Clinical Implications of Power Toothbrushing on Fluoride Delivery: Effects on Biofilm Plaque Metabolism and Physiology

Dental biofilms are implicated in the formation of caries and periodontal disease. A major constituent of the supragingival biofilm is Streptococcus mutans, which produces lactic acid from sucrose fermentation, enhancing enamel demineralization and eventual caries development. Caries prevention thro...

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Main Authors: M. Aspiras, P. Stoodley, L. Nistico, M. Longwell, M. de Jager
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2010/651869
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author M. Aspiras
P. Stoodley
L. Nistico
M. Longwell
M. de Jager
author_facet M. Aspiras
P. Stoodley
L. Nistico
M. Longwell
M. de Jager
author_sort M. Aspiras
collection DOAJ
description Dental biofilms are implicated in the formation of caries and periodontal disease. A major constituent of the supragingival biofilm is Streptococcus mutans, which produces lactic acid from sucrose fermentation, enhancing enamel demineralization and eventual caries development. Caries prevention through F inhibits enamel demineralization and promotes remineralization. Fluoride also exerts effects on metabolic activities in the supragingival biofilm such as aerobic respiration, acid fermentation and dentrification. In experimental S. mutans biofilms, adding 1000 ppm F to an acidogenic biofilm resulting from 10% sucrose addition increased pH to pre-sucrose levels, suggesting inhibition of acid fermentation. F effects on metabolic activity and sucrose utilization in interproximal plaque biofilms were also recorded. Addition of 10% sucrose reduced pH from neutral to 4.2, but subsequent addition of 1000 ppm F increased pH by 1 unit, inhibiting acid fermentation. 10% Sucrose addition also stimulated denitrification, increasing production of nitrous oxide (N2O). Addition of 1000 ppm F suppressed denitrification, indicating an additional mechanism by which F exerts effects in the active interproximal biofilm. Finally, fluid dynamic activity by power tooth brushing enhanced F delivery and retention in an experimental S. mutans biofilm, suggesting a potential novel benefit for this intervention beyond mechanical plaque removal.
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series International Journal of Dentistry
spelling doaj-art-997cfb19e8394fcf8067affdcd94cd952025-08-20T03:37:03ZengWileyInternational Journal of Dentistry1687-87281687-87362010-01-01201010.1155/2010/651869651869Clinical Implications of Power Toothbrushing on Fluoride Delivery: Effects on Biofilm Plaque Metabolism and PhysiologyM. Aspiras0P. Stoodley1L. Nistico2M. Longwell3M. de Jager4Clinical and Scientific Affairs, Philips Oral Healthcare, 35301 SE Center Street, Snoqualmie, WA 98065, USANational Centre for Advanced Tribology at Southampton (nCATS), School of Engineering Sciences, University of Southampton, Highfield, Southampton, SO17 1BJ, UkCenter for Genomic Sciences, Allegheny-Singer Research Institute, 11th Floor South Tower, 320 East North Avenue, Pittsburgh, PA 15212-4772, USACenter for Genomic Sciences, Allegheny-Singer Research Institute, 11th Floor South Tower, 320 East North Avenue, Pittsburgh, PA 15212-4772, USAClinical and Scientific Affairs, Philips Oral Healthcare, 35301 SE Center Street, Snoqualmie, WA 98065, USADental biofilms are implicated in the formation of caries and periodontal disease. A major constituent of the supragingival biofilm is Streptococcus mutans, which produces lactic acid from sucrose fermentation, enhancing enamel demineralization and eventual caries development. Caries prevention through F inhibits enamel demineralization and promotes remineralization. Fluoride also exerts effects on metabolic activities in the supragingival biofilm such as aerobic respiration, acid fermentation and dentrification. In experimental S. mutans biofilms, adding 1000 ppm F to an acidogenic biofilm resulting from 10% sucrose addition increased pH to pre-sucrose levels, suggesting inhibition of acid fermentation. F effects on metabolic activity and sucrose utilization in interproximal plaque biofilms were also recorded. Addition of 10% sucrose reduced pH from neutral to 4.2, but subsequent addition of 1000 ppm F increased pH by 1 unit, inhibiting acid fermentation. 10% Sucrose addition also stimulated denitrification, increasing production of nitrous oxide (N2O). Addition of 1000 ppm F suppressed denitrification, indicating an additional mechanism by which F exerts effects in the active interproximal biofilm. Finally, fluid dynamic activity by power tooth brushing enhanced F delivery and retention in an experimental S. mutans biofilm, suggesting a potential novel benefit for this intervention beyond mechanical plaque removal.http://dx.doi.org/10.1155/2010/651869
spellingShingle M. Aspiras
P. Stoodley
L. Nistico
M. Longwell
M. de Jager
Clinical Implications of Power Toothbrushing on Fluoride Delivery: Effects on Biofilm Plaque Metabolism and Physiology
International Journal of Dentistry
title Clinical Implications of Power Toothbrushing on Fluoride Delivery: Effects on Biofilm Plaque Metabolism and Physiology
title_full Clinical Implications of Power Toothbrushing on Fluoride Delivery: Effects on Biofilm Plaque Metabolism and Physiology
title_fullStr Clinical Implications of Power Toothbrushing on Fluoride Delivery: Effects on Biofilm Plaque Metabolism and Physiology
title_full_unstemmed Clinical Implications of Power Toothbrushing on Fluoride Delivery: Effects on Biofilm Plaque Metabolism and Physiology
title_short Clinical Implications of Power Toothbrushing on Fluoride Delivery: Effects on Biofilm Plaque Metabolism and Physiology
title_sort clinical implications of power toothbrushing on fluoride delivery effects on biofilm plaque metabolism and physiology
url http://dx.doi.org/10.1155/2010/651869
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