Periodontics · single question

All of the following bacteria are implicated in chronic (stage III/IV) periodontitis EXCEPT one. Which is the EXCEPTION?

  1. Treponema denticola
  2. Porphyromonas gingivalis
  3. Streptococcus mutans
  4. Tannerella forsythia
Show answer and explanation

Correct answer: C. Streptococcus mutans

  • A. Treponema denticola is a red complex spirochete found in high numbers in deep periodontal pockets and subgingival plaque.
  • B. Porphyromonas gingivalis is a red complex pathogen and the most virulent periodontal bacterium — it is strongly associated with chronic periodontitis.
  • C. CORRECT. Streptococcus mutans is the primary cariogenic bacterium — it causes dental caries through acid production from fermentable carbohydrates. It is an early colonizer of supragingival biofilm but is NOT a red complex periodontal pathogen. S. mutans is NOT associated with chronic periodontitis.
  • D. Tannerella forsythia (formerly Bacteroides forsythus) is a red complex pathogen consistently found in deep periodontal pockets.

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