Microbiota of plaque microcosm biofilms: effect of three times daily sucrose pulses in different simulated oral environments.
OBJECTIVE
To explore the Ecological Plaque Hypothesis for dental caries. To test modification of the microbiota of dental plaque microcosm biofilms by sucrose pulsing during growth in two different simulated oral fluids, and with a urea-induced plaque pH elevation.


METHODS
Plaque microcosm biofilms were cultured in an 'artificial mouth' with and without 6-min 5% w/v sucrose pulses every 8 h in an environment of continuously supplied saliva-like defined medium with mucin (DMM), or basal medium mucin (BMM, a high-peptone-yeast extract oral fluid analogue), and also in DMM + 10 mmol/l urea, with sucrose pulsing. Forty plaque species were quantified by checkerboard DNA:DNA hybridization analysis.


RESULTS
Sucrose pulsing extended rapid plaque growth in DMM and BMM, inducing major microbiota changes in DMM but not in BMM. In DMM, some streptococci and lactobacilli were unaffected while others implicated in caries, together with Candida albicans and Capnocytophaga gingivalis, increased. Aerobic, microaerophilic and major anaerobic species decreased. Elevation of the pH(max) from 6.4 to 7.0 had almost no effect on the microbiota. BMM plaques were distinct from DMM plaques with particularly low levels of Candida albicans and Actinomyces.


CONCLUSIONS
Modest sucrose exposure in a saliva-like environment causes profound changes in the developmental self-organization of plaque microcosms, supporting the Ecological Plaque Hypothesis. Nevertheless, there is significant stability in microbial composition with varying pH near neutrality. Increases in levels of specific bacteria in response to sucrose could be characteristic of organisms particularly important in caries.
Sissons
C H
CH
Dental Research Group, Department of Pathology and Molecular Medicine, Wellington School of Medicine and Health Sciences, University of Otago, Wellington, New Zealand. chris.sissons@otago.ac.nz
Anderson
S A
SA
Wong
L
L
Coleman
M J
MJ
White
D C
DC
D000328:Adult; D018441:Biofilms / Q000187:drug effects / Q000254:growth & development*; D003731:Dental Caries / Q000382:microbiology; D003773:Dental Plaque / Q000737:chemistry / Q000382:microbiology*; D004812:Epidemiologic Methods; D006801:Humans; D006863:Hydrogen-Ion Concentration; D009077:Mucins / Q000737:chemistry* / Q000187:drug effects; D013395:Sucrose / Q000009:adverse effects*; D013549:Sweetening Agents / Q000009:adverse effects*
D009077:Mucins; D013549:Sweetening Agents; D013395:Sucrose