https://doi.org/10.1177/0022034519830686
Journal of Dental Research
2019, Vol. 98(4) 373–385
© International & American Associations
for Dental Research 2019
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DOI: 10.1177/0022034519830686
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JDR Centennial Series
Introduction
Science and technology frequently appear to recycle concepts,
inventions, and discoveries, as described by Steven Poole
(2016) in Rethink: The Surprising History of New Ideas: old is
the new new. For example, the 1960s description of the
amphibiontic relationship between the indigenous oral flora
and the human host (Rosebury 1962) has resurfaced under the
concept of keystone pathogens, pathobionts, and dysbiosis as
triggers of oral diseases (Marsh 1994; Hajishengallis et al.
2012). Advances in biotechnology have facilitated revisiting
topics in oral microbiology to unravel key features and mecha-
nisms that were not previously appreciated.
The diversity of the oral microbiota and the ability of oral
microorganisms to form dental plaque on tooth, implants, and
oral mucosal surfaces in a sophisticated manner have been
characterized (Moore and Moore 1994; Paster et al. 2001;
Zaura et al. 2009; Dewhirst et al. 2010; Charalampakis and
Belibasakis 2015). Complex interactions among microorgan-
isms, the host, and the oral environment were demonstrated,
which can translate into the clinical symptoms of white spot
lesions or inflamed gingiva/peri-implant mucosa (Marsh 2005;
Charalampakis and Belibasakis 2015). The oral microbiome is
understood to have a dynamic “biofilm lifestyle” (Marsh
2005). In celebration of the Journal of Dental Research cen-
tennial, this review highlights findings that, over a century of
technological progress, contributed to the evolutionary
improvement of our knowledge of dental biofilms and their
roles in oral health and diseases.
Oral Microbiology 100 y Ago
The 19th century was an active period in medical sciences, and
major discoveries included cultivation of microorganisms and
identification of etiologic agents of infectious diseases. Koch’s
postulates described criteria whereby microorganisms could be
related to diseases. During this era, reputed dentists, including
Riggs, Harlan, and Miller reinforced the microbial etiology of
caries and periodontal diseases and promoted the concept of
proper oral hygiene for managing disease. Periodontal disease
(pyorrhea alveolaris) was renamed “Riggs’s disease.” Riggs
introduced the mechanical debridement of teeth with irrigation
of periodontal pockets with antiseptics. Harlan recognized that
subgingival microorganisms were mainly anaerobic and pro-
posed injection of hydrogen peroxide into periodontal pockets
to provide “nascent oxygen to destroy the unclassified micro-
organisms there present.” The first oral microbiologist,
830686JDR XX X 10.1177/0022034519830686Journal of Dental ResearchColombo and Tanner
research-article 2019
1
Institute of Microbiology, Department of Medical Microbiology, Federal
University of Rio de Janeiro, Rio de Janeiro, Brazil
2
Department of Molecular Genetics, The Forsyth Institute, Cambridge,
MA, USA
3
Department of Oral Medicine, Infection and Immunity, Harvard School
of Dental Medicine, Boston, MA, USA
Corresponding Author:
A.P.V. Colombo, UFRJ/CCS–Instituto de Microbiologia Paulo de Góes–
Bloco I, Lab. I2-03, Av. Carlos Chagas Filho, 373 Cidade Universitária–
Rio de Janeiro, RJ, CEP: 21941-902, Brasil.
Email: apcolombo@micro.ufrj.br
The Role of Bacterial Biofilms in
Dental Caries and Periodontal and
Peri-implant Diseases: A Historical
Perspective
A.P.V. Colombo
1
and A.C.R. Tanner
2,3
Abstract
Over the last hundred years, groundbreaking research in oral microbiology has provided a broad and deep understanding about the oral
microbiome, its interactions with our body, and how the community can affect our health, be protective, or lead to the development of
dental diseases. During this exciting journey, hypotheses were proposed, and concepts were established, discarded, and later revisited
from updated perspectives. Dental plaque, previously considered a polymicrobial community of unspecific pathogenicity, is recognized
as microbial biofilms with healthy, cariogenic, or periodontopathogenic profiles, resulting from specific ecologic determinants and host
factors. The “one pathogen, one disease” paradigm of oral infections has been replaced by a holistic concept of a microbial community as
the entity of pathogenicity. Cutting-edge technology can now explore large microbial communities related to different clinical conditions,
which has led to finding several novel disease-associated species and potential pathobionts and pathobiomes. This vast amount of data
generated over time has widened our view of the etiology of caries and periodontal and peri-implant diseases and has promoted updated
strategies to treat and prevent the oral diseases.
Keywords: microbiota, peri-implantitis, periodontitis, plaque biofilms, gingivitis, tooth decay