Molecular Classification
Bacteria, Microorganism
Other Names
Dental Caries-Associated Bacteria, Acidogenic Bacteria, Plaque-Forming Bacteria
Disease Roles
Dental CariesTooth DecayPeriodontal Disease (indirectly)

Cariogenic Bacteria Overview

Cariogenic bacteria are a diverse group of microorganisms that contribute to the development of dental caries by fermenting dietary carbohydrates and producing acids that demineralize tooth enamel. Key species include *Streptococcus mutans*, *Streptococcus sobrinus*, and *Lactobacillus* species. These bacteria possess virulence factors such as acidogenicity, aciduricity, and the ability to form biofilms. While *S. mutans* has been historically emphasized, dental caries is now understood to result from a complex interplay of multiple acid-producing and acid-tolerant organisms. Prevention strategies focus on controlling these microbial populations through methods like improved oral hygiene, dietary modifications, fluoride application, and antimicrobial agents.

Mechanism of Action

Antibiotics: Bacterial cell wall disruption or inhibition of protein synthesis. Fluoride: Enhances enamel remineralization and inhibits bacterial enzyme activity. Xylitol: Inhibits sugar metabolism and reduces acid production.

Biological Functions

Carbohydrate Fermentation
Acid Production
Biofilm Formation
Adhesion
Colonization

Disease Associations

Dental Caries
Tooth Decay
Periodontal Disease (indirectly)

Safety Considerations

  • Antibiotic resistance
  • Dysbiosis (imbalance of oral microbiome)
  • Allergic reactions to antibiotics
  • Potential for systemic effects with prolonged antibiotic use

Interacting Drugs

Antibiotics (e.g., Chlorhexidine, Amoxicillin)
Fluoride
Xylitol

Associated Biomarkers

Biomarker
Streptococcus mutans levels in saliva or plaque
Lactobacillus species levels in saliva or plaque
Plaque pH
Salivary flow rate
Buffer capacity of saliva