Advancing antimicrobial strategies for managing oral biofilm infections
Open accessAbstract
Effective control of oral biofilm infectious diseases represents a major global challenge. Microorganisms in biofilms exhibit increased drug tolerance compared with planktonic cells. The present review covers innovative antimicrobial strategies for controlling oral biofilm-related infections published predominantly over the past 5 years. Antimicrobial dental materials based on antimicrobial agent release, contact-killing and multi-functional strategies have been designed and synthesized for the prevention of initial bacterial attachment and subsequent biofilm formation on the tooth and material surface. Among the therapeutic approaches for managing biofilms in clinical practice, antimicrobial photodynamic therapy has emerged as an alternative to antimicrobial regimes and mechanical removal of biofilms, and cold atmospheric plasma shows significant advantages over conventional antimicrobial approaches. Nevertheless, more preclinical studies and appropriately designed and well-structured multi-center clinical trials are critically needed to obtain reliable comparative data. The acquired information will be helpful in identifying the most effective antibacterial solutions and the most optimal circumstances to utilize these strategies.
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Many antibacterial studies of PDA are based on single-species or simplified biofilm models.
“Many antibacterial studies are based on single-species or simplified biofilm models, which cannot fully reflect the complexity of mature multispecies oral biofilms.82”
From Polydopamine-Based Biomaterials in Oral Medicine: Applications, Mechanisms, and Translational Challenges (2026) · cites this paper as [82]
The Cold atmospheric plasma section (page unavailable) describes an antibacterial study using single-species oral biofilms, while the Introduction describes mature biofilms as containing multiple species. The review does not establish that many antibacterial studies use single-species or simplified models, and it does not make that claim specifically about PDA studies. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSingle-species or simplified biofilm models cannot fully reflect the complexity of mature multispecies oral biofilms.
“Many antibacterial studies are based on single-species or simplified biofilm models, which cannot fully reflect the complexity of mature multispecies oral biofilms.82”
From Polydopamine-Based Biomaterials in Oral Medicine: Applications, Mechanisms, and Translational Challenges (2026) · cites this paper as [82]
The Introduction (page unavailable) describes mature biofilms as containing multiple microbial species and oral biofilms as arising from complex interactions. The Cold atmospheric plasma section (page unavailable) describes a study of single-species oral biofilms, but the review does not establish that many antibacterial studies use such models or explicitly assess how well they reflect mature multispecies biofilms. (LLM, conf=0.82)
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- Authors
- Jiao, Y., Tay, F. R., Niu, L.-N., & Chen, J.-H.
- Affiliations
- Chinese PLA General Hospital (CN)
- Augusta University (US)
- Stomatology Hospital (CN)
- Corresponding author
- Niu, Li-na
- Venue
- International Journal of Oral Science
- Published
- 2019-09
- Volume
- 11
- Issue
- 3
- Pages
- 28-28
- ISSN
- 1674-2818 (ISSN-L)
- 2049-3169
- PMC
- PMC6802668
- OpenAlex
- W2975557140
- Cited by
- 280
- References
- 175
- Citations by year
- 2026: 25 · 2025: 42 · 2024: 48 · 2023: 68 · 2022: 41 · 2021: 31 · 2020: 24 · 2019: 1
- FWCI
- 3.43
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Oral Science (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Natural Science Foundation of China (2017YFC0840100, IRT13051, 81720108011, 2018KA02)
- Program for Changjiang Scholars and Innovative Research Team in University (IRT13051)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bacterial biofilms and quorum sensing
- Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
- Keywords
- dental plaque, antimicrobial strategies, antimicrobial resistance, antimicrobial dental materials, contact killing, antimicrobial photodynamic therapy, cold atmospheric plasma, biofilm inhibition, dental caries, periodontal disease
- MeSH terms
- Anti-Infective Agents, Anti-Bacterial Agents, Bacterial Infections, Humans, Mouth, Plankton, Biofilms
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