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summary  The aim of this study was to evaluate streptococcal adherence to eight currently used prosthetic and implant materials, and enamel samples, after a salivary coating and to investigate the influence of substrata surface free energy (SFE) and its polar and non‐polar components, as well as bacterial surface characteristics, on bacterial adherence. Our results indicate a moderate hydrophobic character of saliva‐coated surfaces and a pronounced basic character of the polar component of SFE values, except for one substrata. The lowest colonization was observed with enamel samples and the lowest values of adherent bacteria on the different substrata were observed with the hydrophilic bacterial strain. Both the nature of the substrata and the nature of the bacterial strains could have an effect on the extent of bacterial adhesion. When the interrelationship between the number of adherent bacteria and the surface properties of bacteria and substrata were analysed, bacterial adherence correlated with the non‐polar component of substrata SFE (r = 0·8, P = 0·02) and with the adhesion to the solvents (r = 0·8, P < 0·0001). These results are consistent with the thermodynamic theory and underline the importance of acid–base characteristics of the cell surface when one is studying bacterial adherence on dental casting alloys and implant materials.

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Periodontal disease and inflammatory dermatoses, such as psoriasis, are characterized by the accumulation of dense inflammatory infiltrates immediately beneath the epithelial cell layer of the gingiva and skin, respectively. Dermatologists are increasingly aware that the epidermal keratinocyte probably contributes to inflammatory disease progression by secreting a number of pro-inflammatory cytokines and expressing various adhesion molecules. In psoriatic lesions, it is now believed that epidermal keratinocytes may also act as antigen-presenting cells and participate directly in the superantigenic activation of T-cell clones, some of which may initiate, contribute to, or maintain the disease process. Although the role of the host response in periodontal disease has been extensively studied over the years, very little is known about the contribution of the gingival keratinocyte to the inflammatory response. The available published information is discussed in this review, and we suggest that, like its epidermal counterpart, the gingival keratinocyte may participate actively in the pathogenesis of periodontal disease.

Objective:To measure the compliance and the quality of HH practices and the knowledge of the healthcare workers’ of the university dental care center.Materials and Methods:All educators and students present were eligible for inclusion in the study. Each healthcare professional was observed in care situation over a period of 30 min. The knowledge, attitudes and opinions were collected through a questionnaire.Results:Number of healthcare professionals included was 190 (64.4%). Study group consisted of 151 students (74.4%) and 39 educators (42.4%). Out of a total number of expected disinfection of hands (993), 396 were made (39.9%). Educators had a higher compliance rates than students (63.7-35.8%, P = 10−9). Large differences were found between care situations (compliance higher before the first care to a patient and lower during installation of patient in dental X-ray area or at exit of dental X-ray area). Concerning hand rubbing (HR), 36.6% were performed correctly, and the main error was all steps of HR not observed (54.4%), and shorter duration (46.7%). The observance and the quality of HR were associated with better knowledge.Conclusion:This data suggests areas of improvement: (1) A comprehensive intervention including care organization/clinic ergonomics/planning/anticipation of materials needed for care; (2) the development of HH education program should include the educators, since the behavior of students is strongly influenced and formed by their mentor's attitude and behaviors.