“…With specific microbial species demonstrating tropism for specific tissues (Aas et al, 2005;Gibbons, 1996;Mager et al, 2003;Van Houte et al, 1970), all of which interact with each other as well as with the oral environment, the oral cavity meets the criteria for the definition of a microbial ecosystem (Konopka, 2006;Marsh, 1992;Raes & Bork, 2008). Factors which determine the oral microflora include environmental factors (temperature, oxygen tension, pH, availability of nutrients), host factors (host tissues and fluids, genetics, diet) and microbial factors (adherence, retention and coaggregation, microbial intra-and interspecies interactions, clonal heterogeneity, virulence mechanisms) thus creating a dynamic and complex ecosystem (Kuramitsu et al, 2007;Marsh, 2005;Overman, 2000;Rosan & Lamont, 2000;Sissons et al, 2007;Socransky & Haffajee, 2002;Ten Carte, 2006). Dental plaque is a dynamic biofilm formed by the ordered succession of > 700 bacterial species.…”