Gm Bruinsma

Multiple surface properties of worn RGP lenses and adhesion of Pseudomonas aeruginosa

The aim of this study is to determine rigid gas permeable (RGP) lens surface properties prior to and after wear that are influential on adhesion of Pseudomonas aeruginosa. After 10 and 50 days of wear and after end-stage use, lenses were collected for determination of physico-chemical surface properties and bacterial adhesion in a parallel plate flow chamber. Water contact angles on unused RGP lenses amounted 47+/-13 degrees and were affected by wear. In addition, %O at the lens surfaces, as determined by X-ray photoelectron spectroscopy increased after use for 10 and 50 days, but decreased after end-stage wear. The %N hardly increased after wear and, in line, SDS-PAGE did not indicate adsorbed proteins. The surface roughness of the lenses, as measured by atomic force microscopy amounted 9 nm after 10 and 50 days of use, but end-stage lenses were significantly rougher (48+/-23 nm). Moreover, initial deposition of P. aeruginosa #3 increased with increasing roughness for end-stage lenses. Multiple regression analysis, however, revealed that both physical and chemical surface properties were predictive for initial bacterial deposition to lens surfaces. After 10 days of wear, bacterial deposition was governed by the water contact angle, surface roughness, %O, %N, and %Si, while after 50 days of wear the surface roughness, %N, and %Si were found predictive for bacterial deposition. Initial bacterial deposition to end-stage lenses was solely dependent on the surface roughness. Summarizing, physico-chemical surface properties of RGP lenses change slightly during the first 10-50 days of wear, but end-stage lenses all had increased surface roughness, concurrent with increased bacterial adhesion.

Sequence of Oral Bacterial Co-adhesion and Non-contact Brushing

Non-contact plaque removal offers advantages in interproximal spaces, fissures, and pockets. It requires the generation of strong fluid flows and the inclusion of air bubbles to become effective. A pair of co-adhering streptococci and actinomyces has been used previously to demonstrate non-contact removal by sonic brushing. Here we determined the influence of the sequence of co-adhesion of streptococci and actinomyces on non-contact removal from a salivary pellicle by rotary and sonic brushing. After bacterial adhesion, pellicles were brushed in a wet and immersed state, with a distance up to 4 mm to the bristle tips. Bacteria adhering to pellicles from the sequence streptococci followed by actinomyces appeared more difficult to remove and left more large co-aggregates than from the sequence actinomyces followed by streptococci. At contact, rotary and sonic brushing performed equally well in bacterial removal, while at 4 mm, both had lost some efficacy.

Influence of Weight on Removal of Co-Adhering Bacteria from Salivary Pellicles by Different Modes of Brushing

This study compared removal of pairs of co-adhering and non-co-adhering oral actinomyces and streptococci from salivary pellicles by manual, rotating/oscillating electric and sonic toothbrushes, applying weights up to 240 g. First, actinomyces were allowed to adhere to a pellicle in a parallel plate flow chamber, after which streptococci suspended in saliva were perfused through the chamber at 33°C. On average, 34–39% of the adhering bacteria were adhering as single organisms. For co-adhering and non-co-adhering pairs, 33 and 10% of the adhering bacteria were involved, respectively, in aggregates comprising more than 10 organisms. Brushing by hand removed 82% at low weight (40 g), which was less than by electric (93%) or sonic (92%) brushing, while for all modes of brushing bacterial removal increased with increasing weight to 95–99%. For a non-co-adhering pair, subsequent exposure of brushed pellicles to a streptococcal suspension yielded only 2–16% of bacteria involved in large aggregates, regardless of the mode of brushing. For the co-adhering pair, however, de novo streptococcal adhesion to hand-brushed pellicles yielded 34–57% of bacteria involved in large aggregates, while electric and sonic brushing left 22–35% of the bacteria involved in large aggregates. De novo streptococcal adhesion for the co-adhering pair increased with increasing weight for the electric and sonic brush in contrast to the manual brush. Since a strong influence of co-adhesion is evident in de novo streptococcal adhesion, despite nearly complete removal of all actinomyces, these observations suggest that the three modes of brushing leave footprints to which streptococci preferentially adhere.

Adhesion of Pseudomonas aeruginosa to contact lenses after exposure to multi-purpose lens care solutions

Elemental surface compositions of contact lenses were measured after exposure to different lens care solutions (LCS) using X-ray photoelectron spectroscopy and were related to adhesion and detachment of Pseudomonas aeruginosa. Etafilcon A and polymacon contact lenses, prior to and after exposure to LCS were fixed on the bottom plate of a parallel plate flow chamber after which P.aeruginosa #3 was allowed to adhere for 2 h. After adhesion, bacterial detachment was stimulated by perfusing the chamber with an LCS or by passing an air-bubble through the chamber. After exposure to an LCS, the adhesion of P.aeruginosa #3 could either be enhanced or decreased, depending on the contact lens and LCS involved. Initial deposition rates of P.aeruginosa #3 could not be related with changes in elemental surface composition of the contact lenses, but decreased with an increasing ratio of oxygen involved in O C bonds relative to oxygen in O C bonds. P.aeruginosa #3 adhered tenaciously to both types of contact lenses and the passage of an air-bubble through the flow chamber detached only up to 9% of the adhering bacteria. Alternatively, the LCS most effective in decreasing bacterial adhesion after exposure (LCS A), was least effective in detaching adhering P.aeruginosa #3 (8-15%), while the other LCS detached up to 42% of adhering bacteria. In conclusion, different LCS have different abilities to detach the adhering P.aeruginosa #3 from contact lens surfaces and all leave adsorbed components on the surface after soaking. Adsorbed components rich in O C bonds increased adhesion of P.aeruginosa #3 under the conditions used in this study and should, therefore, be avoided.