Plaque disclosing agent as a guide for professional biofilm removal: A randomized controlled clinical trial

Abstract

The oral cavity is the natural habitat of a heterogeneous population of bacteria. 1 Both soft and hard surfaces are the substrate where microorganisms adhere and grow, forming the oral biofilm. 1,2 Biofilm quantity and complexity increase with time and affect the environment, leading to the development of caries, gingivitis 2,3 and periodontitis, 4 according to individual susceptibility and risk factors. Vice versa, the environment and local factors can influence the growth of biofilm, leading to its diversification in distinct areas even of the same tooth. 2 The regular disruption of biofilm through professional mechanical plaque removal and home oral hygiene is a critical point in the prevention of caries and periodontal disease. 5-8 Professional mechanical plaque removal in cariology involves biofilm and calculus removal from the supra-gingival area while, in periodontology, it extends to the sub-marginal space. 8 While manual and ultrasonic instrumentation constitutes the traditional professional mechanical plaque removal procedure, air-polishing with low-abrasiveness

Clinical outcomes of using erythritol powder by means of air polishing with ultrasonic debridement in the treatment of initial periodontal pockets in hand of dental students: A split‐mouth, randomized, comparative, controlled study. Part I

“…[40][41][42][43] The treatment was focused on treating the causative agent through this disclosing agent as a visual aid for the clinician for biofilm removal during professional mechanical plaque removal. 44 The conventional non-surgical therapy (scaling and root planning) is considered the 'gold standard' of periodontal treatment. 4 It depends on removal of hard and soft deposits with hand instruments or an ultrasonic device and ends with polishing (rubber cups or brushing and polishing pastes).…”

“…The treatment was focused on treating the causative agent through this disclosing agent as a visual aid for the clinician for biofilm removal during professional mechanical plaque removal 44 …”

Novel Approach to Dental Biofilm Management through Guided Biofilm Therapy (GBT): A Review

“…Lastly, it is followed by the removal of supra and subgingival calculus using specialized instruments. This concept has been named guided biofilm therapy (GBT) [ 8 ]. This review will explore the various aspects of GBT along with its substantial usage in the treatment of periodontal and peri-implant diseases.…”

Silver nanoparticles in endodontics: recent developments and applications

“…A main cause of failure and secondary infection in root canal treatment (RCT) is the presence of biofilms [ 1 ], which are organized polymeric structures formed by microorganisms. The extracellular matrix of a biofilm is secreted by bacteria and is composed of metabolic-output polymers that adhere strongly to surfaces [ 2 3 ]. Biofilms develop in stages: initial adherence of microbes to a surface or bacterial cell, generation of microcolonies, maturation, and finally, the expansion of the biofilm [ 4 5 ].…”