Oral Microbiol. Immunol. 8:5-15, 1993). Radiolabeled nucleoside incorporation was used to measure DNA synthesis concurrent with the taking of standard viable cell counts of the plaque samples. Results showed that in vivo plaque formation began with the rapid adherence of bacteria until ca. 12 to 32% of the enamel's salivary pellicle was saturated (ca. 2.5 ؋ 10 5 to 6.3 ؋ 10 5 cells per mm 2 ). The pioneer adherent species were predominantly those of the ''sanguis streptococci.'' At the above-noted density, the bacteria present on the salivary pellicle incorporated low levels of radiolabeled nucleoside per viable cell. As bacterial numbers reached densities between 8.0 ؋ 10 5 and 2.0 ؋ 10 6 cells per mm 2 , there was a small increase in the incorporation of radiolabeled nucleosides per cell. At 2.5 ؋ 10 6 to 4.0 ؋ 10 6 cells per mm 2 of enamel surface, there was a marked increase in the incorporation of radiolabeled nucleosides per cell which appeared to be cell-density dependent. The predominant species group in developing dental plaque films during densitydependent growth was the sanguis streptococci; however, most other species present showed similar patterns of increased DNA synthesis as the density noted above approached 2.5 ؋ 10 6 to 4.0 ؋ 10 6 cells per mm
.The accumulation of bacterial dental plaques on tooth surfaces in humans is a common but complex process. Bacterial plaque is positively associated with the formation of dental caries and periodontal disease. Large expenditures of time and money by the research community have been and are being made to study dental plaque formation in order to understand this complex biofilm. In vitro studies have found that the initial steps in plaque formation occur via specific adherence mechanisms. A myriad of bacterial adhesins and salivary pellicle receptors have been studied for potential relevant adherence mechanisms (recently reviewed by Kolenbrander and London [21]). In most of these systems, e.g., adherence assays, bacteria exhibit saturation kinetics until a 0.1 to 30% surface coverage of the experimental pellicle-coated hydroxyapatite surface occurs (2,8,14,15,27,28). Adherence among bacteria has also been studied by a number of various in vitro assays (7,16,36,38,39). Recently, a preformed plaque model consisting of a continuous layer of different bacterial species formed on enamel or plastic surfaces (with saliva coating) was used as the substratum. These in vitro studies of interbacterial adherence have also determined saturation kinetics using several different species of indigenous oral bacteria as the continuous layer (38). However, the numbers of bacteria saturating either saliva-coated enamel or a continuous layer of bacteria were too low to explain the large, rapid increase in plaque biomass that occurs in vivo by adherence alone (33). Therefore, an original model system was used to quantitatively measure plaque accumulation in the mouth on a measured area of a tooth surface (24, 25). Thus, this study was designed to enumerate the in situ adherenc...