VIRIDANS STREPTOCOCCI

S. mutans S. sanguis, S. imitis, and S. salivaris No Lancefield antigens Alpha hemolytic (green) Optochin resistant Synthesize dextran from glucose

Epidemiology: Found oral cavity, gingiva oropharynx and GIT Infection depends:
Status of host and teeth (sites that organisms can colonize, in particular solid surfaces and interfaces) Specific micro flora Nutritional substrate

Dental infections bacteremia sub acute bacterial endocarditis (pre-existing cardiac problems) Dextran dental plaque Periodontal infections

Pathogenesis: Caries lactic acid,

Dental therapy sub acute bacterial endocarditis

Dextran provide a foundation layer for the formation of a complex

biofilm known as dental plaque periodontal infections

Clinical Conditions:
Dental caries ( most common S.mutans) Periodontal infections

Sub-acute bacterial endocarditis (see enterococcus)

Septicemia

 Diagnosis:
No lance field antigen Alpha hemolytic (green) Optochin resistant Facultative anaerobe

 Treatment: Penicillin or erythromycin

Prophylaxis penicillin before dental therapy.