel, while studying Streptobacillus moniliformis in the Lister Institute, London, observed abnormal forms of bacteria and named them L-forms after Lister Institute. L-forms developed either spontaneously or in the presence of penicillin or other agents that interfere with synthesis of cell wall.
- PROTOPLASTS: Derived from gram positive bacteria. Produced artificially lysozyme in a hypertonic medium.
- SPHEROPLASTS: Derived from gram negative bacteria. Produced in the presence of penicillin. They differ from protoplast in that some cell wall material is retained.
PLEOMORPHISM AND INVOLUTION FORMS
Certain species of bacteria exhibit great variation in shape and size of individual cells are called pleomorphic bacteria.
Some bacteria show swollen and aberrant forms in ageing laboratory cultures and are known as involution forms.
Defective cell wall synthesis is responsible for development of these two forms 🙂
SOURCE: MICROBIOLOGY – C.P BAVEJA
Fasciola hepatica
Reference : Paniker’s textbook of microbiology
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Drugs of choice in important conditions (in alphabetical order)

“A”


“C”




“H”


“M”


“P”




Dr. Mehnaz Memon🖊
References:
CLASSIFICATION OF DRUGS WITH DRUGS OF CHOICE 3RD EDITION by Vikas Seth
Talon cusp



Source- textbook of oral pathology Shafers and Google images
Dilaceration



Since dilacerated teeth frequently present difficult problems during endodontic therapy and at the time of extraction if the operator is unaware of the condition, the need for preoperative radiographs before any such procedures are carried out is self-evident.
Source- textbook of oral pathology Shafers and Google images
Concresence


Source- textbook of oral pathology Shafers and Google images
Fibres of periodontal ligament





CANCRUM ORIS

STUDY NOTES ⚕️
Cancrum oris is a special type of gangrene.
Causes:
🔍 Malnourishment.
🔍 Major diseases like diptheria, Whooping cough, measles, kala azar, typhoid, etc.
🔍 These factors lead to invasion of opportunistic organisms like the Vincent’s organisms – Borrelia vincentii and fusiforms causing ulcerations, erosions and eventually fibrosis.
Clinical Presentation:
👩⚕️ It is an extensive ulcerative disease of the cheek mucosa usually occuring in malnourished children.
👨⚕️ As the disease progresses, there may be complete reduction of the cheek thickness.
Treatment:
💊 Ryle’s tube feeding.
💊 Improve the nutrition.
💊 Appropriate antibiotics: Metronidazole 400mg thrice daily for 7-10 days.
💊 Surgical reconstruction of the cheek.
Complications:
⚠️ Fibrosis leading to restricted movement of the jaw.
⚠️ Sepsis, toxaemia and death.
SOURCE: Manipal Manual of Surgery (3rd edition)
~Sunantha✍️




