J Dent Hyg Sci.  2019 Sep;19(3):162-169. 10.17135/jdhs.2019.19.3.162.

The Effects of Biofilm Care on Subgingival Bacterial Motility and Halitosis

• Kim YR

• KMID: 2460994
• DOI: http://doi.org/10.17135/jdhs.2019.19.3.162

Abstract

BACKGROUND
Oral diseases are caused by various systemic and local factors, the most closely related being the biofilm. However, the challenges involved in removing an established biofilm necessitate professional care for its removal. This study aimed to evaluate and compare the effects of professional self and professional biofilm care in healthy patients to prevent the development of periodontal diseases.
METHODS
Thirty-seven patients who visited the dental clinic between September 2018 and February 2019 were included in this study. Self-biofilm care was performed by routine tooth brushing and professional biofilm care was provided using the toothpick method (TPM) or the oral prophylaxis (OP) method using a rubber cup. Subgingival bacterial motility and halitosis (levels of hydrogen sulfide, H₂2S; methyl mercaptan, CH₃SH; and di-methyl sulfide, (CH₃)₂S) were measured before, immediately after, and 5 hours after the preventive treatment in the three groups. Repeated measures analysis of variance test was performed to determine significant differences among the groups.
RESULTS
TPM was effective immediately after the prevention treatment, whereas OP was more effective after 5 hours (proximal surfaces, F=16.353, p<0.001; smooth surfaces, F=66.575, p<0.001). The three components responsible for halitosis were effectively reduced by professional biofilm care immediately after the preventive treatment; however, self-biofilm care was more effective after 5 hours (H₂S, F=3.564, p=0.011; CH₃SH, F=6.657, p<0.001; (CH₃)₂S, F=21.135, p<0.001).
CONCLUSION
To prevent oral diseases, it is critical to monitor the biofilm. The dental hygienist should check the oral hygiene status and the ability of the patient to administer oral care. Professional biofilm care should be provided by assessing and treating each surface of the tooth. We hope to strengthen our professional in biofilm care through continuous clinical research.

Keyword

Bacteria; Dental care; Halitosis; Oral health

MeSH Terms

Bacteria
Biofilms*
Dental Care
Dental Clinics
Dental Hygienists
Halitosis*
Hope
Humans
Hydrogen Sulfide
Methods
Oral Health
Oral Hygiene
Periodontal Diseases
Rubber
Tooth
Hydrogen Sulfide
Rubber