Comparison of the plaque microflora from natural and appliance-borne enamel surfaces.

Human enamel sections and slabs, mounted on a mandibular removable appliance, were worn by 5 adult subjects for a 1-week period. Plaque was allowed to accumulate on the in situ test sites and on the adjacent natural dentition. At the end of the experimental period, the plaque microflora associated with (1) the enamel sections, (2) the enamel slabs, and (3) the acrylic base of the appliance test site was compared with that obtained from lingual and interproximal areas of the lower molar teeth. In addition, the acid anion and pH profiles of plaque obtained from both the exogenous and natural tooth surfaces were also determined. Although some quantitative differences were found between the proportions of isolates obtained from the different enamel surfaces, qualitatively the microflora was very similar, and no significant differences were found in the plaque lactate/acetate ratios or pH measurements following a sucrose mouthrinse. Thus, human tooth specimens mounted on the intra-oral device produced a plaque ecosystem similar to that present on the adjacent natural dentition, suggesting that the model is suitable for studies on early plaque development and the microbiology of enamel demineralization.