Question 1
VT-DEN-029
A dog went home after a professional dental cleaning with home-care instructions, and the owner did not carry them out. At the recheck the teeth are covered in soft deposit that has sat undisturbed since the day of the cleaning. Compared with the deposit that first formed on those freshly cleaned crowns, how has its bacterial population changed?
- AIt has not changed in character; the same organisms are simply present in much greater numbers
- BIt has shifted from mostly gram-positive aerobic bacteria to mostly gram-positive anaerobic bacteria
- CIt has shifted from mostly gram-positive aerobic bacteria to mostly gram-negative anaerobic bacteria
- DIt has shifted from mostly gram-negative anaerobic bacteria to mostly gram-positive aerobic bacteria
Show answer
The answer is C.
Why C is right
- As plaque matures, the bacteria switch from predominantly gram-positive aerobic to predominantly gram-negative anaerobic.
- Gram-negative anaerobes are generally considered the more harmful to the periodontal tissues.
Why the others are wrong
- A: treats maturation as accumulation only.
- B: holds the staining constant; both halves of the change matter.
- D: runs the whole change backward.
Full explanation
Plaque left alone does not merely get thicker - it changes species. As the plaque matures, the overall bacterial population switches from predominantly gram-positive aerobic organisms to predominantly gram-negative anaerobic ones, and those gram-negative anaerobes are generally considered the more harmful of the two groups to the periodontal tissues. So the mouth at this recheck is not simply dirtier than it was; the organisms sitting against the gingiva are a more damaging population than the ones that colonized the clean tooth.
Option A is the intuitive answer and the reason this change gets underestimated: it treats maturation as accumulation only.
Option B holds the staining constant, and option D runs the whole change backward. Both halves matter: the movement is gram-positive to gram-negative and aerobic to anaerobic, in that one direction, away from the freshly cleaned surface.
Veterinary Dentistry: A Team Approach
Lemmons, 4th edition — chapter 6, page 99