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Transcript
The main web site for Dental Biochemistry is at:
http://dentalbioc.uthscsa.edu/
Since you’ve all had biochemistry before:
you should recognize about 2/3 of the material as material you’ve had
before.
About 1/3 of the material consists of applying basic biochemistry to
understanding understanding biological processes of relevance to
your profession.
Your overall objective is to link the basic material to the applied
material.
Biomolecules
Pathways
pH
Glycolysis
Caries
Carbohydrates
TCA cycle
Fibrous proteins
Amino acids
Ox. Phos.
Connective tissue
Proteins
Pentose phosphate
Immunoglobulins
Enzymes
Gluconeogenesis
Inflammation
Lipids
Glycogen
Blood clotting
Membranes
Urea cycle
Drug resistance
AA metabolism
Hemoglobin
Nucleotide metabolsim
Taste
Lipid metabolism
Hormones
Replication
Bones and teeth
Transcription
Nutrition
Translation
Diabetes
Physiological processes
Cancer
Micrograph of a white spot lesion
Erosion is sub-surface. Surface layer is yet to break through.
Summary of processes involved in caries
Ca10(OH)2(PO4)6
Ca10(OH)2(PO4)6
Stephan's Curve showing readings from a pH meter on the
surface of enamel under plaque.
Critical pH=5.5
pH and Tooth Decay
• Tooth enamel is 96% mineral.
• The mineral is primarily hydroxyapatite.
• Hydroxyapatite is crystalline calcium
phosphate.
• Calcium phosphate is more soluble when the
pH decreases (especially below 5.5):
Ca10(PO4)6(OH)2 + 8H+ → 10Ca2+ + 6HPO42- + 2H2O
• Some bacteria produce lactic acid when they
metabolize sugars anaerobically.
• Lactic acid produced by tooth-attached bacteria
initiates most tooth decay by dissolving the
mineral of enamel.
Phosphate and Bicarbonate are the Major
Buffers in Saliva
-----------------------------------------------------------------------------------------Salivary Co mposition in Normal Adults
-----------------------------------------------------------------------------------------Parotid
Submand ibular
Plasma
pH
6.8-7.2
6.8-7.2
7.35
Flow Rate
0.7
0.6
(mL/mi n/gland)
Potassium
Sodium
Chloride
Bicarbona te
Calcium
Magnes ium
Phospha te
20
23
23
20
2
0.2
6
mill imoles per li ter
17
21
21
18
3.6
0.3
4.5
4
140
105
27
5
2
2
pKa1= 6.1
pKa2= 7.2
Weak Acids as Buffers
The titration curves of all monoprotic, weak acids have the same
shape. The midpoint is at a pH value equal to the pKa value.
plaque
pellicle
enamel
Summary
The objective is to envision your basic biochemical principles in the act of
explaining how certain physiologic situations come about.
Professors teaching the principles will help you out by interjecting some
examples of the principles in action.
Professors teaching about the physiologic situations will help you out by
mentioning some of the principles at work.
We will put some lectures about physiologic situations up front to
establish what sorts of overall processes you are trying to understand.
You can help yourself out by seeking as many connections as possible.
Exemption Exam
There is an exemption exam on July 25.
If you can answer 80/100 multiple choice questions, you can exempt the course.
To prepare for the exemption exam:
Read this stuff first
Introduction
Intro. metabolism
Caries
pH
Glycolysis
Fibrous proteins
Carbohydrates
TCA cycle
Connective tissue
Amino acids
Ox. Phos.
Immunoglobulins
Proteins
Pentose phosphate
Inflammation
Enzymes
Gluconeogenesis
Blood clotting
Lipids
Glycogen
Drug resistance
Membranes
Urea cycle
Hemoglobin
Replication
AA metabolism
Taste
Transcription
Nucleotide metabolsim
Hormones
Translation
Lipid metabolism
Bones and teeth
Nutrition
Diabetes
Then ask how this stuff clarifies that stuff.
Introduction
Intro. metabolism
Caries
pH
Glycolysis
Fibrous proteins
Carbohydrates
TCA cycle
Connective tissue
Amino acids
Ox. Phos.
Immunoglobulins
Proteins
Pentose phosphate
Inflammation
Enzymes
Gluconeogenesis
Blood clotting
Lipids
Glycogen
Drug resistance
Membranes
Urea cycle
Hemoglobin
Replication
AA metabolism
Taste
Transcription
Nucleotide metabolsim
Hormones
Translation
Lipid metabolism
Bones and teeth
Nutrition
Diabetes
Test yourself using 2nd half of final exam from previous years.