“…There has been great concern in evaluating the impact of orthodontic appliance use on the salivary levels of microorganisms or biofilm accumulation on tooth surfaces (Derks et al, ; Leung et al, ; Rosenbloom & Tinanoff, ; Sudjalim, Woods, Manton, & Reynolds, ) which favors the development of caries lesions (Ahn et al, ; Steinberg & Eyal, ). However, few authors have investigated in situ the presence of bacterial biofilms on the surface of orthodontic appliances' components, being limited to studies on brackets (Andrucioli et al, , Bergamo et al, ; Brêtas et al, , Nelson‐Filho et al, ,b), acrylic baseplates of removable appliances (Lessa et al, ; Peixoto et al, ) and elastomeric ligatures (Magno et al, ) alone. To the best of our knowledge, one in situ study has evaluated the contamination by MS and the efficacy of a clinical disinfection protocol to reduce the formation of MS colonies/biofilms (Maruo et al, ), but no in various components (acrylic baseplate, screw, bands, and wires) of Haas expanders.…”