Reducing the variability between constant-depth film fermenter experiments when modelling oral biofilm.

AIMS: The inherent instabilities associated with the development of multispecies biofilm communities within the constant-depth film fermenter (CDFF) and other microcosm systems can yield unacceptable variability between experiments, which could limit their potential applications in oral microbiology. The extent of this variability needs to be determined and a protocol developed which minimizes it. METHODS AND RESULTS: Two custom-made CDFFs were supplied concurrently with the same inoculation culture, begat from an aliquot of a saliva pool and artificial saliva growth medium via a dual-channel pump. Transformed log(10) data of the viable counts at fixed time points were analysed using the Bland-Altman approach to test for the levels of agreement between two CDFFs running concurrently and those CDFFs run in series. The coefficients(95%) of agreement were lower (i.e. less variable) in the concurrent model than when run in series for total counts of bacteria (1.238 vs 2.124), Lactobacillus spp. (0.517 vs 1.431) and Mutans streptococci (2.817 vs 3.864). Other measures of variability showed a similar trend. CONCLUSIONS: Operating CDFFs concurrently minimizes the degree of difference and variability between them. SIGNIFICANCE AND IMPACT OF THE STUDY: Operating CDFFs concurrently will improve the sensitivity for experiments that seek to determine the effects of a variable, such as a nutritional supplement or antimicrobial agent, and a control.

Photobleaching of red fluorescence in oral biofilms.

BACKGROUND AND OBJECTIVE: Many species of oral bacteria can be induced to fluoresce due to the presence of endogenous porphyrins, a phenomenon that can be utilized to visualize and quantify dental plaque in the laboratory or clinical setting. However, an inevitable consequence of fluorescence is photobleaching, and the effects of this on longitudinal, quantitative analysis of dental plaque have yet to be ascertained. MATERIAL AND METHODS: Filter membrane biofilms were grown from salivary inocula or single species (Prevotella nigrescens and Prevotella intermedia). The mature biofilms were then examined in a custom-made lighting rig comprising 405 nm light-emitting diodes capable of delivering 220 W/m(2) at the sample, an appropriate filter and a digital camera; a set-up analogous to quantitative light-induced fluorescence digital. Longitudinal sets of images were captured and processed to assess the degradation in red fluorescence over time. RESULTS: Photobleaching was observed in all instances. The highest rates of photobleaching were observed immediately after initiation of illumination, specifically during the first minute. Relative rates of photobleaching during the first minute of exposure were 19.17, 13.72 and 3.43 arbitrary units/min for P. nigrescens biofilms, microcosm biofilm and P. intermedia biofilms, respectively. CONCLUSION: Photobleaching could be problematic when making quantitative measurements of porphyrin fluorescence in situ. Reducing both light levels and exposure time, in combination with increased camera sensitivity, should be the default approach when undertaking analyses by quantitative light-induced fluorescence digital.

Validation of an extracted tooth model of endodontic irrigation.

An extracted tooth model of endodontic irrigation, incorporating reproducible inoculation and irrigation procedures, was tested against Enterococcus faecalis using a variety of different irrigants in a Latin square methodology. ANOVA revealed no significant variations between the twelve teeth or experiments undertaken on different occasions; however, variation between irrigants was significant.

The inability of a bacteriophage to infect Staphylococcus aureus does not prevent it from specifically delivering a photosensitizer to the bacterium enabling its lethal photosensitization.

OBJECTIVES: It has been demonstrated that the efficiency of lethal photosensitization can be improved by covalently binding photosensitizing agents to bacteriophage. In this study we have investigated whether a bacteriophage requires the capacity to infect the bacterium to enhance lethal photosensitization when linked to a photosensitizer. METHODS: Tin (IV) chlorin e6 (SnCe6) was conjugated to bacteriophage Phi11, a transducing phage that can infect Staphylococcus aureus NCTC 8325-4, but not epidemic methicillin-resistant S. aureus (EMRSA)-16. The conjugate and appropriate controls were incubated with these bacteria and either exposed to laser light at 632.8 nm or kept in the dark. RESULTS: The SnCe6/Phi11 conjugate achieved a statistically significant reduction in the number of viable bacteria of both 8325-4 and EMRSA-16 strains by 2.31 log(10) and 2.63 log(10), respectively. The conjugate could not however instigate lethal photosensitization of Escherichia coli. None of the other combinations of controls, such as an equivalent concentration of SnCe6 only, an equivalent titre of bacteriophage only or experiments conducted without laser light, yielded significant reductions in the number of viable bacteria recovered. CONCLUSIONS: The inability of a bacteriophage to infect S. aureus does not prevent it from specifically delivering a photosensitizer to a bacterium enabling its lethal photosensitization.

Induction of lethal photosensitization in biofilms using a confocal scanning laser as the excitation source.

OBJECTIVES: To induce lethal photosensitization in biofilms of Streptococcus pyogenes using the scanning laser in a confocal microscope to photoactivate Sn (IV) chlorin e6 (SnCe6) while simultaneously measuring changes in cell vitality using fluorescent indicators of membrane integrity. METHODS: Biofilms of S. pyogenes were immersed in a solution of 50 mg/L (70.28 microM) SnCe6 and scanned with the 488 nm argon and 543 nm HeNe lasers in a confocal microscope. Changes in membrane permeability were quantified using image analysis tools. RESULTS: Cell permeability increased in biofilms of S. pyogenes after successive scanning/exposure cycles in the presence of SnCe6. CONCLUSIONS: Cell death was induced in biofilms of S. pyogenes by the photosensitizer SnCe6 on exposure to the scanning laser emissions of a confocal microscope. The simultaneous recording of cell death demonstrates the real-time evaluation of a light-activated antimicrobial compound against a biofilm.

Biofilm structure and cell vitality in a laboratory model of subgingival plaque.

The accumulation of dental plaque below the gingival margin (i.e. subgingival plaque) is responsible for the most prevalent microbe-induced diseases of humans--the periodontal diseases. Access to this plaque is difficult, making studies of its structure in vivo very difficult. We have, therefore, used a constant-depth film fermenter to grow microcosm subgingival dental plaques under conditions similar to those existing in vivo to enable us to study certain aspects of its structure. Confocal laser scanning microscopy revealed that the biofilms consisted of pillar-like stacks of bacteria separated by water channels. In terms of their structure, these microcosm dental plaques reached a pseudo steady-state after 4 days. Individual optical sections generally showed the outer layers of the biofilm stacks to contain a high proportion of nonviable cells surrounding an inner core of predominantly viable cells with "veins" of nonviable bacteria penetrating from the outer layers through into the inner core. Such a structure differs from that classically described for biofilms growing in an aerobic atmosphere where the arrangement of viable and nonviable bacteria is usually reversed. The reasons for the preponderance of nonviable bacteria in the outer layer of the bacterial stacks remain to be established.

Efficacy of removal of sucrose-supplemented interproximal plaque by electric toothbrushes in an in vitro model.

Electric toothbrushes were evaluated using a model of plaque removal by fluid shear forces. Sucrose supplementation during plaque development did not affect the removal of bacteria from biofilm exposed to low-energy shear but did increase their resistance to high-energy shear. The toothbrush supplying high-energy shear forces removed significantly more viable bacteria.

Analysis of the effects of chlorhexidine on oral biofilm vitality and structure based on viability profiling and an indicator of membrane integrity.

Multispecies biofilms modeling interproximal plaque were grown on a hydroxyapatite substratum in a constant-depth film fermentor and then immersed in a viewing solution containing fluorescent indicators of membrane integrity. Confocal laser scanning microscopy (CLSM) revealed the structure and spatial distribution of cell vitality within the biofilms. Chlorhexidine gluconate (CHX) was added to the viewing solution to achieve concentrations of 0.05 and 0.2% (wt/vol) before further CLSM time-lapse series were captured. Image analysis showed that exposure to 0.2% CHX caused the biofilm to contract at a rate of 1.176 micro m min(-1) along the z axis and also effected changes in total fluorescence measurements and viability profiles through the biofilms after a delay of 3 to 5 min. At a concentration of 0.05% CHX, total fluorescence measurements for the biofilm exhibited barely detectable changes after 5 min. Fluorescence profiles (fluorescence versus time versus depth), however, clearly showed that a time-dependent effect was present, but the clearest indicator of the effect of dilute CHX over time was viability profiling. These findings suggest the possibility of using fluorescent indicators of membrane integrity in conjunction with viability profiling to evaluate the penetration of the bactericidal effects of membrane-active antimicrobial compounds into biofilm.

Laboratory modelling of manganese biofiltration using biofilms of Leptothrix discophora.

Laboratory biofilters (pilot-scale, 20 l and laboratory-scale, 5l) were constructed in order to model the bioaccumulation of manganese (Mn) under flow conditions similar to those occurring in biofilters at groundwater treatment sites. The biofilters were operated as monocultures of Leptothrix discophora, the predominant organism in mature Mn oxidising biofilms. Biologically mediated Mn bioaccumulation was successfully modelled in both filter systems. The data obtained showed that in the small-scale biofilter, the Mn concentrations that gave the highest rate of Mn bioaccumulation, shortest maturation time, highest optical density (biomass) and growth rate were between 2000 and 3000 microg x l(-1). The non-problematic scale-up of the process from the laboratory-scale to the pilot-scale biofilter model suggests that Mn biofilters may be 'seeded' with laboratory grown cultures of L. discophora. By initially operating the biofilter as a re-circulating batch culture, with an initial Mn concentration of approximately 2500 microg x l(-1), it is hoped to reduce the filter maturation time from months to days.

Measuring the thickness of an outer layer of viable bacteria in an oral biofilm by viability mapping.

Bacterial biofilms have been reported to contain distinct regions of viable and nonviable bacteria. The purpose of this study was to identify such regions in biofilms of oral bacteria and to determine their dimensions. Oral biofilms were grown aerobically in a constant-depth film fermenter (CDFF) and studied using confocal laser scanning microscopy (CLSM) incorporating viability staining with water immersion lenses. A variety of viability distributions were observed, including biofilm "stacks" possessing an outer layer of viable bacteria surrounding an internal core of nonviable bacteria. Using image analysis tools, we measured the thickness of this outer viable region, in the x-y plane, from single confocal optical sections, and determined the mean angle (theta) of these portions of the biofilm stack (10.93 degrees ). x-y plane thickness data in conjunction with the data on the angle of the stack returned the thickness of the outer viable layer perpendicular to the bulk medium flow as 36.62 microm (31.61-42.21 microm accounting for 95% confidence for variation in both the x-y plane thickness and theta). We have shown that CLSM, in conjunction with vital stains and image analysis techniques, can reveal viability patterns in biofilms and where appropriate can be used to measure the dimensions of these structures.

Effects of dynamic fluid activity from an electric toothbrush on in vitro oral biofilms.

OBJECTIVES: To determine the plaque-removing ability of a Sonicare Plus electric toothbrush in an in vitro model. MATERIAL AND METHODS: Multispecies oral biofilms derived from human saliva were grown on hydroxyapatite discs in a constant-depth film fermenter. The biofilms were placed in a typodont model so that they mimicked the interproximal plaque between teeth 46 and 47 and were then treated with an electric toothbrush, both activated and inactivated. The distance from the bristle tips to the edge of the disc was 2.65 mm. Brushing action was controlled by a specially constructed brushing machine. After brushing, the number of viable bacteria removed from, and remaining in, the biofilms were determined. RESULTS: In all, 73.70% of viable bacteria in the biofilms were dislodged from the discs using the activated toothbrush. An inactivated toothbrush removed only 3.66%. Scanning electron microscopy and confocal microscopy revealed differences between untreated and treated biofilms. CONCLUSION: The fluid shear forces generated by the electric toothbrush penetrated at least 2.65 mm beyond the reach of the bristles and these forces contributed to the toothbrush's plaque-removal ability (p<0.001).

Determining the spatial distribution of viable and nonviable bacteria in hydrated microcosm dental plaques by viability profiling.

AIMS: The aim of this study was to use confocal laser scanning microscopy (CLSM) to examine the spatial distribution of both viable and nonviable bacteria within microcosm dental plaques grown in vitro. Previous in vivo studies have reported upon the distribution of viable bacteria only. METHODS AND RESULTS: Oral biofilms were grown on hydroxyapatite (HA) discs in a constant-depth film fermenter (CDFF) from a saliva inoculum. The biofilms were stained with the BacLight LIVE/DEAD system and examined by CLSM. Fluorescence intensity profiles through the depth of the biofilm showed an offset between the maximum viable intensity and the maximum nonviable intensity. Topographical differences between the surface properties of the viable and nonviable biofilm virtual surfaces were also measured. CONCLUSIONS: The profile of fluorescence intensity from viable and nonviable staining suggested that the upper layers of the biofilm contain proportionally more viable bacteria than the lower regions of the biofilm. SIGNIFICANCE AND IMPACT OF STUDY: Viability profiling records the transition from predominantly viable to nonviable bacteria through biofilms suggesting that this technique may be of use for quantifying the effects of antimicrobial compounds upon biofilms. The distribution of viable bacteria was similar to that found in dental plaque in vivo suggesting that the CDFF produces in vitro biofilms which are comparable to their in vivo counterparts in terms of the spatial distribution of viable bacteria.