For quantification of bacterial adherence to biomaterial surfaces or to other surfaces prone to biofouling, there is a need for methods that allow a comparative analysis of small material specimens. A new method for quantification of surface-attached biotinylated bacteria was established by in situ detection with fluorescencelabeled avidin-D. This method was evaluated utilizing a silicon wafer model system to monitor the influences of surface wettability and roughness on bacterial adhesion. Furthermore, the effects of protein preadsorption from serum, saliva, human serum albumin, and fibronectin were investigated. Streptococcus gordonii, Streptococcus mitis, and Staphylococcus aureus were chosen as model organisms because of their differing adhesion properties and their clinical relevance. To verify the results obtained by this new technique, scanning electron microscopy and agar replica plating were employed. Oxidized and poly(ethylene glycol)-modified silicon wafers were found to be more resistant to bacterial adhesion than wafers coated with hydrocarbon and fluorocarbon moieties. Roughening of the chemically modified surfaces resulted in an overall increase in bacterial attachment. Preadsorption of proteins affected bacterial adherence but did not fully abolish the influence of the original surface chemistry. However, in certain instances, mostly with saliva or serum, masking of the underlying surface chemistry became evident. The new bacterial overlay method allowed a reliable quantification of surface-attached bacteria and could hence be employed for measuring bacterial adherence on material specimens in a variety of applications.Colonization of material surfaces by bacteria is an unwanted event in many medical applications and also in situations where materials become subject to biofouling (16). Therefore, the evaluation of bacterial adherence to existent materials and to newly developed experimental materials or material coatings is of great importance. A number of techniques for the quantification of attached bacteria have been described, including in situ visualization by epifluorescence microscopy, confocal laser scanning microscopy, scanning electron microscopy (SEM), and atomic force microscopy. Also, indirect techniques for quantification of bacteria after removal from the surface, such as scintillation counting of radiolabeled organisms, quantification by metabolites (5-cyano-2,3-ditolyltetrazolium chloride), and enumeration by use of a Coulter Counter, by flow cytometry (fluorescence-activated cell sorting), or by spectrophotometry (1), are available. A simple method for estimation of the extent of bacterial colonization is provided by imprinting the colonized material surface onto agar growth media (replica plating technique), followed by visual comparison of colony densities (10). Although microscopic methods provide the most direct determination of attached bacteria, counting of organisms is a meticulous task due to the small sections that can be observed at once by the required highmagnifying ...