Thomas JG et al. (2006)

MANAGING THE COMPLEXITY OF A DYNAMIC BIOFILM¹

Background

This article provides an overview of the history of oral microbiology, a discussion of dental plague as both microbial community and a biofilm, and a review of the measures available to control the oral microflora.

Methods

The authors reviewed the literature related to oral microbiology and associated infectious diseases. They also examined articles that detailed the structure and physiology of biolfims, including dental plague biolfims.

Results

Biofilms cannot be eliminated. The pathogenic nature of the dental plague biolfilm can be diminished in the oral cavity by reducing the bioburden and effectively maintaining a normal oral flora via oral hygiene procedures that include daily toothbrushing, flossing, and rinsing with an antimicrobial mouthrinse. An oral hygiene regimen that includes rinsing with an antimicrobial mouthrinse is a practical approach to the prevention and management of periodontal diseases. This strategy may have wider benefits when the link between periodontal disease and certain systemic diseases is considered.

Conclusion

An effective oral hygiene regimen can help control dental plague biofilm and associated periodontal diseases.