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2.12 Microbiological and biological adhesion                          39


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            and molecules with antimicrobial properties.  The biofilm formation accounts for most
            hospital-acquired  infections  and  presents  a  significant  risk  to  the  world’s  population. 78
            Prior to adherence, bacteria must make physical contact with the surface, therefore, motil-
                                 78
            ity plays an essential role.  Microorganisms can move around by Brownian motion, fla-
            gellar  motility  (swimming,  swarming,  and  tumbling),  and  non-flagellar  motility
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            (twitching,  gliding,  or  sliding  motility).   Bacteria  utilize  macromolecular  complexes
            known as pili that are anchored to the cell surface for adherence to host cells and abiotic
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            surfaces.  Bacteria can also form capsules from polysaccharides which can adhere to the
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            surfaces.  Once primary contact with a surface is made, the initial interaction can be tran-
            sient and reversible either due to weak interactions of bacteria with the surface that result
            from the hydrodynamics of the surrounding environment, the presence of a strong chemot-
            actic signal away from the surface, or simply the lack of adhesive components that are
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            compatible with the surface.  The biofilm is produced by secretion of extracellular matrix
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            which provides external protection to the microorganisms residing in the biofilm.  As the
            biofilm matures, bacteria from within the community can disperse from the biomass into
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            the surrounding environment and cause secondary infections.
                Conventional physicochemical approaches based on Lifshitz-van der Waals, electro-
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            static,  and  acid–base  interactions  are  important  models  of  bacterial  adhesion.  At the
            same time, they have a limited capacity to provide a complete understanding of the com-
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            plex adhesion process of real bacterial cells.  The bacterial adhesion has been frequently
            described by the DLVO theory originally developed for the interaction of colloidal parti-
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            cles (bacteria have the sizes similar to colloids − 0.5-2 μm).  The interaction between a
            surface and a particle is the summation of their van der Waals (major component) and
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            Coulomb interactions.  This approach was frequently modified to include electric double
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            layer interaction, acid-base interaction, electrophoretic mobility, and zeta-potential.
                Bacterial adhesion on dental implants may cause peri-implant (peri-implant mucosi-
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            tis and peri-implantitis).  The peri-implantitis may cause the bone resorption and lead to
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                                                 the  loss  of  the  implant.   Many  factors
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                                                 affect  potential  bacterial  adhesion.  The
                                                 surface of implant plays an essential role,
                                                 causing  vulnerability  because  of  surface
                                                 roughness  of  implant,  its  surface  free
                                                 energy  (most  microorganisms,  such  as
                                                 strains of Streptococcus mutans, S. sanguis
                                                 and S. salivarius  have  high  surface  free
                                                 energy  −  lower  retention  on  hydrophobic
                                                 surface  because  of  lower  surface  free
                                                 energy  and  excellent  adhesion  to  hydro-
                                                 philic  surfaces  with  high  surface  free
            Figure 2.44. Biological reaction between the titanium   energy), surface chemistry (titanium oxides
            surface (negatively-charged), adsorbed protein   on  the  surface  of  implant  can  hydrolyze
            (positively-charged) and the cell (negatively-charged),   and  produce  electrically  charged  groups
            showing the linkages for cell interaction. [Adapted, by
            permission, from Han, A; Tsoi, JKH; Rodrigues, FP;   which can enhance biological activity and
            Leprince, JG; Palin, WM; Int. J. Adh. Adh., 69, 58-71,   attraction,  see  Figure  2.44),  and  titanium
            2016.]
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