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Drug resistance of bacterial dental biofilm and the potential use of natural compounds as alternative for prevention and treatment
Abstract
Oral diseases, such as dental caries and periodontal disease are directly linked with the ability of bacteria to form biofilm. The development of dental caries involves acidogenic and aciduric Gram-positive bacteria colonizing the supragingival biofilm (Streptococcus, Lactobacillus and Actinomycetes). Periodontal diseases have been linked to anaerobic Gram-negative bacteria forming a subgingival plaque (Porphyromonas gingivalis, Actinobacillus, Prevotella and Fusobacterium). Cells embedded in biofilm are up to 1000-fold more resistant to antibiotics compared to their planctonic ones. Several mechanisms have been proposed to explain biofilms drug resistance. Given the increased bacterial resistance to antibiotics currently used in dentistry, a great importance is given to natural compounds for the prevention of oral bacterial growth, adhesion and colonization. Over the past decade, interest in drugs derived from medicinal plants has markedly increased. It has been well documented that medicinal plants and natural compounds confer considerable antibacterial activity against various microorganisms including cariogenic and periodontal pathogens. This paper provides a review of the literature focusing on the studies on (i) biofilm in the oral cavity, (ii) drug resistance of bacterial biofilm and (iii) the potential use of plant extracts, essential oils and natural compounds as biofilm preventive agents in dentistry, involving their origin and their mechanism of biofilm inhibition.
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“Fluoride is known for its antimicrobial properties; however, many microorganisms have developed fluoride exporters to mitigate its toxic effects [59], which may provide a survival advantage in high-fluoride environments.”
From Severity-dependent alterations in oral microbiota and antibiotic resistance in children with dental fluorosis (2026) · cites this paper as [59]
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Oral Microbial Communities: Biofilms, Interactions, and Genetic Systems
Kolenbrander, P. E. (2000) · Annual Review of Microbiology · doi:10.1146/annurev.micro.54.1.413 · Cited by 894
Rosan, B., & Lamont, R. J. (2000) · Microbes and Infection · doi:10.1016/s1286-4579(00)01316-2 · Cited by 561
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Thurnheer, T., Gmür, R., Shapiro, S., & Guggenheim, B. (2003) · Applied and Environmental Microbiology · doi:10.1128/aem.69.3.1702-1709.2003 · Cited by 145
Cranberry proanthocyanidins: Natural weapons against periodontal diseases
Feghali, K., Feldman, M., La, V. D., Santos, J., & Grenier, D. (2012) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf203304v · Cited by 114
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Cited by
Sorted by citations
de Figueiredo, K. A., da Silva, H. D. P., Miranda, S. L. F., Gonçalves, F. J. D. S., de Sousa, A. P., de Figueiredo, L. C., Feres, M., & Bueno-Silva, B. (2020) · Antibiotics · doi:10.3390/antibiotics9080432 · Cited by 32
Xia, Y., Peng, S., Yu, J., Wang, Y., Ye, Y., Liu, M., Shang, L., Cui, X., Wang, P., & Ding, Z. (2026) · Journal of Oral Microbiology · doi:10.1080/20002297.2026.2714622
Metadata
- Authors
- Kouidhi, B., Al Qurashi, Y. M. A., & Chaieb, K.
- Venue
- Microbial Pathogenesis
- Publisher
- Elsevier BV
- Published
- 2015-03
- Volume
- 80
- Pages
- 39-49
- ISSN
- 0882-4010
- Cited by
- 180
- References
- 4
- Language
- en
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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