Acid tolerance properties of dental biofilms in vivo
Open accessAbstract
BACKGROUND: The ecological plaque hypothesis explains caries development as the result of the enrichment of acid tolerant bacteria in dental biofilms in response to prolonged periods of low pH. Acid production by an acid tolerant microflora causes demineralisation of tooth enamel and thus, individuals with a greater proportion of acid tolerant bacteria would be expected to be more prone to caries development. Biofilm acid tolerance could therefore be a possible biomarker for caries prediction. However, little is known about the stability of biofilm acid tolerance over time in vivo or the distribution throughout the oral cavity. Therefore the aim of this study was to assess intra-individual differences in biofilm acid-tolerance between different tooth surfaces and inter-individual variation as well as stability of acid tolerance over time. RESULTS: The majority of the adolescents showed low scores for biofilm acid tolerance. In 14 of 20 individuals no differences were seen between the three tooth sites examined. In the remaining six, acid-tolerance at the premolar site differed from one of the other sites. At 51 of 60 tooth sites, acid-tolerance at baseline was unchanged after 1 month. However, acid tolerance values changed over a 1-year period in 50% of the individuals. CONCLUSIONS: Biofilm acid tolerance showed short-term stability and low variation between different sites in the same individual suggesting that the acid tolerance could be a promising biological biomarker candidate for caries prediction. Further evaluation is however needed and prospective clinical trials are called for to evaluate the diagnostic accuracy.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Organisms involved in re-establishing pH homeostasis include S gordonii, S sanguinis, and Lactobacillus casei.
“Organisms involved in re‐establishing pH homeostasis include S gordonii, S sanguinis, and Lactobacillus casei.177”
From The oral microbiome: Role of key organisms and complex networks in oral health and disease (2021) · cites this paper as [177]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Measurement of Observer Agreement for Categorical Data
Landis, J. R., & Koch, G. G. (1977) · Biometrics · doi:10.2307/2529310 · Cited by 81,148 · see citing works
Occlusal Caries: Biological Approach for Its Diagnosis and Management
Carvalho, J. C., Dige, I., Mačhiulskienė, V., Qvist, V., Bakhshandeh, A., Parolo, C. C. F., & Maltz, M. (2016) · Caries Research · doi:10.1159/000448662 · Cited by 2,159 · see citing works
Microbial ecology of dental plaque and its significance in health and disease
Marsh, P. D. (1994) · Advances in Dental Research · doi:10.1177/08959374940080022001 · Cited by 1,278 · see citing works
Are dental diseases examples of ecological catastrophes?
Marsh, P. D. (2003) · Microbiology · doi:10.1099/mic.0.26082-0 · Cited by 1,256 · see citing works
gisela-storz (2000) · Cited by 869 · see citing works
Role of Micro-organisms in Caries Etiology
van Houte, J. (1994) · Journal of Dental Research · doi:10.1177/00220345940730031301 · Cited by 682 · see citing works
Adaptive acidification tolerance response of Salmonella typhimurium
Foster, J. W., & Hall, H. K. (1990) · Journal of Bacteriology · doi:10.1128/jb.172.2.771-778.1990 · Cited by 543 · see citing works
Intra-Oral Hydrogen-Ion Concentrations Associated With Dental Caries Activity
Stephan, R. M. (1944) · Journal of Dental Research · doi:10.1177/00220345440230040401 · Cited by 458 · see citing works
Alkali production by oral bacteria and protection against dental caries
Burne, R. A., & Marquis, R. E. (2000) · FEMS Microbiology Letters · doi:10.1111/j.1574-6968.2000.tb09393.x · Cited by 400 · see citing works
Adaptation of Streptococcus mutans and Enterococcus hirae to acid stress in continuous culture
Belli, W. A., & Marquis, R. E. (1991) · Applied and Environmental Microbiology · doi:10.1128/aem.57.4.1134-1138.1991 · Cited by 312 · see citing works
Caries risk assessment. A systematic review
Mejàre, I. A., Axelsson, S., Dahlén, G., Espelid, I., Norlund, A., Tranæus, S. H., & Twetman, S. H. A. (2013) · Acta Odontologica Scandinavica · doi:10.3109/00016357.2013.822548 · Cited by 307 · see citing works
Radiographic caries detection: A systematic review and meta-analysis
Schwendicke, F., Tzschoppe, M., & Paris, S. (2015) · Journal of Dentistry · doi:10.1016/j.jdent.2015.02.009 · Cited by 303 · see citing works
Gahan, C. G. M., O'Driscoll, B., & Hill, C. (1996) · Applied and Environmental Microbiology · doi:10.1128/aem.62.9.3128-3132.1996 · Cited by 277 · see citing works
Bowden, G. H., & Hamilton, I. R. (1998) · Critical Reviews in Oral Biology & Medicine · doi:10.1177/10454411980090010401 · Cited by 241 · see citing works
Analysis of pH–Driven Disruption of Oral Microbial Communities in vitro
Bradshaw, D. J., & Marsh, P. D. (1998) · Caries Research · doi:10.1159/000016487 · Cited by 223 · see citing works
Responses of Cariogenic Streptococci to Environmental Stresses
Lemos, J. A. C., Abranches, J., & Burne, R. A. (2005) · Current Issues in Molecular Biology · doi:10.21775/cimb.007.095 · Cited by 221 · see citing works
Fozo, E. M., & Quivey, R. G. (2004) · Applied and Environmental Microbiology · doi:10.1128/aem.70.2.929-936.2004 · Cited by 211 · see citing works
Bradshaw, D. J., McKee, A. S., & Marsh, P. D. (1989) · Journal of Dental Research · doi:10.1177/00220345890680090101 · Cited by 199 · see citing works
Adaptation by Streptococcus mutans to acid tolerance
Hamilton, I. R., & Buckley, N. D. (1991) · Oral Microbiology and Immunology · doi:10.1111/j.1399-302x.1991.tb00453.x · Cited by 197 · see citing works
Mejàre, I., Källestål, C., & Stenlund, H. C. (1999) · Caries Research · doi:10.1159/000016502 · Cited by 196 · see citing works
Acid tolerance response and survival by oral bacteria
Svensäter, G., Larsson, U.-B., Greif, E. C. G., Cvitkovitch, D. G., & Hamilton, I. R. (1997) · Oral Microbiology and Immunology · doi:10.1111/j.1399-302x.1997.tb00390.x · Cited by 175 · see citing works
Self-citationJenkinson, H. F. (2011) · Environmental Microbiology · doi:10.1111/j.1462-2920.2011.02573.x · Cited by 172 · see citing works
Strain–Related Acid Production by Oral Streptococci
de Soet, J. J., Nyvad, B., & Kilian, M. (2000) · Caries Research · doi:10.1159/000016628 · Cited by 162 · see citing works
Acid Tolerance of Biofilm Cells of Streptococcus mutans
Welin-Neilands, J., & Svensäter, G. (2007) · Applied and Environmental Microbiology · doi:10.1128/aem.01049-07 · Cited by 150 · see citing works
Self-citationGrowth and acid tolerance of human dental plaque bacteria
Harper, D. S., & Loesche, W. J. (1984) · Archives of Oral Biology · doi:10.1016/0003-9969(84)90015-3 · Cited by 136 · see citing works
Shifts in membrane fatty acid profiles associated with acid adaptation of Streptococcus mutans
Quivey, R. G., Faustoferri, R. C., Monahan, K., & Marquis, R. E. (2000) · FEMS Microbiology Letters · doi:10.1111/j.1574-6968.2000.tb09211.x · Cited by 129 · see citing works
Microbial responses to acid stress
Foster, J. (2000) · Medical Entomology and Zoology · Cited by 116 · see citing works
The Isolation of Bifidobacteria from Occlusal Carious Lesions in Children and Adults
Mantzourani, M., Gilbert, S. C., Sulong, H. N. H., SHEEHY, E. C., Tank, S., Fenlon, M. R., & Beighton, D. (2009) · Caries Research · doi:10.1159/000222659 · Cited by 115 · see citing works
Sturr, M. G., & Marquis, R. E. (1992) · Applied and Environmental Microbiology · doi:10.1128/aem.58.7.2287-2291.1992 · Cited by 106 · see citing works
Featherstone, J. D. B., Duncan, J. F., & Cutress, T. W. (1979) · Archives of Oral Biology · doi:10.1016/0003-9969(79)90057-8 · Cited by 106 · see citing works
The Predominant Aciduric Microflora of Root-caries Lesions
Brailsford, S. R., Shah, B., Simons, D., Gilbert, S. C., Clark, D. T., Inés, I. M., Adams, S., Allison, C., & Beighton, D. (2001) · Journal of Dental Research · doi:10.1177/00220345010800091101 · Cited by 105 · see citing works
Yarwood, J. M., Leung, D. Y. M., & Schlievert, P. M. (2000) · FEMS Microbiology Letters · doi:10.1111/j.1574-6968.2000.tb09350.x · Cited by 99 · see citing works
A Scanning Electron Microscopic Study of Progressive Stages of Enamel Caries in vivo
Holmen, L., Thylstrup, A., Øgaard, B., & Kragh, F. (2009) · Caries Research · doi:10.1159/000260867 · Cited by 94 · see citing works
Acid‐induced acid tolerance and acidogenicity of non‐mutans streptococci
Takahashi, N., & YAMADA, T. (1999) · Oral Microbiology and Immunology · doi:10.1034/j.1399-302x.1999.140105.x · Cited by 93 · see citing works
Acidogenesis by Oral Streptococci at Different pH Values
de Soet, J. J., Toors, F. A., & Graaff, J. (2009) · Caries Research · doi:10.1159/000261148 · Cited by 87 · see citing works
The Acid-Tolerant Microbiota Associated with Plaque from Initial Caries and Healthy Tooth Surfaces
Svensäter, G., Borgström, M. K., Bowden, G. H., & EDWARDSSON, S. (2003) · Caries Research · doi:10.1159/000073390 · Cited by 83 · see citing works
Self-citationInducible Acid Tolerance Mechanisms in Enteric Bacteria
Foster, J. W., & Moreno, M. S. (2007) · Novartis Foundation symposium · doi:10.1002/9780470515631.ch5 · Cited by 70 · see citing works
TEXTBOOK OF CLINICAL CARIOLOGY
Newbrun, E. (1995) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1995.0021 · Cited by 70 · see citing works
Diagnostic accuracy of different caries risk assessment methods. A systematic review
Senneby, A., Mejàre, I. A., Sahlin, N., Svensäter, G., & Rohlin, M. (2015) · Journal of Dentistry · doi:10.1016/j.jdent.2015.10.011 · Cited by 66 · see citing works
Self-citationTakahashi, N., Xiao, J., Miyaji, K., et al. (2004) · Journal of Dairy Research · doi:10.1017/s0022029904000251 · Cited by 63 · see citing works
Quiroz, E. M. A., Alstad, T., Campus, G., et al. (2014) · Caries Research · doi:10.1159/000355614 · Cited by 27 · see citing works
Approximal caries progression in 13- to 15-year-old Danish children
Bille, J., & Carstens, K. (1989) · Acta Odontologica Scandinavica · doi:10.3109/00016358909004802 · Cited by 24 · see citing works
A comparison of fluorochromes for direct viable counts by image analysis
Davies, C. M. (1991) · Letters in Applied Microbiology · doi:10.1111/j.1472-765x.1991.tb00570.x · Cited by 19 · see citing works
Fluoride-Supplemented Milk Inhibits Acid Tolerance in Root Caries Biofilms
Neilands, J., Petersson, L. G., Beighton, D., & Svensäter, G. (2012) · Caries Research · doi:10.1159/000337390 · Cited by 7 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 2
- [4]GHW B Johnson NM Which bacteria are cariogenic in humans? Dental caries Vol. 1: markers of high and low risk groups and individuals 1991 Cambridge Cambridge University Press 266 286
- [27]Mejàre I, Axelsson S, Espelid I, Dahlén G, Norlund A, Svensson Å et al. Caries – diagnosis, risk assessment and non-invasive treatment. A systematic review. Summary and Conclusions. Stockholm: The Swedish Council on Technology Assessment in Health Care, report no: 188; 2007. http://www.sbu.se/upload/Publikationer/Content1/1/Caries_summary_2008.pdf. (cited 12–22-16).
Cited by
Sorted by citations
The oral microbiome: Role of key organisms and complex networks in oral health and disease
Sedghi, L., DiMassa, V., Harrington, A., Lynch, S. V., & Kapila, Y. L. (2021) · Periodontology 2000 · doi:10.1111/prd.12393 · Cited by 755 · see citing works
- Authors
- Senneby, A., Davies, Jr., Svensäter, G., & Neilands, J.
- Affiliations
- Malmö University (SE)
- Corresponding author
- Neilands, J
- Venue
- BMC Microbiology
- Published
- 2017-07-25
- Volume
- 17
- Issue
- 1
- Pages
- 165-165
- ISSN
- 1471-2180 (ISSN-L)
- PMC
- PMC5525231
- OpenAlex
- W2738579118
- Cited by
- 54
- References
- 44
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 3 · 2023: 8 · 2022: 10 · 2021: 10 · 2020: 5 · 2019: 3 · 2018: 2
- FWCI
- 3.77
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Microbiology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Diva portal (Dalarna University Library) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Malmö University Publications (Malmö University) (submittedVersion)
- Funders
- Borrow Fundation (1060308)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
- Keywords
- dental plaque, acid resistance, dental caries, enamel demineralization, interindividual variability, intra-individual stability, adolescents, oral microbiota
- MeSH terms
- Acids, Adolescent, Bacteria, Child, Dental Plaque, Female, Humans, Male, Mouth, Bacterial Physiological Phenomena, Biofilms
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review