Bond strengthening in oral bacterial adhesion to salivary conditioning films

Oral bacterial adhesion forces to biomaterial surfaces constituting the bracket-adhesive-enamel junction in orthodontic treatment

Bacterial adhesion to biomaterial surfaces constituting the bracket-adhesive-enamel junction represents a growing problem in orthodontics, because bacteria can adversely affect treatment by causing demineralization of the enamel surface around the brackets. It is important to know the forces with which bacteria adhere to the surfaces of these junction materials, as the strength of these forces will determine how easy it will be to remove the bacteria. We compared the adhesion forces of five initially colonizing and four cariogenic strains of bacteria to an orthodontic adhesive, stainless steel, and enamel, with and without a salivary conditioning film. Adhesion forces were determined using atomic force microscopy and a bacterial probe. In the absence of a salivary conditioning film, the strongest bacterial adhesion forces occurred to the adhesive surface (-2.9 to -6.9 nN), while adhesion forces to the enamel surfaces were lowest (-0.8 to -2.7 nN). In the presence of a salivary conditioning film, adhesion forces were reduced strongly, to less than 1 nN, and the differences between the various materials were reduced. Generally, however, initial colonizers of dental hard surfaces presented stronger adhesion forces to the different materials (-4.7 and -0.6 nN in the absence and presence of a salivary conditioning film, respectively) than cariogenic strains (-1.8 and -0.5 nN).

Influence of cell surface appendages on the bacterium-substratum interface measured real-time using QCM-D

Quartz crystal microbalance with dissipation (QCM-D) utilizes an oscillating quartz crystal to register adsorption of rigid masses through a decrease in its resonance frequency f. In addition, QCM-D has the ability to measure the dissipative nature of nonrigid masses adhering to the crystal surface in the form of oscillation amplitude decay time. Although QCM has been applied to register bacterial adhesion to the crystal surface, full interpretation of the frequency change and dissipation signal has hitherto been impossible due to the complex interactions within the distance of 250 nm between the substratum and the bacterial cell surface. Here, we study adhesion of a series of Streptococcus salivarius mutants, possessing various surface appendages of known lengths, as a function of time using QCM-D. In addition, the number of bacteria adhering to the crystal surface was determined. The results show that adhesion of a "bald" bacterium, completely devoid of surface appendages, is registered as a frequency decrease. Adhesion of bacteria possessing surface appendages yields either a much smaller decrease or an increase in frequency, despite the fact they adhere in higher numbers. Furthermore, the magnitude of frequency and dissipation shifts was found to be influenced by the distance at which the cell body was held from the sensor surface by its surface appendages.