Comparison of dark-field microscopy and a flagella stain for monitoring the effect of a Water Pik on bacterial motility

J Periodontol. 1987 Jun;58(6):381-6. doi: 10.1902/jop.1987.58.6.381.

Abstract

The purpose of this examiner-blind study was threefold: to compare the microbial counts obtained by two different techniques for assessing bacterial motility, to assess the inter-rater reliability of these two techniques and to evaluate the effect of a water irrigating device (Water Pik) on bacterial motility at 3- and 6-mm probing depths. Subgingival plaque samples were taken from 10 healthy patients having at least two sites that probed greater than 6 mm, (one control, one experimental). Half of the patients were sampled at 3 mm, the other half at 6 mm, both at baseline (Day 0) and at Day 21. Two slides were prepared from each plaque sample, one for dark-field evaluation and one stained with a simplified silver-plating technique for flagella. All slides were read simultaneously by 3 observers, and the per cent motility calculated for spirochetes, motiles and all others. Strong positive inter-rater reliability correlations ranging from r = 0.95 to r = 0.99 were found for both the dark-field and flagella staining techniques. Spirochete counts obtained by both techniques were highly correlated (r = 0.91), whereas counts for motiles resulted in negative correlations between the techniques. Dark-field counts were consistently higher than the flagella stain counts for motile rods. Spirochetes were reduced, but not significantly, after irrigation of both 3-mm and 6-mm sites. Bacterial motility can be evaluated by both dark-field and flagella-staining techniques with a high degree of inter-rater reliability.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Bacteria / isolation & purification*
  • Bacterial Physiological Phenomena
  • Cell Movement
  • Dental Devices, Home Care*
  • Dental Plaque / microbiology
  • Flagella* / ultrastructure
  • Humans
  • Microscopy / methods
  • Oral Hygiene / instrumentation*
  • Periodontal Pocket / microbiology
  • Spirochaetales / isolation & purification
  • Spirochaetales / physiology
  • Staining and Labeling
  • Therapeutic Irrigation / instrumentation