Dental plaque is a biofilm of microorganisms that grows on surfaces within the mouth. It is a sticky colorless deposit at first, but when it forms tartar, it is often brown or pale yellow. It is commonly found between the teeth, on the front of teeth, behind teeth, on chewing surfaces, along the gumline (supragingival), or below the gumline cervical margins (subgingival). Dental plaque is also known as microbial plaque, oral biofilm, dental biofilm, dental plaque biofilm or bacterial plaque biofilm. Bacterial plaque is one of the major causes for dental decay and gum disease.
Heavy plaque
Top: typical presentation of gingivitis. Bottom: healthy gingiva.
Loss of bone due to periodontal disease
Disclosing dental plaque with disclosing tablets
A biofilm is a syntrophic community of microorganisms in which cells stick to each other and often also to a surface. These adherent cells become embedded within a slimy extracellular matrix that is composed of extracellular polymeric substances (EPSs). The cells within the biofilm produce the EPS components, which are typically a polymeric combination of extracellular polysaccharides, proteins, lipids and DNA. Because they have a three-dimensional structure and represent a community lifestyle for microorganisms, they have been metaphorically described as "cities for microbes".
Staphylococcus aureus biofilm on an indwelling catheter
Probable cyanobacteria in the vertical section of a silicified biofilm from the Lower Cretaceous. Very shallow hypersaline environment of the Urgonian carbonate platform of Provence, south eastern France.
Biofilm of golden hydrophobic bacteria; ceiling of Golden Dome Cave, a lava tube in Lava Beds National Monument
Five stages of biofilm development (1) Initial attachment, (2) Irreversible attachment, (3) Maturation I, (4) Maturation II, and (5) Dispersion. Each stage of development in the diagram is paired with a photomicrograph of a developing P. aeruginosa biofilm. All photomicrographs are shown to the same scale.