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The Microbiology of Dental Caries

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Dental Caries

Abstract

As was mentioned in chapter 1, there have been a number of theories concerning the aetiology of dental caries, of which the acidogenic theory has been the most generally accepted. According to this theory, caries is initiated by organic acids produced by oral bacteria as a result of their fermentative activity on carbohydrates. The credit for the ‘Chemicoparasitic’ or acidogenic theory is usually ascribed to W. D.Miller1, but it is fair to say that his conclusions were based on the accumulated efforts of a number of other investigators, as well as his own, during the nineteenth century. In 1897, N. B. Williams reported his observation that the enamel of human teeth was covered with adhesive ‘gelatine-like’ material, consisting largely of microorganisms, and suggested that this material might be responsible for the localisation of acid attack to certain areas of the tooth surface. Writing a year later, G. V. Black coined the phrase ‘gelatinous microbial plaques’ for the bacteria on the tooth surface, and supported the idea that acid-producing bacteria were the main aetiological agents in caries.

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Further reading

  • Bibby, B. G. and Shern, R. J. (Eds) (1978). Methods of Caries Prediction. A Special Supplement of Microbiology Abstracts, Information Retrieval Inc., Washington D.C. and London

    Google Scholar 

  • Newbrun, E. (1978). Cariology. Williams and Wilkins Co., Baltimore

    Google Scholar 

  • Kleinberg, I., Ellison, S. A. and Mandel, I. D. (Eds) (1979). Saliva and Dental Caries. A Special Supplement of Microbiology Abstracts, Information Retrieval Inc., New York and London

    Google Scholar 

  • Stiles, H. M., Loesche, W. J. and O’Brien, T. C. (1976). Microbial Aspects of Dental Caries. A Special Supplement of Microbiology Abstracts, Information Retrieval Inc., Washington D. C. and London

    Google Scholar 

References

  1. Miller, W. D. (1890). The Micro-organisms of the Human Mouth, S. S. White Dental Manufacturing Co., Philadelphia. Republished, K. König (Ed.), by S. Karger, Basel, 1973

    Google Scholar 

  2. Schroeder, H. E. and De Boever, J. (1970). The structure of microbial dental plaque, in Dental Plaque (Ed. McHugh, W. D. ), E. and S. Livingstone, Edinburgh and London, pp. 49–75

    Google Scholar 

  3. Silverstone, L. M. (1968). The surface zone in caries and in caries-like lesions produced in vitro. British Dental Journal, 125, 145–157

    Google Scholar 

  4. Hardie, J. M., Silverstone, L. M. and Bowden, G. H. (1971). Modification of acid attack on enamel surfaces in vitro, by aggregations of bacteria. Caries Research, 5, 290–304

    Article  Google Scholar 

  5. Pigman, W, Elliot, H. C. and Laffre, R. O. (1952). An artificial mouth for caries research. Journal of Dental Research, 31, 627–33

    Article  Google Scholar 

  6. Pigman, W. (1968). In vitro simulation of dental caries using bacteria, in Art and Science of Dental Caries Research (Edited Harris, R. S.), Academic Press, New York and London, pp. 319–30

    Google Scholar 

  7. Sidaway, D. A. (1970). The bacterial composition of natural plaque and the in vitro production of artificial plaque, in Dental Plaque (Ed. McHugh, W. D. ), E. and S. Livingstone, Edinburgh and London

    Google Scholar 

  8. Coulter, W. A. and Russell, C. (1976). pH and Eh in single and mixed culture bacterial plaque in an artificial mouth. Journal of Applied Bacteriology, 40, 73–87

    Google Scholar 

  9. Ellwood, D. C., Hunter, J. R. and Longyear, V. M. C. (1974). Growth of Streptococcus mutans in a chemostat. Archives of Oral Biology, 19, 659–64

    Article  Google Scholar 

  10. McClure, F. J. and Hewitt, W. L. (1946). Relation of penicillin to induced rat dental caries and oral Lactobacillus acidophilus Journal of Dental Research, 25, 441–3

    Article  Google Scholar 

  11. Hill, T. J. Sims, J and Newman, M. (1953). The effect of penicillin dentifrice on the control of dental caries. Journal of Dental Research, 32, 448–52

    Article  Google Scholar 

  12. Zander, H. A. (1950). The effect of pencillin dentifrice on caries incidence in school children. Journal of the American Dental Association, 40, 569–74

    Article  Google Scholar 

  13. Littleton, N. W. and White, C. L. (1964). Dental findings from a preliminary study ofchildren receiving extended antibiotic therapy. Journal of the American Dental Association, 68, 520–5

    Article  Google Scholar 

  14. Handleman, S. L., Mills, J. R. and Hawes, R. R. (1966). Caries incidence in subjects receiving long term antibiotic therapy. Journal of Oral Therapeutics and Pharmacology, 2, 338–45

    Google Scholar 

  15. Bibby, B. G. (1970). Antibiotics and dental caries, in Dietary Chemicals vs. Dental Caries, Advances in Chemistry Series 94 (Ed. Gould, R. F. ), American Chemical Society, Washington, DC

    Google Scholar 

  16. Loesche, W. J. (1976). Chemotherapy of dental plaque infections. Oral Sciences Reviews, 9, 65–107

    Google Scholar 

  17. Orland, F. J., Blayney, J. R., Harrison, R. W., Reyniers, J. A., Trexler, P. C., Gordon, H. A., Wagner, M. and Luckey, T. D. (1954). Use of germ-free animal technique in the study of experimental dental caries. 1. Bâsic observations on rats reared free of all microorganisms. Journal of Dental Research, 33, 147–74

    Article  Google Scholar 

  18. Fitzgerald, R. J. and Keyes, P. H. (1960). Demonstration of the etiologic role of streptococci in experimental caries in the hamster. Journal of the American Dental Association, 61, 9–19

    Article  Google Scholar 

  19. Fitzgerald, R. J., Jordan, H. V. and Stanley, H. R. (1960). Experimental caries and gingival pathologic changes in the gnotobiotics rat. Journal of Dental Research, 39, 923–35

    Article  Google Scholar 

  20. Keyes, P. H. (1960). The infections and transmissible nature of experimental dental caries-findings and implications. Archives of Oral Biology, 1, 304–20

    Article  Google Scholar 

  21. Zinner, D. D., Jablon, J. M., Aran, A. P. and Saslaw, M. S. (1966). Comparative pathogenicity of streptococci of human origin in hamster caries. Archives of Oral Biology, 11, 1419–20

    Article  Google Scholar 

  22. Gibbons, R. J., Berman, K. S., Knoettner, P. and Kapsimalis, B. (1966). Dental caries and alveolar bone loss in gnotobiotic rats infected with capsule-forming streptococci of human origin. Archives of Oral Biology, 11, 549–60

    Article  Google Scholar 

  23. Edwardsson, S. (1968). Characteristics of caries-inducing human streptococci resembling Streptococcus mutans. Archives of Oral Biology, 13, 637–46

    Article  Google Scholar 

  24. Krasse, B. (1966). Human streptococci and experimental caries in hamsters. Archives of Oral Biology, 11, 429–36

    Article  Google Scholar 

  25. Guggenheim, B. (1968). Streptococci of dental plaques. Caries Research, 2, 147–63

    Article  Google Scholar 

  26. Fitzgerald, R. J. (1968). Dental caries research in gnotobiotic animals. Caries Research, 2, 139–46

    Article  Google Scholar 

  27. Konig, K. G. (1968). Design of animal experiments in caries research, in Art and Science of Dental caries Research (Ed. Harris, R. S. ), Academic Press, New York and London

    Google Scholar 

  28. Krasse, B. and Carlsson, J. (1970). Various types of streptococci and experimental caries in hamsters. Archives of Oral Biology, 15, 25–32

    Article  Google Scholar 

  29. Bowen, W. H. (1968). Dental caries in monkeys. Advances in Oral Biology, 3, 185–216

    Article  Google Scholar 

  30. Lehner, T., Challacombe, S. J. and Caldwell, J (1975). An experimental model for immunological studies of dental caries in the Rhesus monkey. Archives of Oral Biology, 20, 299–304

    Article  Google Scholar 

  31. Mikx, F. H. M., Hoeven, J. S. van der., Konig, K. G., Plasschaert, A. J. M. and Guggenheim, B. (1972). Establishment of defined microbial ecosystems in germfree rats. 1. Effect of the interaction of Streptococcus mutans or Streptococcus sanguis with Veillonella alcalescens on plaque formation and caries activity. Caries Research, 6, 211–21

    Article  Google Scholar 

  32. Fitzgerald, R. J., Jordan, H. V. and Archard, H. O. (1966). Dental caries in gnotobiotic rats infected with a variety of Lactobacillus acidophilus. Archives of Oral Biology, 11, 473–76

    Article  Google Scholar 

  33. Fillery, E. D., Bowden, G. H. and Hardie, J. M. (1978). A comparison of strains of bacteria designated Actinomyces viscosus and Actinomyces naeslundii. Caries Research, 12, 299–312

    Article  Google Scholar 

  34. Krasse, B., Jordan, H. V., Edwardsson, S., Svensson, I. and Trell, L. (1968). The occurrence of certain `caries-inducing’ streptococci in human dental plaque material. Archives of Oral Biology, 13, 911–18

    Google Scholar 

  35. Littleton, N. W., Kakehashi, S. and Fitzgerald, R. J. (1970). Recovery of specific `caries-inducing’ streptococci from carious lesions in the teeth of children. Archives of Oral Biology, 15, 461–3

    Google Scholar 

  36. Shklair, I. L., Keene, H. J. and Simons, L. G. (1972). Distribution and frequency of Streptococcus mutans in caries-active individuals. Journal of Dental Research, 51, 882

    Google Scholar 

  37. Rogers, A. H. (1973). The ecology of Streptococcus mutans in carious lesions and on caries-free surfaces of the same tooth. Australian Dental Journal, 18, 226–8

    Google Scholar 

  38. Hoerman, K. C., Keene, H. J., Shklair, I. L. and Burmeister, J. A. (1972). The association of Streptococcus mutans with early carious lesions in human teeth. Journal of the American Dental Association, 85, 1349–52

    Google Scholar 

  39. Shklair, I. L., Keene, H. J. and Cullen, P. (1974). The distribution of Streptococcus mutans on the teeth of two groups of naval recruits. Archives of Oral Biology, 19, 199–202

    Google Scholar 

  40. Keene, H. J. and Shklair, I. L. (1974). Relationship of Streptococcus mutans carrier status to the development of carious lesions in initially caries free recruits. Journal of Dental Research, 53, 1295

    Article  Google Scholar 

  41. Ikeda, T., Sandham, H. J. and Bradley, E. L. Jr. (1973). Changes in Streptococcus mutans and lactobacilli in plaque in relation to the initiation of dental caries in Negro children. Archives of Oral Biology, 18, 555–66

    Google Scholar 

  42. Mikkelsen, L. and Poulsen, S. (1976). Microbiological studies on plaque in relation to development of dental caries in man. Caries Research, 10, 178–88

    Article  Google Scholar 

  43. Loesche, W. J., Rowan, J., Straffon, L. H. and Loos, P. J. (1975). Association of Streptococcus mutans with human dental decay. Infection and Immunity, 11, 1252–60

    Google Scholar 

  44. Sumney, D. L. and Jordan, H. V. (1974). Characterization of bacteria isolated from human root surface carious lesion. Journal of Dental Research, 53, 343–51

    Article  Google Scholar 

  45. Syed, S. A., Loesche, W. J., Pape, H. L., Jr., and Grenier, E. (1975). Predominant cultivable flora isolated from human root surface caries plaque. Infection and Immunity, 11, 727–31

    Google Scholar 

  46. Yamada, T. and Carlsson, J. (1975). Regulation of lactate dehydrogenase and change of fermentation products in streptococci. Journal of Bacteriology, 124, 5561

    Google Scholar 

  47. Geddes, D. A. M. (1975). Acids produced by human dental plaque metabolism in situ. Caries Research, 9, 98–109

    Article  Google Scholar 

  48. De Stoppelaar, J. D., Konig, K. G., Plasschaert, A. J. M. and van der Hoeven, J. S. (1971). Decreased cariogenicity of a mutant of Streptococcus mutans. Archives of Oral Biology, 16, 971–5

    Article  Google Scholar 

  49. Bratthall, D. (1970). Demonstration of five serological groups of streptococcal strains resembling Streptococcus mutans. Odontologisk Revy., 21, 143–52

    Google Scholar 

  50. Perch, B., Kjems, E. Ravn, T. (1974). Biochemical and serological properties of Streptococcus mutans from various human and animal sources. Acta Pathologica et Microbiologica Scandinavica, Section B, 82, 357–70

    Google Scholar 

  51. Coykendall, A. L. (1970). Base composition of deoxyribonucleic acid isolated from cariogenic streptococci. Archives of Oral Biology, 15, 365–68

    Article  Google Scholar 

  52. Coykendall, A. L. (1974). Four types of Streptococcus mutans based on their genetic, antigenic and biochemical characteristics. Journal of General Microbiology, 83, 327–38

    Article  Google Scholar 

  53. Hardie, J. M. and Bowden, G. H. (1974). Cell wall and serological studies on Streptococcus mutans. Caries Research, 8, 301–16

    Article  Google Scholar 

  54. Linzer, R. (1976). Serotype polysaccharide antigens of Streptococcus mutans: composition and serological cross-reactions, in Immunologic Aspects of Dental Caries (Eds. Bowen, W. H., Genco, R. J. and O’Brian, T. C. ), Information Retrieval Inc., Washington, DC and London

    Google Scholar 

  55. Socransky, S. S. (1968). Caries susceptibility tests. Annals of the New York Academy of Sciences, 153, 137–46

    Article  Google Scholar 

  56. Sims, W. (1970). The interpretation and use of Synder tests and lactobacillus counts. Journal of the American Dental Association, 80, 1315–19

    Article  Google Scholar 

  57. Ellen, R. P. (1976). Microbiological assays for dental caries and periodontal disease susceptibility. Oral Sciences Review, 8, 323

    Google Scholar 

  58. Llory, H., Dammron, A. and Frank, R. M. (1971). Changes in the oral flora following bucco-pharyngeal radiotherapy. Archives of Oral Biology, 16, 617–30

    Article  Google Scholar 

  59. Brown, L. R. Dreizen, S., Handler, S. and Johnston, D. A. (1975). Effect of radiation-induced xerostamia on human oral micro flora. Journal of Dental Research, 54, 740–50

    Google Scholar 

  60. Dogon, I. L., Kerr, A. C. and Amdur, B. H. (1962). Characterization of an antibacterial factor in human parotid secretions, active against Lactobacillus casei. Archives of Oral Biology, 7, 81–90

    Article  Google Scholar 

  61. Hoogendoorn, H (1974). The effect of lactoperoxidase-thiocyanate-hydrogen peroxide on the metabolism of cariogenic microorganisms in vitro and in the oral cavity. Doctoral Thesis, Univ. of Delft

    Google Scholar 

  62. Gibbons, R. J. and Spinnell, D. M. (1970). Salivary induced aggregation of plaque bacteria, in Dental Plaque (Ed. McHugh, W. D. ), E. S. Livingstone, Edinburgh and London, pp. 207–16

    Google Scholar 

  63. Magnusson, I., Ericson, Th. and Pruitt, K. (1976). Effect of salivary agglutinins on bacterial colonization of tooth surfaces. Caries Research, 10, 113–22

    Article  Google Scholar 

  64. Mergenhagen, S. E. and Scherp, H. W. (Eds) (1973). Comparative Immunology of the Oral Cavity, DHEW Publications No. (NIH) 73–438, US Department of Health, Education and Welfare, National Institutes of Health, Bethesda, Maryland

    Google Scholar 

  65. Lehner, T. (1975). Immunological aspects of dental caries and periodontal disease. British Medical Bulletin, 31, 125–30

    Google Scholar 

  66. Brandtzaeg, P. (1974). Immunoglobulin systems of oral mucosa and saliva, in The Oral Mucosa in Health and Disease (Ed. Dolby, A. E. ), Blackwell Scientific Publications, Oxford

    Google Scholar 

  67. Lehner, T., Cardwell, J. D. and Clarry, E. D. (1967). Immunoglobulins in saliva and serum in dental caries. Lancet, 1, 1294–7

    Article  Google Scholar 

  68. Zengo, A. N., Mandel, I. D., Goldman, R. and Khurana, H. S. (1971). Salivary studies in human caries resistance. Archives of Oral Biology, 16, 557–60

    Article  Google Scholar 

  69. Brandtzaeg, P., Fjellanger, I. and Gjeruldsen, S. T. (1970). Human secretory immunoglobulins-I. Salivary secretions from individuals with normal or low levels of serum immunoglobulins. Scandinavian Journal of Haematology, Supplement 12

    Google Scholar 

  70. Lindstrom, F. D. and Folk, L. E. A. (1973). Salivary IgA in periodontal disease. Acta Odontologica Scandinavica, 31, 31–4

    Article  Google Scholar 

  71. Mandel, I. D. and Khurana, H. S. (1969). The relation of human salivary y A globulin and albumin to flow rate. Archives of Oral Biology, 14, 1433–5

    Article  Google Scholar 

  72. Brandtzaeg, P. (1971). Human secretory immunoglobulins VII: Concentration of parotid IgA and other secretory proteins in relation to the rate of flow and duration of secretory stimulus. Archives of Oral Biology, 16, 1295–1310

    Article  Google Scholar 

  73. Orstavik, D. and Brandtzaeg, P. (1975). Secretion of parotid IgA in relation to gingival inflammation and dental caries experience in man. Archives of Oral Biology, 20, 701–4

    Article  Google Scholar 

  74. Challacombe, S. J., Guggenheim, B. and Lehner, T. (1973). Antibodies to an extract of Streptococcus mutans, containing glucosyltransferase activity, related to dental caries in man. Archives of Oral Biology, 18, 657–68

    Article  Google Scholar 

  75. Hardie, J. M. and Bowden, G. H. (1976). Some serological cross-reactions between Streptococcus mutans, Streptococcus sanguis and other dental plaque streptococci. Journal of Dental Research, 55, c50 - c58

    Article  Google Scholar 

  76. Knox, K. W. and Wicken, A. J. (1973). Immunological properties of teichoic acids. Bacteriological Reviews, 37, 215–57

    Google Scholar 

  77. Kennedy, A. E., Shklair, I. L., Hayashi, J. A. and Bahu, A. N. (1968). Antibodies to cariogenic streptococci in humans. Archives of Oral Biology, 13, 1275–8

    Article  Google Scholar 

  78. Lehner, T., Wilton, J. M. A. and Ward, R. G. (1970). Serum antibodies in dental caries in man. Archives of Oral Biology, 15, 481–90

    Article  Google Scholar 

  79. Challacombe, S. J. (1974). Serum complement-fixing antibodies in human dental caries. Caries Research, 8, 84–95

    Article  Google Scholar 

  80. Sims, W. (1970). The concept of immunity in dental caries 1. General considerations. Oral Surgery, Oral Medicine, Oral Pathology, 30, 670–7

    Article  Google Scholar 

  81. Sims, W. (1972). The concept of immunity in dental caries II. Specific immune responses. Oral Surgery, Oral Medicine, Oral Pathology, 34, 69–86

    Article  Google Scholar 

  82. Bowden, G. H. Hardie, J. M., McKee, A. S., Marsh, P. D., Fillery, E. D. and Slack, G. L. (1976). The microflora associated with developing carious lesions of the distal surfaces of the upper first premolars in 1314 year old children. Microbial Aspects of Dental Caries, Stiles, H. M., Loesche, W. J. and O’Brien, T. C. (Eds.) Special supplement of Microbiology Abstracts vol. 1, 223–41, Information Retrieval Inc., Washington, DC and London

    Google Scholar 

  83. Hardie, J. M., Thomson, P. L., South, R. J., Marsh, P. D., Bowden, G. H., McKee, A. S., Fillery, E. D. and Slack, G. L. (1977). A longitudinal epidemiological study on dental plaque and the development of caries - interim results after two years. Journal of Dental Research 56, c90 - c98.

    Article  Google Scholar 

  84. Drucker, D. B. and Green, R. M. (1978). The relative cariogenicities of Streptococcus milleri and other viridans group streptococci in gnotobiotic hooded rats. Archives of Oral Biology, 23, 183–7

    Article  Google Scholar 

  85. Drucker, D. B. and Green, R. M. (1979). Potential of streptococci for inducing dental caries in gnotobiotic rats, in Pathogenic Streptococci (Ed. Parker, M. T. ), Reed Books Ltd, Surrey, pp. 206–7

    Google Scholar 

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© 1981 L. M. Silverstone, N. W. Johnson, J. M. Hardie and R. A. D. Williams

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Silverstone, L.M., Johnson, N.W., Hardie, J.M., Williams, R.A.D. (1981). The Microbiology of Dental Caries. In: Dental Caries. Palgrave, London. https://doi.org/10.1007/978-1-349-16547-6_3

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  • DOI: https://doi.org/10.1007/978-1-349-16547-6_3

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