Search Results (845)

Dental infections continue to pose a major health concern worldwide, driven by persistent microbial biofilms, dysregulated host responses, and suboptimal efficacy of conventional antimicrobial therapies. The emergence of nanotechnology has facilitated the development of therapeutic approaches that offer spatiotemporal, minimally invasive, and resistance-preventing alternatives for treating complex dental infections. This review critically assesses novel nanomaterial-based therapies designed to directly eradicate pathogenic microorganisms involved in periodontal disease, dental caries, oral candidiasis and endodontic infections. We first explore the roles of microbial dysbiosis and biofilm-associated pathogenicity as key factors in disease progression, thereby providing a biological rationale for targeted therapies. Particular emphasis is placed on pathogen-directed modalities such as photodynamic, photothermal, sonodynamic, chemodynamic, and nanozyme-based therapies, which allow localized microbial eradication while reducing antibiotic resistance. The design and effectiveness of multifunctional nanomaterials, ranging from bioactive nanoparticles and polymeric hydrogels to microsphere-based delivery systems and implant surface modifications, are analysed in the context of antimicrobial efficacy, biofilm disruption, and compatibility with regenerative processes. Meanwhile, recent advances in integration with tissue regeneration and the potential of artificial intelligence in diagnosis, treatment strategies and materials design are explored as complementary strategies that could improve therapeutic outcomes. By consolidating mechanistic and translational insights, this review highlights how pathogen-targeted nanotherapeutics are revolutionizing the treatment of dental infections with more effective and clinically viable solutions. Full article

Rabbit odontogenic abscesses are among the most challenging chronic infections encountered in exotic animal medicine because of their polymicrobial etiology, biofilm-associated persistence, and poor response to conventional antimicrobial therapy. Biofilm formation plays a central role in disease pathogenesis by promoting bacterial adhesion, extracellular polymeric substance (EPS) production, quorum sensing (bacterial cell-to-cell communication), metabolic heterogeneity, and the persister-cell formation (transiently antibiotic-tolerant bacterial subpopulations), collectively reducing antimicrobial susceptibility and contributing to treatment failure and recurrence. In addition to biofilm-mediated tolerance, antimicrobial resistance (AMR) further complicates disease management through mechanisms including horizontal gene transfer, efflux pump activation, enzymatic antibiotic degradation, reduced membrane permeability, and target modification. This review summarizes current knowledge on the microbiology, biofilm dynamics, and resistance mechanisms associated with rabbit odontogenic infections while examining recent advances in molecular diagnostics, including culture-independent sequencing technologies, metagenomics, and advanced imaging approaches. Current and emerging anti-biofilm strategies, such as local antimicrobial delivery systems, enzymatic biofilm disruption, quorum-sensing inhibitors, bacteriophage therapy, antimicrobial peptides, photodynamic therapy, and nanotechnology-based approaches, are critically discussed in the context of their potential application in rabbits. Comparative evidence from human endodontic infections and other veterinary biofilm-associated diseases highlights the translational relevance of rabbit odontogenic abscesses as a naturally occurring model for chronic polymicrobial infections. Finally, key research gaps are identified, emphasizing the need for standardized experimental models, integrated multi-omics analyses, combining genomic, transcriptomic, proteomic, and metabolomic data, longitudinal clinical investigations, and evidence-based antimicrobial stewardship. By integrating microbiology, biofilm biology, antimicrobial resistance, and One Health concepts, this review provides a comprehensive framework to support future research and improve the diagnosis, treatment, and prevention of rabbit odontogenic infections. Full article

Periodontal disease is highly prevalent in dogs and is closely associated with the composition and functional characteristics of the oral microbiome. However, clinical evidence regarding the efficacy of targeted canine probiotics in preventing post-procedural plaque accumulation remains critically limited, representing a significant knowledge gap in veterinary dentistry. In this randomized pilot study, the aim was to evaluate the efficacy of probiotic supplementation in reducing dental calculus accumulation and alleviating clinical signs of oral inflammation in dogs. Statistically significant differences were observed between the study and control groups for all evaluated oral health parameters. The Gingival Bleeding Index (GBI) was considerably lower in the probiotic-treated group than in the control group (p = 0.008). Similarly, significant differences were found for the Dental Plaque Index (p = 0.020) and the Dental Calculus Index (p = 0.018). These results indicate that, after 56 days of probiotic administration, the dogs receiving the probiotic preparation exhibited noticeably better oral health than those in the control group. These observed clinical effects may be consistent with mechanisms proposed in the previous probiotic literature, such as competitive inhibition of biofilm-forming bacteria; however, direct microbiome modulation was not experimentally assessed in this study. The results suggest that probiotic supplementation may represent a promising adjunctive strategy in canine dental prophylaxis by limiting dental calculus accumulation and reducing clinical signs of oral inflammation. These findings provide preliminary clinical evidence of a potential adjunctive benefit, suggesting that post-procedural probiotic administration may support plaque control and help alleviate early signs of oral inflammation in dogs. Full article

Periodontitis is a chronic, biofilm-induced inflammatory disease characterized by episodic connective tissue destruction and is epidemiologically associated with cardiometabolic conditions, notably type 2 diabetes (T2D) and cardiovascular disease (CVD). Conventional clinical signs do not reliably distinguish quiescent from actively progressing disease, which delays intervention and interdisciplinary referral. Chair-side point-of-care testing (POCT) of oral fluids offers a pragmatic, non-invasive adjunct for real-time assessment of disease activity, not only in dental but also in medical settings. This narrative review, reported in line with the Scale for the Assessment of Narrative Review Articles (SANRA), examines the clinical rationale and current evidence for oral-rinse POCT targeting active matrix metalloproteinase-8 (aMMP-8) and calprotectin. Oral-rinse aMMP-8 reflects disease-active collagenolysis and shows the more robust single-marker performance for periodontitis, whereas oral-fluid calprotectin, a neutrophil-derived S100A8/A9 protein, behaves as a predominantly local inflammatory signal and lacks validated oral-fluid reference ranges. Combining the two markers may add information beyond either alone when used in tandem as a complementary pair, but the supporting data are heterogeneous, largely exploratory, and hypothesis-generating. Dual-biomarker oral-rinse POCT is therefore best framed as a risk-stratification and referral aid rather than a stand-alone diagnostic, with combined interpretation potentially supported by AI technologies. Standardized pre-analytics, transparent threshold reporting, oral-fluid calprotectin reference values, and prospective multicenter validation are required before broad implementation. Full article

Background: Dental caries is a biofilm-associated disease in which Streptococcus mutans plays a central role. This study evaluated HT-2-1-3, a Vespidae venom-derived antimicrobial peptide, as a potential topical anti-caries lead. Methods: Candidate peptides were synthesized by Fmoc solid-phase peptide synthesis and characterized by RP-HPLC and ESI-MS. Antibacterial activity against S. mutans UA159 was assessed using MIC, MBC, growth-curve, and time-kill assays. Membrane damage, antibiofilm activity, cytocompatibility, hemolysis, and preliminary oral safety in mice were further evaluated. Results: HT-2-1-3 showed the strongest activity among the tested peptides, with MIC and MBC values of 2 µg/mL. It inhibited bacterial growth in a concentration-dependent manner and achieved complete killing at 4×MIC (8 µg/mL) within 2 h. Mechanistic assays showed rapid membrane depolarization, increased PI uptake, and concentration-dependent release of extracellular DNA and proteins. MD simulations further indicated that HT-2-1-3 entered the model S. mutans UA159 membrane at 1857 ns, supporting membrane permeabilization as a central component of its bactericidal activity. Scanning electron microscopy revealed dose-dependent membrane disruption, cell collapse, and rupture. HT-2-1-3 inhibited biofilm formation by approximately 58–63% and eradicated up to 89.0% of mature biofilms. Hemolysis remained below 4% at concentrations up to 64×MIC (128 µg/mL), and mammalian-cell viability exceeded 95% at concentrations up to 16×MIC (32 µg/mL). Repeated oral administration caused no obvious gingival irritation in mice. Conclusions: HT-2-1-3 showed strong bactericidal and antibiofilm activity against S. mutans UA159 and favorable preliminary biocompatibility. Its mode of action may involve membrane disruption, and it showed favorable preliminary biosafety. These findings support further optimization of HT-2-1-3 as a topical antimicrobial candidate for caries prevention and control. Full article

Background/Objectives: Dental biofilm formation on prosthetic materials contributes to oral diseases and material degradation. This pilot study evaluated the feasibility of combining time-domain optical coherence tomography (TD-OCT) and non-contact atomic force microscopy (NC-AFM) to characterize biofilm-associated optical and surface changes in dental prosthesis materials following antiseptic treatment. Methods: Acrylic resin, composite resin, and stainless-steel specimens were inoculated with Streptococcus mutans biofilms and exposed to water, Orahex, and Watsons mouthwash. TD-OCT was used to obtain extinction coefficient (EC) and optical thickness measurements, while NC-AFM was performed on Orahex-treated specimens to assess nanoscale surface morphology. EC distributions were analyzed descriptively from valid TD-OCT A-scans. Results: Within the examined specimens, EC distributions varied following biofilm formation and antiseptic treatment, with material-dependent responses. Composite resin exhibited the clearest reduction in EC following Watsons treatment, whereas acrylic resin and stainless-steel specimens showed more variable responses. Physical thickness remained relatively stable, while NC-AFM observations of the Orahex-treated specimens supported the TD-OCT findings by demonstrating corresponding surface morphological changes. Conclusions: This pilot study demonstrates the preliminary feasibility of integrating TD-OCT with NC-AFM for non-destructive evaluation of biofilm-associated optical and surface changes in dental prosthesis materials. The findings are descriptive and exploratory, highlighting the potential of TD-OCT for monitoring prosthetic materials while emphasizing the need for future studies incorporating independent biological replicates and complementary biological validation techniques. Full article

Despite the recommendation of purified water, dental unit waterlines (DUWLs) readily form biofilm and suffer persistent microbial contamination, threatening both patients and dental staff. This study aimed to evaluate the microbial contamination and practical effectiveness of chemical disinfection in reverse osmosis (RO) water-supplied DUWLs. A single-center, sequential longitudinal study involving 15 dental chairs and 60 terminal outlets was conducted. Two disinfection strategies were sequentially evaluated: shock disinfection with a chlorine-based agent and continuous disinfection using slightly acidic electrolyzed water (SAEW). Heterotrophic plate counts (HPCs) were quantified via R2A culture, and microbial communities were characterized by metagenomic next-generation sequencing (mNGS) on 12 water samples (four terminal outlets and two source-water points, both pre- and post-disinfection). Water quality assessment revealed severe microbial contamination at the terminal outlets, with 73.33% of samples exceeding the threshold (500 CFU/mL) and a median HPC level of 805 CFU/mL. Notably, mNGS identified nucleic acid sequences of Legionella pneumophila, Pseudomonas aeruginosa, and Acanthamoeba in four pre-disinfection terminal-outlet samples. Chlorine-based shock disinfection achieved 100% compliance immediately after treatment; however, by week 5, the percentage above the threshold value had risen to 73.33%, with a median HPC level of 600 CFU/mL. The continuous SAEW disinfection protocol sustained effective microbial control over 55 weeks, with an overall percentage above threshold value of only 3.33%. mNGS analysis further confirmed a reduction in microbial relative abundance following one year of continuous SAEW disinfection. In conclusion, purified RO water alone could not guarantee DUWL microbiological safety, and this study provided practical evidence to support decision-making for DUWL maintenance. Full article

Dental resin composites are widely used for direct restorations, yet their longevity remains limited by biofilm accumulation and secondary caries at the tooth–restoration interface. Unlike previous reviews that have primarily organized antibacterial dental materials according to antimicrobial agents or mechanisms, this narrative review evaluates antibacterial resin composites from a polymer-composite design perspective, integrating molecular architecture, network immobilization, filler–matrix interactions, polymerization, and aging. Leachable agents such as chlorhexidine provide early antibacterial effects but are constrained by reservoir depletion, water sorption, and release-related material changes. In contrast, covalently immobilized quaternary ammonium monomers provide sustained surface-associated activity without continuous release, although their performance depends on molecular structure, concentration, degree of conversion, and network properties. Antibacterial nanoparticles and bioactive glass fillers provide composition-dependent ion-mediated, photocatalytic, pH-modulating, and remineralizing effects, while their performance depends strongly on particle characteristics, dispersion, and formulation. Multifunctional systems further combine antibacterial activity with protein repellence, mineral protection, and rechargeable ion release. Overall, the evidence indicates that durable antibacterial performance cannot be considered independently of polymerization, mechanical integrity, aging stability, and biocompatibility. Future development should therefore prioritize clinically relevant multispecies biofilm models, standardized aging protocols, structure–property analysis, and long-term in vivo and clinical validation. Full article

Background: Dental caries remains a globally prevalent biofilm-mediated disease driven by microbial dysbiosis and progressive enamel demineralization. The traditional “drill and fill” paradigm has increasingly given way to biologically informed preventive frameworks emphasizing ecological management. Methods: This narrative review synthesizes 134 studies (2016–2026) retrieved from PubMed, Web of Science, Scopus, and Google Scholar to evaluate emerging caries prevention strategies across three domains. Results: Three interrelated domains of advancement were identified. First, microbial ecological modulation—including probiotics, prebiotics, and targeted antimicrobial peptides—aims to restore oral microbiome homeostasis by disrupting cariogenic virulence without eliminating commensal flora. Second, nanomaterial-based targeted interventions utilizing stimuli-responsive carriers and biofilm-penetrating nanoparticles enable site-specific drug delivery with enhanced therapeutic efficacy. Third, precision-guided strategies incorporating caries risk assessment models and salivary biomarker diagnostics facilitate individualized prevention protocols. Conclusions: These findings demonstrate a fundamental paradigm shift from indiscriminate microbial eradication to equilibrium-driven, ecology-centered disease management. Future directions include AI-assisted personalized prevention, chairside microbiome diagnostics, and smart responsive biomaterials for sustained caries control. Full article

Objective: This study aims to provide a global landscape of research into oral hygiene products with antimicrobial or microbiome-modulating activity through a comprehensive bibliometric analysis to identify trends and hotspots that may influence future research frontiers. Methods: A structured bibliographic search was conducted within the Web of Science Core Collection database from 2006 to 2025. Manual screening was performed to exclude duplicate records, studies that did not align with the core topic, and those failing to meet the predefined inclusion criteria. Bibliometric and visual analyses were performed using VOSviewer, CiteSpace, and the R package ‘bibliometrix’ to evaluate production metrics, citation networks, and multi-level collaboration patterns. Results: The analysis included 1007 publications. Sreenivasan PK was the most productive author, and Lundberg JO was the most cited. The United States, followed by India, Brazil, and China, led global research volume, while the United Kingdom and the Netherlands led in total citations. The International Journal of Dental Hygiene was the most productive journal (n = 48), and the Journal of Dentistry was the most cited (n = 1356). Burgeoning research hotspots include the impact of mouthwashes on the oral microbiome and systemic disorders, the controlled clinical use of chlorhexidine, and alternative formulations incorporating probiotics, herbal extracts, or hyaluronic acid. Conclusions: This study underscores a global shift in dental research priorities from traditional bacterial elimination toward preserving oral microbiota eubiosis. While chlorhexidine remains a subject of research due to its widespread use for therapeutic benefits, bibliometric research highlights its potential systemic consequences as a hotspot. Therefore, future research should focus on innovative antimicrobial formulations for mouthwashes and toothpastes that maintain oral health without causing dysbiosis. Full article

Background/Objective: Mature oral biofilms resist conventional antiseptics via dense extracellular polymeric substance (EPS) matrices. Consequently, the prolonged use of broad-spectrum agents like chlorhexidine (CHX) raises profound ecological concerns. Using a mature oral microcosm biofilm model, we evaluated the multifaceted efficacy of 0.5% black cumin seed oil (BCSO) in disrupting structural biomass, suppressing aciduric bacterial viability, and attenuating porphyrin-associated anaerobic biofilm maturation. Methods: Saliva-derived microcosm biofilms were cultivated on hydroxyapatite discs in a mucin-containing medium (0.5% sucrose) for 6 days. Mature biofilms were treated daily for 1 min for 6 days (n = 19/group) with 0.5% BCSO, 0.12% CHX (positive control), or 0.5% dimethyl sulfoxide (negative control). EPS and bacterial biovolumes were quantified using confocal microscopy. Viability was strictly evaluated as aciduric bacterial colony-forming units. Pathogenic potential was specifically assessed as porphyrin-associated maturation by the red-to-green fluorescence intensity ratio (${\mathrm{Ratio}}_{\mathrm{R}/\mathrm{G}}$) using quantitative light-induced fluorescence-digital technology. Results: Compared with the negative control, 0.5% BCSO significantly degraded the EPS matrix (p < 0.001) and bacterial biovolumes (p = 0.045), and reduced aciduric bacterial counts (p = 0.028). Importantly, 0.5% BCSO significantly reduced the ${\mathrm{Ratio}}_{\mathrm{R}/\mathrm{G}}$ (p = 0.015), compared with the negative control, indicating severely attenuated porphyrin-associated anaerobic maturation. In the CHX group, the reduction did not reach statistical significance compared with the negative control (p = 0.399). Conclusions: In vitro, 0.5% BCSO and 0.12% CHX effectively reduced structural biomass and aciduric bacterial viability. Furthermore, BCSO significantly reduced late-stage, porphyrin-associated anaerobic maturation compared with the negative control, whereas the reduction observed with CHX did not reach statistical significance. These findings highlight the potential of BCSO as a targeted natural antibiofilm adjunct, warranting rigorous in vivo and mechanistic validation before clinical translation. Full article

Dental caries is a biofilm-mediated, non-communicable, multifactorial disease in which the balance between demineralization and remineralization determines whether an initial enamel lesion remains stable, arrests, or progresses toward cavitation. Contemporary caries management prioritizes preservation of tooth structure and emphasizes individualized decisions based on lesion activity, cavitation status, cleansability, radiographic depth, and patient’s caries risk. Resin infiltration has emerged as a microinvasive approach positioned between noninvasive preventive strategies and conventional restorative treatment. This evidence-based narrative review summarizes the current literature on resin infiltration for incipient, non-cavitated proximal carious lesions in permanent teeth, with emphasis on diagnosis, case selection, clinical protocol, and current evidence. A structured search of three databases (PubMed, Embase, and the Cochrane Central Register of Controlled Trials) identified randomized clinical trials, observational clinical studies, systematic reviews, narrative reviews, and relevant in vitro investigations. The strongest clinical evidence supports resin infiltration for non-cavitated proximal lesions in permanent teeth, particularly enamel and selected outer dentin lesions, where long-term studies demonstrate reduced radiographic progression. In vitro studies indicate that lesion penetration, enamel hardness, and surface roughness depend on lesion characteristics, pretreatment, and technique, and help explain the caries-arresting effect. Current evidence shows that resin infiltration should be considered a selective microinvasive option for incipient proximal caries, guided by lesion assessment and patient’s caries risk rather than a universal substitute for prevention or restoration. Full article

Background: To date, several studies have confirmed the fact that over 700 species of microbiota interacts with host, modulating immunity, controlling the homeostasis environment, and thus maintaining systemic condition. Dysbiosis in the subgingival biofilm can initiate chronic inflammation of the gingiva, potentially progressing to periodontitis. Advances in DNA sequencing analysis of the subgingival microbial community have shown that periodontal treatment causes a microbial shift in subgingival plaque, affecting the taxonomic composition (disease- and health-associated taxa). Yet, none of these have been investigated in Indonesia. Objective: The objective was to profile the composition of oral microbiome in Indonesian population with healthy, gingivitis, and periodontitis status. Further, we analyzed the subgingival bacterial alteration following the therapy in periodontitis group. Methods: Twelve subjects consisting of healthy, gingivitis, and periodontitis patients were included. Additionally, the periodontitis group was observed at baseline, 1-month, and 3-month. Subgingival dental plaque were sampled and 16S rRNA NGS analysis was performed. Alpha (Chao1, Shannon, and Simpson indices) and beta diversity (PCoA plots based on Bray–Curtis dissimilarity) were observed. Microbiota composition at the genus and species levels was analyzed. Results: No statistically significant differences (p > 0.05) were found for Chao1, Shannon, and Simpson indices amongst groups and in periodontitis patients across the observation. At the genus level, PCoA plots based on Bray–Curtis dissimilarity revealed that the clinical status accounted for 21.9% of the total variation (R² = 0.219, p = 0.197), while at the species level, it accounted for 19.8% (R²= 0.198, p = 0.281). Periodontitis samples across all timepoints showed no distinct clustering at either the genus 7.6% (R² = 0.076 p = 0.097) or species levels 9.7% (R² = 0.097 p = 0.995). Top five subgingival microbiota at the genus and species levels in all groups showed definite pattern of composition. Although no significant association was found (p > 0.05), it described that Veillonella parvula, Campylobacter gracilis, and Capnocytophaga granulosa were more abundant in healthy subjects than in gingivitis and periodontitis. Prevotella oris and Selenomonas noxia were less abundant in healthy subject than in gingivitis and periodontitis. In periodontitis subjects, Prevotella intermedia was increased by the therapy at 1 month and reduced again at 3 months. On the other hand, Capnocytophaga granulosa was increased by the therapy at 1 and 3 months. Hoylesella loescheii was reduced by the time. Porphyromonas gingivalis was reduced at 1 month and increased again at 3 months. Discussion: The result showed that the number of alpha diversity was notably higher in the gingivitis and periodontitis groups compared to health group, supporting a trend toward increased community richness and evenness in diseases states. The microbial richness and evenness remained relatively stable across the evaluated periods within periodontitis cohort. Oral microbial composition defines the periodontal status and disease. More abundance of Red Complex bacteria is associated with disease-associated condition. Pathogen re-colonization may occur 3 months after the therapy. Conclusions: These findings suggest that maintaining health-associated microbiome may be beneficial to the clinical status. Periodontal recall may be addressed from 1 to 3 months after the therapy to avoid bacterial re-colonization. Suppressing bacterial dysbiosis and regulating periodontal homeostasis are the main key in managing periodontal treatment. Full article

Implant-associated infections (IAIs) persist as a critical complication in biomaterial transplantation, driven by rapid microbial colonization, biofilm encapsulation, and escalating antibiotic resistance. Conventional antibiotic-based treatments and passive antimicrobial coatings often fail to achieve long-term infection control due to limited biofilm penetration, localized cytotoxicity, and active agent depletion. To overcome these limitations, piezoelectric nanocomposite coatings utilize a dynamic, stimulus-responsive framework that converts physiological mechanical forces or external ultrasound into localized electrical signals. These surface-bound electric fields systematically mitigate bacterial adhesion, eradicate mature biofilms via targeted reactive oxygen species (ROS) generation, disrupt microbial metabolic pathways, and favorably modulate the peri-implant immune microenvironment while supporting host tissue repair. This review evaluates the material design principles and classifications of inorganic, organic, and hybrid piezoelectric nanocoatings. We detail their multifaceted antibacterial mechanisms and trace their therapeutic potential in orthopedic and dental implants, as well as wound management. Lastly, we analyze current engineering bottlenecks to chart a clear trajectory for their clinical translation. Full article

The interaction between restorative materials and microbial biofilms plays an important role in restoration longevity and the development of secondary caries. This study aimed to perform a multidimensional characterization of four commercially available flowable resin-based dental composites by evaluating their surface roughness, Vickers microhardness, surface morphology, and microbial biofilm formation under standardized in vitro conditions. Filtek™ Bulk Fill Flowable Restorative (3M), Tetric EvoFlow (Ivoclar Vivadent), BRILLIANT Flow (Coltene), and G-ænial™ Universal Injectable (GC) were investigated. Surface roughness was determined by contact profilometry, microhardness was assessed using the Vickers method, and microstructural characteristics were analyzed by scanning electron microscopy (SEM). Microbial biofilm biomass formed by Gram-positive bacteria, Gram-negative bacteria, and Candida albicans, including both reference strains and clinical isolates, was quantified using a crystal violet assay to compare material-dependent microbial colonization. G-ænial™ Universal Injectable exhibited the lowest roughness values, whereas BRILLIANT Flow showed the highest microhardness. SEM analysis revealed a more homogeneous surface morphology for Filtek™ Bulk Fill Flowable Restorative and G-ænial™ Universal Injectable, while Tetric EvoFlow and BRILLIANT Flow displayed increased topographical heterogeneity. Although modest differences in biofilm biomass accumulation were observed among the investigated composites (4.37–12.21% relative biomass reduction compared with the control), no material demonstrated a distinct advantage under the experimental conditions. The integrated evaluation of surface roughness, microhardness, surface morphology, and microbial biofilm formation provides a comparative characterization of commercially available flowable resin-based composites and contributes to a better understanding of material–biofilm interactions. These findings may support the future development of multifunctional restorative biomaterials with improved biofilm-modulating properties. Full article