The influence of fixed appliances on biofilm formation in oral cavity

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The influence of fixed appliances on biofilm formation in oral cavity

Journal Title: Forum Ortodontyczne - Year 2009, Vol 5, Issue 4

Abstract

Bacterial aggregates bound by organic matrix – biofilms - remain a symbiotic phenomenon which complicated structure is not entirely known. Main factors determining its presence are: saliva constituents, properties of surfaces in oral cavity, presence of bacterial nutrients, mechanical obstacles in its removal and individual patient’s susceptibility. Fixed appliances therapy causes additional biofilm formation in comparison with physiological conditions, one that should be called an ‘orthodontic biofilm’. The aim of this article is to discuss on the basis of contemporary study the possible causes of excessive biofilm accumulation, role of apliance’s design, parts and adhesive material choice. Most common adverse effects of ‘orthodontic biofilm’ accumulation will be presented and modern prophylactic approach revealed. Most importantly, the term biofilm itself will be discussed as it is not widely used and possesses wider meaning compared to the popular ‘dental plaque’. Multidirectional influence of saliva on biofilm accumulation and a relation between orthodontic therapy and salivary flow obstacles will also be commented on. Constant development of material engineering and growing popularity of orthodontic treatment by means of fixed appliances has led to increased demands towards this area of dentistry. This also concerns practitioners whom ‘biofilms problem’ should convince to multi-disciplinal approach. (Orthod. Forum 2009; 5: 104 - 117). Received: 15.06.2009 Accepted: 2.10.2009

Authors and Affiliations

Grażyna Śmiech-Słomkowska, Adrian Strzecki

Keywords

orthodontic biofilm orthodontic materials saliva flow

Report of 89th Congress of European Orthodontic Society in Reykjavik in Island

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EP ID EP68746
DOI -
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