Thomas John G, Nakaishi Lindsay A
Department of Pathology, West Virginia University, School of Medicine, Morgantown, USA.
J Am Dent Assoc. 2006 Nov;137 Suppl:10S-15S. doi: 10.14219/jada.archive.2006.0409.
This article provides an overview of the history of oral microbiology, a discussion of dental plaque as both a microbial community and a biofilm, and a review of the measures available to control the oral microflora.
The authors reviewed the literature related to oral microbiology and associated infectious diseases. They also examined articles that detailed the structure and physiology of biofilms, including dental plaque biofilms.
Biofilms cannot be eliminated. The pathogenic nature of the dental plaque biofilm can be diminished in the oral cavity by reducing the bioburden and effectively maintaining a normal oral flora via oral hygiene procedures that include daily toothbrushing, flossing and rinsing with an antimicrobial mouthrinse. An oral hygiene regimen that includes rinsing with an antimicrobial mouthrinse is a practical approach to the prevention and management of periodontal diseases. This strategy may have wider benefits when the link between periodontal disease and certain systemic diseases is considered.
An effective oral hygiene regimen can help control dental plaque biofilm and associated periodontal diseases.
本文概述了口腔微生物学的历史，讨论了作为微生物群落和生物膜的牙菌斑，并综述了控制口腔微生物群的可用措施。
作者回顾了与口腔微生物学及相关传染病有关的文献。他们还查阅了详细阐述生物膜（包括牙菌斑生物膜）结构和生理学的文章。
生物膜无法被消除。通过减少生物负荷并通过包括每日刷牙、使用牙线和用抗菌漱口水漱口在内的口腔卫生程序有效维持正常口腔菌群，可以减轻口腔中牙菌斑生物膜的致病性质。包括用抗菌漱口水漱口在内的口腔卫生方案是预防和管理牙周疾病的实用方法。当考虑到牙周疾病与某些全身性疾病之间的联系时，这一策略可能具有更广泛的益处。
有效的口腔卫生方案有助于控制牙菌斑生物膜及相关的牙周疾病。
