“…Bacterial adherence to oral, intestinal, genitourinary, and respiratory tissues and skin has resulted in new knowledge that provides some rationale for the composition of the indigenous flora of several tissues (5,6,12). In an effort to establish the biochemical recognition mechanisms of bacterial adherence phenomena in the oral cavity, substances with demonstrated bacterial aggregating activity (salivary mucins, secretory immunoglobulins, and lectins) often are included in adherence assay mixtures to serve as blocking agents or probes for specific receptors (8,11,13,16,(18)(19)(20)(21). Adherence studies which include substances that might aggregate test bacteria cannot determine with certainty the relative effects of bacterial aggregation versus surface coating of bacteria on the subsequent adherence event to be measured.…”