Microbial biofilm begins to form within seconds of thorough debridement of tooth surfaces and owing to the complexity of bacterial biofilms, biofilm associated infections are a challenge to treat.75,76 Well-organized biofilms grow within hours and biofilm must be completely removed at least every 48 hours in experimental settings to prevent inflammation.77 Current ADA recommendations11,12 for oral hygiene include:
Several methods for dental biofilm removal will be reviewed, along with evidence of their effectiveness (Figure 4).
Figure 4. Various oral hygiene aids for effective oral home care.
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