Red and Green Fluorescence from Oral Biofilms

Red and green autofluorescence have been observed from dental plaque after excitation by blue light. It has been suggested that this red fluorescence is related to caries and the cariogenic potential of dental plaque. Recently, it was suggested that red fluorescence may be related to gingivitis. Lit...

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Published in:PloS one Vol. 11; no. 12; p. e0168428
Main Authors: Volgenant, Catherine M C, Hoogenkamp, Michel A, Krom, Bastiaan P, Janus, Marleen M, Ten Cate, Jacob M, de Soet, Johannes J, Crielaard, Wim, van der Veen, Monique H
Format: Journal Article
Language:English
Published: United States Public Library of Science 20-12-2016
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Summary:Red and green autofluorescence have been observed from dental plaque after excitation by blue light. It has been suggested that this red fluorescence is related to caries and the cariogenic potential of dental plaque. Recently, it was suggested that red fluorescence may be related to gingivitis. Little is known about green fluorescence from biofilms. Therefore, we assessed the dynamics of red and green fluorescence in real-time during biofilm formation. In addition, the fluorescence patterns of biofilm formed from saliva of eight different donors are described under simulated gingivitis and caries conditions. Biofilm formation was analysed for 12 hours under flow conditions in a microfluidic BioFlux flow system with high performance microscopy using a camera to allow live cell imaging. For fluorescence images dedicated excitation and emission filters were used. Both green and red fluorescence were linearly related with the total biomass of the biofilms. All biofilms displayed to some extent green and red fluorescence, with higher red and green fluorescence intensities from biofilms grown in the presence of serum (gingivitis simulation) as compared to the sucrose grown biofilms (cariogenic simulation). Remarkably, cocci with long chain lengths, presumably streptococci, were observed in the biofilms. Green and red fluorescence were not found homogeneously distributed within the biofilms: highly fluorescent spots (both green and red) were visible throughout the biomass. An increase in red fluorescence from the in vitro biofilms appeared to be related to the clinical inflammatory response of the respective saliva donors, which was previously assessed during an in vivo period of performing no-oral hygiene. The BioFlux model proved to be a reliable model to assess biofilm fluorescence. With this model, a prediction can be made whether a patient will be prone to the development of gingivitis or caries.
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Conceptualization: JJdS BPK MHvdV MAH JMtC CMCV.Data curation: JJdS MHvdV MAH CMCV.Formal analysis: MHvdV JJdS MAH CMCV.Funding acquisition: BPK JMtC WC MHvdV.Investigation: MAH MMJ CMCV.Methodology: JJdS BPK MHvdV MAH CMCV.Project administration: MAH CMCV.Resources: BPK JMtC WC.Validation: MAH CMCV.Visualization: CMCV.Writing – original draft: MAH MHvdV JJdS CMCV.Writing – review & editing: MMJ JMtC WC BPK.
Competing Interests: The authors have read the journal's policy and the authors of this manuscript have the following competing interests: Monique van der Veen is a co-inventor of several patents related to quantitative light-induced fluorescence. The authors declare that there is otherwise no conflict of interest pertaining to the data presented in this article. Concerning the patent of co-author M.H. van der Veen: Monique van der Veen is a coinventor on a patent by Kanbara M, de Josselin de Jong E, van der Veen MH, Waller E (21-12-2004) ‘Dental examination apparatus and method’ JP2006174977 (A). This patent does not alter our adherence to PLOS ONE policies on sharing data and materials.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0168428