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The Apical Border Plaque in Chronic Adult Periodontitis. An Ultrastructural Study. I. Morphology, Structure, and Cell Content
Author(s) -
Vrahopoulos Theofilos P.,
Barber Pauline M.,
Newman Hubert N.
Publication year - 1992
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.1992.63.4.243
Subject(s) - ultrastructure , morphology (biology) , chronic periodontitis , periodontitis , dental plaque , cell , dentistry , biology , pathology , medicine , genetics
T his study concerns the apical border (AB) plaque in relation to chronic adult Periodontitis (AP). Fifty‐six teeth from 24 patients with AP were examined by transmission electron microscopy (TEM). The AB was not discrete with islands of bacteria in the so‐called plaque‐free zone (PFZ). Coronal to the AB, the established plaque commonly consisted of three to four layers of Gram‐positive and Gram‐negative cocci, rods, filaments, and spirochetes and a superficial layer, mainly of spirochetes, but including filaments, “test tube brush,” and “corn‐cob” formations. The most apical apparently intact organisms in the PFZ were in bacterial islands or in isolation and were predominantly Gram‐negative cocci and rods, with occasional other morphotypes. The most apical microorganisms were invariably ghost cells. A cuticle of varying thickness and structure was present at the plaque/tooth interface. It was concluded that there was a limited range of intact bacterial morphotypes in the apical border plaque in chronic periodontitis. J Periodontol 1992; 63:243–252 .